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387923 (SPIN)BUILDING PERMIT / PERMIT NO. DEPARTMENT OF BUILDING & SAFETY 38792-3�, COUNTY Of RIVERSIDE FIELD DST fi NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS I Set Back 33 Ventilation System 2 Ftgs & Frms 34 Plenums & Ducts 2A Slab Grade 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 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. No ADDITIONAL INFORMATION �i� / Z� 0 SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Loth 12 Internal lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Botts) 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 25 Final Tank Pit L.Line REAR OF PROPERTY LINE ELECTRICAL APPROVALS PSL P/ 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 No DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE 284 199A 9/74 CANARY—FILE, PINK—APPLICANT Owner '9GL /.SON Architect---- Contractor__. - Address s3— Fq J w///-7 0 Address___ Address_---_------' City— City-- City_—_- - Phone Phone _ Phone— cc I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and W 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 requirements have been met. I am also aware that no work is to be done within the County R/W O without ah.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. T/� DATE =T-� SIGNATURE OF OWNER AND/OR AGENT Approval by Signature from the Following Departments Listed Below j Must Be Obtained Prior to the Issuing of a Construction Permit. �o� S I SPACE NO. USE OF STRUCTURE JOB ADDRESS Q(t ' Y �i'�@u�� SINGLE FAMILY DUPLEX GAL DESCRIPT N OF PROPERTY =_-t/ %�f/�/6—✓ — � f O APARTMENTS AGRIC. '� — COMMERCIAL E] INDUSTRIAL [] j �^ . COMMUNITY-.' C/ ❑ ALTERATIONS C Z AD OF SUBMITTED PLANS _ USE OF PERMIT �L � 1 _/' 'CASE NO, �k - � d --C C7���'L lL� I/ - C Z NO OF PARKdNG',SPACES REQUIRED Y NO. OF BUILDINGS NOW EXISTING Z ZONE - 7 `` .ETBA(fKS: FRONT SIDE REAR to GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE'#; OF FEET REQUIRED ON _ STREET DATE-/ =-'. SIGNATURE OF LAND USE OFFIC DEDICATION REQUIRED:'-. YES ❑ NO ❑i NO. OF FEET CURB AND GUTTER REQUIRED: YES ❑ NO ❑ -STREET a w CAN CURB, AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ Lu HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET Q IMPROVEMENT? YES ❑ NO ❑ O °C DATE , SIGNATURE OF ROAD DEPT. OFFICIAL = SWIMMING POOLS PUBLIC J SEWAGE DISPOSAL W - _ FOOD ESTABLISHMENT WATER POLLUTION REMARKS 'iFLOOD CONTROL— z AIR POLLUTION DIV OF HWY c a YOUR PROPERTY MAY BE SUBJECT TO - FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199A 9/74 CANARY—FILE, PINK—APPLICANT :k. TO: SUBJECT: REFERENCE: REQUEST FOR CERTIFICATION e Date - County of Riverside Local governing authority Request for certification of acceptability of property under applicable local building code(s)., ( Location of dwelling: '+ J G� Jj',C,. a Community:�\ 1 hereby request an inspection of the above located dwelling for a determination of the following, as well as a Certification of Acceptability (or Nonacceptability as the situation warrants): ❑ t. Compliance with local building code(s) applicable to the existing dwelling. ❑ 2. Compliance with applicable local codels) on room addition.. El 3. Compliance with applicable local code(s) on garage conversion. ❑ 4. Compliance with applicable local code(s) on sewage disposal system. 5. Compliance with applicaule local code(s) on other special construction. (describe)������- Signed: (Owner/Agent) Address: / % �? ` ^✓ ! a b.ier— Ls+r.0 ✓s'': Zip: 284-49 8/76 CERTIFICATE OF ACCEPTABILITYMONACCEPTABILITY Owner: Date of I nspection, Location of Dwelling �s Alf" 6 a Building Permit'No. Communityc I certify that as a part of my official duties as building inspector, I have on the date indicated, inspected the above located dwelling as requested, and have noted the following violationts) of the applicable building codels): Building Inspector) ❑ , None. There is no violation of the applicable building codels). Reinspection/ ing nonacceptable oniiitions'ext;t 'The followe • New Permit •�'aequired ❑ �Sanrtacy inadequacy: Structural hazard y• "' Hazardous wiring: { s� ❑ Hazardous plumbing: ❑ Faulty weather protection: ❑ Fire hazard: /r ❑ Faulty materials of construction: i. ❑ Additional details are noted on reverse side of this form. , Remarks: ex,4'" 1� ❑ Conforms to other applicable ordinances. ❑ 1 further certify that a record is available indicating proper completion: (Building Permit No.) (Completion Dale) ❑ The building permit completion record is not available. Records indicate age of this structure has led to destruction of the completion record. ❑ There is no record available of the construction involved. However, the construction appears to meet code. Signed:a-r s R (Typed or Printed Name of Building Inspector) County -of Riverside GIIY ^t , Date of Certificate J, "v w 4--, . c� o � ro � �d 4--, . ourLunnV 1rCRm11 PERMIT NO. -,. , DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST ^ 'COUNTY OF RIVERSIDE 3879 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. @ $ UNITS Owner 2ND. FLt--SQ. FT. @ Community .._i-� N YARD SPKLR SYSTEM FOR. SQ. FT. @ MOBILEHOME SVC. BAR SINK GAR. SQ. FT. @ POWER OUTLET ROOF DRAINS CAR P. SQ. FT. @ Cop $ DRAINAGE PIPING WALL SQ. FT. @ Use/Cose r DRINKING FOUNTAIN SQ. FT. @ Mech. Fee Dbl $ URINAL ESTIMATED CONSTRUCTION VALUATION $ Lot Size ` ' 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 Plumbing Fee GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Plan No. 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 Witness Fee $ SQ. FT. @ c WATER HEATER Own genl..t.4 !aC .,�,d .,. {,�C./'Se.+-X y=.�„ / VV' V SQ. FT. RESID @ 1 / c SEWAGE DISPOSAL Zip SQ. FT. GAR @ 1% c HOUSE SEWER $ - Address rajCA GAS PIPING PERMIT FEE PERMIT FEE PERMIT FE DBL. - TOTAL FEES MOB. HM. FEE ,MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FE PLUMB. FEE C City Zip ^^ V PERMIT NO. Job AddressSp ace Zi Owner Community .._i-� N Valuation $ Date C --)J 9-1J Dist. Off. F.C.C. MH.Permit Fee $ Micro Film Fee Cop $ Use of Permit - f. „ ' #� ` Co Parcel No. Use/Cose No. r Ck. By Mech. Fee Dbl $ ,PI. Ck. Fee E Set Backs Lot Size ` ' construction Fee Dbl $ Legal D scription .3 \ ' XXlt4 L23 F S S R r Electrical Fee Dbl $ Zone Restricts ' Group p T ype'•.- SMI Fee E*^�F Plumbing Fee Dbl $ Bond Amt. $ Plan No. Plan Checker Final Date ( It Unit Unit Sp. Insp. Fee $ Demol. Fee $ Const. Lender Branch Supplimental Permit N.imbers Registr. Fee $ Mileage Fee $ Address City Zip Witness Fee $ Reinsp. Fee E Own genl..t.4 !aC .,�,d .,. {,�C./'Se.+-X y=.�„ / VV' V Tel. r nr,. , Zip Total Fees $ - Address rajCA City Q2 T 5.2 Zip .O. N. Cosh Check Received\X Contractor Tel. License# 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. HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONIE SO IN ACCORDANCE WITH, SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE. OF THE STATE OF CALIFORNIA. form 284-208 (Rev.8/78) ©s t;. A