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391808 (BLCK)PERMIT No. DEPARTMENT OF BUILDING & SAFETY DST 391808 COUNTY OF RIVERSIDE FIELD !, CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES $ UNITS Co unity /�f 6% /1i4f IST FL. SQ. FT. @ Dote f Dist. 2ND. FL. SQ. FT. @ F.C.C. YARD SPKLR SYSTEM *XiFilm Fee Cop $ !Micro MOBILEHOME SVC. BAR SINK POR. SQ. FT. @ Ck. By f �.,�/ Meth. Fee Dbl $ GAR. SQ. FT. @ POWER OUTLET ROOF DRAINS CAR P. SQ. FT. @ — legal Description 6 n �` �� �,,,. AP 4 DRAINAGE PIPING _ ��= � .S DRINKING FOUNTAIN WAIL SQ. FT. @ Type t SMI Fee S SQ. FT. @ Bond Amt. $ URINAL ESTIMATED CONSTRUCTION VALUATION $ Final Daatte,) (/ 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 Owner/Agent GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Total Fees $ 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 y' SQ. FT. @ c WATER HEATER S0. FT. RESID @l /.c SEWAGE DISPOSAL SQ. FT. GAR @ 3/4 c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. F 5 MOB.HM.FEE MICRO FEE MECH. FEE PL. CK. FEE 06S,T�EE ELECT. FEE SMI FEE FEE PLUMB. FEE [j'/OTAL PERMIT NO. 3 41 jn( �✓ �++ O v Job Address Space or Zip Owner Co unity /�f 6% /1i4f Valuation Dote f Dist. Off. F.C.C. MH Permit Fee $ *XiFilm Fee Cop $ !Micro Use of Permit r`x �% �. /�. L Parcel No. _ TTI Use/Cose No. Ck. By f �.,�/ Meth. Fee Dbl $ PI. Ck. Fee $ Set Backs Lot Size Construction Fee Dbl $ legal Description 6 n �` �� �,,,. AP 4 F S 5 R Electrical Fee Dbl $ Zone Restrictions lYe — / / Group I Type t SMI Fee S Plumbing Fee Dbl $ Bond Amt. $ Plan No. Plan Checker Final Daatte,) (/ A�� Unit Sp. Insp. Fee $ Dismal. Fee $ Const. Lender Branch Sup�plim/ental Permit Numbers eiev�] Registr. Fee >i Mileage Fee S Address City Zip Witness Fee S Reinsp. Fee = Owner/Agent Tel. Zip Total Fees $ Address City Zip M. 0. N.C. Cash.A Check 171 Received ! fCo/rQ/*% k LJ, Tel. ,License# - l." / •V Gdf Trees re it Sewage y em K� Address C , T LL_;__ P Sewer District I WI -10 arm 284-208 (Re,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. ver'r:ed by: w NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Bock _-� i ✓ �� 33 Ventilation System 2 Ftgs & Frms 1 34 Plenums & Ducts 2A Slab Grade 35 Furnace Comport. 3 Steel 36 Inlets & Outlets 4 Grout Blocks 37 Combustion Air 5 Bond Beams –�S—�Q 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.O. OFIN 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 (Botts) 12C Ceiling (Blown) 14 Final PLUMBING APPROVALS 1.5 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 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME BUILDING PERMIT PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE 391808 COUNTY OF RIVERSIDE F171 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES ��. UNITS Valuation � r� IST FL. SQ. FT. @ Dist. Off. 2ND. FL. SQ. FT. @ MH.Permit Fee Ems/ YARD SPKLR SYSTEM POR. SQ. FT. @ MOBILEHOME SVC. BAR SINK GAR. SQ. FT. @ POWER OUTLET ROOF DRAINS CAR P. SQ. FT. @ Lot Size DRAINAGE PIPING WALL SQ. FT. @ "t DRINKING FOUNTAIN SQ. FT. @ Electrical Fee Dbl E^"" URINAL ESTIMATED CONSTRUCTION VALUATION $ Type 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 Supplimentol Permit Nu ers GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Address City Zip 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 Ci Zip) SQ. FT. @ C WATER HEATER SQ. FT. RESID @1'/.c SEWAGE DISPOSAL SQ. FT. GAR @ s/. c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. ,TOTA�S MOB.HM.FEE MICRO FEE MECH. FEE PL. CK. FEE CONS-LJEE ELECT. FEE SMI FEE FEE PLUMB. FEE I 1PERMIT NO. 391808 Job Address Space ZipOwner .f- ��. Co �uQnit_y Valuation � r� Date Dist. Off. F.C.C. MH.Permit Fee Ems/ -Micro Film Fee Cop E Use of Permit ,i' �,, �/�% Parcel No. �j -SS1 / V O Use/Case No. 1,51 Ck. By -'Mech. Fee Dbl $ PI. Ck. Fee E Set Backs Lot Size Construction Fee Dbl $ egal Description ^. �S �° ���/��9`' F S S R Electrical Fee Dbl E^"" Zone Restrictions Group Type SMI Fee $ Plumbing Fee Dbl E Bond Amt. E Plan No. Pion Checker Final Date OMr. Inspector CR Unit Sp. Insp. FeeE Dental. Fee