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398507 (PLBG)BUILDING PERMIT PERMIT NO. " 3985071 PERMIT No. 398507 DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD MH Permit Fee DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES•_ 1ST FL. 2ND. FL. FOR. GAR. CAR P. i ' WALL ' - ESTIMATED CONSTRUCTION SO. FT. @ $ UNITS Porcel No. Use/Case SO. FT. @ YARD SPKLR SYSTEM Ck... SQ. FT. @ MOBILEHOME SVC. BAR SINK SO. FT. @ POWER OUTLET ROOF DRAINS' SQ. FT. @ DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN Set Backs SO. FT. @ URINAL t PI. Ck. Fee $ .�"�'� ✓ .S4- „5 / i VALUATION $ WATER PIPING F S NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN s�.SMI � MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER Type VENT SYSTEM FAN EVAP. COOL HOOD SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL Plumbing Fee FURNACE UNIT WALL FLOOR SUSPENDED nd Amt. LAUNDRY TRAY Plan Checker AIR HANDLING UNIT CFM IDLE METER .KITCHEN •SINK Unit ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY \ HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER Const. Lender Branch BOILER B.T.U. SQ. FT. @ a BATH TUB g SO. FT. @ a WATER HEATER Mileage Fee $ Address City Zip Witness Fee SO. FT. RESID @11/4c SEWAGE DISPOSAL G% • `% S0. FT. GAR @ s/.a HOUSE SEWER Owner/Agent • Zip Total Fees GAS PIPING _ PERMIT FEE Zip PERMIT FEE PERMIT FEE / C� DBL. TOTAL FEESMOB. r HM. FEE MICRO•FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLU FEE PERMIT NO. " 3985071 Job Adddrrreess 1�,,+ 1,- ^/ Space ZipOwner .`r _ s- .y /_ -57- / 3� • / !/ 'le /� � I � �� 414' &/1 / Community Valuotion • Date Dist. Olf . F.C.C. �• / 'Y �! MH Permit Fee $ V\. 1,40 / $ r •-+.i • ; / Micro Film Fee Mech. Fee � Cop $ Dbl g Use of Pe mit' moi_/!-P�r�c-� > Porcel No. Use/Case No. Ck... Set Backs Lot Sire t PI. Ck. Fee $ .�"�'� ✓ .S4- „5 / i Construction Fee Dbl $ Legal Description G� .?#jta F S S R Electricol Fee Dbl $ s�.SMI � Zone Restrict'�./ Group Type Fee $ ,S Plumbing Fee Dbl $ nd Amt. Plan No. t Plan Checker Final Dote✓ Inspe o Unit Sp. Insp. Fee $ $ S ` (� r �Q \ Demol. Fee $ Const. Lender Branch Supplimentpqermit Numbers Registr,. Fee g i Mileage Fee $ Address City Zip Witness Fee $ Reinsp. Fee' $ Owner/Agent Tel. Zip Total Fees $ lAddr i .,� City Zip M.O. ❑ N.C.❑ Cash ❑ Check c (s�•s i.; *�:=e •�''j�(�+},,�, Recei.ecl by C 44� Trees - - rac or Tel. LicemeR require Sewage System Address.'�/ City ' Zip ...1 diems / T �11. P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATIC)N OF WORK Sewer District FOR.120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. THEREBY AGREE THAT ALL WORK' IN CONNECTION WITH THIS PERMIT'WILL BE DONE IN ACCORDANCE WITH �)TTH�E. 'LAWS SOF RIVERSIDE COUNTY 'AND THE STATE OF CALIFORNIA. cecr CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284.208'(Rev, 1/80) . �(��` ACCORDANCE •WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. verified by: NO. t OPERATION DATE INSPECTOR NO. OPERATION DATE'F INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System ., 2 Ftgs & Frms 34 Plenums & Ducts - t 2A Slob Grade 35 Furnace Comport. 