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375499 (AR)PERMIT No. DEPARTMENT OF BUILDING t& SAFETY FIELD DST 375 4 9 9 COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE Job Address e"NSpace .,- NO. ELECTRICAL FEES Zip NO. PLUMBING FEES IST FL. = 2ND. FL. POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ $ r UNITS SQ. FT. @ YARD SPKLR SYSTEM SQ. FT. @ MOBILEHOME SVC. BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS - SQ. FT. @ DRAINAGE PIPING %fell FT. @ DRINKING FOUNTAIN -DRINKING SQ. FT. @ URINAL �o VALUATION $ �� WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT On FLOOR DRAIN t MECHANICAL FEES SWIM POOL, COMM Cop j WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD orcel No. "' T�— SIGN Ck. By WASHER (AUTO)(DISH) APPLIANCE DRYER E �. ,� Legal Description GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED lot Size _ r Construction Fee Dbl E --�� Electrical Fee LAUNDRY TRAY AIR HANDLING UNIT CFM ''�!j i F. TLE Zone Restrictions r. KITCHEN SINK ABSORPTION SYSTEM B.T.U. SMI Fee E TEMP USE PERMIT SVC Dbl E WATER CLOSET ..r COMPRESSOR HP POLE, TEMP/PERM LAVATORY HEATING SYSTEMFORCED GRAVITY nit AMPERES SERV ENT If SHOWER BOILER B.T.U. SQ. FT. @ c BATH TUB SQ. FT. @ c j WATER HEATER SQ. FT. RESID @1'/.0 SEWAGE DISPOSAL S0. FT. GAR @ 3/4 c E HOUSE SEWER Branch S pli Permit Numbers GAS PIPING PERMIT FEEPERMIT Mileage Fee E Address City Zip n FEE Reinsp. FeeE PERMIT FEE DBL. TOTAL FEES MOB. HM. FEE MICRO FEE WCH. P1. CK. FEE CONST. FEE E06. EE,�7 SMI FEE FEE PLA B. ✓1 'Y 4 PERMIT NO. Job Address e"NSpace .,- Zip Owner 1375499 .�� _ Commilnity / •i �: .: r, r, aluotion Date %'—. r ... Dist. F.C.C. MH.Permit Fee E Micro Film Fee Cop j Use o erdtit ^" ... L • ` �i ` �✓( wF t � 7�.1 1 1 �� orcel No. "' T�— Use Ck. By Mech. Fee Dbl E PI. Ck. Fee E �. ,� Legal Description l Set Backs F ,, S , S - R�,� lot Size _ r Construction Fee Dbl E --�� Electrical Fee Dbl E t o+ 3 ''�!j i .-y t r 1 I Zone Restrictions r. Grob . I A— ' -Type , 2, SMI Fee E Plumbing Fee Dbl E Bond Amt. Plan No. Plan Checker Final Daattel 011, I Spector nit If l0/� /—, Sp. Insp. Fee j E V Demol. Fee E Const. Lender Branch S pli Permit Numbers Registr. Fee E Mileage Fee E Address City Zip n Witness Fee E Reinsp. FeeE - O`vne Tel. Zip Total Fees E A res I � City Zip M.O. N.C. r Cash Chedt. i V Received by ctor Tel. "' Licensed "•�� cs Trees require ,1/ . „ s, Sewage System. Address� r f. G Z '~ T LL P Sewer District a F r�� Form 284-208 (Re P s THIS PERMIT SHALL BECOME VOID 1 WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. 1 HEREBY AGREE THAT ALL WORK IN CONNECTN-N WLTH"rHIS 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 55Q� OF THE Bi%SINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. -- verified by: NO. OPERATION DATE INSPECTOR NOS OPERATION DATE INSPECTOR BUILDING APPROVALS . MECHANICAL APPROVALS .�. 1 Set Bock V '30.::2—f� 33 Ventilation System 2 Ftgs & Frmsv=3�7--! u� 34 Plenums 8 Ducts O �lF- 2A Slab Grade 7? ? a v 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 dip O / 40 Fire Damper 8 Vents 41 Smoke Detection Device 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P. L. C] 43 Final _ d 10A Fireplace T.O. FI1 ADDITIONAL 1 FORMATION F C HkC k—) r0 7S �L `I 1 \ /'l " S l� � �V' � , SEWAGE SYSTEM SIZE 8 LOCATION 11 Exterior Lath ��—Z _ 12 Internal Lath 12A Drywall 1 , z � 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) C Q rLp 1 12B Ceiling (Batts) 12C Ceiling (Blown) 14 Final PLUMBING APPROVALS 15 Ground Plumb x.79 16 Water Piping 17 Rough Plumb -1 r-7 18 Vents 19 Sewage Disposal 20 Sewer 21 Water Heater 22 Water Softener 23 Water Service 24 Gas Test 7 —0- - ?.