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354215 (SFD)/ BUILDING PERMIT I PERMIT NO. .354215 DEPARTMENT OF BUILDING & SAFETY FIELD MDT COUNTY OF RIVERSIDE - CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. 2ND. FL. POR. GAR. ±4-1a CAR P. 'WALL ESTIMATED CONSTRUCTION SQ. y c' UNITS ~ 35 4 2 SQ. FT. @ YARD SPKLR SYSTEM SQ. FT.'(j • :c r'«' •• MOBILEHOME SVC. .. BAR SINK. SQ. FT. @ •ars POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL VALUATION $^t7 WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN (, MECHANICAL FEES Construction Fee SWIM POOL, COMM WATER SOFTENER VENT SYSTEM 2 FAN EVAP. COOL HOOD Att - - SIGN WASHER (AUTO ISH) OPLIANCE J + )*.+ ,;.DRYER t. r .Z y-� - . ^,� .tw«Arr-ir.0 GARBAGEAISPQSAL: URNACE UNIT`'; WALL FLOOR SUSPENDED `�� ,!� �/' ti'-� � LAUNDRY TRAY AIR HANDLING U CFM ��`. IDLE METER , a KITCHEN SINK ABSORPTION SYSTEM B.T.U. z TEMP USE PERMIT SVCf WATER CLOSET dl COMPRESSOR }' HP Plumbing Fee POLE,TEMP/PERM LAVATORY HEATING SYSTEM FORCED ' GRAVITYAMPERES Ole Na.Plan �% iii SERV ENT SHOWER B%ILER 1B.T.U. Ins a p SQ. FT. @ c I BATH TUB _ Demol. Fee $ SQ. FT. (R. , t WATER HEATER Branch r SQ. FT. RESID @I'/.c 1 SEWAGE DISPOSAL Registr. Fee $ Mileage Fee $ SQ. FT. GAR @ s/. c. 7 s HOUSE SEWER Reinsp. Fee $ GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE _ DBL. TOTAL FEES MO&.HM.FEE '*• 'MICRO FEE' •'M1:CH. FEE PL. CK. FEE CONSTt FEE • • - RICT. FEE ' "SMI PEP - FEE PL .FEE PERMIT NO. Job Address Space Zip Owner 35 4 2 1 5 .r AA --m-ofCmmunity I do Corte* Valuation $ �% < f.C.C. of., 40 7 �" G r: MH Permit Fee $ Mricro /Film Fee Cop j se, of rmit Porce No. 40 461 V I f Use/C o. & Ck. f%di:ks Lot size Mech. Fee I Dbl $ FI. Ck. Fee-' $ Construction Fee Dbl E ega escript.o Att - - F S S R Electrical Fee Dbl $ F ��/ � `�� ,!� �/' ti'-� � one Restricti s Gro T^ J6VW SMI Fee S /�. . � Plumbing Fee Dbl $ w 2 •„ f, Bond A.A.Plan $ Na.Plan �% iii Checker G G b L a. at C �� (r Ins a p On Sp. Insp. Fee E Demol. Fee $ Const. Lender Branch Supplimentol Permit Numbers Registr. Fee $ Mileage Fee $ Address City Zip Witness Fee $ Reinsp. Fee $ Own ge ri � Tel. s _ Zip • T9161 Fees $ jl� ,j Zip M.O. N.C. Cash M Check Received by t Contractor SAM Te License# v Trees required i iewage System / Address City Zip 4� • T LL rI P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK ^ Sewer District t FOR 120 DAYS SHALL ALSO CRU�RMIIHT C,�E VOID. I HEREBY AGREE THAT ALLOPTWITH THIS PERMIT WILL BE DONE IN ACCORDA910E WITF� yrTHELAWS OF RIVERSIDE COUNTE OF CALIFORNIA. 1 HEREBY CERTV THAT THE INDIVIDUAL WHO PREPARED THF FUS ANb %F'ECIFICATIbNS HA1 DONE SO 1N' J ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. Form 284-208 (Rev.8/,7$) verifiedry: NO. OPERATION DATE INSPECTOR NO,a1 .OPERATION r. DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back • - 33 Ventilation System 2 Ftgs & Frms 34 Plenums 8 Ducts 2A .. Slab Grade 35 Furnace Comport. 3 Steel 36 Inlets & Outlets 4 Grout Blocks 37 Combustion Air 15 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. ❑ OP' 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 PSL P/ ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28. Service Entrance 29 Wiring ' 29A Grounding Wire 29B 'Bond q`qh� 30 Fixtures 31 Service 32 Final STREET NAME `T LL P Sewer District t Form 284.208 (Re,8/78, 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 AGRE&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 INDIVIDUALVHO PREPARED THE PLANS AND*SPECIFICATIONS-HAS DONE -SO IN, "•' • ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. OWNER Job Address Community Space Zip Owner _ Volua([on Dote Dist. Off. - f �1 3 ,v 7 F;C. C. PERMIT NO. ,, 54215 MH P,e mit Fee f Micfo Film Fee Cop $ Use of Permit `, legal Description _ - 4P1 - F _ 7 Parcel No. 3-152-019 I Use/Case T4o, ICk. B+/, Mach.