3 Steel 36 Inlets & 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 T 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P, L. U 43 Final t 1 10A 'Fireplace T.O. Q °o ADDITIONAL INFORMATION - r i t f \ j F - } 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 Y -15 Lound Plumb 16 Water Piping 17 Rough Plumb IB Vents 19 Sewage Disposal 20 Sewer 21 Water Heater 22 Water Softener 23 Water Service 24 Gas Test 25 Final s' - (6 �C' Tank 1.-� Pit e7 / L, Line - Tank t REAR OF PROPERTY LINE t r ; 0 P/L f P/ �(D I I _ ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 - Service Entrance 29 , Wiring 29A Grounding. Wire 29B Bonding 30 Fixtures 31 Service :32' Final '. NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE Owner PILL_ I?e clo N IV Architect Address 852X to 92 —Address— City ddressCity �C-2 ov'?OS4 54= `iL City Phone �/�+5`� Phone DISTRICT Permit No Contractor ��FL N1� 2r%/. so ✓ G J- j y Address /�y • i3'J�C .r " -- City_(�71�C'%�+zitlL Phone Z ' 74/4 1 (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and Paving, and/or Dedication of right of way is required by the County of Riverside, the Riverside County Department of Building and Safety shall not make a Final Inspection until said requirements have been met. I am also aware that no work is to be done within the County R/W without an encroachment permit. NOW, therefore, it is agreed that 1 (we) will not occupy said property and will not cause said property to be occupied until I (we) have complied with all laws of the -JCounty of Riverside and the State of California governing said property. DATE SIGNATURE OF OWNER AND/OR AGEN G� Approval by Signature from the Following Departments Listed Below Must Be Obtained Prior to the Issuing of a Construction Permit. X93 I SPACE N0. ,.,J 1 USE OF STRUCTURE JOB ADDRESS ,- ='_% T_' I LEGAL DESCRIPTION OF PROPERTY COMMUNITY r"- / NO. OF SUB_MITTED'PLANS _ USE OF PERMIT :' ,�C�SE4yNQi" O SINGLE FAMILY DUPLEX APARTMENTS AGRIC. COMMERCIAL INDUSTRIAL LJ ALTERATIONS n NO-.' OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING — ZONE -SETBACKS! FRONT SIDE REAR GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE S _— OF FEET REQUIRED ON DATE�SIGNATURE OF LAND USE OFFICIAL, DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET IMPROVEMENT? YES ❑ NO ❑ DATE __ SIGNATURE OF ROAD DEPT. OFFICIAL SEWAGE DI WATER POLLUTION FLOOD CONTROL AIR POLLUTION DIV OF HWY REMARKS YOUR PROPERTY MAY BE SUBJECT TO FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. v/7a CANARY—FILE, PINK—APPLICANT BUILDING PERMIT PERMIT No.: DEPARTMENT' OF BUILDING & SAFETY FIELD ;OFFICE DST r COUNTY, OF -RIVERSIDE r 3.9550,7 II/I CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES. 1ST FL.SO. 2ND. FL. POR. •-. GAR. CAR P. WALL ESTIMATED, CONSTRUCTION FT. @ $ UNITS .R, .Spoto - �.