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391294 (BLCK)FPERNO. DEPARTMENT OF BUILDING & SAFETY DST 39i294 COUNTY OF RIVERSIDE FIELD 0 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. @ $ UNITS Val t' ••y $ �,1/ // 33 2ND. FL. SQ. FT. @ ist. P / YARD SPKLR SYSTEM F.C.C. MOBILEHOME SVC. BAR SINK POR. SQ. FT. @ PPor I o. ! _ �i ���~ • ��� Use/Casae No, Ck. By POWER OUTLET ROOF DRAINS GAR. SQ. FT. @ Lot Size Construction Fee Dbl E CAR P. SQ. FT. @ - S - S R DRAINAGE PIPING Zones fictions Y ! DRINKING FOUNTAIN WALL SQ. FT. @ Bond Amt. $ SQ. FT. @ Pion Checker URINAL ESTIMATED CONSTRUCTION VALUATION $ g r 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 GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED City A C� _Z� u Al t µ .`Kt - 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 SO. FT. RESID @ 1 t/. c SEWAGE DISPOSAL SO. FT. GAR @ % c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. T!�FyS%) kill MOB.HM.FEE MICRO FEE MECH. FEE PL. CK. FEE I 7S6F j, ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 294 Job Address/+ $pace [ ��,4—e,39 Communis0 � i ,.i Val t' ••y $ �,1/ // 33 Date, ` L._r'J` — / f vi J ist. P / F.C.C. MH. Permit Fee S Micro Film Fee Cop $ Use of Permit � � —5 V V M"` Df4'f/ � f.- U+• PPor I o. ! _ �i ���~ • ��� Use/Casae No, Ck. By Mech. Fee Dbl $ PI. Ck. Fee s Set Backs Lot Size Construction Fee Dbl E Legal Description F LJ _ S "✓ f if i�/♦f •r/ L,/[ 4i - S - S R Electrical Fee Dbl E Zones fictions Y Group Type SMI Fee S Plumbing Fee Dbl E Bond Amt. $ Plan No. Pion Checker Final Date��2 ct r Unit Sp. Insp. Fee $ Demol. Fee $ Const. Lender Branch Supplimental Permit Numbers Registr. Fee $ Mileage Fee $ Address City Zip Witness Fee Reinsp. Fee $ Owner/ j4 \ Zip Total Fees $ Addres00 _a L/ JV, .•YL�� City A C� _Z� u Al t µ .`Kt - M. N.C. Cash heck Received bk. V 1+� Contractor • w Tel. Licenie# frees required Sewage System- - Y . _ . Address,I - - _ Cit Y Zip T LL Sewer District -hq Form 284-208 (Rev.8/78) @s i. THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: Ir 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. Y NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPE&OR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs 6 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. C] 43 Final IDA Fireplace T. 0. 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 (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 Tank Pit L. Line PSL REAR OF PROPERTY LINE ELECTRICAL APPROVALS P) 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME r r 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 Owne 4 COG %Architect _. —__ Contractor_--. Address—G -_ Address___ Address_.--.— ---__ %�/-� . � City_ft [.C_�LJ City_ City— ___ Phone Phone _ Phone_ W 1 (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, therefor , it is agreed that I (we) will not occupy said property and will not cause said proper be occupied until I (we) have complied with all ws of 1 eCoCounty of Riverside and the State of California governing said property. / U SIGNATURE OF OWNER AND/OR AGENT DATE _. Approval by Signature from the Following Departments Listed Below Must Be Obtained Prior to the Issuing of a Construction Permit. L ( SPACE NO. � I USE OF STRUCTURE �__. Z H JOB ADDRESS SINGLE FAMILYX DUPLEX LEGAL DESCRIPTION OF PROPERTYI� % _/ �� ! _ APARTMENTS / LJ AGRIC. UA G ! 0 U. COMMERCIAL INDUSTRIAL n 0 in COMMUNITY S ❑ 0LTERAT Z NO. OF SUBMITTED PLANSn--USE OF PERMIT _- N Q CASE NO. - 0 Z NO. OF ARKING SPACES REQUIRED — NO. OF BUILDINGS NOW EXISTING Q ZONA -r SETBACKS: FRONT SIDE REAR J m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE -- OF FEET REQUIRED ON STREET DATE—�. rrZ_ SIGNATURE OF LAND USE OFFICIAL t I„ DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET_ uZi CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET a CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W 0 HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET 0 IMPROVEMENT? YES ❑ NO ❑ cc DATE SIGNATURE OF ROAD DEPT. OFFICIAI = SWIMMING POOLS PUBLIC Q SEWAGE DISPOSAL W FOOD ESTABLISHMENT = 0 WATER POLLUTION REMARKS FLOOD CONTROL— z AIR POLLUTION � W _ DIV OF HWY cc 0 — YOUR PROPERTY MAY BE SUBJECT TO CL c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199A 9/74 CANARY—FILE, PINK—APPLICANT BUILDING PERMIT PERMIT NO. 391294 DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST COUNTY OF RIVERSIDE `' CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ $ UNITS Data., /t �� C_7l� 7 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 $ S 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. @ c BATH TUB M. N.C. Cash heck SQ. FT. @ c WATER HEATER Tel. r SQ. FT. RESID @1'/.c SEWAGE DISPOSAL Sewage System SQ. FT. GAR @ 1%c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. T!� MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE I IS6W, FLECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 3 912 9 4 1391294 Job Address 0 Space d- - `� 4 t. --I OR, Yi.� v,4 Z' Owner !�•? �. t A,{ c,., ,� 0- Community \`,,.f,� t� 1 tV $aluatjcn �� ��J1 Data., /t �� C_7l� 7 �i� F.C.C. MH.Permit Fee E Micro Film Fee Co E Use of Permit ^' 'V Y u a Par I o. vq— f V Use/Case No. Ck. By Mech. Fee DbI E PI. Ck. Fee $ .41 Set Bocks Lot Size Construction Fee Dbl E Legal Description r. + I-O� 1({'[, � /_ 1 + V ^"'.YV� . "'�� F S S R Electrical Fee Dbl E Zone s ,ctions Group Type SMI Fee E Plumbing Fee Dbl E Bond Amt. E Plan No. Plan Checker Fin Dote / 130 Inspector Unit Sp. Insp. Fee S Demol. Fee E Const. Lender Branch Supplimental Permit Numbers ` Registr. Fee E Mileage Fee E Address / - Cit Zip Witness Fee E Reinsp. Fee E Owner/ a Tel. Zip Total Fees EV100.Addres� / (\ )� 4••f/ City Ou M. N.C. Cash heck Received by Contractor •� Tel. License# Trees required Sewage System Address City Zip T LL Sewer District /�/�) Form 284-208 (Rev.B/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 ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.