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368934 (MISC)
BUILDING PERMIT — PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD DST 13689341 COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES Job Address �� �1 !1 �" Gi / Space UNITS Owner v IST FL. SQ. FT. @ Voluotign E Date 4 (:p —,6 — ;'q' Dist. Off. - YARD SPKLR SYSTEM MH.Permit Fee E 2ND. FL. SQ. FT. @ Cop E Useo+f/Permit �.JV G �'/ �""`'''��ryy� � , '�'^(/ /� G„ ��-rj Parcel /No. - /- / / 3—i✓'�.' e -,Q1 , MOBILEHOME SVC. BAR SINK Ck. By �"� POR. SQ. FT. @ PI. Ck. Fee $ a Set BacksLot Size Z� -Cv--A-/ 0 POWER OUTLET ROOF DRAINS S GAR. SQ. FT. @ r"o-P Electrical Fee Dbl E Zone Restrictions DRAINAGE PIPING Type CAR P. SQ. FT. @ Plumbing• Fee Dbl E �y ,5 Bond Amt. E Plan No. 7�� DRINKING FOUNTAIN Final Date ?'-.3-7'7 WALL SQ. FT. @ Unit ' 1 Sp. Insp. Fee E Demol. Fee E URINAL Const. Lender - Branch SQ. FT. @ Regisir. Fee E Mileage fee E ESTIMATED CONSTRUCTION VALUATION $ Witness Fee E WATER PIPING E NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER Address /.+ '-,� V r' / (/� �'J.. i� "� "` �� VENT SYSTEM FAN EVAP. COOL HOOD SIGN WASHER (AUTO)(DISH) ` v.E APPLIANCE DRYER Contractor GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Trees required LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK Zip 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 SQ. FT. @ c WATER HEATER SQ. FT. RESID @1'/.c SEWAGE DISPOSAL SQ. FT. GAR @ % c HOUSE SEWER GAS PIPING. PERMIT FEE PERMIT FEE PERMIT FEE Ael QC) DBL. TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. Fil ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 13689341 Job Address �� �1 !1 �" Gi / Space Z ' � Owner v Community /� 11 / ,�,� ��� Voluotign E Date 4 (:p —,6 — ;'q' Dist. Off. - F.C.C. MH.Permit Fee E Micro Film Fee Cop E Useo+f/Permit �.JV G �'/ �""`'''��ryy� � , '�'^(/ /� G„ ��-rj Parcel /No. - /- / / 3—i✓'�.' e -,Q1 , Use/Case No. Ck. By �"� Mech. Fee Dbl E PI. Ck. Fee $ a Set BacksLot Size Z� -Cv--A-/ 0 Construction Fee Dbl E Legal Description F _ Q, S S r"o-P Electrical Fee Dbl E Zone Restrictions Type SMI Fee E Plumbing• Fee Dbl E �y ,5 Bond Amt. E Plan No. 7�� Final Date ?'-.3-7'7 Inspector Unit ' 1 Sp. Insp. Fee E Demol. Fee E Const. Lender - Branch Supplimentol Permit Number / Regisir. Fee E Mileage fee E Address Giy /�' Zip 1 - 1. f f y Witness Fee E Reinsp. Fee E Owner/Agent �"'�"� './ Zip Total Fees E �} , Address /.+ '-,� V r' / (/� �'J.. i� "� "` �� City Zip ."'....✓ o >!/� `i�%.. M.O. El N.C. Cash Check Received by ` v.E ', Contractor Tel. License# Trees required Sewage System Address City Zip . I T U. P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: Sewer District FOR 120 DA HA LSOrAU,,SSE PERMIT TO BECOME VOID. I HER ALL'filr'TN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH F THE LAWS OF RIVE DE COUNTY AND THE STATE OF CALIF60NIA. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECT164:4.541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. 'Form 284-208 (Rev.8/78) ' NO. OPERATION DATE INSPECTOR Conduit NO. OPERATION DATE INSPECTOR Wiring BUILDING APPROVALS Grounding Wire 29B MECHANICAL APPROVALS 1 Set Back 31 33 Ventilation System 2 Ftgs & Frms 34 Plenums 8 Ducts 2A Slab Grade 35 Furnace Comport 3 Steel 36 Inlets 8 Outlets 4 Grout Blocks 37 Combustion Air 5 Bond Beams 38 Compressor 6 Roof Deck 39 AFpl. Clearance 7 Framing 40 Fire Damper 8 Vents 41 Stroke 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 �3i ')s ci.,el - , „ �j ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures — 31 Service 32 Final k Pit REAR OF PROPERTY LINE STREET NAME NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE DISTRICT Permit 284 199A 9/74 CANARY—FILE, PINK—APPLICANT Owne LEArchitect _. —__. Contractor—_—_ .-- Address5;;2YjQ1—,,-- S(iv Address___ Address_—__— --- ty--_— — City �L��aa City_— _ _ City ------ hone_ ._—_--.—_ _I Phonea/ Phone _ Phone----.-----,--..