% Fee Dbl S77 PL Ck. Fee f "Set Backs Lot Size S S R 'o inn i741 Zone Restrictions Group Type nsUuction Fee Dbl $ EleUrigpl Fee Dbl S SMV Fee S�L, Plumbing FeeDbl $ Bond Amt. $ Plan No.+� - 04 0.'•.. Plan Checker �dLL-//✓ '� Final Date Inspector Unit $p. Insp. Fde f Demol. Fee 11 $ Const. Lender .. _ .. ..... ...- . Branch .. Supplimentol Permit Numbers .. .... �... ,- . . ,.. .. .:_ ' Registr. Fee f Mileage Fee I f Address City Zip - - Witness Fee f Reinsp. Fee $ - Ow A - 01 a, .. Tel. i - zipman ` 'I w.. Toto[ Fees �. f '• M.O. N.C. Cash Check _ Received by Tregs required Co01 to ctor Same' ' _ Tel. LkenseX Sewage System ,; Address. City Zip `T LL P Sewer District t Form 284.208 (Re,8/78, 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 AGRE&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 INDIVIDUALVHO 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 NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT t APPLICATION TO CONSTRUCT "r Permit No DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE 284 199 9/74 • CANARY—FILE, PINK—APPLICANT Owner I Architect Contractor i Address + Address_ ' Address_ 'City City _ City__ - - _ Phone Phone Phone01 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 to be occupied until I (we) have complied with all laws of the County of Riverside and the State of California governing said property. DATE .` %5 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. �T��t(SPACE N0. 9 USE'OF STRUCTURE >_ JOB ADDRESS [?OF SINGLE FAMILY .� DUPLEX O �ROPERTY Z >_ LEGAL"OESCRIPTION _ �i -_ APARTMENTS AGRIC. C. f COMMERCIAL INDUSTRIAL COMMUNITY t ' n CALTERATIONS Z NO. OF SUBMITTED PLANS _ USE OF PERMIT CASE NO. p Z NO. OF PARKING SPACES REQUIRED _ NO. OF BUILDINGS NOW EXISTING -- ZONE SETBACKS: FRONT0 SIDE REAR 24* r� J m GRADING F%1T REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE b ___ OF FEET REQUIRED ON STREET DATE __32_rj-!XR - SIGNATURE OF LAND USE OFFICIAL F, DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET__ ulCURB AND GUTTER REQUIRED: YES ❑ NO ❑ J� / "ice'~ - - _STREET H d CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W O HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET 0 IMPROVEMENT? YES O—NO O °C DATE— SIGNATURE SIGNATURE OF ROAD DEPT. OFFICIAL '- I •-irIMYIOIIC IC a SEWAGE DISPOSAL = C NT WATER POLLUTION REMKS �n FLOOD CONTROL ��////// W AIR POLLUTION W t -DIV OF HWY c a — YOUR PROPERTY MAYBE SUBJECT TO IL c — FLOOD. RIVERSIDE COUNTY ASSUMES — NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199 9/74 • CANARY—FILE, PINK—APPLICANT i 4 DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE CLAIM OF: >-{ `t'1� �'�c.. i�'`�.;`�'� DATE: ADDRESS: yam. CITY AND STATE �" L ON THE TREASURER OF THE COUNTY OF RIVERSIDE, STATE OF CALIFORNIA Instructions: Permittee will furnish the following information: (1) Permit Number 1(2) Date Issued _(811 1)Ci (3) Total Fees Paid $ 3 2 k (4) Reason for Refund I CERTIFY THAT THIS CLAIM IS TRUE AND CORRECT, AND THAT NO PART HEREOF HAS BEEN PREVIOUSLY PAID BY THE COUNTY OF RIVERSIDE. Claimant's Signature (Do not write .below this line) Date: March 6, 1919 General Fund: 1001-284-1231 FROM: DEPARTMENT OF BUILDING AND SAFETY TO: AUDITOR -CONTROLLER, COUNTY OF RIVERSIDE Please issue to the above indicated claimant a refund of $ 194.29 , on the above permit deposited under Treasurer's Receipt No. 0506 dated AUTHORITY: Ordinance No. 457, Section 7, Subsection E Approved79so for the following reason: (strike out words not -,applicable) Owner cancelled. Chief Building Ispr;ctor 31 J f Director oflBuilding and Safety