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387250 (BLCK)BUILDING PERMIT PERMIT No. DEPARTMENT OF BUILDING t& SAFETY DST 387250 COUNTY OF'RIVERSIDE FIELD (/ CONSTRUCTION ESTIMATE t.� ._....µ NO. - , ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. FOR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ UNITS Valuation Ef�{�. SQ. FT. @ YARD SPKLR SYSTEM MOBILEHOME SVC. SQ. FT. Q BAR SINK POWER OUTLET SQ. FT. @ ROOF DRAINS ISQ. T. @ DRAINAGE PIPING SQ. FT. Q DRINKING FOUNTAIN SQ. FT. @ to 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 VENTSYSTEM FAN EVAP. COOL HOOD APPLIANCE DRYER SIGN WASHER (AUTO)(DISH) GARBAGE DISPOSAL �1 FURNACE UNIT WALL FLOOR SUSPENDED Type 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 Mileage Fee E SQ. FT. @ c WATER HEATER Reinsp. Fee SQ. FT. RESID @11/,c SEWAGE DISPOSAL Tel. \ SQ. FT. GAR @ "r, c HOUSE SEWER Total Fees $, _ © Address GAS PIPING PERMIT FEE -,M.O.•N. C. Cash Chec PERMIT FEE PERMIT FEE DBL. TOTAL F ESj /t� V 0 MOB.HM.FEE MICRO FEE MECH. FEE PL. CK. FEE CONST,fjE ELECT. FEE ICA -- SMI FEE FEE PLUMB. FEE PERMIT NO. 387250 Job Address Spa e, Zip Ow Community r• // ) yn fir. °�N'C�✓ % Pf'--• Valuation Ef�{�. �.tj "�"�. Date / I, f �-. % Dist. Off. /, F.C.C. MH.Permit Fee $ Micro Film Fee Cop $ Use of Permit 1 wf ' /''' �^} S Ly �/ f�i �i /, f 6 I v e, C.� Parcel No. �t f, 7 91 Use/Case No. ,+ /Ckk.. By Mach. Fee Dbl E PI. Ck. Fee $ Set Backs Lot Size Construction Fee Dbl $ / V Legal Description F / f �^ G,+•; r 'r/ +� t"x /��/�/ —(/ C..,. ,{� V S S R Electrical Fee Dbl E Zone Rest,," ti ns /Z-1 Group Type SMI Fee $ Plumbing Fee Db1 $ Bond Amt. $ Pion No. Plan Checker Final Dtee ^� T I ecto Unit Sp. Insp. Fee $ ,Demos. Fee $ Const. Lender Branch+ - Supplime tat ermit Numbers - N .- 'Registr. Fee $ Mileage Fee E Address City Zip _ ' Witness Fee $ Reinsp. Fee $ ner/Agent Tel. \ r� Zip Total Fees $, _ © Address City Zip -,M.O.•N. C. Cash Chec Received by -w..'s Controcto ° Tel. License# Trees required Sewage System ff .FS•n Address City Zip T LL P Sewer District t lg6.3)7.& 9 I) 4orm 284-208 (Rev.8/78) 05 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. NO. 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 IDA Fireplace T.O. N'N 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 I.Aine PSL REAR OF PROPERTY LINE , e P/ 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 NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT . DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE DISTRICT Permit No 284 199A 9/74 CANARY—FILE, PINK—APPLICANT Owner 7h 0yn04•S raft W Architect __ —__ Contractor____ _ R �� ' Address /OloS __—_ Address-_ Address --- City— A' WIL e r 4 e2• City-- - - City---- — Phone Slob - 3/ 40 8 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 en; roachmenf 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 all laws of the County of Riverside and the State of California governing said property. Q�%,,�� -DATE �Z 7 9 SIGNATURE OF OWNER AND/OR AGENT(�r __L_i�— - Approval by Signature from the Following Departments Listed Below Must Be Obtained Prior to the Issuing of a Construction Permit. I SPACE NO. J I USE OF STRUCTURE JOB ADDRESS��P Ze.s I -- SINGLE r❑ FAMILY DUPLEX LEGAL DESCRIPTION OF PROPERTY �._— ' �,�_—_ APARTMENTS ❑ AGRIC. [� Z O / N N COMMERCIAL ❑ ❑ INDUSTRIAL COMMUNITY ALTERATIONS Q d ❑ Z NO. OF SUBMITTED PLANS USE OF PERMIT �t a CASE NO. �le -17-1 (f: p Z NO. OF PARKING SPACES REQUIRED _— NO. OF BUILDINGS OW EXISTING Q ZONE SETBACKS: FRONT SIDE REAR J m GRADING PERMIT REQUIRED? YES. El No ❑ LOT SIZE SETBACK ORDINANCE # OF FEET REQUIRED ON STREET DATE,I� — SIGNATURE OF LAND USE OFFICIA F DEDICATION REQUIR D: YES ❑ .NO ❑ NO. OF FEET --- CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET F CIL CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET G O IMPROVEMENT? YES ElNO ❑ °L DATE SIGNATURE OF ROAD DEPT. OFFICIAL 2 SWIMMING POOLS PUBLIC F Q W SEWAGE DISPOSAL FOOD ESTABLISHMENT r = WATER POLLUTION REMARKS ut FLOOD CONTROL t- Lu AIR POLLUTION _ I...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