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384772 (SPIN)PERMIT NO. DEPARTMENT OF BUILDING & SAFETY DST 3 8 4 7 7 2 COUNTY OF RIVERSIDE FIELD r� CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ $ UNITS Off. SQ. FT. @ YARD SPKLR SYSTEM MOBILEHOME SVC. SQ. FT. @ BAR SINK SQ. FT. @ POWER OUTLET 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 Tel. / GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED City Zip 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. @ t BATH TUB SQ. FT. @ c WATER HEATER SQ. FT. RESID @1'hc SEWAGE DISPOSAL SQ. FT. GAR @ 3/4 c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FFtE DBL. TOTAL FEESMOB, HM. FEE MICRO FEE MECH. FEE PL. CK. FEE I CONST. FEE ELECT. FEE SMI FEE �EE PLUMB. FEE 1j/ 1�{/!/, • Space Zip Owner// Valuation Date Dist. Off. I F.C.C. / C7 Parcel No.Use/Case 773 - "";;-4 Lj No. Ck. By Set Backs lot Size /big- F S S R Zone Restrictions Group Type Plan No. Plan Checker Final Date 7 - -7 a1 Inspector nit Branch Supplimental Permit Numbers �K' City Zip Tel. Zip City Zip Tel. / Licensed City Zip RMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK >AYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. Y AGREE THAT ALL -WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH i OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. Y CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ,NCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. verified by: - NU. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs 8 Frms 34 Plenums & Ducts 2A Slab Grade 35 Furnace Comport. 3 Steel 36 Inlets & Outlets 4 Grout Blocks 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 10A Fireplace T.O. FI ADDITIONAL INFORMATION SEWAGE 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 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 PSL P/ 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME THIS IS NOT A BUILDING PERMIT DISTRICT / f Z*111141TICE: APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY Permit No COUNTY OF RIVERSIDE 284 199 9/74 CANARY—FILE, PINK—APPLICANT Owner r E r'� ` r'-`chitect Contractor f f f.r It f' f Addres -Address Address - ddress_Ciry Ci tyCity City_ Phone - " ��� ' �' Phone Phone 1 (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and K 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 with I laws of the County of Riverside and the State of California governing said property. SIGNATURE OF OWNER AND/OR AGEN� DATE Approval by Signature from the Following Departments Listed Below Must Be Obtained Prior to the Issuing of a Construction Permit. I SPACE NO. ,i / �/ ,• 1 J USE OF STRUCTURE JOB ADDRESS `^ h r r I f .«- r FAMILY` DUPLEX �SI`LE / Z H LEGAL DESCRIPTION OF PROPERTY - - APARTMENTS [� AGRIC. f `/ N Q COMMERCIAL INDUSTRIAL ❑ j '^ COMMUNITY ALTERATIONS p Z ul a i N0. OF SUBMITTED PLANS - USE OF PERMIT �I ! f CASE NO. ,v+,-�r NO. OF PARKING SPACES REQUIRED ---/ NO. OF B IL_ G-S-NO�EfiTING �17--7 p Z Q ZONE SETBACKS: FRONT SIDE REAR J m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE # _— OF FEET REQUIRED ON - STREET DATESIGNATURE OF LAND USE OFFICIAL _ DEDICATION REQUIRED: YES O NO ❑ NO. OF FEET-_ F W CURB AND GUTTER REQUIRED: YES O NO ❑ STREET • H of d 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 ❑ NO ❑ °L DATE __ SIGNATURE OF ROAD DEPT. OFFICIAL = SWIMMING POOLS PUBLIC QW SEWAGE DISPOSAL _ _ FOOD ESTABLISHMENT WATER POLLUTION REMARKS FLOOD CONTROL— z AIR POLLUTION W 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 w REQUEST FOR CERTIFICATION F ' l� Date TO.: Localovernin County of Riverside g g authority SUBJECT: Request for certification of acceptability of property under applicable local building codels). REFERENCE: Location of dwelling:/—7— G7 0%� Community:/'� �►YLC-%iV I /� =c --I hereby request an inspection of the above located dwelling for a determination of the following, as well as a Certification of Acceptability(or Nonacceptability as the situation warrants): ❑ 1. Compliance with local building code(s) applicable to the existing dwelling, -❑ 2.' Compliance with applicable local codes) on room addition. ❑ 3. Compliance with applicable local code(s) on garage conversion. ❑ 4. Compliance with applicable local code(s) on sewage disposal system. 