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384565 (BLCK)PERMIT NO.MENT OF BUILDING & SAFETY FD.SIT DEPARTFIELD 38456 5 COUNTY OF RIVERSIDE h CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FE IST FL. 2ND. FL. POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ UNITS Micro Film Fee SQ. FT. @ YARD SPKLR SYSTEM MOBILEHOME SVC. SQ. FT. @ BAR SINK POWER OUTLET SQ. FT. @ 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 Dbl E GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Plan No. 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 Witness Fee E SQ. FT. @ c WATER HEATER SQ. FT. RESID @IV.c SEWAGE DISPOSAL Zip SQ. FT. GAR @ %c HOUSE SEWER IsI Address GAS PIPING PERMIT FEE M.O. N.C. -' Cas Check 0 PERMIT FEE PERMIT FEE DBL. TOTAL MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEES ELECT. FEE SMI FEE FEE PLUMB. FEE T PERMIT NO. 384565 Job AddressSpace --,' COMM icy ZValuation �"" ♦ E Zip Owner r Date U "'1 i Dist. Off. F.C.C. MH Permit Fee E Micro Film Fee Cop E US; of-PerrftParcel r(,� E.V+.�`�- ♦I` .� J No. % Use/Case No. Ck. By Mech. Fee Dbl E PI. Ck. Fee E Set Backs I Lot Size Construction Fee Electrical Fee Dbl E Dbl E ., Legal Description ! �.� Q F S S R Zone Restrictions Grou Type SMI Fee E Plumbing Fee Dbl E Bond Amt. E Plan No. Plan Checker Final Date — 1 / — Inspector Unit Sp. Insp. Fee E Demol. Fee E Const. Lender Branch Supplimental Permit Numbers J Registr. Fee E Mileage Fee E Address City Zip Witness Fee E Reinsp. Fee E Owner/Agaht r Tel. [� Zip Total Fees IsI Address City Zip M.O. N.C. -' Cas Check 0 Received by Contractor "'" Tel. f License# Trees required " Sewage System Address City Zip T LL p THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. EHEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THLAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. ` I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284-2t% (Rev.8/78) ©s ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. F _ verified b� NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System ' 2 Ftgs 8 Frms 34 Plenums & Ducts i- 2A Slab Grade V 35 Furnace Comport. 3 Steel JamZj�/ 36 Inlets 8 Outlets 4 Grout Blocks 7 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.O. OP'N NO. ADDITIONAL INFORMATION 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 U 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 FilialSEWAGE Tank Pit L.Line P/L 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 n n' //1 i.. DISTRICT Z Permit No 284 199A 9/74 CANARY—FILE, PINK—APPLICANT Owner . - r i t--- -- Contractor— _ Address___.___ Addres 8 4 ess__% --_ Cit _ City_--—_�--- Phone ! _ Phone _ Phone—.— hone—. LU 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 o be occupied unti (we) have complied with all laws of the County of Riverside and the State of California governing said property. e DATE ____—_— SIGNATURE OF OWNER AND/OR AGEN4A" Approval by Signature from the Following Departments Listed Be Must Be Obtained Prior to the Issuing of a Construction Permit. ISPACE NO. 1 �}. USE OF STRUCTURE 106 ADDRESS=_ /J%��iL__�% // �yj SINGLE FAMIL DUPLEX 0_�� - 0Q 3 Z t- LEG L DESCRIPTION OF PROPERTY _�`—L= _ ao - APARTMENTS AGRIC. El K 0 Q 77e - - -____ — COMMERCIAL INDUSTRIAL L✓1 G C COMMUNITY ALTERATIONS LJ NO. OF SUBMITTED PLANS —___ USE OF PERMIT Lu Q N CASE NO. 4 p Z NO. OF PARKING SPACES REQUIRED --`% NO. OF BUILDINGS NOW EXISTING -.-- — o Q SETBACKS: FRONT SIDE REAR ZONEIF J m % F GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK 0 DINANCE N OF FEET REQUIRED ON —_ STREET DATE SIGNATURE OF LAND USE OFFICIA A2 A__.ff_ F DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET -- — z CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET f- a CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET O C IMPROVEMENT? YES [INO ❑ °C DATE SIGNATURE OF ROAD DEPT. OFFICIAI S SWIMMING POOLS PUBLIC Q SEWAGE DISPOSAL FOOD ESTABLISHMENT = 4 WATER POLLUTION REMARKS FLOOD CONTROL w AIR POLLUTION Z DIV OF HWY a YOUR PROPERTY MAY BE SUBJECT TO o. .t a FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199A 9/74 CANARY—FILE, PINK—APPLICANT BUILDING PERMIT PERMIT NO. DI 384565 CONSTRUCTION ESTIMATE IST FL. 2ND. FL. POR. GAR. CAR P. WALL it f) ESTIMATED CONSTRUCTION SQ. FT. @ $ SQ. FT. @ SQ. FT. @ SQ. FT. @ SQ. FT. @ SQ. FT. @ SQ. FT. @ VALUATION $ NOTE: Not to be used as property fax valuation MECHANICAL FEES VENT SYSTEM FAN EVAP. COOL HOOD APPLIANCE DRYER FURNACE UNIT WALL FLOOR SUSPENDED AIR HANDLING UNIT CFM ABSORPTION SYSTEM B.T.U. COMPRESSOR HP HEATING SYSTEM FORCED GRAVITY BOILER B. T. U. Legal Description � . ,.i.A.r�T ' r dJ („i V" " �••• F S S R Electrical Fee Dbl E PERMIT FES DBL. TOTAL JES �— MOB. HM. FEE MICRO FEE PERMIT NO. 384565 Job Address Space Zip Owner �'J ` Comm oily Valuation C) J Date Dist. Off. F.C.C. 1$—?J MH.Permit Fee E Micro Film Fee Cop E Use of Pert _ !� 4fJ'^+rR.K.f' "' � /� E./ ` Parcel No. . n .�.!! Q �lJ V Use/Case No. "�� Ckkk..f�jBy D 1 . Mech. Fee Dbl E PI. Ck. Fee E Set Backs Lot Size Construction Fee Dbl E Legal Description � . ,.i.A.r�T ' r dJ („i V" " �••• F S S R Electrical Fee Dbl E Zone Restrictions Group Type SMI Fee E Plumbing Fee Dbl E Bond Amt. E Plan No. Pion Checker Final Date 9- //fl Inspect Unit Sp. Insp. Fee E Dental. Fee E. Const. Lender Branch Supplimentol Permit Numbers ' Regisir. Fee E Mileage Fee E Address City Zip •Owner/A Witness Fee E Reinsp. Fee g V/ n ..•/ / Tel. Zip Vie"' 7— w Total Fees E• _ r �s City t Zip M.O. N.C. Ca Check) Received by Contractor Tel. License# Trees required 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 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. �. 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