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391650 (BLCK)„48UILDING PE 1 — '; `lSp,FERMIT NO. DEPARTMENT OF BUILDING & SAFETY DST 391650 COUNTY OF RIVERSIDE FIELD j CONSTRUCTION ESTIMATE $ NO. ELECTRICAL FEES` NO. PLUMBING FEES IST FL. 2ND. FL. FOR. GAR. CAR P. WALL �^ ESTIMATED CONSTRUCTION SQ. FT. @ $ PI. Ck. Fee UNITS Construction Fee SQ. FT. @ YARD SPKLR SYSTEM MOBILEHOME SVC. SQ. FT. @ BAR SINK POWER OUTLET SQ. FT. @ ROOF DRAINS SQ. FT. @ 91.7 DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation Witness Fee 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 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 @I'/.c SEWAGE DISPOSAL SQ. FT. GAR @ % c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL.TO]AL F,S MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE I COLJST. EEE'+ ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 139165.0 MH.Permit Fee $ Micro Film Fee Cop $ Mech. Fee Dbl S PI. Ck. Fee $ Construction Fee Dbl $ Electrical Fee Dbl $ ' SMI Fee $ - Plumbing Fee Dbl $ Sp. Insp. Fee $ '- Dental. Fee $ Registr. Fee $ Mileage Fee $ Witness Fee $ Reinsp. Fee $ Total Fees S Received by�� Trees required Sewoge System T LL Sewer District I Farm 284-208 (Rev.8/78) ©s i Job Addresp+' f 2�!•� ` Space Zi i� Owner y�-7 n Community Valuation . Date Use of Permit Parc 1 No. Use/Case Set Backs Legal Description F I 5 rR Zone Restric)ion Gro AIQ Bond Amt. Plan No. Plan Checker Final Dotee;V�R spe r $ Const. Lender Branch Supplimentol Permit Numbers Address City Zip Owner/Agent Tel. J (� Zip Address (” ma'"'"y City Zip r Cant r Tel. - License# e 11 010 Addrefss� �1 1- oil City 'j Zip +Dist. F.C.C. i No. Ck. Bye Lot Size �P��"�•7�/�_� Type L [ Unit 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 JH E 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. .��..-,.�..-. ___._.__ -...___..--�._._.-�._,.�.�_-��.���-�.,.�,.�-._�_.._._.._. _.-.a.._..�._._��_,.-.�.M �+'t•._�... ._rte NO. OPERATION DATE INSPECTOR NO, OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs & Frms—.1174YQ =yY ,,yj 34 Plenums & Ducts 2A Slab Grade 35 Furnace Comport. 3 Steel_��_ I ��/�`� 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 Domper 8 Vents 41 Smoke Detection Device 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P. L. 43 Final IDA Fireplace T.O. FI ADDITIONAL INFORMATION f SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Loth 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 128 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 LLine REAR OF PROPERTY LINE 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 NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT APPLICATION TO CONSTRUCT Permit No DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE 284 199A 9/74 - CANARY—FILE, PINK—APPLICANT Owner 1k 4!f J0yn i �/= a Architect _�/� �� —tel Contractor___. — Address`/ �"�JS S o �/ �� Address S�y7��f� Address_—__— ��a ---_— City—f+J_/ City_/y/—��y City--_. — Phone Phone—, e�'3 _ Phone— cc 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 laws oftheCounty of Riverside and the State of California governing said property. �with , haall DATE.Z=—// �V_._� _— SIGNATURE OF OWNER AND/OR AGENT Approval by Signature from the Following Departments Listed Below . i Must Be Obtained Prior to the Issuing of a Construction Permit. �.L�3 I SPACE NO. / USE OF STRUCTURE 14�L-gAA_rI JOB ADDRESS _ � �_.