-:� 25 Final 9—S'd Tank Pit L.Line P/L REAR OF PROPERTY LINE ELECTRICAL APPROVALS P/ y 26 Power Pole 27 Conduit 28 Service Entrance / 0 �/� % Q.L 29 Wiring 0-1 29A Grounding Wire 29B Bonding 30 Fixtures A' 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 284 199 9/74 CANARY—FILE, PINK—APPLICANT' Owner 2 % Architect _ Contractor -- c Address —� ( r Address Address ' �f F / _; � � City y City City_ Phone Phone—,--, W 1 (we) the undersigned, hereby certify and acknowledge that 1 (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 pr ty to be occupied until 1 (we) have complied with all laws of the County of Riverside and the State of California governing said proper t f `tel �_iw�(/• �y`! ��--L— DATE SIGNATURE OF OWNER AND/OR AGENT It Approval by Signature from the Following Departments Listed Below Must Be Obtained Prior to the Issuing of a Construction Permit. SPACE NO. _ y- ��� 1 f c, USE OF STRUCTURE JOB ADDRESS / '� I _ / _ 7 _{ SINGLE FAMILY DUPLEX ❑ �' LEGAL DESQP OF PR PERT ' /yt Yi ��— — APARTMENTS (] AGRIC. [� C N Q 1 — COMMERCIAL INDUSTRIAL '^ Ct Z COMMUNITY �J ALTERATIONS ❑ N0. OF SUBMITTED PLANS _ USE OF PERMIT W Q � CASE N0. Ir. i �'' r� ✓s /lam. r4, .. —7T— p z '-NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW Q _EXISTING ZONE SETBACKS: FRONT SIDE �� REAR J J m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE # OF FEET REQUIRED ON`s STREET 7 ' DATE SIGNATURE OF LAND USE OFFICIAL H DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET _ CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET d CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET D C IMPROVEMENT? YES ❑ NO ❑ °C DATE _ SIGNATURE OF ROAD DEPT. OFFICIAI "1 S SWIMMING POOLS PUBLIC r r � Z/ JW SEWAGE DISPOSAL FOOD ESTABLISHMENT _ WATER POLLUTION REMARKS �n FLOOD CONTROL— z AIR POLLUTION at V _ DIV OF HWY I.- 0 a — YOUR PROPERTY MAY BE SUBJECT TO s c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199 9/74 CANARY—FILE, PINK—APPLICANT' PERMIT NO. 1375499 DEPARTMENT OF BUILDING & SAFETY FIELD'OFFICE COUNTY- OF RIVERSIDE CONSTRUCTION ESTIMATE Job AddressSpace NO. ELECTRICAL FEES • Zip Owner NO. PLUMBING FEES IST FL. 2ND. FL. POR. GAR. CAR P. WALLSQ. ESTIMATED CONSTRUCTION SQ. FT. @ $ UNITS l,�4 7&14 SQ. FT. @ YARD SPKLR SYSTEM MOBILEHOME SVC. SQ. FT. @ BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS SQ. FT. @ A DRAINAGE PIPING FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL ' VALUATION $. WATER PIPING j NOTE: Not to be used as property tax valuation SWIM POOL, PVT E FLOOR DRAIN . MECHANICAL FEES SWIM POOL, COMM Micro Film Fee WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD SIGN Use/Ca o. WASHER (AUTO)(DISH) APPLIANCE DRYER PI. Ck. Fee E 1'f LJ GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Lot Size Construction Fee Dbl E Legal Description F . LAUNDRY TRAY AIR HANDLING UNIT CFM ,�j / �� �� w j / ` IDLE MET R Zone Restric' ns Group KITCHEN SINK ABSORPTION SYSTEM B.T.U. Plumbing Fee TEMP USE PERMIT SVC Bond Amt. WATER CLOSET COMPRESSOR HP tz POLE,TEMP/PERM Unit LAVATORY HEATING SYSTEM FORCED GRAVITY 1 400, AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. @ c j BATH TUB 64 SQ. FT. @ c WATER HEATER Demol. Fee E SQ. FT. RESID @1'/.c SEWAGE DISPOSAL Registr. Fee E SQ. FT. GAR @ 3/4 C Address City Zip HOUSE SEWER Reinsp. Fee E Ow /Age Tel. GAS PIPING PERMIT FEE Total Fees E PERMIT FEE PERMIT FEE DBL. TOTAL FEES MOB. HM. FEE MICRO FEE ECH. FEE R( CK. FEE CONST. FEE EL - i/00 T. FEE SMI FEE 1 FEE PLU B. PERMIT NO. Job AddressSpace • Zip Owner l,�4 7&14 �j If) I A 3 7 5 4 9 9 r, Comm. Valuation E �<.l Date Dist. F.C.C. MH.Permit Fee E Micro Film Fee Cop E Use of PermitIng 14.1 c K(. , ��,,,� Parcel.No. Use/Ca o. Ck. -By . Mech. Fee Dbl En� PI. Ck. Fee E 1'f LJ Set BacksI S S Lot Size Construction Fee Dbl E Legal Description F . Electrical Fee Dbl E ,�j / �� �� w j / ` Zone Restric' ns Group Type 0- SMI Fee E Plumbing Fee Dbl E Bond Amt. Plan No. Plan Checker Final Date Unit Q jinpeclor,,' Sp. Insp. Fee j b 64 Demol. Fee E Const. Lender Branch Supplimental Permit Numbers Registr. Fee E Mileage Fee E Address City Zip Witness Fee E Reinsp. Fee E Ow /Age Tel. Zip Total Fees E A re / City Zip M.O. n N.C. D Cash 0 Chec' ' Received by(4 Co ctor Tel. LicenseN y Trees require Sewage System Address � Ci Zip I)�,Oa w T LL P Sewer District Form 284-208 (Re ©s THIS PERMIT SHALL BECOME VOID IF 4VORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. 1 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.