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369542 (BLCK)
BUILDING PERMIT FIELD OFFICE PERMIT NO. DEPARTMENT OF BUILDING & SAFETY ma; 369542 COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. . ELECTRICAL FEES NO, PLUMBING 'FEES Owner Community//''�� �� G.�)'7I/L.+ UNITS Date IST FL. SQ. FT. @ Off. F.C.C. MH.Permit Fee $ 2ND. FL. SQ. FT. @ Use of Permit - �/ %}E�%i/ ./ 4 �8•� X /� G/' f�6/ �c Parcel No. 7 tom/ � "-3& —'p2p �i YARD SPKLR SYSTEM Ck. By ALI— Mech. Fee Dbl b MOBILEHOME SVC. BAR SINK POR. SQ. FT. @' Construction Fee Dbl $ Leat Description _.;L_ F GAR. SQ. FT. @ S R POWER OUTLET ROOF DRAINS CAR P. SQ. FT. @ Type SMI Fee $ DRAINAGE PIPING WALL ' SQ. FT. @ �J Oaf Plan Checker DRINKING FOUNTAIN Inspect r Unit Sp. Insp. Fee $ URINAL SQ. FT. @ Supplimentol Permit Numbers Registr. Fee $ Mileage Fee Is ESTIMATED CONSTRUCTION VALUATION $ Witness Fee $ Reinsp. Fee $ WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES M.O. Lj N.C. C.sNa C qtk SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD License# SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER City Zip GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED 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 SQ. FT. @ C WATER HEATER SQ. FT. RESID @It/.c SEWAGE DISPOSAL SQ. FT. GAR @ 'r. c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES MOB.HM.FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE //12 //' PERMIT NO 3695- 421 Job Address Space Zip Owner Community//''�� �� G.�)'7I/L.+ Valuation $ Date Dist. Off. F.C.C. MH.Permit Fee $ Micro Film Fee Cop $ Use of Permit - �/ %}E�%i/ ./ 4 �8•� X /� G/' f�6/ �c Parcel No. 7 tom/ � "-3& —'p2p �i Use/Case No. Ck. By ALI— Mech. Fee Dbl b PI. Ck. Fee $ Set Backs Lot Size - Construction Fee Dbl $ Leat Description _.;L_ F 5 S R Electrical Fee Dbl $+ Zone Restrictions Group Type SMI Fee $ Plumbing Fee Dbl $ Bond Amt. $ Plan No. Plan Checker Final Dote •� 3 r'% G Inspect r Unit Sp. Insp. Fee $ Demol. Fee $ Const. Lender Branch Supplimentol Permit Numbers Registr. Fee $ Mileage Fee Is Address // p ♦ .. Cit Witness Fee $ Reinsp. Fee $ Owner/Agent V ,� Tel. Zip Total Fees $ �4 Address - City T Zip M.O. Lj N.C. C.sNa C qtk Received by Contractor Tel. - - License# Trees required Sewage System v 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. s t I HEREBY CERTIFY THAT, THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE 50 IN i Form 284-208 (Rev.8/78) © 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 ^7 33 Ventilation System } 2 Ftgs & Frms �7 34 Plenums 8 Ducts 2A Slab Grade 35 Furnace Comport. 3 Steel 1l� ? 36 Inlets 8 Outlets 4 Grout Blocks 37 Combustion Air 5 Bond Beams -2122-41 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. P' ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE & LOCATION 11 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 Q 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 L.Line REAR OF PROPERTY LINE ELECTRICAL APPROVALS P/L P/ r 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION"TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE DISTRICT Permit No 284 199A 9/74 CANAQY—FILE, "PINK—APPLICANT Owner Architect —. .---- Contractor— _ Addres ddress___ r Address— —_— - — CityCity-- - City--- — � hone_.-------.-I Phone `— Phone _ Phone-------------- 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 shall not make a Final Inspection until said requirements have been met. I am also aware that no work is to be cone 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 all laws ofthe County "Riverside and the State of California governing said property '7of DATE SIGNATURE OF OWNER AND/OR AGEN , Approval by Signature from the Following Departments Listd Below Must Be Obtained Prior to the Issuing of a Construction Permit. ISPACE NO. 1 USE OF STRUCTURE G JOB ADDRESS SINGLE FAMILY ® DUPLEX Ej F LEGAL DESCRIPTION OF PROPERTY �s/ate �D(�. - AA,P�ARLTr &�NN TS ® AGRIC. z W /9LOMMERCIAL ® INDUSTRIAL n Q j G COMMUNITY .: ALTERATIONS Z NO. OF SUBMITTED PLANS — USE OF PERMIT�=--a GOs& .n a CASE NO. --- G Z NO. OF PARKING SPACES REQUIRED .— — NO. OF BUILDINGS NOW EXISTING — Q ZONE SETBACKS: FRONT SIDE REAR J Co GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDIN/AA CCE OF FEET REQUIRED ON STREET DATE/y� SIGNATURE 'OF LAND USE OFFICIAL DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET— _ H z Lu CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET I– Qa CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET CIMPROVEMENT? YES [-INO ❑ °L DATE SIGNATURE OF ROAD DEPT. OFFICIAL = SWIMMING POOLS PUBLIC QW SEWAGE DISPOSAL _ FOOD ESTABLISHMENT WATER POLLUTION REMARKS rn FLOOD CONTROL I– W AIR POLLUTION _DIV OF HWY F o a — YOUR PROPERTY MAY BE SUBJECT TO a Lu FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY iN EVENT OF FLOOD. 284 199A 9/74 CANAQY—FILE, "PINK—APPLICANT