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384244 (SPIN)11LIILLPIN0 MLKMII PERMIT NO.DEPARTMENT OF BUILDING & SAFETY T 38424--4-1 I COUNTY OF RIVERSIDE FIELD 1 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT, @ $ UNITS Dote `'n 2ND. FL. POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ F.C.C. YARD SPKLR SYSTEM SQ. FT. @ MOBILEHOME SVC. BAR SINK SQ, FT. @ POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL VALUATION $ 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 FinalDote hp Ze- GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Sp. Insp. Fee $ 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 Contractor SQ. FT. @ C WATER HEATER Trees required SQ. FT. RESID @1'/.c SEWAGE DISPOSAL City Zip S0. FT. GAR @ 3/4 < HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE 6 � DBL. /TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE -FEE PLUMB. FEE 1PERMIT NO. -384244 Jobaddr s / G, Space � /c% /."/.,, �,��" 6. e-- Zip Owner /�G��( Com un/if`"y / �� Valuation $ Dote `'n Dist. Off. F.C.C. MH.Permit Fee $ Micro Film Fee Cop $ Use of Permit P \ �� i -' C. r C' 4/1 Parcel No. I 7 7 �� '" ti-' -Q ( Use/Case No. t Ck. By ./Z� Mech. Fee Dbl $///� PI. Ck. Fee $ Set Backs Lot Size ' Construction Fee Dbl $ Legal Description / �' G•- r /.� '% � vj � 'Q. f F S S R Electrical Fee Dbl $ Zone Reessttrrictions Group Type SMI Fee Is Plumbing Fee Dbl $ Bond Amt. $ Plan No. Plan Checker FinalDote hp Ze- Ins ctor IF,-, Unit Sp. Insp. Fee $ Dental. Fee $ Const. Lender Branch SuppliPermit Numbers 014 Registr. Fee $ Mileage Fee $ Address Cit Zi Y P Witness Fee $ Reinsp. Fee $ / �� Owner7Agent jJ\ t (' '`� \� Tel. zip. - Total Fees /— $ f { Address / 1671-b 53 d �I Q %���r� � .tea Cry f1 �- City • Zi L � Chi,,,,,,, �v t� 1 P / M.O./ •/.N.C. "�ysh� Chec � Received by,L--t; --t:� �"'^:� 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 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 brr: NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Figs & 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 IDA Fireplace T. 0. P' ADDITIONAL INFORMATION i , SEWAGE SYSTEM SIZE & LOCATION I1 Exterior Loth 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Botts) 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 I-Aine 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 W ri REQUEST FOR CERTIFICATION 6. - '7 Date County of. Riverside TO: Local governing authority SUBJECT: Request for certification of acceptability of property under applicable local building code(s). REFERENCE: Location of dwelling: i �f Community: e . (hereby request an inspection of the above located dwelling for a determination of the !following, as well as a Cei tification of Acceptability (or Nonacceptability as the situation :warrants): ❑ 1. Compliance with local building codes) applicable to the exisui g dwelling, 16,2. Compliance with applicable local code(s) on room addiajott ❑ 3. Compliance with applicable local.code(s). on garage conversion: ❑ A. Compliance with applicable local code(s) on sewage disposal system. ❑ 5. Compliance with applicable local code(s) on other special construction. (describe) ' Signed: (Owner/Agent) Add • Zip:j �''4�r� 284-49 8%7G '- ••CERTIFICATE OF ACCEPTABILITY/NONACCEPTABILITY Ownef Date of Inspection Location of.Dwehing: Building Permit No. Community: tSr Uf �tJ 7 6'� 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 'foil owing violation(s) of the applicable building code(s): ❑ None. There is no violation of the applicable building code(s). Q The following nonacceptable conditions. exist: ❑ Sanitary inadequacy: ❑ Structural hazard: ❑ Hazardous wiring: ❑ 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 connpletion: Reinspection/ New Permit Required (Building Permit No.) - (Completion Date) ❑ The building permit completion record is not available. Records indicate age of this structure has led to destruction of tha completion record. shere is no record available of the construction involved. However, the construction appears to meet code. Si J (Typed or Printed Name of Building Inspector) County of Riverside 46 -, - - City Date of Certificate