__ �IStINGLE FAMILY DUPLEX C LL7 LEG L DESCRIPTION F PROPERTY _ 00 D/ APARTMENTS AGRIC. �� H Q-'��"''�" �— ;---��-/ COMMERCIAL E] INDUSTRIAL n / `^ COMMUNITY TERATIONS n G Z NO. OF SUBMITTED PLANS — USE OF PERMIT W Q �^ CASE NO. p z NO. OF PARKING SPACES REQUIRED -- NO. OF BUILDINGS NOW EXISTING Q ZONELSETBACKS: FRONT SIDE REAR J m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE JI OF FEET REQUIRED ON STREET 3 DATE — .4 — SIGNATURE OF LAND USE OFFICI v — F DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET -- — z CURB AND GUTTER REQUIRED: YES ❑ NO ❑ —STREET i f- a CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET D IMPROVEMENT? YES ❑ NO ❑ °C DATE SIGNATURE OF ROAD DEPT. OFFICIAL S SWIMMING POOLS PUBLIC Q SEWAGE DISPOSAL to FOOD ESTABLISHMENT _ WATER POLLUT30M REMARKS vt FLOOD CONTROL t- W AIR POLLUTION W t- DIV OF HWY c a — YOUR PROPERTY MAY BE SUBJECT TO o. c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199A 9/74 - CANARY—FILE, PINK—APPLICANT PERMIT NO. 391650 DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE 1 S COUNTY OF RIVERSIDE 11 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. POR. GAR. CAR P. w~ WALL ESTIMATED CONSTRUCTION SQ. FT. @ PERMIT NO.Job 139 16 5 01 UNITS Valuation _ E v �� SQ. FT. @ YARD SPKLR SYSTEM MOBILEHOME SVC. SQ. FT. @ BAR SINK POWER OUTLET SQ. FT. @ ROOF DRAINS SQ. FT. @ 7 DRAINAGE PIPING $Q. FT. @ i DRINKING FOUNTAIN SQ. FT. @ URINAL VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation Legal Description An' "'�Y / �kR SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES Zone Restrictns } ! SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD Plumbing Fee Dbl $ SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER Fi � `7 `86 Inspe r GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Demol. Fee $ Const. Lender Branch LAUNDRY TRAY AIR HANDLING UNIT CFM Mileage Fee § IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. Owner/Aggnt TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP ` � � , POLE,TEMP/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY Cont r (� i� 1 AMPERES SERV ENT SHOWER BOILER B.T.U. Sewage System SQ. FT. @ c BATH TUB SQ. FT. @ c WATER HEATER SQ. FT. RESID @1'hc SEWAGE DISPOSAL S0. FT. GAR @ % C HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOL F MOB.HM.FEE MICRO FEE MECH. FEE PL. CK. FEE CO T. F,�E ELECT. FEE i� SMI FEE FEE PLUMB. FEE T U. THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: 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 SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. Form 284-208 (Rev.8/78) ©s Addre5 i , � Space Zip `! Owner N0,112, `T PERMIT NO.Job 139 16 5 01 Community //''�/^1t ��j/, ! {� � Valuation _ E v �� Dote � —/ / —�v Dist. Off. ^ �" F.C.C. MH.Permit Fee S Micro Film Fee Cop $ Use of Permit Lam, Parcel No. ' / t;.2„_ Use/Case No, Ck. By r� Mech. Fee Dbl $ PI. Ck. Fee y� Set Backs Lot Size Construction Fee Dbl $ Legal Description An' "'�Y / �kR F S S R Electrical Fee Dbl $ Zone Restrictns } ! Gr/aJ�yllp % \,- Type SMI Fee $ Plumbing Fee Dbl $ Bond Amt. $ Plan No. Plan Checker Fi � `7 `86 Inspe r Unit Sp. Insp. Fee $ Demol. Fee $ Const. Lender Branch Supplimentol Permit Numbers - Registr. Fee $ Mileage Fee § Address City Zip Witness Fee $ Reinsp. Fee $ Owner/Aggnt Tel. Zip Total Fees EAddress ` � � , City Zip N.C. Cash Check Received by Cont r (� i� 1 Tel. 7' ✓' License# frees required Sewage System Address City Zip 01 V T U. THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: 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 SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. Form 284-208 (Rev.8/78) ©s