� Zip 'TOwner f YARD SPKLR SYSTEM 50. FT: @ {omm nity SO. FT. @�- MOBILEHOME SVC. BAR SINK - SO. FT. @ POWER OUTLET ROOF DRAINS �• ✓U SOFT. @ DRAINAGE PIPING Dist. SO:•FT. @ - DRINKING FOUNTAIN F.C.C. SO.. FT: @ URINAL, Micro film FeeUse VALUATION $ WATER PIPING NOTE:. Not to be:used as property tax' valuation SWIM POOL, PVT FLOOR DRAIN _ Parcel No. - MECHANICAL FEES. SWIM POOL, COMM WATER SOFTENER PI. Ck. Fee $ •. VENT SYSTEM - FAN EVAP. COOL HOOD - ,. . SIGN • WASHER (AUTO)(DISH) Legal Description s ' APPLIANCE - DRYER - - // - .�""'� M �/ 3. GARBAGE DISPOSAL S S FURNACE t' UNIT, WALL "FLOOR SUSPENDED Elecvi<ol Fee Dbl $ - LAUNDRY TRAY Group AIR HANDLING UNIT CFM IMi.METER KITCHEN SINK* Dbl $ ABSORPTION SYSTEM - - B.T.U. - - TEMP USE PERMIT SVC, WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY Unit ' HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. r ° SO. FT. @ a BATH TUB Supplimentah Permit` Numbers , y • Register. fee $ SO. FT. @ a WATER NEATER' Witness Fee $ �. SO. FT. RESID @ 1 /4a SEWAGE DISPOSAL, Ownq}/Agent ` + SO: FT. GAR @ 3/4¢ HOUSE SEWER Total Fees is I I M.O.4 Q N.C.'[:]- Cash 0 Check Aid r GAS PIPING • y y4 a. PERMIT FEE - - Recei.•ed Fiy Trees requue PERMIT FEE PERMIT FEE C ra ter - DBL.. •, TOTAL FEES_ _ MOB. HM. FEEMICRO FEE MECH. FEE PL. CK. FEE ;' CONST. FEE ELECT. FEE SMI FEE FEE PL B. �F'EEE�j, T U a THIS PERMIT $HALL BECOME VOID IF WORK 15'NOT•COMMENCED WITHIN<120 DAYS. CESSAT17N OF WORK verified by: Sewer District FOR,•120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOIDS l 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,'H ERTIFY THAT THE INDIVIDUAL "WHO PREPARED THE PLANS AND':SPECIFICATIONS HAS -DONE SO INForm28n-208 (Rev. 1/80)ANCE WITH SECTION 5541 OF THE•6USINE55 AND PROFESSIONS CODE.OF THE STATE OF CALIFORNIA. ' –< - lob Address i . �"~ _ •' .R, .Spoto - �.� Zip 'TOwner f PERMIT NO. 3.98507 {omm nity Valuation IS �• ✓U Date Dist. ff. F.C.C. MH Permit Fee # $ Micro film FeeUse Cop $ of P it .j ,v��% e....// G < J ✓ �..•. � Parcel No. - Use/Case No. Ck. By Mech. Fee Del $lz_s PI. Ck. Fee $ •. Set Backs ' Lot Size Construction Fee Dbl $ z, Legal Description s ' _ - // - .�""'� M �/ 3. F S S R Elecvi<ol Fee Dbl $ - Zone Restrictions s Group Type SMI Fee $ Plumbing Fee § Dbl $ and Amt. $ _ Plan No. Plon Checker. _ Final •Dcite/ (yy�. S—/(p �• 6' V IIns^peector • `••� Unit ' I Sp! Insp. Fee $ Demol. Feer $ - Const. Lender * s Branch,- .' Supplimentah Permit` Numbers , y • Register. fee $ ej Mileage fee $ Y Z Address Cit P Witness Fee $ •Reinsp. Fee g Ownq}/Agent Tel. - Zip Total Fees is I I M.O.4 Q N.C.'[:]- Cash 0 Check Aid r • y y4 a. City < - Zip s ,' Recei.•ed Fiy Trees requue C ra ter - .0 Tel. '( - - =License# ..3 Sewage System - Addiess _ .. , _ -. Zipbt P T U a THIS PERMIT $HALL BECOME VOID IF WORK 15'NOT•COMMENCED WITHIN<120 DAYS. CESSAT17N OF WORK verified by: Sewer District FOR,•120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOIDS l 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,'H ERTIFY THAT THE INDIVIDUAL "WHO PREPARED THE PLANS AND':SPECIFICATIONS HAS -DONE SO INForm28n-208 (Rev. 1/80)ANCE WITH SECTION 5541 OF THE•6USINE55 AND PROFESSIONS CODE.OF THE STATE OF CALIFORNIA. '