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384110 (SPIN)PERMIT NO. 334110 DEPARTMENT OF. BUILDING & SAFETY FIELD OFFICE [DIT COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 'SQ. 2ND. FL. FT. @ $ UNITS 10—b ob, SQ. FT. @ YARD SPKLR SYSTEM POR. ' GAR. CAR P. WALL SQ. FT. @ MOBILEHOME SVC. BAR SINK SQ, FT. @ POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL ESTIMATED CONSTRUCTION VALUATION $ Use/Case No. 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 Electrical Fee Dbl $ GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Type LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM B:T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE,TEMP/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY f AMPERES SERV ENT SHOWER BOILER B.T.U. : a. SQ. FT. @ c BATH TUB - SQ. FT. @ • c WATER HEATER Address City Zip SQ. FT. RESID @1'/.c SEWAGE DISPOSAL $ SQ. FT. GAR @ '/. c HOUSE SEWER Tel. s4j—y Zip GAS PIPING PERMIT FEE PERMIT FEE PERMIT DBL. TOTAL FEES G ✓o ,•� MOB.HM.FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE - FEE PLUMB. FEE aoj PERMIT,NO. 334110 Job Address go Spoce Zip 10—b ob, Corytmunity luation Data Dist. O%ff`� F.. C. MH:fermit Fee $ . Micro Film Fee Cop $ Use of Permit 'd .. Parcel No. �f.A Use/Case No. Ck. By ,Mech. Fee � Dbl $ PI. Ck. Fee $ Set Backs Lot Size Construction Fee Dbl $ ,Le Description ��,.,� Q1 i•. F 5 S R Electrical Fee Dbl $ Zone Re frictions ... / Group Type SMI Fee $ Plumbing Fee Dbl $ Bond Amt. $ PI o. Plan Checker Final Date Inspector Unit Sp. Insp. Fee $ Demol. Fee $ Const. Lender Branch Supplimentol Permit Numbers - Registr. Fee $ Mileage Fee $ Address City Zip Witness Fee $' Reinsp. Fee ,t $ r ge ') t c o n i Tel. s4j—y Zip Total Fees • $ Address Q " r3-190 1 / V -7,� ,p /+� •y M 1 /g,,.[:� Z_ Cir % Z* 4a //w/A Zip M.O. C. Cash Check Received by Contractor • Tel. " License# Trees require Sewage System Address City Zip T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: Sewer DistrictO FOR 120 DAYS,SHALL ALSO CAUSE PERMIT TO BECOME VOID, i t 1 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. EREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284-208 (Rev. B/78) ©s ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. r BUILDING PERMIT PERMIT NO. DEPARTMENT OF BUILDING & SAFETY 384110 COUNTY OF RIVERSIDE FIELD F/;/;-] CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. POR. GAR. SQ. FT. @ $ UNITS Date 7 7 � SQ. FT. @ YARD SPKLR SYSTEM SQ. FT. @ MOBILEHOME SVC. BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS CAR P. SQ. FT. @ Ck._By(//� DRAINAGE PIPING WALL SQ. FT. @ Lot Size DRINKING FOUNTAIN SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ F S S R 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 Sp. Insp. Fee $ " GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Supplime taI Permit Numbers LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK 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 BOILER B.T.U. SQ. FT. @ C BATH TUB Trees required�� `�-- SQ. FT. @ c WATER HEATER City Zip SQ. FT. RESID @1'/.0 SEWAGE DISPOSAL SQ. FT. GAR @ %C HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT. DBL. TOTAL FEES Es ✓G vim- MOB.HM.FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE r% FEE PLUMB. FEE PERMIT NO. 3841.0 Job Address Space 3-I >� ,cepp Zip A.ys- Owner CoQ Co ,unity ` �F — T # � 7` Valuation $ Date 7 7 � Dist. /� Off. F.C.C. MH.Permit Fee $ Micro Film Fee Cop § Use of Permit - d " -" ' J� �i,...(,e ""'s. ulrr�:.. r /� Parcel No. 7 7� Use/Case No. Ck._By(//� Mech. Fee Dbl $ PI. Ck. Fee §�,�+..�-yy,� Set Backs Lot Size Construction Fee Dbl $ _ L, '/ //•�r�'/ C, /�r�r `- F S S R Electrical Fee Dbl $ 44Des,ription Zone Restrictions Group Type SMI Fee $ Plumbing Fee Dbl $ Bond Amt. $ 01a4.. Plan Checker Final DateInsp /* 9 7 r Unit Sp. Insp. Fee $ " Demol. Fee $ Const. Lender Branch Supplime taI Permit Numbers Registr. Fee § Mileage Fee § " Address City Zip Witness Fee $ Reinsp. Fee $ er% Igen I r N J1'f�`�) ^ Tel. Zip `K 7" Total Fees $ Address � L.J f o� �y7 I , �- Cit � ♦ n Zip Z/1 u 0 "f/ I OT ��•7� �.5� M.O. N.C. Cash Check Received by & , Contractor Tel. License# Trees 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 verified by: I' 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. NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Figs 8 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. 0. OP'N NO. ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Loth 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 128 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 Soflener 23 Water Service 24 Gas Test 25 Final Tank Pit L.Line REAR OF PROPERTY LINE PSL P) ELECTRICAL APPROVALS 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 Owne902 ).a4 i) Q Addres� Cityki 1 ___�la I.Aj A Phone ("L/ - L% 75 `� % Architect Address- City— Phone ddress_City_Phone DISTRICT Permit No Contractor Address- City- Phone ddress_City_Phone W I (we) the undersigned, hereby certify and acknowledge that I (we) 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 County of Riverside, the Riverside County Department of Building and Safety 3 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 O without an encroachment permit. NOW, therefore, it is agreed that I (we) will not occupy said property and will not cause said property to ba occupied until I (we) have complied with all laws of thee County of Riverside and the State of California governing said property. DATE �� -7 �7 / SIGNATURE OF OWNER AND/OR AGENT Approval by Signature from the Following Departments Listed Below ✓ Must Be Obtained Prior to the Issuing of a Construction Permit. SPACE NO. S � r� J SWIMMING POOLS PUBLIC SEWAGE DISPOSAL FOOD ESTABLISHMENT WATER POLLUTION FLOOD CONTROL AIR POLLUTION DIV OF HWY REMARKS YOUR PROPERTY MAY BE SUBJECT T'0 FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 2.1 199 9/74 CANARY—FILE, PINK—APPLICANT —ff1 USE OF STRUCTURE JOB ADDRESS �— /•-=V A J�� l�-�" • % f( /l/� = � = '` �—SINGLE FAMILY ` DUPLEX ❑ ✓ / z t-`�� LEGAL DESCRIPTION OF PROPERTY -07,/ APARTMENTS AGRIC. El Hom I.T', H • COMMERCIAL ❑ INDUSTRIAL ED 5:'^ COMMUNITY -b - - ❑ ALTERATIONS c Z NO. OF SUBMI'TTED`PLANS - USE OF PERMIT a / f r�.. CASE N0. i'%e_, moi` i'`� p Z NO. OF PARKINGSPACES REQUIRED NO. OF BUILDINGS NOW EXISTING' Q ZONE SETBACKSr FRONT SIDE REAR Co GRADING PERMIT. REQUIRED?:-;::: YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE ,# OF FEET REQUIRED ON DATE / SIGNATURE OF LAND USE OFFICIAL ' STREET 7`— - J . DEDICATION REQUIRED: YES -(__1 NO fl. NO. OF FEET__ F CURB' AND GUTTER REQUIRED: 'YES ❑ NO ❑ STREET t- - - Cc i ' CAN CURB AND GUTTER' FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET O e C IMPROVEMENT? YES ElNO El °L DATE SIGNATURE OF ROAD DEPT. OFFICIAL S � r� J SWIMMING POOLS PUBLIC SEWAGE DISPOSAL FOOD ESTABLISHMENT WATER POLLUTION FLOOD CONTROL AIR POLLUTION DIV OF HWY REMARKS YOUR PROPERTY MAY BE SUBJECT T'0 FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 2.1 199 9/74 CANARY—FILE, PINK—APPLICANT REQUEST FOR CERTIFICATION Date c County of Riverside TO: Local -governing authority SUBJECT: Request for certification of acceptability of property under applicable local building codels). r. ^f REFERENCE: Location of dwelling: r1 l �y .-AY s' '�A-1 k6 -2— Community:. 1 hereby request an inspection of the above located dwelling for a determination of the ' following, as well as a Certification of Acceptability (or Nonacceptability as the situation warrants): ❑. 1. Compliance with local building code(s) applicable to the existing dwelling. 2. ' Compliance with applicable local codels) on room addition. .�� lk � a ❑ 3. Compliance with applicable local codels) on garage conversion. ❑ 4. Compliance with applicable local code(s) on sewage disposal system. 5. Compliance with applicable local code(s) on other special construction. (describe) Signed: uY �I (Owner/Agent) r -. 284-49 8/76 CERTIFICATE OF ACCEP'FABILITY/NONACCEPTABII_ITY .Owner: Date of, Inspection l Location of Dwelling: LS -3 Building Permit No I certify that as a part of my official duties as building inspector, I have on the date indicated, inspected the above located dwelling as requested, and have noted the following violation(s) of the applicable building code(s): ❑ None. There is no violation of the applicable building codels►. Reinspection/ New Permit ❑ The follovving nonacceptable conditions exist: Required F, ❑ Sanitary, inadequacy: ❑ Structural hazard: �Hazardouswiring: s` •. ❑ Hazardous plumbing: ❑ Faulty weather protection: ❑ Fire hazard: ❑ Faulty materials of construction: ❑ Additional details are noted on reverse side of this form. Remarks: ❑ Conforms to other applicable ordinances. ❑ I further certify that a record is available indicating proper completion (Building Permit No.) (Completion Date) ❑.The building permit completion record is not available. Records indicate age of this -structure. has lea to destruction of the completion record. ❑ There is no record available of the construction involved. . However, the construction oppeors' to meet code. Signed: (Typed or Printed Name of tr Building Inspector) t s� County of Riverside `• City :Date of Ceriifi ate