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359670 (BLCK)BUILDING PERMIT PERMIT No.DEPARTMENT OF BUILDING & SAFETY FIELD [DST 35967 COUNTY OF RIVERSIDE // CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES I ST FL. 2ND. FL. SQ. FT. @' $ UNITS - Community a �F SQ. FT. @ YARD SPKLR SYSTEM "POR. (r.... ;:. . ,SQ:,'FT.a@ :. c .., a . ,(VOBILEHOME-SVGA. K'! BAR SINK ' GAR. CAR P. WALL SQY FT. @ POWER OUTLET Use of ermit /tl ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ. FT. @ ' DRINKING FOUNTAIN /71'--1' `.." SO. FT. @ ESTIMATED CONSTRUCTION`VALUATION $ Bd`ck3'' �✓ Lot Size URINAL WATER PIPING NOT;E:. No1_(o be used,as. property taz valuation' _ . f. SWIM.POOL," PVT + FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM Group WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD SIGN Plumbing Fee' WASHER (AUTO)(DISH) AP:LIANCE DRYER Plan No. - - GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Inspector Unit 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 Witness Fee E LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT r •------�.. - - SHOWER BOILER B.T.U. SQ. FT. @ C Total Fees "" BATH TUB Address r s. SQ. FT. @ t .City :k,. .'' r, WATER HEATER M.O. C3 N. C. Cash EI Check SQ. FT. RESID @1'/.c SEWAGE DISPOSAL SQ. FT. GAR @ s/. t LicenseY HOUSE SEWER Trees required•` Sewage System Address - GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. ..rTOTAL-FEES : ala. MOB.HM.FEE .r „ MICRO FEE MECH. FEE . PL. CK. FEE; - ,CONST, .fEE ;y' .. �y ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 359670 .. Job Address - . Space Zip Owner Community a - _ _ ! - Valuation E - - Date Dist., Off. F.C.C. MH.Permit Fee$ Micro Film FeeCop $ - Use of ermit /tl ' ` - (' t;,"r ✓,d'y.�— Parcel No. ` Use/Cose No. Ck. By Meth. Fee Dbl E PI. Ck. Fee _ y/�1.1 Bd`ck3'' �✓ Lot Size Construction Fee Dbl- $ Legal Description - ' - _ yy'%' F S S R Electrical Fee Dbl $ Zone Restrictions Group Type SMI Fee $ Plumbing Fee' DbI S Bond Amt. y -, Plan No. - - Plan Checker - . ' Fino Date Z Inspector Unit Sp. Insp.'Fee •- E '' , - Demol. Fee $ Const. Lender Branch SupPlimental Permit Number '6 Regisir. Fee y Mileage Fee g Address - City. Zip Witness Fee E Reinsp. Fee $ . �.,. Or;r/Agent r •------�.. - - Tel. Zip Total Fees "" - . .... $ _ Address r s. 4 ,/ �•r ! 4 ., j .City :k,. .'' r, Zip M.O. C3 N. C. Cash EI Check Received by\ Contractor.Tel: :;-41'C;;' C LicenseY Trees required•` Sewage System Address - - Ciry Zip Tl'—'`„ LLP F THIS PERMIT'SHALL-BECOME1 VOID! IF WORK' IS, NOT COMMENCED -W4THIN 120 DAYS. CESSATION OF WORK 1Sewer District FOR 120 DAYS SHALL ALSOE PERMIT TO BECOME VOID. I HEREBY AGREE THAT R jE/ITH THIS PERMIT WILL BE DONE IWACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND r E STATE OF CALIFORNIA. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284-208 (Rev.8/78) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. verified by: n NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR PLUMBING APPROVALS BUILDING APPROVALS Ground Plumb MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Figs 8 Frms 34 Plenums 8 Ducts 2A Slab Grade 35 =urnace Comport. 3 Steel 36 nlets 8 Outlets 4 Grout Blocks 37 =ombustion Air 5 Bond Beams 38 :ompressor 6 Roof Deck 39 Appl. Clearance 7 8 Framing ���_�9 Vents i 40 41 =ire Damper "smoke Detection Device 9 Garage Fire Wall 42 commercial Hood 10 Fireplace P. L. 43 Final 10A 11 12 12A 13 Fireplace T. 0. Exterior Lath Internal Lath Drywall 1 Finish Grade No t ADDITIONAL INFORMATION INSULATION Thick R i Value 7A Walls (Batts) 12B Ceiling (Botts) PLUMBING APPROVALS 12C Ceiling (Blown) Ground Plumb 14 I 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 26 27 28 29 29A 29B 30 31 32 ELECTRICAL APPROVALS SEWAGE SYSTEM SIZE & LOCATION Tank Pit L.Line REAR OF PROPERTY LINE ti P/L �/L STREET NAME NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE Owner )�i�%Y iGdM,CIL- Address Nom__-_ Cityg Architect-- Address rchitect— Address City_ .r DISTRICT Permit No Contractor---- Address- City ontractor__-_Address-City- Phone— _ 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 ----- SIGNATURE OF OWNER AND/OR AGENC/ n Approval by Signature from the Following Departments Listed Below Must Be Obtained Prior to the Issuing of a Construction Permit. )S--? ISPACE N0. 2 .JLu H Q W Z JOB ADDRESS LEG�rL DESCRIPTION OF P6 a,ROPERTY COMMUNITY S(Z NO. OF SUBMITTED PLANS USE OF PERMIT CASE NO. USE OF STRUCTURE SINGLE FAMILY DUPLEX APARTMENTS AGRIC. El COMMERCIAL INDUSTRIAL ALTERATIONS "n NO. OF PARKING SPACES REQUIRED . NO. OF BUILDINGS NOW EXISTING - ZONE�,�SETBACKS: FRONT SIDE REAR GRADING PERMIT REQUIRED? YES ❑ NO M LOT SIZE SETBACK ORDINANCE N OF FEET REQUIRED ON DATE -�1�:M__7/ SIGNATURE OF LAND USE OFFICIAL _ REET DEDICATION REQUIRED:. YES ❑ NO ❑ NO. OF FEET__ CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET CAN_ CURB AND GUTTER FEASIBLY BE "INSTALLED? YES ❑ NO ❑ HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET IMPROVEMENT? YES ❑ ' NO ❑ DATE SIGNATURE OF ROAD DEPT. OFFICIAL SWIMMING POOLS PUBLIC SEWAGE DISPOSAL FOOD ESTABLISHMENT .. WATER POLLUTION REMARKS FLOOD CONTROL AIR. POLLUTLON DI•V-OF-HWY- YOUR PROPERTY MAY BE SUBJECT TO FLOOD. RIVERSIDE COUNTY ASSUMES --NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199A 9/74 CANARY—FILE, PINK. APPLICANT