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376545 (SPIN)BUILUING PERMIT PERMIT NO. CJro. DEPARTMENT OF BUILDING & SAFETY 376545 r COUNTY OF RIVERSIDE FIELD DSr CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. SQ. FT. @ UNITS Y SQ. FT. @ YARD SPKLR SYSTEM POR. GAR. CAR P. SQ. FT. @ MOBILEHOME SVC. BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING WALL SQ. FT. @ SQ FT @ ESTIMATED CONSTRUCTION VALUATION $ DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER Valuation $ GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Dist."' LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HIP POLE, TEMP/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. @ C BATH TUB lot Size SQ. FT. @ c WATER HEATER Legal Description �© / -^/S� % _ SQ. FT. RESID @1'/.c SEWAGE DISPOSAL SQ. FT. GAR @ 3/4 c HOUSE SEWER Group Type GAS PIPING PERMIT FEE Dbl E PERMIT FEE PERMIT FEE., DBL. TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. Job Address Space Zip Owner 137654514,11 y Af Az Community r • ,,� "~ Valuation $ Date Dist."' Off. F.C.C. MH.Permit Fee $� Micro Film Fee Cop $ Use of ermit �°. % r i,., .... „i✓'.� %, �" G• �"/�/fi�� '+' 7 Parcel No. �.. IS i se/Case No. - - Ck. -By - Mech. Fee Dbl $(;'�- PI. Ck. Fee $ r ✓ et Ba s,� lot Size "— Construction Fee Dbl $ Legal Description �© / -^/S� % _ F 5 S R Electrical Fee Dbl E Zone Restrictions Group Type SMI Fee $ Plumbing Fee Dbl E Bond Amt. ' 1"PTonVo. Plan Checker Final Date D Ip r Unit IP Sp. Insp. Fee $ $ Dental. Fee $ Const. Lender Branch Supplim t ermit Numbers Registr. Fee $ Mileage Fee $ Address/ City Zip Witness Fee $ Reinsp. Fee $ ner/�, en`t ' Tel. /`,✓/ Zip Total Fees $Adds r Zip 4 M. 0. N.C. Cash Check au /^y ' -.. /� d, -.�. ,moi .. .., y �. , / �n Received by �.� Contractor "� ��- Tel. r Licensees Frees required Sewage System Address City Zip T LL P Sewer District Form 284-208 (Rev.8/78) @s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. verified by: NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Bock 33 Ventilation System 2 Ftgs B Frms 34 Plenums 8 Ducts 2A Slab Grade 35 Furnace Comport. 3 Steel 36 Inlets 8 Outlets 4 Grout Blocks 37 Combustion Air 5 Bond Beams 38 Compressor 6 Roof Deck 39 Appl. Clearance 7 Framing 40 Fire Damper 8 Vents 41 Smoke Detection Device 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P. L. 43 Final 10A Fireplace T.O. ❑ No ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 12B Ceiling (Batts) 12C Ceiling (Blown) 14 Final PLUMBING APPROVALS 15 Ground Plumb 16 Water Piping 17 Rough Plumb 18 Vents 19 Sewage Disposal 20 Sewer 21 Water Heater 22 Water Softener 23 Water Service 24 Gas Test 25 Final Tank Pit L.Line PSL REAR OF PROPERTY LINE ELECTRICAL APPROVALS P/ 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE DISTRICT ` Permit No =284 199A 9/74 CANARY -FILE, PINK -APPLICANT Owner Architect -_ --_ Contractor- _-- _ ,Q l;lAddress����n`D u� 1I4�/GZAddress--- Address--- — -- ity--- City ZA A.,;97-% , �'f� 9a �- City-- City ---- Phonelv=�oy-y/ysPhone _ Phone- ----. Phone 5 ,S(a - �f • W I (we) the undersigned, hereby certify and acknowledge a1 1 ( ) have read -the application and agree that if Curb and Gutter, and Z Paving, and/or Dedication of right of way is required by the C u of Riverside, the Riverside County Department of Building and Safety 3 shall not make a Final Inspection until said requirements have n met. I am also aware that no work is to be done within the County R/W O without an encroachment permit. NOW, therefore, it is agreed that I (we) will not occu said pro rty and will not cause said property to be occupied until I (we)'have complied with all laws of the County of Riverside and the State of California governing said property. V SIGNATURE OF OWNER ANDAD AGEN DATE ��C Approval by Signature from the Following Depart�ed Below Must Be Obtained Prior to the Issuing of a Construction Permit. Ne4,,es"l toss 671e`«7e•* 3,11e 7W,; Ivo ISPACE NO. I USE OF STRUCTURE �wv?i/�e����Z (pp JOB ADDRESSJam_ - SINGLE FAMILY DUPLEXEl Z >_ LEGAL DESCRIPTION O,F/-PROPFRTYLQf.FZi_L✓/L. 1pt_ [7�OG'.�� APARTMENTS AGRIC. Jr' v��Lfl� -• �- - ! — COMMERCIAL INDUSTRIAL r �- Q 6 / - 3 Q ❑ LJ COMMUNI ALTERATIONS ❑ 2 Q Z NO. OF SUBMITTED PLANS __ USE OF PERMIT CASE NO. _jn�nyCY� yi7n2 f C Z NO. OF ARKING SPACES REQUIRED _— - NO. OF BUILDINGS NOW EXISTING - ZON ._ ETBAeKIS: FRONT SIDE REAR J m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE # OF FEET REQUIRED ON STREET DATE SIGNATURE OF LAND USE OFFICIA DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET - h- W CURB AND GUTTER REQUIRED: YES ❑ NO F-1STREET t- oe _ a CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ Lu HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET Q IMPROVEMENT? YES ❑ -NO ❑ O °C DATE - SIGNATURE OF ROAD DEPT. OFFICIAL = SWIMMING POOLS PUBLIC a SEWAGE DISPOSAL W _ FOOD ESTABLISHMENT WATER POLLUTION REMARKS v FLOOD CONTROL t- W AIR POLLUTION W t- DIV OF HWY cc YOUR PROPERTY MAY BE SUBJECT TO 0 a — ' c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. =284 199A 9/74 CANARY -FILE, PINK -APPLICANT 4 REQUEST FOR CERTIFICATION Ap Date s ` . TO.: Local governing authority County of Riverside 1 5 SUBJECT: Request for certification of, acceptability of property. under applicable - local 'buil dill g code(s). REFEfiENCE: Location of dwelling: i 4� r l A. .� . Community: i 1:.hereby request an inspection of the above located dwelling fora determination of the following, as well as a Certification of Acceptability (or Nonacceptability.as, the siivation yvarrants): 01Compliance with local building codes) apphcable,to.the e,xisting dwelling. , ❑ 2 Compliance with applicable local code(s) on room addition. 3.' Compliance with applicable local codes) on"Wmve conversion i ❑ 4. Compliance with applicable local'code(s) on sewage,disposal system. '13" 5. Compliance withapplicable local code(sP'on othe'r'special construction. (describe) ' Signed 1 9145 > Address:. Zip: 284-49 8/76 rr CERTIFICATE OF ACCEKABI.LITY/NONACCEPTABII_ITY �- Owner: Date of Inspection' Location of Dvvellilrfz-�%TGlI'm� Bwldm9 Permit No: a �' Community: "t _ !r I certify that as a.pprt of my official duties as building inspector. I have on -the date indicated inspected the a_ Love located dwelling as'requested, and have'note the following wolaiion(s) theapplicable building code(s): .a• Q ri None. There is oviolaiion of, the applicable building codels). Reinspection/ New Permit ❑ The following-nonacceptable conditions exist: Required ❑ Sanitary'inadequacy: Structural hazard; ❑ Hazardous wiring: i ❑ Hazardous plwnbing: ❑.Faulty weather protection: ❑ Fire hazard: ❑ Faulty materials of construction: ❑ Additional details are noted'on reverse sidebf'this'form. Remarks:. ❑ Conforms.to other applicable ordinances. ❑ 1 further certify tha(a record is available indicating proper completion:. '(Building Peri -nit No.) (Completion Date) ; ❑ The building permit .completion record is not available. Records in icate age of this structure has led to destruction of the completion record. AThere is no record available of the construction involved. However, the construction oppeors to meet code. Sign" (Typed or Pt.inted Wnie.of Building Inspector) County.of Riverside f' ^ City Date of Certificate . ,t n 4 REQUEST FOR CERTIFICATION Ap Date s ` . TO.: Local governing authority County of Riverside 1 5 SUBJECT: Request for certification of, acceptability of property. under applicable - local 'buil dill g code(s). REFEfiENCE: Location of dwelling: i 4� r l A. .� . Community: i 1:.hereby request an inspection of the above located dwelling fora determination of the following, as well as a Certification of Acceptability (or Nonacceptability.as, the siivation yvarrants): 01Compliance with local building codes) apphcable,to.the e,xisting dwelling. , ❑ 2 Compliance with applicable local code(s) on room addition. 3.' Compliance with applicable local codes) on"Wmve conversion i ❑ 4. Compliance with applicable local'code(s) on sewage,disposal system. '13" 5. Compliance withapplicable local code(sP'on othe'r'special construction. (describe) ' Signed 1 9145 > Address:. Zip: 284-49 8/76 rr CERTIFICATE OF ACCEKABI.LITY/NONACCEPTABII_ITY �- Owner: Date of Inspection' Location of Dvvellilrfz-�%TGlI'm� Bwldm9 Permit No: a �' Community: "t _ !r I certify that as a.pprt of my official duties as building inspector. I have on -the date indicated inspected the a_ Love located dwelling as'requested, and have'note the following wolaiion(s) theapplicable building code(s): .a• Q ri None. There is oviolaiion of, the applicable building codels). Reinspection/ New Permit ❑ The following-nonacceptable conditions exist: Required ❑ Sanitary'inadequacy: Structural hazard; ❑ Hazardous wiring: i ❑ Hazardous plwnbing: ❑.Faulty weather protection: ❑ Fire hazard: ❑ Faulty materials of construction: ❑ Additional details are noted'on reverse sidebf'this'form. Remarks:. ❑ Conforms.to other applicable ordinances. ❑ 1 further certify tha(a record is available indicating proper completion:. '(Building Peri -nit No.) (Completion Date) ; ❑ The building permit .completion record is not available. Records in icate age of this structure has led to destruction of the completion record. AThere is no record available of the construction involved. However, the construction oppeors to meet code. Sign" (Typed or Pt.inted Wnie.of Building Inspector) County.of Riverside f' ^ City Date of Certificate .