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332953 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE PERMIT 33295NO. 3 z COUNTY OF RIVERSIDE �f CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1 ST FL. a 2ND FL. POR. GAR. 9 11 SQ. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. SQ. FT., (a} SO. FT. ® FT. Q SQ. FT. @ SQ. FL @ SQ. FT. @ VALUATION UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. / BAR SINK a C �p POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN- URINAL $ .o �p�j(f 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 ❑ t,1�1 FAN ❑ EVAP. COOL HOOD fj t7 SIGN WASHER IAUTOftDISHI APPLIANCE XDRYER j GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT— CFM IDLE METER KITCHEN SINK rL! ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR p7 HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM FORCED ❑ GRAVITY AMPERES SERV ENT ' V SHOWER BOILER B.T.U. SQ. FT. p ¢ BATH TUB SQ. FT. Ga ¢ WATER HEATER a fJQ 2. FT. RESID 8 1'Ac Q ®` SEWAGE DISPOSAL AD •sVG SQ. FT. GAR Cer '/.¢ HOUSE SEWER GAS PIPING r2 PERMIT FEE • 3 I t7 PERMIT FEE J.&n PERMIT FEE DBL. I TOTAL FEES Moe. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEEj ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 3 3 2 9 5 3 Supp. Permit Job Address Space Zip A=,ufz Owner Community /C •+A �h /•v/ Valuaatt-io�lnn, ` E-.�G/`� Date ` Dist. 0E+. F.C. iMH Permit Fee E (Micro Film Fee Cop E Use of Permit �fq! Parcel No. l 6WI Use No. Ck. by .Meth. Fee Dbl PI. Ck. Fee E Set Backs Lot Construction Fee Dbl E / � (� Legal Description /� �.4 ",,'/� f� / F�.� G��'"'9Y F O S � S� � (,� R/ - Electrical Fee Obl Zone — Grp ' G Type Unit SMI Fee E 3 — 'Plumbing Fee Dbl E S Bond Amt. E Pion No. /�' i Plan Checker Final Date 7 —3 79 [[[ Inspector 11�' ,n U Sp. Insp. Fee E Denial. Fee E Const. lender Branch I certify that m the performance of the wor for which this permit rs issued I shall not employ any person m any manner so as to become subject to the workmen's cam. pertsation laws of California." Address City Zip Owner Signature Builder Signorure !Regisir. Fee g f ileoge Fee E ,Witness Fee E Iteinsp. Fee E Owner/Agent Tel. Zip total Fees E D -Address / C;ry Zip M.O. ❑ N.C. ❑ Cosh ❑ Che Received by Contractor Tel. - - License # Trees required Sewage System�y Address City Zip Workers' Comp. yes ❑ no ❑ T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verifiedby,. Sewer District WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. t` HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WI 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 Form 284-208 Mev. 4.77) ©s CALIFORNIA. i NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT APPLICATION TO CONSTRUCT' Permit No DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE Owner rc itect -. _ ContractorJdmCJ�(jL1DSH, - Addre _ Address___— Addresss__ ��4- -- -_- City City— - pp Phone�Jaa_��4* Phone Phone _ -.—_._ I (we) the undersigned, hereby certify and acknowledge that 1' (we) have read the application and agree that if Curb and Gutter, and 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. 1 am also aware that no work is to be done within the County R/W O without k`in encroachment permit. NO therefore, it is agreed that I (we) will not occupy said property and will not cause said property b occupi d u tit 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 AGEN� ` _ Approval by Signature from the Following Departments Listed 8 low Must Be Obtained Prior to the Issuing of a Construction Permit. SPACE NO. USE OF STRUCTURE JOB ADDRESSSINGLE FAMILY DUPLEX ___ >_ Z W • LEGAL D IPTI OF PROPERTY lll"`""" r J ' - APARTMENTS AGRIC. Lu - - "" �'� COMMERCIAL INDUSTRIAL • ❑ Da '^ COMMUNITY - ALTERATIONS ❑ Z NO. OF SUBMITTED PLANS USE OF PERMIT 53- - CASE NO. O Z NO. OF PARKING SPACES REQUIRED _ " —?J0. OF BUILDINGS NOW EXISTING - Q ZON z SETBAeKS: FRONT SIDE REAR J m GRA ING PERMIT REQUIRED? YES Lj NO ❑ LOT SIZE SETBACK ORDINANCE OF FEET REQUIRED ON EET DATE � SIGNATURE OF LAND USE OFFICI DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET --CURB H AND GUTTER REQUIRED: YES ❑ NO ❑ -STREET H cc 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 °C DATE - SIGNATURE OF ROAD DEPT. OFFICIAI = SWIMMING POOLS PUBLIC DISPOSAL usSEWAGE _ FOOD ESTABLISHMENT WATER POLLUTION REMARKS vt FLOOD CONTROL AIR POLLUTION W W DIV OF HWY io 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