- Phone I(we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and 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 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 prop to be occupied until I (we) have complied with all laws of the of Riverside and the State of California governing said property, �C000untvv DATE g"—S—C L �—/ 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. '%%� %�� �C—Y�r' 1 USE OF STRUCTURE szi G f-� I JOB ADDRESS — -SINGLE FAMILY DUPLEX _ / LEGAL DESCRIPTIO OFROPE�TY Z F - APARTMENTS 0 AGRIC. El U.--- �n Q --" COMMERCIAL E] INDUSTRIAL E] COMMUNITY ALTERATIONS] LEJ C Z NO. OF SUBMITTED PLANS — USE F PERMIT LPV d 'AQ CASE NO. O 0 0 Z NO. OF P KINE SPACES REQUIRED —_ NO. OF BUILDINGS NOW EXISTING Z ZONE ETBA(fKS: FRONT SIDE REAR J m GRADING PERMIT. REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE # OF FEET REQUIRED ON YTREET_DATE�LA SIGNATURE OF LAND USE OFFICIAL- DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET— W CURB AND GUTTER REQUIRED: YES ❑ NO ❑ _STREET H oe d CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W 0 HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET Q IMPROVEMENT? YES ❑ NO ❑ O cc DATE SIGNATURE OF ROAD DEPT. OFFICIAL = SWIMMING POOLS PUBLIC SEWAGE DISPOSAL QW = 0 FOOD ESTABLISHMENT WATER POLLUTION REMARKS to FLOOD CONTROL F W 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 199A 9/74 CANARY—FILE, PINK—APPLICANT BUILDING PERMIT — PERMIT No. DEPARTMENT OF BUILDING &SAFETY FIELD OFFICE F/)�/] 3 6 8 9 3 4 ~ COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. @ $ UNITS Community 2ND. F.L. POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ Dole✓ YARD SPKLR SYSTEM F.C.C. SQ. FT. @ MOBILEHOME SVC. BAR SINK Micro Film Fee POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ. FT. @ 1 ^' ��y 71V DRINKING FOUNTAIN SQ. FT. @ Use/Case No. SQ. FT. @ URINAL Mech. Fee Dbl $ VALUATION $ WATER PIPING Set Socks NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN F MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER Group VENT SYSTEM FAN EVAP. COOL HOOD SIGN WASHER (AUTO)(DISH) Plumbing Fee APPLIANCE DRYER �%% GARBAGE DISPOSAL Plan No. FURNACE UNIT WALL FLOOR SUSPENDED Plan Checker LAUNDRY TRAY Inspector AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK Dental. Fee ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET Branch f COMPRESSOR HP POLE, TEMP/PERM LAVATORY Mileage Fee $ HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER $ BOILER B.T.U. SQ. FT. @ c BATH TUB I ` -� �G -- �% �. Zip SQ. FT. @ c WATER HEATER $ TZ SQ. FT. RESID @1'/.c SEWAGE DISPOSAL City % ,�j �•' - �"'�a/" V /' r',.�'/�' .d,,,., Zip SQ. FT. GAR @ 3/, c HOUSE SEWER .G. t - GAS PIPING License# PERMIT FEE Trees required PERMIT FEE PERMIT FEE DBL. TO/OTAL FEES MOB.HM.FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ,.' ELECT. FEE SMI FEE FEE PLUMB. FEE� PERMIT NO. • • - 1368934 Job Address,• y / ©/ -e / Space Z' ^ a� •C Owner G. rwP r ,, J /Cry Community Valuation $ Dole✓ Dist. Off. . �.+ F.C.C. MH.Permit Fee $ Micro Film Fee Cop $ Use of PPeermiitt `� .ys+ L.,ifL9 /V V .-1 -e-W I XO' 7V A0- 11 ;, 1 ^' ��y 71V Parcel No. s� ,3'" z zy-yil4i000q Use/Case No. Ck. By Mech. Fee Dbl $ PI. Ck. Fee $ Set Socks L Size —> v` Construction Fee Dbl $ Legal Description .t' 5 C, z— F S R S Electrical Fee Dbl $- Zone Restrictions I,. Group Type SMI Fee $ Plumbing Fee Dbl $ �%% So Amt. $ Plan No. Plan Checker Final Dote Inspector Unit Sp. Insp. Fee $ Dental. Fee $ Const. Lender Branch f Supplimental Permit Numbers Registr. Fee $ Mileage Fee $ Address ,Eify'1 Zip Witness Fee • $ Reinsp. Fee $ Owner/Agent x 4' P - s'•' > �"• -icy.✓ I ` -� �G -- �% �. Zip Total Fees $ TZ Address y "� I t/ / .£7' l✓�.• (/ • `� f �� City % ,�j �•' - �"'�a/" V /' r',.�'/�' .d,,,., Zip M.O. N.C. Cash Check Received by.�. .G. Contractor - Tel. License# Trees required Sewage System I Address - City Zip � I T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: f Sewer District FOR 120 D LSO USE PERMIT TO BECOME VOID. I HER E T AL�ONNECTION WITH TH)S PERMIT WILL. BE DONE IN ACCORDANCE WITH THE LAWS OF RIVE DE COUNTY AND THE STATE OF CALIFORNIA. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECT16IN 55 1 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALI(ORNIA. Form 284-208 f (Rev.B/78) ©s . � o _ ... _. _ _ , ff .- .. ... ,. __ .fit ..: i• ... - _ _ ..