E Const. Lender Branch Supplimentol Permit Nu ers Regist, Fee E Mileage Fee E Address City Zip Witness Fee E Reinsp. Fee i E Owner/Agent Tel. Zip Total Fees E Address City Zip M.O. N.C. nCas Check Received 100, ;Co � Tel. LicenseX Trees re it + Sewage y em Address 11(0461 Ci Zip) T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: Sewer District 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. f/�J�JI 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. ,Form 284-208 (Rev.8/78) ©s NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE DISTRICT J� Permit No 284 199A 9/74 CANARY—FILE, PINK—APPLICANT C C & e /"' � Owner/Yrchitect_ —. Contractor—^1"t, Address /'M/ SA4 xoov>L=_ Addres-y/(/ dress___ City City— L r/ Z Z Phones Phone _ Phones66�/�3�j 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. 1 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 be occupied until 1 (we) have complied with /aIlls of the County of Riverside and the State of California governing said property. DATE SIGNATURE OF OWNER AND/OR AGENT -- ' r Approval by Signature from the Following Departments Listed Below Must Be Obtained Prior to the Issuing of a Construction Permit. SPACE NO. USE OF STRUCTURE �oz � " ' �JUu� >_ JOB ADDRESS - SINGLE FAMILY DUPLEX �-Z� v�� W C u LEGAL DE IP.DON OF PROPE TY r - APARTMENTS AGRIC. / ✓ �6 4` L Lam' '`�C v� � ��� ERCIAL INDUSTRIAL �OMMUNIT j Ln U Al Z L ALTERATIONS n Z N0. OF SUBMITTED PLANS USE OF PERMIT H Q CASE NO. _ 0 p Z NO. OF PARKING SPACES REQUIRED ._ — NO. OF BUILDINGS NOW EXISTING Q -j ZONE 4'� -';ETBA(fKS: FRONT SIDE REAR J D GRADING PERMIT REQUIRED? YES 0 NO ❑ LOT SIZE SETBA "RDINANCE -- OF FEET REQUIRED ON STREET DATE SIGNATURE SIGNATURE OF LAND USE OFFICI. ' - F- DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET_ - W CURB AND GUTTER REQUIRED: YES ❑ NO ❑ -STREET t- oe d CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET D IMPROVEMENT? YES ❑ NO ❑ °C DATE SIGNATURE OF ROAD DEPT. OFFICIAL S SWIMMING POOLS PUBLIC QW SEWAGE DISPOSAL FOOD ESTABLISHMENT _ WATER POLLUTION REMARKS FLOOD CONTROL F CC AIR POLLUTION `u DIV OF HWY c a — YOUR PROPERTY MAY BE SUBJECT TO o " FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199A 9/74 CANARY—FILE, PINK—APPLICANT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE NOTICE TO APPLICANT In conformity with the provisions of State of California Labor Code Section 3800, the applicant shall have on file or file with the Riverside County Department of Building and Safety a certificate as designated in Items I or II below, or shall indicate Item III, IV or V, whichever is applicable. CERTIFICATE OF APPLICANT' Please mark the appropriate block: F-1 V. I certify as the owner (or the agent of the owner) that in the performance of the work for which this permit is issued I have engaged , contractor. (Contractor must have on file, or submit certificate required by I or II above.) Applicant's Signature i Date Permit No: �� l A (L/ Address and location where work is to be performed �a V 284-141 Rev. 6/77 I. Certificate of Consent to self -insure issued by the Director of Industrial Relations. E-1 Copy on file F_J Copy submitted F7 II. Certificate of Workers' Compensation Insurance issued by an admitted insurer. L� Copy on file F-1 Copy submitted 71 III. The cost of the work to be performed is $100 or less. Flu IV. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California. I further certify that, in the event I become subject to the Workers' Compensation provisions of the Labor Code that I will comply forthwith with the provisions of Labor Code Section 3700, et seq., and understand that, if I do not comply, the permit shall be deemed revoked. F-1 V. I certify as the owner (or the agent of the owner) that in the performance of the work for which this permit is issued I have engaged , contractor. (Contractor must have on file, or submit certificate required by I or II above.) Applicant's Signature i Date Permit No: �� l A (L/ Address and location where work is to be performed �a V 284-141 Rev. 6/77