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376465 (PLBG)BUILDING PERMIT PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD DST 37646-5 COUNTY OF RIVERSIDE n CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. Fl. FOR. CAR P. GAR. EE WALL ESTIMATED CONSTRUCTION SQ. FT. @ UNITS Micro Film FeerDb 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 Plan No. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Inspector 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. @ < BATH TUB SQ. FT. @ c WATER HEATER Total Fees SQ. FT. RESID @1'/.c SEWAGE DISPOSAL City S0. FT. GAR @ 1% c HOUSE SEWER M.O. 0 N.C. El Cash Check Received by GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE I CONST. FEE ELECT. FEE SMI FEE FEE PL MB. FEE 47 PERMIT NO. 376465 Job AddressSpace �. - - Community Valuation f Zip Date Owner Dist. Off. F.C.C. MH Permit Fee f Micro Film FeerDb f Use of Permit / } /; p/A �5' UJA6 C Dj-S a/� Parcel No. Use/Cos; No. Ck. By Mech. Fee f .Pl. Ck. Fee f Set Backs Lot Size Construction Fee S Legal Description / '" '"` / �c.r J F S S R Electrical Fee Dbl f Zone Restrictions Group Type SMI Fee f Plumbing Fee Sp. Insp. Fee Dbl f f Bond Amt. f Plan No. Plan Checker Final Date — Inspector Unit Dental. Fee f Const. Lender Branch Su;pplimen I Permit Numbers Registr. Fee f Mileage Fee f Address City Zip Witness Fee f Reinsp. Fee f Owner/Agent Tel. Zip Total Fees f Address City Zip M.O. 0 N.C. El Cash Check Received by Contractor 1, ` A E_— Tel. Q License# Trees required^"'"-!rAJ Sewage System Address Cit Y ti Zip T LL P [Form r District 1 284-208 (Rev.8/78) ©s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAWCESSATION OF WORK verlfied 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 FALIFORNIA. 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 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 10A Fireplace T.O. FIN ADDITIONAL INFORMATION . - - SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Loth 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 12B Ceiling (Botts) 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 `D - � S- % Tank to O Pit L. Line P/L REAR OF PROPERTY LINE ELECTRICAL APPROVALS P/ 26 Power PoleO'�C+� 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire ' Bonding 30 Fixtures 30 31 Service 32 Final t"�" STREET NAME �`���/"' , �-. . �.► NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE DISTRICT Permit N 284 199 9/74 CANARY—FILE, PINK—APPLICANT Owner Gz-/ r f �' �k I"fn%�' ?- Architect _ Contractor_ 1109 Tom'"� ,qr '��� C�`�r,+ ..•->�i,-, Address cioZl% fFt�tI11-'C� ddress Address_7 �':_Ir <tt—I City L,47 �2', r117i"% City City_ Phone Phone 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 regjirements 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 1 (we) have complied with all laws of the County of Riverside and the State of California governing said property. 1041 DATE _.__—_ SIGNATURE OF OWNER AND/OR AGENT Approval by Signature from the Following Departments Listed Billow Must Be Obtained Prior to the Issuing of a Construction Permit. SPACE NO. USE OF STRUCTURE JOB ADDRESSSINGLE FAMILY 0 DUPLEX �] _ z >_ LEGAL DESCRIPTION OF PROPERTY -' - ! / APA TM EN TS AGRIC. C. y COMMERCIAL INDUSTRIAL 71 f j C COMMUNITY_^ �'f !�'i"" ALT RATIONS n Z pr NO. OF SUBMITTED PLANS -- USE OF PERMIT y / -1 h Q CASE NO. - ---74 k7 p Z N0. OF PARKING SPACES REQUIRED — NO. OF BOILDINGS NOW EXISTING -- ZONE" _SETBACKS: FRONT SIDE REAR J m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE Y SETBACK ORDINANCE OF FEET REQUIRED ON STR�E�ETTy �__— DATE//0 SIGNATURE OF LAND USE OFFICIAL' F DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET-__ _ zCURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET f - i 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 O °C DATE __ SIGNATURE OF ROAD DEPT. OFFICIAI = SWIMMING POOLS PUBLIC SEWAGE DISPOSAL O! /�. vvrn s/ i i �s /�� �!-�� .4 �' // o, 4�. / /r=' 4`X, < W FOOD ESTABLISHMENT _ WATER POLLUTION REMARKS �n FLOOD CONTROL W AIR POLLUTION = H DIV OF HWY o < — YOUR PROPERTY MAY BE SUBJECT TO 0 o FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199 9/74 CANARY—FILE, PINK—APPLICANT BUILDING PERMIT PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST 376465 COUNTY OF RIVERSIDE i� CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES Zip q�� UNITS Comm Wiry Valuation § IST FL. SQ. FT. @ Di / Off. C. F.C.G. 2ND. FL. SQ. FT. @ Micro Film Fee Copl$ YARD SPKLR SYSTEM Parcel No. ' q IZZI Use/Cose No. MOBILEHOME SVC. BAR SINK PI. Ck. fee § POR. SQ. FT. @ Lot Size Construction Fee Dbl § Legal Description /��7/IS /� .. �h — Al/ `� " �� F S POWER OUTLET ROOF DRAINS Zone Restrictions "I GAR. SQ. FT. @ Type SMI Fee s Plumbing Fee Dbl §Bond Amt. $ Plan No. DRAINAGE PIPING Final Date Inspector nit r/-4 le— ;&4 / CAR P. SQ. FT. @ Demol. Fee § Const. Lender Branch Supplimentol Permit Numbers WALL SQ. FT. @ Mileage Fee § DRINKING FOUNTAIN Witness Fee § SQ. FT. @ Owner/Agent URINAL @ ESTIMATED CONSTRUCTION VALUATION $ Address WATER PIPING { f NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN License# 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 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 @ 1'/4 c SEWAGE DISPOSAL (' O SQ. FT. GAR @ 3/ c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEESy� MOB.HM.FEE MICRO FEE MEGH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE �.. PERMIT NO. 1376465 Job Address Space - - A. Zip q�� Owner - Comm Wiry Valuation § Date �" " 7 Di / Off. C. F.C.G. MH.Permit Fee § Micro Film Fee Copl$ Use of Permit z�f `t�,rti�� y' S-T/��, �7��1/Vf�wr I1 �% / i != /"/� L:i �Jr" L�•ja 6' �t/%S�QS� Parcel No. ' q IZZI Use/Cose No. Ck. By Mech. Fee Dbl § PI. Ck. fee § Set Backs Lot Size Construction Fee Dbl § Legal Description /��7/IS /� .. �h — Al/ `� " �� F S S R Electrical Fee Dbl § Zone Restrictions "I Group Type SMI Fee s Plumbing Fee Dbl §Bond Amt. $ Plan No. Plan Checker Final Date Inspector nit r/-4 le— ;&4 / Sp. Insp. Fee § Demol. Fee § Const. Lender Branch Supplimentol Permit Numbers Registr. Fee § Mileage Fee § Address City Zip Witness Fee § Reinsp. Fee § Owner/Agent Tel. Zip Total Fees § Address City Zip " M. 0. N.C. Cash Check Received by Trees required Contractors /4 � /— f Tel. � ,y` 3 {/ 7— I WO License# Sewage System Address A/F0341 jACKSOA✓ cityZip T LL P Sewer District AA Form 284-208 (Rev.8/78) @s 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. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN 4 ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.