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417913 (BLCK)PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD MST 417 913 COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. POR. GAR. CAR P. WALL SQ. FT. @ UNITS Owner aR ;Z� -F SQ. FT. @ YARD SPKLR SYSTEM MOBILEHOME SVC. SQ. FT. @ BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS SQ.FT. @ i 1 DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN F.C.C. SQ. FT. @ Micro Film Fee URINAL ESTIMATED CONSTRUCTION VALUATION $ Use of Permit WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VERT SYSTEM FAN EVAP. COOL HOOD SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED F ( 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 In5pectc SQ. FT. @ c WATER HEATER Sp. Insp. Fee $ SQ. FT. RESID @lthc SEWAGE DISPOSAL SQ. FT. GAR @ 'r. c HOUSE SEWER Branch Supplim oral Permit Numbers \ GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEE MOB.HM.FEE ao MICRO FEE MECH. FEE PL. CK. FEE I CONST. F 13 ELECT. FEE 0� SMI FEE FEE PLUMB. FEE T LL P _ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: Sewer District �f FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. J 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. 16AC"V" EBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284.208 (Rev.8/78) ©s ACCORDANCE WITH SECTION 5,541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. Job Address,p �1s 5 Owner aR ;Z� -F PERMIT NO. 1 4179131 Community A . 'J '� Valuation DateS J. d (� �is� Off. F.C.C. MH Permit Fee $ Micro Film Fee Cop S Use of Permit !-� ` V �� C , WA L („ P cel No.n V ( V Use/Gose No. Ck. By �� Mech. Fee Dbl $ PI. Ck. Fee $ Set Backs Lot Size Construction Fee Electrical Fee Dbl S Dbl $ egal Description cr\ �r .r�{ F ( S 5 R Zone tractions Gro Type SMI Fee $ Plumbing Fee Dbl $ Bond Amt. $ Plan No. Plan Checker Fina Date% — l In5pectc Unit Sp. Insp. Fee $ Demol. Fee $ Const. Lender Branch Supplim oral Permit Numbers \ Registr. Fee S Mileage Fee $ Address City Zip Witness Fee $ Reinsp. Fee S Owner/Agent Tel. , Zip Total Fees N S Address City zip M.O.k N.C. Cash Check Received by PControctor. Tel. License# Trees required Sewage System Address Ciry zip T LL P _ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: Sewer District �f FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. J 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. 16AC"V" EBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284.208 (Rev.8/78) ©s ACCORDANCE WITH SECTION 5,541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL. APPROVALS I Set Back -9 8 l 33 Ventilation System 2 Figs 6 Frms 14-9-9t 34 Plenums 8 Ducts 2A Slab Grade 35 Furnace Comport. 3 Steel „g 1 36 Inlets 8 Outlets 4 Grout Blocks —t _ 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. 0. FI NO ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Loth 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 12B Ceiling (Botts) 12C Ceiling (Blown) 14 Final �s-S 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 r PSL 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 DISTRICT APPLICATION TO CONSTRUCT Permit N DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE 141.- 0 DA ic I,' 284 199 9/74 CANARY—FILE, PINK—APPLICANT Ownerl%A-,IIIic (,Ij0 Qh hi Architect Contractor Address Address_ Address- _ City f'[kJa�r7 �� City_ City_ - Phonei /- � ` Phone Phone cc 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 County of Riverside and the State of California governing said pro ri `,of)the J)�Y; DATE 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. SPACE NO. ! r 1 — USE OF STRUCTURE / � t &- �.��; 1 F`f_ I I /_.-, n JOB ADDRESS'4SINGLE FAMIL DUPLEX LEGAL DESCRIPTION OF PROPERTY% �"""� fl /). / J,' F y -T- �- ,- APARTMENTS AGRIC. El / ��� „0 Q '^ /'� COMMERCIAL INDUSTRIAL L] j COMMUNITY ALTERATIONS n Z U NO. OF SUBMITTED PLANS - SE OF PERMIT ✓ �/� ��' -`% �� Tri- ✓ _"'G -- 4 a .�- CASE NO. Z/ 43 p Z NO. OF,PARKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING � Q ZONE " SETBACKS: FRONT SIDE REAR J M GRADING PERMIT REQUIRED? YES `j NO ❑ LOT SIZE SETBACK ORDINANCE OF FEET REQUIRED ON �-S-T�REET DATEef+ ��+-� SIGNATURE OF LAND USE OFFICI !ter DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET- t --z CURB AND GUTTER REQUIRED: YES ❑ NO ❑ _STREET t- oe CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑' W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET IMPROVEMENT? YES ❑ NO ❑ °L DATE _ SIGNATURE OF ROAD DEPT. OFFICIAL = SWIMMING POOLS PUBLIC WSEWAGE DISPOSAL _ FOOD ESTABLISHMENT WATER POLLUTION REMARKS �n FLOOD CONTROL - z AIR POLLUTION W DIV OF HWY c a — YOUR PROPERTY MAY BE SUBJECT TO c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199 9/74 CANARY—FILE, PINK—APPLICANT . 1: ti DEPARTMENT OF BUILDING AND SAFETY .0' COUNTY OF RIVERSIDE An 'owner builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for con- struction of the proposed property improvement (yes or no) YF -S 2. I (have/have not) signed an application for building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the pro- posed construction: Name Phone Address City Contractors License No. - 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Phone Address City Contractors License No. 5. I will provide some of the work but I have contracted (hired) the follow- ing persons to provide the work indicated: Name Address Phone Type of Work yNg1 Signature Property Owner Date Number 284-2002 BUILDING PERMIT PER NO. 417913 DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE FT] COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. SPLUMBING FEES IST FL. 2ND. FL. POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. F7. @ UNITS t SQ. FT. @ YARD SPKLR SYSTEM SQ. FT. @ MOBILEHOME SVC. BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING r 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 Inspe or GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Demol. Fee f 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 Licensed SQ. FT. @ c WATER HEATER Address SQ. FT. RESID @11/.c SEWAGE DISPOSAL SQ. FT. GAR @ '/. c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEE MOB.HM.FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. F ELECT. FEE O SMI FEE FEE PLUMB. FEE PERMIT NO. 417913 Job Address ipcAts-r V, Owner ' Community `` � y N ""i�� Valuation Date f � Dist. Off. F.G.C. MH Permit fee Is Micro Film Fee Cop f Use of Permit /P/�grycel r/' GAQ - l ` v . WA No. //r/�(j�(� /n Use/Gose No. 1 7r V ( Ck. BP/��/(� r" 1 Mech. Fee Dbl f Pl. Ck. Fee f Set Backs Lot Size Construction Fee Dbl f Electrical Fee Dbl $ egal Description 4J 7 K7 1 t, ` t F S S R Zone/R^sJ lions {�... — Group Type SMI Fee Is Plumbing Fee Dbl f Bond Amt. Plan Na. Pion Checker Final Dote Inspe or Unit Sp. Insp. Feef f Demol. Fee f Const. Lender Branch Supplimental Permit Numbers Registr. Fee $ Mileage Fee f Address City Zip Witness Fee f Reinsp. Fee f Owne /Agency, Tel. ��' �. Zip Total Fees f Address /'� �r 1 �c„J 1 :. q..J- City h ^_ {�� Zip - '` NG M.O. N.C. Cash Check-) Received by Contractor. Tel. Licensed Trees required Sewage System Address City Zip T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: Sewer District 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. 01 EREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284-208 (Rev.8/78) ©s ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.