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368955 (BLCK)
BUILDING PERMIT PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD DST 3 6 8 9 5 5 COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. � 2ND. FL. SQ. FT. @ UNITS Off. F.C.C. SQ. FT. @ YARD SPKLR SYSTEM POR. SQ. FT. @ MOBILEHOME SVC. BAR SINK GAR. SQ. FT. @ POWER OUTLET ROOF DRAINS CAR P. E' WALL �� SQ. FT. @ Lot Size DRAINAGE PIPING SQ. FT. @ � G't DRINKING FOUNTAIN � , SQ. FT. @ URINAL ESTIMATED CONSTRUCTION VALUATION 4 WATER PIPING NOTE: Nbt to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN EV AP. COOL HOOD SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER Final 047 A GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Sp. Insp. Fee E 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 Tel. �� SQ. FT. @ c WATER HEATER Total Fees S0. FT. RESID @lthc SEWAGE DISPOSAL 'dress - -t. ��'" SQ. FT. GAR @ 3/. c HOUSE SEWER Zip M.O./tv.C. Cash CheckS"� GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 368955� Job Address ` ' Community (/ _ ValuatioDate E Space Zip Owner... 4 P Dist. ��' �/ Off. F.C.C. MH.Permii Fee E Micro Film Fee Cop E Use of Permit AJ , / ` V �" s AJ c X/ 6 z x e. Q 11 // Parcel No. L .. _3'(' _. sr' se/Case No. Ck. By Mech. Fee Dbl E PI. Ck. Fee E Set Backs Lot Size i Construction Fee Dbl E legal Description 2 F S S R Electrical Fee Dbl E Zone Restrictions Group P e Type SMI Fee E Plumbing Fee Dbl E Bond Amt. Plan No. Plan Checker Final 047 A &Intor Unit Sp. Insp. Fee E Demol. Fee E Const. Lender Branch ' Supplimental Permit Numbers Regisir. Fee E Mileage Fee E Address City Zip { Witness Fee E Reinsp. Fee E Owner/Agent /! /Fpa I . � -/_i% Tel. �� Zip Total Fees E 'dress - -t. ��'" / City !•AJ Zip M.O./tv.C. Cash CheckS"� Received by Contractor -' Tel. License# Trees required Sewage System 1 �, �!' Address - City Zip T LL P Sewer District ;Form 284-208 (Rev.8/78) THIS -PERMIT SHALL BECOME, VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK Gerifred•by_ FOR 120 DAYS SHALL ALSO, CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL I���IIlC IS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COL ND.THCSTATE OF CALIFORNIA. I HEREBY CERTIFY=TAMOEINDIVIDUAL WHO PREPARED. THE PLANS AND.$PECItICATIONS HAS DONE SO IN ACCORDANCE WITH S�Cr�fIO�N(1555Ah OF THE BUSINESS AN�IPROFESSIONS 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 & Frms 6' J 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.O.El P' ADDITIONAL INFORMATION NO. + 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 PSL P/ ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bcnding 30 Fixtures 31 Service 32 Final STREET NAME NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE DISTRICT Permit No r14 284 199A 9/74 CANARY—FILE, PINK—APPLICANT Owner 111116 6ZI ittectt__ —. .--_ Contractor—__— .-. fl EdVs Addres��, /�eL2tq— S-� © ^� Address — ---- City v ity-- ^ City_—_ — hone— 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 I 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 u 'I I (we) have complied with II laws of the County of Riverside and the State of California governing said propert �f % r ` /-1 � 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. 1 SPACE N 0. _ 1 USE OF STRUCTURE a JOB A'DDR1 5S l V 5y�% Q j SINGLE FAMILY'' DUPLEX ❑ LEG 1 D SCRIPTION OF PROPERTY C ^— — 0 F Z W -7� - - APARTMENTS u' AGRIC. L] ''`/ /--'- " °a --K_'- COMMERCIAL INDUSTRIAL ❑ ❑ j '^ C COMMUNITY r ❑ ALTERATIONS Q Z NO. OF SUBMITTED PLANS F PERMIT �'' � a CASE N 0 .�-'.-�—s j O l7 p Z . f NO. OF PARKING SPACES REQUIRED NO. OF BUILD S NOW EXISTING —fin, -�pcyc Zo ZONE Z� ETBA6KS: FRONT SIDE REAR J m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE r SETBACK ORDINANCE II OF FEET REQUIRED ON STREET DATE -/ SIGNATURE.OF LAND USE OFFICIAL t/ � C� DEDICATION REQUIRED: YES D NO ❑ NO. OF FEET -- H z CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET W CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ 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 Z SWIMMING POOLS PUBLIC QSEWAGE DISPOSAL _ FOOD ESTABLISHMENT WATER POLLUTION REMARKS ut FLOOD CONTROL H W AIR POLLUTION _ DIV OF HWY c a — YOUR PROPERTY MAY BE SUBJECT TO o. 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 DST 3689 COUNTY OF RIVERSIDE 5 5 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. SQ. FT. @ $ UNITS Zip Owner Q7-_ SQ. FT. @ YARD SPKLR SYSTEM POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ MOBILEHOME SVC. BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ. FT. '@ C� DRINKING FOUNTAIN SQ FT @ URINAL VALUATION $ mow— 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 Electrical Fee 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. @ t BATH TUB Dental. Fee _ SQ. FT. @ c WATER HEATER Const. Lender SQ. FT. RESID @ 1114 c SEWAGE DISPOSAL S0. FT. GAR @ 1%c HOUSE SEWER Address City Zip t Witness Fee $ GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE j FEE PLUMB. FEE PERMIT NO. 1 368955 Job Address 7< ul.. U� / Space Zip Owner Q7-_ A/ e- Community �A v/ /L„j Valuatio $ D G �% ✓' Date a 7 % Dist. Off. F.C.C. MH.Permit Fee $ Micro Film Fee Cop $ Use of Permit / ) V L v �l Cl /� L/ Q Parcel No. '> t'�- 3-0 / "^ Uf Use/Case No. j Ck. By ,,, ,� Mach. Fee Dbl $ PI. Ck. Fee $ Set Backs Lot Size, Construction Fee Dbl $ Legal Description 311 4o7 /^ % S (rr.. (,/�., [j� � O FS S R Electrical Fee Dbl $ Zone Restrictions /Z�•. Group Type SMI Fee $ Plumbing Fee Dbl $ Bond Amt. $ Plan No. Plan Checker " Final Dotee,y(E l _ [ R — q actor Unit Sp. Insp. Fee $ Dental. Fee $ Const. Lender Branch Supplimental Permit Numbers Regisir. Fee $ Mileage Fee $ Address City Zip t Witness Fee $ Reinsp. Fee $Owner/A nt IV&1r�. r� Tel. Zip - Total Fees $ Address � . .? V (JA //4 - Q City (,j / Zip Aj -/M M.O. . Cash Check .0 Received by ��; Contractor Tal. License# Trees required Sewage System A ` Address _ ... .._ - r • 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 RMIT TO BECOME VOID. y I HEREBY AGREE THAT ALL I CFfOfCWF�RTH15 PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COU AND T STATE OF CALIFORNIA. I HEREBY CERTIFY THAT THE INIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATICINS HAS DONE SO IN B/ Form 284-208 (Rev.78) ©s ACCORDANCE WITH SECTION 5S OF, THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.