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417616 (BLCK)PERMIT NO. 417616 DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD 7MDS CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO, PLUMBING FEES IST FL. 2ND. FL. POR. GAR. WALLS ESTIMATED CONSTRUCTION SQ. FT. @ $ UNITS $ SQ. FT. @ YARD SPKLR SYSTEM MOBILEHOME SVC. SQ. FT. @ BAR SINK POWER OUTLET SQ. FT. @ ROOF DRAINS • Sp. Insp. Fee DRAINAGE PIPING ` 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) 4PLIANCE DRYER Trees re i / GARBAGE DISPOSAL A FURNACE UNIT WALL FLOOR SUSPENDED LL P 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 Group SQ. FT. @ c WATER HEATER / Yt SQ. FT. RESID @1t/.c SEWAGE DISPOSAL S0. FT. GAR @ 'i c HOUSE SEWER Amt. Plan No. T jAn Ch�cker GAS PIPING PERMIT fEE Inspec�� PERMIT FEE PERMIT FEE DBI. TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE F CONST. FE ELECT. FEE SMI FEE FEE PLUMB. FEE H Permit Fee is Micro Film Fee CopIs Mech. Fee $ ' PI. Ck. Fee $ { Construction Fee - Electrical Fee $ Dbl $ SMI Fee $ ,Plymbing Fee Dbl $ • Sp. Insp. Fee $ • Demol. Fee $ Registr. Fee $ Mileage Fee $ Witness Fee $ Reinsp. Fee $ Total Fees Parcel No. M.O. N. Rece ed by Cash Trees re i ^ Y Sewage System T LL P Sewer District Form 284.208 (Rev.8/78) ©s �+ne{,Mgefit f r - Tel." r Zip Address City Zip r � Contractor Tel. A Lic n Address City Zip 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. !rrw�' � 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. • i Job Address Space Zip Owner ti. A 1 I Community Valuations Date Dist. Off. F.C.C. $ :_ _ I Use of Permit Parcel No. Use/Case No. Ck. By !' w Set cks Lot Size Leg Des iption = F S S R Zone Restrictions - Group Type / Yt to Amt. Plan No. T jAn Ch�cker � inial/ to Inspec�� Unit / . - F $ f Const. Lender Branch Supplimental Permit Numbers I / Address City Zip �+ne{,Mgefit f r - Tel." r Zip Address City Zip r � Contractor Tel. A Lic n Address City Zip 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. !rrw�' � 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. • i NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back lb _ 33 Ventilation System 2 Figs 8 Frms 34 Plenums & Ducts 2A Slab Grade 35 Furnace Comport. 3 Steel _ 8 1 36 Inlets 8 Outlets 4 Grout Blocks 37 Combustion Air 5 Bond Beams 7 3 . 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 10A Fireplace T.O. FI ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Botts) 12B Ceiling (Batts) 12C Ceiling (Blown) 14 Final W 9F 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 LAine REAR OF PROPERTY LINE PSL P/ ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE An 'owner builder' building permit has been applied for -In your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for con- struction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the pro- posed construction: Name Phone Address City Contractors License No. 4. I plan to.provide portions of the work, but I have hired the following --. -person to coordinate, supervise, and provide the major work: Name Phone Address City Contractors License .No. 5. I will provide some of the work but I have contracted (hired) the follow- ing persons to provide the work indicated.: Name. Address Phone Type of Work h'I�sl ll l9 g / 'Signature Property Owner Date Social Security Number 284-2002 NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT APPLICATION TO CONSTRUCT Permit No ' DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE Own Architect Contr)"__ Nor_ Add s 1 0e• i� r Add,,,,Addre City QJ! ` /4, 04z- City — City ------ Phone �� �� Phone Phone ImI (we) the undersigned, hereby certify and 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 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 th County of Riverside and the State of California governing said p per y. DATE SIGNATURE OF OWNER AND/OR AGE Approval by Signature from the Following Departmenh fisted Below Must Be Obtained Prior to the Issuing of a Construction Permit. SPACE NO. ` q 1 USE OF STRUCTURE JOB ADDRESS %� XQ I 12 EGA � DESCRIPTION OF PROPERTY � �-T 1 _'P111_K_._ COMMUNITY a "k f t NO. OF SUBMITTED PLANS _____ USE OF PERMIT CASE NO. Ck SINGLE FAMILY] DUPLEX [] APARTMENTS AGRIC. COMMERCIAL INDUSTRIAL L� r) c ki� ALTERATIONS NO. OF P KING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING — ZONE — ETBACKS: FRONT SIDE REAR GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK E TEACKORDjITIN I _— OF FEET REQUIRED Ot a — SIGNATURE OF LAND USE 0FFICIALi STREET DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET.__ t 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 FLOOD CONTROL_ AIR POLLUTION _ DIV OF HWY REMARKS YOUR PROPERTY MAY BE SUBJECT TO FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. CANARY—FILE, PINK—APPLICAN BUILDING PERMIT PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE 71� 417616 1%616 COUNTY OF RIVERSIDE k CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. @ $ UNITS Owner 2ND. FL. SQ. FT. @ Communi ty �• YARD SPKLR SYSTEM Valuation E MOBILEHOME SVC. BAR SINK POR. SQ. FT. @ Dist. , ^'OO^ff.. w..E.,., GAR. SQ. FT. POWER OUTLET ROOF DRAINS CAR P. SQ. FT. @ DRAINAGE PIPING WALL SQ. FT. @ +" Ck. By DRINKING FOUNTAIN SQ. FT. @ Set Backs URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property fox 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 SMI Fee E GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Plan No.]'M�n 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 E SQ. FT. @ c WATER HEATER Reinsp. Fee E SQ. FT. RESID @1'/.c SEWAGE DISPOSAL Tel. Zip .. .. Total Fees E Address �y City Zip M.O. N. Cash eck oV •Rece ed by Trees req ' Contractor Tel. Lic n 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. Y I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH *GHEE .LA�WSS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. &-elll frREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284-208 (Rev.8/78) ©s ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.