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397715 (BLCK)BUILDING PERMIT 1.11 1 PERMIT NO. DEPARTMENT OF BUILDING & SAFETY ' FIELD DST [� 3 9 T T 1 COUNTY OF RIVERSIDE' �. CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL \ SQ. FT. @ $ UNITS 2ND. FL. SQ. FT. @ YARD SPKLR SYSTEM POR., SQ. FT. @ MOBILEHOME SVC. BAR SINK GAR. ' S0. FT. @ POWER OUTLET ROOF DRAINS '`,•+ CAR P. - SO. FT. @ - DRAINAGE PIPING WALL SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ ' URINAL • ESTIMATED CONSTRUCTION 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 t HOOD SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR ' SUSPENDED 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. SO. FT. @ a BATH TUB r SQ. FT. @ a WATER HEATER S0. FT. RESID @ 1 yaa SEWAGE DISPOSAL v* - SO. FT. GAR @ T/aa HOUSE SEWER • GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTALZ&_MOB. HM. FEE MICRO'FEE MECH. FEE �PL. CK. FEE CON5� FEE ELECT: FEE SMI FEE FEE '• PLUMB. FEE ' , 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 r � 111i SEWAGE SYSTEM $.IZE..& LOCATI Tank 9l . Pit L. Line REAR OF PROPERTY LINE ELECTRICAL APPROVALS 26 . Power Pole 27 • Conduit •28 Service Entrance 29 Wiring 29A Grounding Wire 298 Bonding 30 Fixtures 31 Service 32 Final N P PERMIT NO. " 3977 15 Job Address Space �l�T C/` C ZipOwne ,'J5 �'.�j �/, "s „ Community _ r Valuation J Date ` Dist. . Off. F.C.C. MH Permit Fee E Micro Film Fee Cop S Use of Permit /1 Com;/,�t'�Z� �� ,,, `, Parcel No. ZZ3 0,12.. Use/Case No. - Ck. ey Mech. FeeDbl S 'Po. Ck. Fee S Set Back Lot Size ' Construction Fee Dbl $ Legal Description '� "� v r ��' % 4 Yr F S 5 R Electrical Fee* Dbl $ Zone Restriction Group ` .o Type SMI Fee S Plumbing Fee Dbl $ Bond Amt. $ Plan No. rn Checker Final Dote Z 3 �� Inspecto Unit Sp. Insp. Fee $ - 1PDemol. Fee S Const. Lender Branch Supplim n^�tq/L Permit Numbers //��//" . . 19 / • Registr. Fee S Mileage Fee 5 Address City Zip �%" ✓,.: ;s,. f % .✓'' �.�f/'-" ` Witness Fee j Reinsp. Fee S 'Owner/Agen Tel. . Zip ' Total Fees S I ❑ ❑ M. N.0 Cas Check Address .. (�% {/: I (' i.M .!"j C .,i L/'F \, %! qq "i --i City AZip I L �L l ✓ rW . r " Received bContractor Z.i Tel. - Ucense# 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. 4 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, EREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284-208 (Rev. 1/80) ORDANCE. WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. NOIIVWIIOdN1 WN0aiga\1l apol0 4swij °N N,dO lou!i £c PooH lo!Dlawwo_- Zh aD!Aa(] u0!P0$a(] ajowS 1k Lt, f� ladwoo al! j oy Ti uoloap •IddV 6£ 1 lossaldwoj g£ ? tv uo!lsngwo] L£ j(slapnp 9 slalul 9£ y�bdwoD a3own,j S£ spn(] g swnualA V£ u alsAS uo!lolyuaA is £e �� S1dAOHddV JM9wn1d 2-4 10u!j rI (u-019) Buliia] DZI ezi (silos) sliam VL anI0A 8 p!41 NOIlVI()SN1 SIVAObddV IV:)INVH73WI[ S1bAObddd JNIaiins 801:)3dSNl 31V(] NOI1V83dO ! ON 8003dSNl 31V(] NOI1V83dO ON apol0 4swij £l I(ornAl(] VZ L 4101 Ioulalul Z l 4101 loua4x3 ti aaolda,!j Vol 1 d a>oidand 0L Ilom anj aBojoO 6 s1uaA g Bwwol j L spa(] 1008 9 D 00Q 22— sjiolg... Inojo 6._ jS Iaa1S £ apol0 golS VZ , swlj 9 sBy Z hog ps l SIVAObddV IV:)INVH73WI[ S1bAObddd JNIaiins 801:)3dSNl 31V(] NOI1V83dO ! ON 8003dSNl 31V(] NOI1V83dO ON NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT APPLICATION TO CONSTRUCT Permit No DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE y� 284 199A 9/74 CANARY—FILE, PINK—APPLICANT, j Owner n'%� "',I- 1,1194 041'A- Architect —. --_ Contractor__ - Address ��-�� UdrU Address___ Address --- City dt �u ' City__ _ City_—.-- - �— Phone Phone _ Phone— of I (we) .the undersigned, herebycertifyand 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 3 shall not make a Final Inspection until said requirementshave 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 property44_1e_:e1 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 h I SPACE N0. �) USE OF STRUCTURE JOB ADDRESS - .SINGLE FAMILY .