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391267 (SPIN)MUILVIIVV VCKM1I �! PERMIT NO. i' DEPARTMENT OF BUILDING & SAFETY .39126-7 COUNTY OF RIVERSIDE FIELD MDS CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. POR. GAR. CARR WALL ESTIMATED CONSTRUCTION SQ. FT. @ UNITS L SQ. FT. @ YARD SPKLR SYSTEM SQ. FT. @ MOBILEHOME SVC. BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING 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 GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED R 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 Const. Lender SQ. FT. @ C WATER HEATER { SQ. FT. RESID @ 1'/. C SEWAGE DISPOSAL Address City Zip SQ. FT. GAR @ I/. c HOUSE SEWER $Owner/Agent �. w a Tel. GAS PIPING PERMIT FEE Tdtal Fees PERMIT FEE PERMIT FEE�Z . DBL. TOTAL FEES MOB.HM.FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE L ' IEE PLUMB. FEE PERMIT NO. .391267 Job Address -^ z t��,j A V 2:. V4 �-j Space Zip Owner L Community Valuotio $ Date Dist. %, Off. --- F.C.C. MH.Permit Fee$ Micro Film Fee Cop $ Use of Permit ,,,. - �,j Parcel No. It ,r 0� Rj Use/Case No. Ck. By Mech. Fee Dbl $ PI. Ck. fee E Backs Lot Size Construction Fee Dbl $ L al"Description F S I S R Electrical Fee Dbl $ Zone Restrictions , 10 Z - I Group Type $MI Fee $ - Plumbing Fee Dbl $ Bond Amt. $ on No. Plan Checker Final Date 1 'In tar Unit Sp. Insp. Fee $ -Demol. Fee $ Const. Lender Branch Supplimen I rmit Numbers { Registr. Fee $ Mileage Fee $ Address City Zip Witness Fee $ ;.insp. Fee $Owner/Agent �. w a Tel. Zip Tdtal Fees $ ddress ;"" ,� -"'' +1_.1„f" •.J 'A City V Zip M.O. 0 N.C. sh 0 Checkt Received by Trees required ( Contractor Tel License# Sewage System Address City Zip ' T LL P Sewer District Form 284-208 (Rev.8/78) I©s _ .. THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: 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. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN . ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs 8 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 Appl. Clearance a 7 Framing 40 Fire Damper 8 Vents 41 Smoke Detection Device 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P. L. 43 Final 10A Fireplace T.0. E] No 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 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 REQUEST FOR CERTIFICATION Date TO: Local governing authority County of Riverside SUBJECT: Request for certification of accepiability of property under applicable local building code(s). REFERENCE: Location of dwelling: Community; I hereby request an inspection of the above located dwelling for a determination of the following, as well as a Certification of Acceptability (or Nonaccep(ability as the situation " warrants): ❑ 1 . Compliance with local building code(s) applicable to the existing dwelling. ❑ 2. Compliance with applicable local code(s) on room addition. 3. Compliance with applicable local code(s) on,garage conversion. ❑ 4. Compliance with applicable local code(s) on sewage disposal system. "o. Compliance with a plicable local td'e(,$) 0 4tIL r special construction. (describe)" * k ,/j -signed: wrier/Agent) fq 01 Address: CERTIFICATE OF ACCEPTABILITYMONACCEPTABILITY tw '24#49owner-'! fifidd F SGr DateofInspection Location of Dwelling: Building Permit No. s Community: I certify that as a part.of my official duties as building inspector, f have oit the date indicated, inspected the above located dwelling as requested, and have noted the following violation(s) of `. the applicable building code(s): ❑ None. There is no violation of the applicable building codels). ❑ The following nonacceptable conditions exist: ❑ Sanitary inadequacy: ❑ Structural hazard: ❑ Hazardous wiring: _ ❑ Hazardous plumbing: ❑ Faulty weather protection: ❑ Fire hazard: �6.. ❑ Faulty materials of construction: ❑ Additional details are noted on reverse side of this form. Remarks: ❑ Conforms to other applicable ordinances. Reinspection/ New Permit Required ❑ I further certify -that a record is available indicating proper. completion: (Building Permit No.); (Completion Date) ❑ The building permit completion record is not available. RecorQ§ indicate age of this structure has led to destruction of'tlte completion record. i There is no record available of the construction involved. However„the.constructi on appears to meet code. Signed��. (Typed or Printed Name of Building Inspectof) County of' Riverside City . Date of Certificate 0YILU11 v rCKMII PERMIT No. DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE F T � 1.391267COUNTY OF RIVERSIDE 1 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. @ UNITS Owner 2ND. FL. SQ. FT. @ Community L U2$ YARD SPKLR SYSTEM POR. SQ. FT. @ MOBILEHOME SVC. BAR SINK GAR. SQ. FT. @ POWER OUTLET ROOF DRAINS .-CAR P. SQ. FT. @ Micro Film Fle -^- Cop $ DRAINAGE PIPING ';WALL SQ. FT. @ Parcel No. / -a ?3 — Qo "7 DRINKING FOUNTAIN SQ. FT. @ Ck. By URINAL ESTIMATED CONSTRUCTION VALUATION $ et Backs 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 Type GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Dbl $ 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 Mileage Fee $ SQ. FT. @ c WATER HEATER Reinsp. Fee SO. - FT. RESID @1'/.c SEWAGE DISPOSAL // (/n % SQ. FT. GAR @ 3/. c HOUSE SEWER Tocol Fees $ GAS PIPING PERMIT FEE City -gj-k. PERMIT FEE PERMIT FE DBL. TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE E PLUMB. FEE Address City Zip I PERMIT NO. 1391267 Job AddressSpace J3_�'� v.. Zi Owner Community L U2$ Voluatio .Date �_ Dist. 1 Off. �.-- F.C.C. MH.Permit Fee $ Micro Film Fle -^- Cop $ Use of Permit �, �� Parcel No. / -a ?3 — Qo "7 Use/Cose No. Ck. By Meth. Fee Dbl $ PI. Ck' Fee ' $ et Backs Lot Size Construction Fee Dbl $ -Legal Description F S S R Electrical Fee Dbl $ Zone Restria,is Group Type SMI Fee Is Plumbing, Fee Dbl $ Bond Amt. $ Plan No. Plan Checker Final Date - na7 G-- '1 V O t•Iry ctor i(J�/� Unit Sp. Insp. Fee is Demol. Fee $ Const. Lender Branch Supplimental Permit Numbers y Registr. Fee $ Mileage Fee $ Address City Zip Witness Fee $ Reinsp. Fee $ Owner/Agent // (/n % Tel. Zip Tocol Fees $ Address,f / 03 r j �iILLkL sS a A D� City -gj-k. Q Zip A % .- M.O. N.C. sh Check Received by Trees required Contractor Tel. License# Sewage System Address City Zip T LL P - THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. LHEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH V HE LAWSOFRIVERSIDE COUNTY AND THE STATE OF CALIFORNIA: I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. Form 284-208 (Rev.8/78) ©s r , verified by: