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387578 (RPL)DWILWI P rcrcmrr PERMIT NO. 3 3 7 7✓� PERMIT NO. 387578 DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE Job !{ddr w _` r V �'. ��4,,� FIELD DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. POR. GAR. CAR P.' LL 'aflG ESTIMATED. CONSTRUCTION SQ. FT. @ $ UNITS F.Cl 0 'd... ii MH.Permit Fee $ Micro Film Fee SQ. FT. Qa YARD SPKLR SYSTEM SQ. FT. @ MOBILEHOME SVC. BAR SINK Use of Permit �'� SQ. FT. Q POWER OUTLET ROOF DRAINS SQ. FT. Q DRAINAGE PIPING Use/Case No. SQ. FT. @ DRINKING FOUNTAIN Mech. Fee Dbl $ PI. Ck. Fee $ll �� SQ. FT. URINAL Lot Size ` VALUATION $ L WATER PIPING Legal Description ll t NOTE: Not to be used as property tax valuation SWIM POOL, PVT „ FLOOR DRAIN s. MECHANICAL FEES SWIM POOL, COMM Groups WATER SOFTENER SMI Fee $t VENT SYSTEM FAN EVAP. COOL HOOD SIGN ` WASHER (AUTO)(DISH) Bond Amt. E APPLIANCE DRYER Plan Checker GARBAGE DISPOSAL Inspector FURNACE UNIT WALL FLOOR SUSPENDED Insp. Fee $ Demol. Fee LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER Branch KITCHEN SINK Supplinte0yermit Numbers ' ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC Address City Zip WATER CLOSET Witness Fee $ COMPRESSOR HP POLE,TEMP/PERM LAVATORY {lI HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT Tel. Zip SHOWER Total Fees BOILER B.T.U. SQ. FT. @ c BATH TUB r L SQ. FT. Q c J C3 N.Q Cash •Ch' ck WATER HEATER • AM. a.! SQ. FT. RESID Ql /.c Contr jor l .,� �(rr✓ SEWAGE DISPOSAL ' Tel.Iff— „y SQ. FT. GAR @ 'f. c Trees required HOUSE SEWER } Addres GAS PIPING y 'Cit - .., Zag •,�r� PERMIT FEEPERMIT FEE PERMIT FEE DBL. jQJ EF$ MOB. HM. FEE MICRO FEE MECH. FEE PL. CK CO $TS FEES FSE . E�E� SMI EE 17 FEE APLOMB. FEE, PERMIT NO. 3 3 7 7✓� Job !{ddr w _` r V �'. ��4,,� Space Own r C mmum y k"'t 1 �„� i.'�,f1 Voluat'. $ 60L) ...�•w"" Dote / ... � Dist. �/ �O (,. F.Cl 0 'd... ii MH.Permit Fee $ Micro Film Fee Cop $ Use of Permit �'� M • V �: , L7 "y Parcel No. / ,�7,�"' c..•✓ ed jay Use/Case No. Ck.,Oy Mech. Fee Dbl $ PI. Ck. Fee $ll �� Set•Backs Lot Size ` Construction Fee Dbl $ j�f Legal Description ll t �p,` S +b IC ti� .-?� �• • F S S /j•''t V R Electrical Fee Dbl $ -��J Zone Re coons i Groups Type SMI Fee $t Plumbing Fee eSp./ Dbl $ ` l Bond Amt. E Plan No. Plan Checker Final Date ' Z... �d Inspector Unit Insp. Fee $ Demol. Fee $ Const. Lender Branch Supplinte0yermit Numbers ' Registr. Fee Is Mileage Fee $ Address City Zip Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip Total Fees $ ddr ss //•�� t+f - L ' City ZipNP. J C3 N.Q Cash •Ch' ck Received b • AM. a.! Contr jor l .,� �(rr✓ ' / t/� Tel.Iff— „y LicenseN Trees required Sewage System } Addres y 'Cit - .., Zag •,�r� , T LL P " ' THIS PERMIT SHALL BECOME VOID, IF WO,RK,I.S:NGT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK Sewer District : "FOR 120 DAYSy FIALI`ALSO CAUSE PERMIT TO.EIECOME VOID. "" r . U +* I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH:THIS PERMIT WILL•BE DONEsIN ACCORDANCE WITH t -'.THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED:THE PLANS AND SPECIFICATIONS HAS DONE SO IN ' ACCORDANG&WITH 5fCTION 5541,OF THE BUSINESS AND PROFESSIONS CODE OF THE STATEOF CALIFORNIA. Form 2B4-208 (Rev.8/78). ©s' •3 . j+. .. .... verified.by. �. NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECT" BUILDING APPROVALS MECHANICAL APPROVALS I 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 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. FI r ADDITIONAL INFORMATION _ ` o k- ►,C'�(�j(.