� DUPLEX Z H GL ESC ON OF PROPERTY -- - APARTMENTS AGRIC. S 2 SJ'�" Q q r,� �J �Q COMMERCIAL. INDUSTRIAL �- */ COMMUNITY -6)U. ALTERATIO n Z NO. OF SUBMITTED PLANS - USE OF PERMIT r � a CASE NO. f :2 0 0 Z' N0. OF PARKING SPACES REQUIRED - NO. OF BUILDINGS NOW EXISTING Q ZON — / ETBA(fKS: FRONT SIDE REAR J m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBAC ORDINANCE # OF FEET REQUIRED ON STREET DATE SIGNATURE OF LAND USE OFFICIA� ` _/ DEDICATION REQUIRED: YES '❑ NO ❑ NO. OF FEET__ W CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET CIE a CAN CURB AND GUTTER `FEASIBLY BE INSTALLED? YES ❑ NO ❑ 0 HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET ` Q IMPROVEMENT? YES ❑ NO ❑ O °C DATE SIGNATURE OF ROAD DEPT. OFFICIAI _ 'SWIMMING POOLS PUBLIC H W SEWAGE DISPOSAL Q = 0 '. FOOD ESTABLISHMENT WATER POLLUTION REMARKS to FLOOD CONTROL— z AIR POL'•LUTION _ DIV OF HWY c r _ YOUR PROPERTY MAY BE SUBJECT TO a , _ LU `'' :. FLOOD. RIVERSIDE COUNTY ASSUMES f NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199A 9/74 CANARY—FILE, PINK—APPLICANT, j BUILDING. PERMIT' PERMIT',NO. PERMIT No.lo y.X 3 9�7 7'15 •: :''DEPARTMENT OVBUILDING & SAFETY' COUNTY ;OFKRIVERSIDE vl, FIELD OFFICE ' DST CONSTR`UCTION•ESTIMATEf NO. ELECTRICAL FEES. NO. PLUMBING -FEES 1ST FL.-,{ L ' ' 2ND. FL.'•. `SQ4FT. FOR. %t- GAR. . CAR .R*• tSO. - WALL' = ESTIMATED CONSTRUCTION SO. fT, @' ' $ UNITS �@-' YARD SPKLR SYSTEM SQ. FTS @ MOBILEHOME SVC. BAR SINK POWER OUTLET SQ. -FT.. @ ROOF DRAINS FT., @ DRAINAGE PIPING SQ. FT' @ - DRINKING FOUNTAIN, SO. FT. @ URINAL VALUATION'S, i $ � WATER PIPING ' 'NOTE: Not to be used'os.propert'y taz voluotidn . , "SW.IM POOL, PVT FLOOR DRAIN ' i• MECHANICAL FEES - swlM PooL,�coMM • WATER SOFTENER VENT SYSTEM FAN EVAP:• COOL , HOOD r SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER s GARBAGE DISPOSAL FURNACE UNITr WALL . FLOOR • SUSPENDED •- MH Permit Fee S . _ LAUNDRY TRAY, AIR HANDLING UNIT .'CFM ' • IDLE METER - • KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC •.. WATER CLOSET ' COMPRESSOR c HP f POLE, TEMP/PERM LAVATORY HEATING SYSTEM -' 1 •FORCED J GRAVITY.' AMPERES SERV ENT -' SHOWER BOILER B.T.U. E SQ. FT. @ a ,BATH TUB Zone Restrictions SQ. 'FT. @• a 'WATER HEATER 1 T S0. FT. RESID , @ 1 t/aa SEWAGE DISPOSAL }z S0. FT. GAR @ a/aa HOUSE SEWER ' - Plo No. _ ' ' [Plon- Checker •' GAS PIPING ' PERMIT FEE In;pec PERMIT FEE PERMIT FEE DBL. TOTAL FEES,MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE 1, CONST. fEEit,• ELECT. FEE b SMI FEE FEE PLUMB.,FEE ' PERMIT',NO. .. JA Address" - - - - Space ,Zip 'Own _ +• , =. 3 9 7 7.15 Community,. - Valuation Data Dist. Off. I=C. -' .S. f .,�//.��V /:%I b • ' MH Permit Fee S . _ Micro Film' Fee Cop $ �- Use of ermit ' • j y ' arce No. Use/Case ... - et Ba< s F, .• S S R No: lot Size' ° - Ck. By ; s Mech. Fee ' s Dbl $, - PI. Ck. Fee S - Co st coon FeeDbl $ Y " Lego Description - ✓ `�" Electrical[ Fee Dbl S Zone Restrictions Group' Type SMIFee SL Plumbing Fee - • Dbf S - ' .. " sro Bon mt. $ Plo No. _ ' ' [Plon- Checker _ Final Dote �'• �- 3 O In;pec - Unit s • ` Sp. Insp. Fee ' S, s Demol. Fee - S Const` Lender a, .. ,4 Branch + r Supplimentol Permit Numbers �' „ f .! - - '� • , Regisir. Fee g' • Mileage Fee s• $ �.. ,. Address City ` Zip .t Witness Fee Reinsp. Fee" S Owner/Age - ' el. • -' - Zip"" Total Fees S, S� f Address - - -' `� City �/y Zip - :.M.O. N. Cas 'r C e< �.. 4: •. f'7 iIs 'i,� /�''s / Received b Contractor. , - TeL • - LicenseR ' Trees required y'' - • ° Sewage System Address - Ciy, - 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. ' s - • -' 1•HEREBY AGREE THAT ALL WORK IN CONNECTION, WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH Y� THE' LAWS OF RIVERSIDE COUNTY AND THE:STATE,OF CALIF,ORNIA'.c I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED TH&PLANS AND SPECIFICATIONS HAS DONE SO IN A ORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. s '' Form 284-208 (Rev. 1/80) v r