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387223 (BLCK)PERMIT NO. 387223 DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES Sp:ce Zip Owner UNITS 13872231- IST FL. SQ. FT. @ 2ND. FL. SQ. FT. @ YARD SPKLR SYSTEM POR. SQ. Ff. @ - MOBILEHOME SVC. BAR SINK Valuation S POWER OUTLET ROOF DRAINS GAR. SQ. FT. @ Micro Film Fee Cop $ G4•R P. SQ. FT. @ Use of Permit , �~ jC ��+1`' lJ+✓ r; r rj DRAINAGE PIPING WALL SQ. FT. @ Use/Case No. DRINKING FOUNTAIN SQ FT PI. Ck. Fee $ URINAL ESTIMATEDCONSTRUCTION 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 Bond Amt. 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. Fr. @ c WATER HEATER SQ. FT. RESID ®I V. c, SEWAGE DISPOSAL Supplima dl -mit Numbers / SQ. FT. GAR @ 3/4 c HOUSE SEWER Mileage Fee $ Address �� City y Zip i GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES MOB.HM.FEE MICRO FEE MECH. FEE PL. CK. FEE- CONST. FEEE,j ELECT. FEE SMI FEE FEE PLUMB. FEE Address awl City Zip • PERMIT NO. Job Address ` /s Sp:ce Zip Owner 13872231- �' ,. Commu 4F.C.C. 'ty r ti Valuation S . 7 I Dote Dht. Off. T MH.Permit Fee S Micro Film Fee Cop $ Use of Permit , �~ jC ��+1`' lJ+✓ r; r rj 1� `. /Q%[� [� Parcel No. :s� .r ...I..+AU Use/Case No. Ck. By Mech. Fee Dbl S PI. Ck. Fee $ Set Backs Lot Size Construction Fee Dbl r: egal Description ��•' �T F S 5 R Electrical Fee Dbl S .-� Zone Restrictions Group Type SMI Fee $ Plumbing Fee Dbl $ Bond Amt. Plan No. Plan Checker Final Date _ —/ 5 Inspect: Unit Sp. Insp. Fee = $ Demob. Fee $ Conat.l'ender Branch ' Supplima dl -mit Numbers / Registr. Fee Is Mileage Fee $ Address �� City y Zip i Witness Fee E Reinsp. Fee $ Owner/A§b�n—f "' I�''r t Tel. Zip t Total Fees $ n ,r Address City Zip • � t M. 0. N.C. Cash Check Received by. Controctor Tel. ✓� LtenseN frees required l%+� Sewage.System r Address - City Zip t Sewer District Form 284 fP (Rev.B / p THIS PERMIT SHALL BECOME VOID IF WORK IS NOT'COMMENCED WITHIN 120,DAYS. CESSATION OF WORK ve,rified,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. 6PERATION DATE INSPIC TOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Bock 33 Ventilation System 2 Ftgs 8 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. OP'N 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 P/L t P/ 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 298 Bonding 30 Fixtures 31 Service 32 Final STREET NAME i NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE DISTRICT Permit No 284 199A 9/74 CANARY—FILE, PINK—APPLICANT Owner Architect _ _ Contracto Addres- Address Address�1--_/-- _ __ City City City_/,al�la,((_►�'►/�_uL[ 1-r— Phone Phone _ Phone_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 shall not make a Final Inspection until said requirements have been met. 1 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. gdA57_� I SPACE NO. C� I USE OF STRUCTURE 77=-S_ 0„�� u G JOB ADDRESS 2f&-1 SINGLE FAMILY DUPLEX H t; _ L Ga- SSRIPTJQt�OF PROPERTY ' ` _ O El / 3 APARTMENTS AGRIC. �`--' C G Q COMMERCIAL INDUSTRIAL El '^ > COMMUNITY ✓v ALTERATIONS EJ Z NO. OF SUBMITTED PLANS USE OF PERMIT . LX< 4 y” CASE N0. �. � p Z NO. OF PARKING SPACES REQUIRED .— NO. OF BUILDINGS NOW EXISTING Q ZONE SETBA6KS: FRONT SIDE REAR J m GRADING PERMIT REQUIRED? YES ❑ NO -0 LOT SIZE SETBACK ORDINANCE # OF FEET REQUIRED ON STREET DATE /O<_ — SIGNATURE OF LAND USE OFFICI F DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET- - zCURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET f oc s CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET IMPROVEMENT? YES ❑ NO ❑ °L DATE SIGNATURE OF ROAD .DEPT. OFFICIAI SWIMMING POOLS PUBLIC Q W SEWAGE DISPOSAL FOOD ESTABLISHMENT _ WATER POLLUTION REMARKS �n FLOOD CONTROL m z AIR POLLUTION FW=- DIV OF HWY c .4, _ YOUR PROPERTY MAY BE SUBJECT TO a. . c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN- EVENT OF FLOOD. 284 199A 9/74 CANARY—FILE, PINK—APPLICANT B_ UIWING PER_ MIT PERMIT NO. 387223 DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE 7DT COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO.. PLUMBING FEES I ST FL. 2ND. a. POR: GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ UNITS - SQ. FT. @ YARD SPKLRSYSTEM MOBILEHOME SVC. SQ. FT. @, BAR SINK SQ, FT. @ POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING - SQ. FT. @ DRINKING FOUNTAIN SQ Fr' @ URINAL VALUATION WATER PIPING NOTE_ Not to'be -used as property tax voluotion 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 USEPERMITSVC WATER CLOSET COMPRESSOR HP POLE TEMP/PERM LAVATORY HEATING -SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER . BOILER B.T,U. SQ: FT. @ 4 BATH TUB ,Witness Fee $ Reinsp. fee ; SQ. Fr. @ C WATER HEATER N.,C Cash Check SQ'. "FT. RESID @l. V.,G SEWAGE DISPOSAL Zip SQ. FT. GAR (0'V. a HOUSE SEWER Contractor _ Tel._ GAS PIPING PERMIT FEE PERMIT FEE PERMITTEE DBL TOTAL FEES. .MOB.HM.FEE MICRO FEE MECH. FEE PL CK. -,FEE CONST. FEf -ELECT, FEE $MI FEE FEE - PLUMB.'FEE PERMIT NO. Aob.Address Space Zip: Owner, 'Gomm - ty Vofuation - - _ - .l)aie _ - Dlst.- Off.. FSC C. MH.Permlt Fee S Micro Film Fee ' � Cap $ Psi of m.N' ff U,yPeram // Parcel No. - - Use/Case No. Ck ..By Meeh:. Fee Dbl $ PL Ck. Fee ; Set Rocks - "SR lot Size t:annructlon Fee Electrical Fee Dbl $ Dbl $'. egol'Dasu}ptlan - - F' // ry� c,, a� / 9.3 - 'S Zone R'esttictioni Group Type ' SMI Fee _ Plumbing Fee Dbl ; Bond Amt. $ Pfen No. p16n Checker Fin' I bole' Ins - or Unit Sp. Insp, Fee $ Demol. Fee ; Const. lender Aron ch Supplime, Permit Numbers - - Tel - Zlp' Regislr. Fee Mileage Fee $ :Address - - Ci y:: -+ ZPp J _ Owner/Ag nth . - ,Witness Fee $ Reinsp. fee ; Total Fees M.O. N.,C Cash Check Address // City Zip Received by Contractor _ Tel._ License# . Trees required Sewage System Address. City Zip . T µ - P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120,1DAYS. CESSATION OF WORK verified by: District FOR 120 DAYS SHALL ALSO CAUSE PERMIVTO BECOME VOID. 1 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, Form 2"208,(Rev.8/76 Q