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387225 (BLCK)PERMIT NO. DEPARTMENT OF BUILDING & SAFETY DST 387225COUNTY OF RIVERSIDE FIELD I I CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST Fl. 2ND. FL. POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ UNITS - SQ. FT. @ YARD SPKLR SYSTEM MOBILEHOME SVC. SQ. FT. @ BAR SINK POWER OUTLET SQ. FT. @ 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 R GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Group 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 SQ. FT. @ c WATER HEATER SQ. FT. RESID @l'/.t SEWAGE DISPOSAL SQ. FT. GAR @ IN c HOUSE SEWER -Address IWK ,. &A, W City -- 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. 387225 Job Address - Space Zip ,t Owner - Community � f Valuation E Date r.�' Dist. Off. F.C.C. MH Permit Fee E Micro Film Fee Cop E Use of Permit - yyy++ S x / (-4i V ^ fir. ���� r� v `.3 :/ / Gs" Parcel No. t. �� .,, r. Sj Use/Case No. Ck. By Mech. Fee Dbl E PI. Ck. Fee E Set Backs lot Size Construction Fee Dbl E .Legal Description J �t_ .1 Cy l0' �.: J� l lr ✓ �r V LLL `'1` i� F 5 S R Electrical Fee Dbl Ev one Restrictions 7 Group Type SMI Fee E Plumbing Fee Dbl E Bond Amt. Plan No. Plan Checker E Const. Lender Branch AddressCityf Zip f A Finol De•;:7- In for Supplliimeental Permit Numbers _ Unit Sp. Insp. Fee E Demol. Fee E Registr. Fee E Mileage Fee E Witness Fee E Reinsp. FeeE Ow lege r ` / .7 Tel. n (s Zip ~, Total Fees E -Address IWK ,. &A, W City -- Zip M.O. rl N.C. D Cash C1 Check Received by Contractor Tel. Licensei Trees req C Sewage System Address City Zip T LL P Sewer District Form 284-208 (Rev.B/7 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 Tela PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE Ci 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 & 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 10A Fireplace T.O. No 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 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 i 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 OFFICE DATE TIME PERMIT NUMBER � INSPECTIONz- y-/ 5/ //... ADDRESS OWNER BUILDING PLUMBING �y REMARKS: SPACE NO I Z I COMMUNITY ELECTRICAL MECHANICAL OWNER/CONTRACTOR TEL.NO. REQUESTED FOR: A.M. P.M. " 54 TU>ES a WED THUR FRI 284-" 111/75 NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE DISTRICT I Permit No 284 199A 9/74 CANARY—FILE, PINK—APPLICANT Owner Architect —_ __—_. Contractor Address —_—_ Address___— Addressf(,1 City City-- _ City _� 1)�i.CDDL/✓� .—� Phone Phone _ Phone,37"t_l7�C.S/ �• 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 AGENT Approval by Signature from the Following Departments Listed Below Must Be Obtained Prior to the Issuing of a Construction Permit. i SPACE NO. //` USE OF STRUCTURE JOB ADDRESS �3 ����__.4" G D — SINGLE FAMILY} DUPLEX LEGAL DESCRIPTION OF PROPERTY`/5 /� ❑ — Z W� APARTMENTS AGRIC. �tJ 9L— Q COMMERCIAL E] INDUSTRIAL j `^ COMMUNITY ALTERATIONS n C Z NO. OF SUBMITTED PLANS USE OF PERMIT N Q CASE N0. _ � p Z NO. OF PARKING SPACES REQUIRED _— NO. OF BUILDINGS NOW EXISTING Q ZON ETBAC*S: FRONT SIDE REAR J m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE -- OF FEET REQUIRED ON STREET DATE SIGNATURE OF LAND USE OFFICIAL—r DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET_— W CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET CieH d CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION- BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET O C IMPROVEMENT? YES ElNO ❑ DATE SIGNATURE OF ROAD DEPT. OFFICIAL S SWIMMING POOLS PUBLIC aW SEWAGE DISPOSAL _ FOOD ESTABLISHMENT _ WATER POLLUTION _ REMARKS FLOOD CONTROL Fes- Z AIR POLLUTION � W W DIV OF HWY c < _ YOUR PROPERTY MAY BE SUBJECT TO d LU FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199A 9/74 CANARY—FILE, PINK—APPLICANT BUILDING PERMIT PERMIT NO. 1387225 DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE Ftt ST COUNTY OF RIVERSIDE ( CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. @ $ UNITS Zip 2ND. fl. SQ. FT. @ Communiitty Fes- / YARD SPKLR SYSTEM POR. SQ. FT. @ MOBILEHOME SVC. BAR SINK GAR. SQ. FT. @ POWER OUTLET ROOF DRAINS CAR P. SQ. FT. @ DRAINAGE PIPING WALL SQ. FT. @ Mech. Fee Dbl E DRINKING FOUNTAIN SQ. FT. @ Electrical Fee Dbl $ URINAL ESTIMATED CONSTRUCTION VALUATION $ Dbl E 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 Const. Lender Branch GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED 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 SQ. FT. @ c ' WATER HEATER M.O. N.C. Cash Check SQ. FT. RESID @1'/.c SEWAGE DISPOSAL SQ. FT. GAR @ '/. c HOUSE SEWER Tel. License# 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 rJ I PERMIT NO. 387225 Job Address yt f�� Space Zip Owner Communiitty Fes- / Valuation $ Date �y Dist. Z "� -7 / ;'j Off. '^ F.C.C. MH.Permit Fee E Micro Film Fee Cop E Use of Permit X /J~10 46o o Legal Description ^ / J {Q f1 /� / �j+� � i / L /t/ � r Parcel No. Use/Case No. Ck. By 74 -/— Set Backs Lot Size F 5 5 R one Restrictions Group Type Mech. Fee Dbl E PI. Ck. Fee E Construction Fee Dbl 5 Electrical Fee Dbl $ SMI Fee $- Plumbing Fee Dbl E Bond Amt. $ Plan No. Plan Checker Final DateAx Inspector Unit Sp. Insp. Fee $ Dental. Fee $ Const. Lender Branch Supplimental Permit Numbers Registr. Fee $ Mileage Fee $ Address r City, Zip Witness Fee E Reinsp. Fee $ Ow g.n, Tel. Zip Total Fees A09, ddress / (p (�G� City Z' _ �!�`/ /� Zip M.O. N.C. Cash Check Received by Contractor Tel. License# Trees regmr Sewage System T LL P Address City Zip THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. 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. verified by: Sewer District OLAI Form 284-208 (Rev.8/78) P 5 j I I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN �`�'��'•`'ll' ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.