>,1 � � 10 h-� U 1 f Z3 _av r .a SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Loth 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 Z � / > � � Tank Pit L.Line P/L REAR OF PROPERTY LINE ELECTRICAL APPROVALS 'P/ 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring '_ Z _ 29A Grounding Wire 29B Bonding 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 Owner— wT r/ Addre�r,�s - / RvC. City/gGL�/V7�•�i Phon 1010` .Z- -792 0 p Architect Address___ City' _ Phone DISTRICT Permit No Address_ Phone 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 i 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 /Coo6nnttyy of Riverside and the State of California governing said propert 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. SPACE N0. JOB ADDRESS LEGAL DESCRIPTION OF PROPL,RTY ��33� laz S'(2 COMMUNITY . r USE OF STRUCTURE LJ SWIMMING POOLS PUBLIC SINGLE FAMILY, DUPLEX CASE NO. APARTMENTS AGRIC. —_ COMMERCIAL t INDUSTRIAL El ALTERATIONS FRONT SIDE.O/! � REAR NO. OF SUBMITTED PLANS SWIMMING POOLS PUBLIC USE OF PERMIT,` CASE NO. SEWAGE DISPOSAL- —_ NO. OJPKINNSPACES REQUIRED /^ _— NO. OF BUILDINGS NOW EXISTING =lam ZONE ETBACKS: FRONT SIDE.O/! � REAR GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE # -- OF FEET REQUIRED ON STREET o H DATE lf-*'?— SIGNATURE OF LAND USE OFFICIAL — DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET 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. OFFICIAI Z SWIMMING POOLS PUBLIC QW SEWAGE DISPOSAL- — _ FOOD ESTABLISHMENT WATER POLLUTION REMARKS H FLOOD CONTROL H W AIR POLLUTION _ DIV OF HWY c < — YOUR PROPERTY MAY BE SUBJECT TO c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199A 9/74 _ CANARY—FILE, PINK—APPLICANT ov�rv.�v rrRl�r PERMIT NO. - 387578 PERMIT NO. 3875-78 1COUNTY DEPARTMENT OF BUILDING & SAFETY OF RIVERSIDE FIELD QW( -t C mmumty - �( `' '� y •, DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES I ST FL. 2ND. FL. FOR. GAR. CAR P. _ LL ESTIMATED CONSTRUCTION SQ. FT. @ UNITS Cop $ Use of Permit � v � i*-% • U �, r'� " W , fVL YARD SPKLR SYSTEM SQ. FT. @ Use/Cose(No. MOBILEHOME SVC. BAR SINK SQ. FT. @ Ck. By�Z( POWER OUTLET ROOF DRAINS SQ. FT. @ PI. Ck. Fee � $ � _ DRAINAGE PIPING SQ: FT. @ Lot Size SQ. FT. .@ r DRINKING FOUNTAIN i SQ. FT. @ URINAL LLegDescription n_j �. f O� :i •�L.C. csL, . 04 VALUATION r WATER PIPING Electrical Fee DbI $ NOTE: Not to be used as property tax valuation SWIM POOL, PVT Type FLOOR DRAIN SMI Fee E MECHANICAL FEES SWIM POOL, COMM. Bond Amt. $ WATER SOFTENER Plan Checker VENT SYSTEM FAN EVAP. COOL HOOD SIGN Inspector alt. WASHER (AUTO)(DISH) T APPLIANCE DRYER Demol. Fee $ GARBAGE DISPOSAL j FURNACE ' UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY Mileage Fee $ AIR HANDLING UNIT CFM IDLE METER Reinsp. Fee KITCHEN SINK Owner/Agent ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE,TEMP/PERM ddr s • � LAVATORY City HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT' N. Cash )Chick SHOWER BOILER B.T.U. SQ. FT. @ c Tel Tel BATH TUB Trees required SQ. FT. @ c WATER HEATER Cit �' SQ: FT. RESID @1'/.c SEWAGE DISPOSAL SQ. FT. GAR @ V. c HOUSE SEWER GAS PIPING U PERMIT FEE PERMIT FEE PERMIT FEE DBL. MOB. HM. FEE .MICRO FEE MECH. FEEPL. CK.--- C ST FfE UE.6EEJ SMgEEJ FEE .PL .FFfj� PERMIT NO. - 387578 r Job A Ore '% ✓e. ���,� Space yA9w6 C mmumty - �( `' '� y •, Ivaluatol�'} $ �%' 00 v Date r? / ••-�Y•.�UY(7 / Dist. , % 1. F.C/'� �{�/ ) �•JJ MH.Permit Fee $ Micro Film Fee Cop $ Use of Permit � v � i*-% • U �, r'� " W , fVL Parcel No. -- Use/Cose(No. Ck. By�Z( Mach. Fee 'DbI $ PI. Ck. Fee � $ � _ Set Backs Lot Size i Fee DbI $ LLegDescription n_j �. f O� :i •�L.C. csL, . 04 F SConstruction Electrical Fee DbI $ Zone Re coons Group Type SMI Fee E Plumbing Fee DbI $ Bond Amt. $ Plan No. Plan Checker Final Date ••jj''�� '2— Inspector alt. Unit T Sp.lnsp. Fee $ Demol. Fee $ Const. Lender Branch Supplimentol Permit Numbers Regisir. Fee $ Mileage Fee $ -Address City Zip Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip Total kees $ ddr s • � City ,i� Zip N. Cash )Chick Received b r Contr or Tel Tel Licenseq Trees required Sewage System Addr Cit �' T LL, P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 12AAYS. CESSATION OF WORK verified by: 0' Sewer District 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 SQ IN Form 2B4-208 (Rev.8/78) ©s ACCORDANCE.WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS.CODE OF THE STATE OF CALIFORNIA. - ,