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375222 (BLCK)BUILDING PERMIT — PER IT DEPARTMENT OF BUILDING & SAFETY M10 3 71 02.2 2 COUNTY OF RIVERSIDE FIELD CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1 ST FL. 2ND. FL. FOR. GAR. CAR P. WALL f ^4 r ESTIMATED CONSTRUCTION SQ. FT. @ SQ. FT. @ SQ. FT. @ SQ. FT. @ SQ. FT. @ � � SQ. FT. @ SQ. FT. @ VALUATION UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING o - DRINKING FOUNTAIN URINAL , I � dA' 1' �� ;Mcr WATER PIPING I 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 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 @11/.c SEWAGE DISPOSAL SQ. FT. GAR @ 3/4 c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES 1.4 —'/ MOB. HM. FEE MICRO FEE MECH. FE_E PL. CK. FEE CONST. FFE--F ,'o ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. Job Addr Community rr 1 1.. Valvat{on / t7, $ Date, y � I)r. Di t. Offf F.C.C. MH. Permit Fee $ Micro Film Fee Cop $ Use of Permit Parcel Now /r. Use/Case No. Ck. By Mech. Fee Dbl $ PI. Ck. Fee $ Set Backs Lot Size Construction Fee DblElectrical . t. Legal Description F S S P-0-p Fee Dbl$ rts Zone Resir ctio- Type SMI Fee Is Plumbing Fee Dbl $ Band Amt. $ Plan No. Plan Checker Final Date Inspector Unit Sp. Insp. Fee $ Demol. Fee $ Const. Lender Branch Supplimental Pe Numbers '- Registr. Fee $ Mileage Fee $ Address City Zip Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip Total Fees $ Address i City Zip M.O. N.C. Cash 0 Check E Received by i,,. _.� Contractor .. Tel.-.._ Licensee Trees required Sewage System Address d City Zip k T LL P Sewer District THIS PERMIT SHALL BECOME VOID If WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: 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 �r r1 I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284-208 (Rev../ .) @s .�� ''�� ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.�jj - /d- I/d - IDUId Z£ a:)inJaS l£ sajnlx!j 0£ 6u!Pu09 96Z anM 6u!punojE) V6Z 6uuiM 6Z a:)uoJiu3 a:)!n.aS 8Z t!npuo7 LZ alod JGmOd 9Z SIVAOaddV 1V M0313 M11 A183d08d 90 8V38 au!Yl t!d Juol IDUM SZ N0I1V:)01 V UIS W31SAS 30VM3S ON NOIIVWBOANI1VN0111aCV °O lsal so0 yZ 9:)!AJ9S JaIOM £i JauallOS JaioM ZZ J8409H J9I0M lZ James OZ - losods!Q a6omaS 61 sluan Bl gwnld H6noa Ll 6uid!d JaloM 91 gwnld punw0 SI S1Vn0addV ONlawnld 1 — IDUId hl (uiw019) 6uy!a' xI (s1109) 6ull!a7 9Zt (s+log) sIIOM VL an o b A 1:)!41 N0I1Vlf1SNl 9poJ0 Hs!u! j £ t IIDMAJQ VZI ylol Iowalul Zl glol Jo!jalx3 I I ❑ 01 azoldaj!j Vol IDUId £V Td aooldayj of POOH lo!»awwo' ZY IIoM anj 060joo 6 9:)!na(j uo!l:)alad 91OwS I7 sluan 9 jadwod aj!j op 6u!wojj L a:)uoJoalJ 'IddV 6£ 'pa0 }ooa 9 jossaidwo' BE /i'rJ �� swo99 Puo9 S j!V uo!lsngwoJ L£ sjholg lnojE) V s4alln0 '8 slalu! 9£ Iaals £ ljOdwo] aooujn j S£ apo'J golS VZ spnl7 g swnuald 6£ swij Is s6lj Z walsAS uo!lol!luan ££ jh09 taS t S1VAOaddV 1VDINVH33W S1VAOaddV OM(nIna dO1J3dSNl 31V0 NOI1Vd3dO 'ON MO1J3dSNl 31V0 NOI1Va3dO ON BUILDING PERMIT PERMIT NO. 1375222 DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DsT COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. POR. GAR. CAR P. WALL r ESTIMATED CONSTRUCTION SQ. FT. @ SQ. FT. @ SQ. FT. @ SQ. FT. @ SQ. FT. @ SQ. FT. @ 7 S' SQ. FT. @ VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING 3'' DRINKING FOUNTAIN URINAL $ 'a P O 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 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. r SQ. FT. @ C BATH TUB SQ. FT. @ C WATER HEATER SQ. FT. RESID @11/4C SEWAGE DISPOSAL SQ. FT. GAR @ '/a C HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DEL. TOTAL FEES MOB. HM.FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE PE("R`M'IT NO. 222 Job Add r Sfiace„ Zip Owner .g Community t / )r k46 Valuation �...y� $ ,•i , ��, ` C`� Date- 4 /' 1 Dist. j(pff F.C.C. MH Permit Fee Is Micro Film Fee Cop $ Use of Perm'it Parcel No. Use/Case No. Ckr. PY F...�<�. Mach. Fee Dbl $"i PI. Ck. Fee $ Set BacksPP Lot Size Construction Fee Dbl $ ^• L , A ) Legal Description .,�.j O f I �l.�y... "' ' f f e ff r `. ( F S S Electrical Fee Dbl $ Zone Restrictio ) Type SMI Fee $ Plumbing Fee Dbl $ Bond Amt. $ Plan No. Plan Checker Final Date — -- C .� I Spector ie i�Jnit Sp. Insp. fee $ Demol. Fee $ Const. Lender Branch Supplimental Permit Numbers �;- Regist, Fee $ Mileage Fee $ Address City Zip Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip Total Fees $ Address - _ City Zip M.O. .`C, Cash Check91- Received by Contractor„ - ''" /j � �} f )�► s`% Y��✓(< r ` /k.� Tel. _:.--., c..� .cam �" l License# "(` `i Trees required - Sewage System - Address ✓ r. C;.,..� I i City . " t / 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 PE`RM1T,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) es"/ W -- " NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT APPLICATION TO CONSTRUCT Permit No DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE Owner Architect _. -_-_ Contractor - Address Address-__- - Address- - City City------- ---- City- Phone Phone _ Phone - 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 t¢be occupied until I (we) have complied with all laws of the County of Riverside and the State of California governing said property. DATE--______/_� _ SIGNATURE OF OWNER AND/OR AGENT Approval by Signature from the Following Departments Listed Below Must Be Obtained Prior to the Issuing of a Construction Permit. ISPACE NO. 1 USE OF STRUCTURE JOB ADDRESS -.-______--__-____ I ---- SINGLE FAMILY DUPLEX } Z W LEGAL DESCRIPTION OF PROPERTY _ --- - ---- - APARTMENTS AGRIC. Cl H Q -- - COMMERCIAL INDUSTRIAL L GC COMMUNITY ALTERATIONS C� Z NO. OF SUBMITTED PLANS -_._-_ USE OF PERMIT N Q CASE N O . --- -- - ---- --- -- p Z NO. OF PARKING SPACES REQUIRED .-_ - -_ NO. OF BUILDINGS NOW EXISTING --------- - - Q 10 ZONE SETBACKS: FRONT SIDE REAR J m GRADING PERMIT REQUIRED? YES E:1 NO ❑ LOT SIZE SETBACK ORDINANCE # -_- OF. __ FEET REQUIRED ON _---_- STREET DATE _-_ SIGNATURE OF LAND USE OFFICIAL DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET CURB AND GUTTER REQUIRED: YES ❑ NO ❑ -STREET t- CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET OIMPROVEMENT? YES ❑ NO ❑ °L DATE ___ SIGNATURE OF ROAD DEPT. OFFICIAL _ S SWIMMING POOLS PUBLIC J DISPOSAL usSEWAGE FOOD ESTABLISHMENT _ WATER POLLUTION _ REMARKS �n FLOOD CONTROL AIR POLLUTION W z DIV OF HWY c a — _ YOUR PROPERTY MAY BE SUBJECT TO d c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199 9/74 CANARY -FILE, PINK -APPLICANT