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376254 (BLCK)BUILDING PERMIT PERMIT NO. 3762 4 PERMIT NO. 3 76254 DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD .. Q - DST �,� CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES'4 IST FL. 2ND. FL. POR. GAR. CAR P. WALL x� ESTIMATED CONSTRUCTION SQ. FT. @ UNITS Micro Film Fee Cop E SQ. FT. @ YARD SPKLR SYSTEM SQ. FT, @ MOBILEHOME SVC. BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ. FT. @ I 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 Unit GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Const. Lender Branch 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 Ci1K1 ♦ y�Zip SQ. FT. RESID @1'/.0 SEWAGE DISPOSAL S0. FT. GAR @ 1%C HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES MOB.HM.FEE MICRO FEE MECH. FEE PL. CK. FFE✓q CONST��iE ELECT. FEE 10 SMI FEE FEE PLUMB. FEE PERMIT NO. 3762 4 Job Address Space r 0 1 � ,,� �. `f - Zip Z_ Owner r Co//mmunity 4�/"G'a �/ 7-4A Valua�tionn D r Dist. Off. F.C.C. MH.Permit Fee E Micro Film Fee Cop E Use of Permit ' Porcel No. Use/Case No. � Ck. By_ / \i Mech. Fee Dbl E PI. Ck. Fee E Set Backs Lot.Size i z6 sY -7 Construction Fee Dbl E �� Legal Description 66� y F +<� 7 //'TD _ '0'� + '7 y� /~ G. /�,. S l'�j S R �. Electrical Fee Dbl E Zone Rest ' tion, Group Type SMI Fee E Plumbing Fee Dbl E Bond Amt. E Plan No. Plan Checker Final Date ^y IInspector 11 — Unit Sp. Insp. Fee E Demo]. Fee is Const. Lender Branch Supp I' a at Permit Numbers Registr. Fee E Mileage Fee $ Address Cit Zi y P Witness Fee E Reinsp. Fee E Owner/Agent Tel. Zip Total Fees E 'j.� Address (`r r _ �: City Zip M. 0. 0 N.C. Cash Check Received by Co tractor / f/ i3' {.... � CF✓ Y/...7 2— Tel. License# Trees required Sewage System 9 Y Address /'`' f/ {. Lit- Ci1K1 ♦ y�Zip T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: j 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^L 1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN E Form 284-208 (Rev.8/78) ©s ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INWECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 7L ( 33 _ Ventilation System 2 Ftgs 8 Frms /� Z, 34 Plenums 6 Ducts 2A Slab Grade 35 Furnace Comport. 3 Steel 36 Inlets 8 Outlets 4 Grout Blocks Z.. 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. C] 43 Final 10A Fireplace T.O. OP'N NO. ADDITIONAL INFORMATION c /d , £� �f —/,P,— % Q // SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Lath 12A Drywall 13 Finish Grade—1 INSULATION Thick R Value 7A Walls (Batts) 12B Ceiling (Batts) 12C Ceiling (Blown) 14 Final 2` 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 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 NOTA BUILDING PERMIT DISTRICT APPLICATION TO CONSTRUCT Permit No DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE 284 199A 9/74 CANARY—FILE, PINK—APPLICANT Owner- �.Qi 11� fit' Architect _--_ _ Contractor-LI�_0-1ACCy�L_ S/G' - i-&tW Address'' '' 11 rr 1j`% —SaM D1I�1AS Address___ Addres �L�Jh A. �i�+i R City LK4 C a C0 City—_ - city �m� .ka s1 C P -- �� Phone Phone _ Phone_3_4!!�_,i-Z- I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and C W 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 be occupied until I (we) have complied withall laws of the County of Riverside and the State of California governing said property. DATE (^/ ! L7 — SIGNATURE OF OWNER AND/OR AGENTL510� Approval by Signature from the Following Departments Listed Below Must Be Obtained Prior to the Issuing of a Construction Permit. I SPACE NO. 1 USE OF STRUCTURE JOB ADDRESS �� 3a I SINGLE FAMILY I/V DUPLEX LEG ESCRIPTION O PROP RTY._, - G 6_ 1—� ❑ Z W APARTMENTS � AGRIC. [] .4 COMMERCIAL ❑ INDUSTRIAL j '^ G CALTERATIONS COMMUNITY . ❑ PERMIT Z NO: OF SUBMITTED PLANS — USE OF NO. �1eZO�SJJ--IG�fT—� jCASE G Z NO. OF PARKING SPACES REQUIRED .— NO. OF BUILDINGS N W EXISTING a o ZONE ETBAeKS: FRONT �� SIDE REAR J m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBAC RDINANCE # OF FEET REQUIRED ONSTREET DATE SIGNATURE OF LAND USE OFFICIAL _ 1 DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET— t- = CURB AND GUTTER REQUIRED: YES ❑ NO ❑ —STREET <W f 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 Q IMPROVEMENT? YES ❑ NO ❑ O C9 DATE SIGNATURE OF ROAD DEPT. OFFICIAI = SWIMMING POOLS PUBLIC F Q W SEWAGE DISPOSAL _ FOOD ESTABLISHMENT WATER POLLUTION REMARKS rn FLOOD CONTROL F- W AIR POLLUTION `u DIV OF HWY c a YOUR PROPERTY MAY BE SUBJECT TO — — c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD: 284 199A 9/74 CANARY—FILE, PINK—APPLICANT