5. Compliance vKith applicable oc code(s) on others ecial constructio (describe) I A,?u? Signed, (Owner/Agent) Address: �y p A `�`-rD► ��a k' zip: / a S 3 284-49 8/76 CERTIFICATE OF ACCEPTABILITY/NONACCEPTABII_ITY Owner /( /i G L--—��/Y.�� Location of Dwelling: Community: //—,97 Date of Inspection 47 Building Permit No. I certify that as a part of my official duties as building inspector, I have on the date indicated, inspected the above located dwelling as requested, and have noted the following violation(s) of the applicable building code(s): ❑ , None. There is no violation of the applicable building code(s). ❑ The following nonacceptable conditions exist: ❑ Sanitary inadequacy: ❑ Structural hazard: ❑ Hazardous wiring: ❑ Hazardous plumbing: ❑ Faulty weather protection: ❑ Fire hazard: ❑ Faulty materials of construction: ❑ Additional details are noted on reverse side of this form. Remarks: ❑ Conforms to other applicable ordinances. ❑ 1 further certify that a record is available indicating proper completion: Reinspection/ New Permit Required (Building Permit No.) (Completion Date) ❑ The building permit completion record is not available. Records indicate age of this structure has led to destruction of the completion record. Py'There is no record. available of the construction involved. However, the construction appears to meel code. Signed?` , H� /"�• � .7,� !1 _ (Typed or Printed Name of Building Inspector) 7" County of Riverside City Date of Certificate Bl NG PERMIT PERMIT NO. 384772 DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST COUNTY OF RIVERSIDE I/ CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. @ UNITS _ Com umty L J/"'�'" „ �•.rt•.•�.t..�^ 2ND. FL. SQ. FT. @ Date /� •� /� Z'(�` (T YARD SPKLR SYSTEM FOR. SQ. FT. @ MOBILEHOME SVC. BAR SINK GAR. SQ. FT. @ POWER OUTLET ROOF. DRAINS CAR P. SQ. FT. @ Ck�jBy 'rtr"�v! DRAINAGE PIPING WALL SQ. FT. @ Set Backs DRINKING FOUNTAIN SQ. FT. @ Legal Description " IV , /b e „„frL' "0-/ 6 URINAL ESTIMATED CONSTRUCTION VALUATION $ Zone Restrictions oe //' 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 Demol. Fee is GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Registr., Fee $ 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. @ t BATH TUB Sewage System SQ. FT. @ t WATER HEATER SQ. FT. RESID @ I t/. c SEWAGE DISPOSAL SQ. FT. GAR @ 3/4 t HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FE DBL. TOTAL FEE MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE � ,EEE PLUMB. FEE, 1 PERMIT NO. 13-84772 Job Address r �`. J Space -r`��- 6( ? Zip Owner�.!•'•�� _ Com umty L J/"'�'" „ �•.rt•.•�.t..�^ Valuation $ Date /� •� /� Z'(�` (T Dist. 1 /� Off`. ..L.. F.C.C. MH.Permit Fee $ Micro Film Fee Cop $ Use of Per 't' r. r' 1.1✓!" `���-.�lS)"`t"'�. ''7� �••-.•l.. ( i Parcel No. "`.�/' •�.�C� Use/Case No. 'Z,,,,• Ck�jBy 'rtr"�v! Mech. Fee Dbl $ PI. Ck. Fee $.r Set Backs Lot Size Construction Fee Dbl $ Legal Description " IV , /b e „„frL' "0-/ 6 F d-0 S S 7 ! J Electrical Fee Dbl $ Zone Restrictions oe //' Group Type SMI Fee $ Plumbing Fee Dbl $ Bond Amt. $ Plan No.Final T�� Date /— Inspector A4 Unit I Sp. Insp. Fee $ &0 Demol. Fee is Const. Lender Branch Supplimental Permit Numbers ` Registr., Fee $ Mileage Fee $ Address City Zip Witness Fee $ Reinsp. Fee $ Owner/Agent t 4+✓�.1�..•�..r4t.• ��`rC,.Y\ :..C•�'-�%r Tel. �••-/ �/ / Zip �. �� ,'tom^ Total Fees E J (©-Addss re + 6� {� Cit Y 4 C s c` M.O N.C. Cash Check Re!e' Contractor Tel. Licenseif Tre red Sewage System Address City Zip District (Rev.8/78) @s 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 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. r