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369010 (MECH)BUILDING PERMIT - — PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD Dsr 369010 COUNTY OF RIVERSIDE /M CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES Owner 3690101 UNITS IST FL. SQ. FT. @ Community f:Y' /moi —1 2ND. FL. SQ. FT. @ Date 1 l/.r' —'//- 77 --- Dist. YARD SPKLR SYSTEM F.C.C. MOBILEHOME SVC. BAR SINK POR. SQ. FT. @ Micro Film Fee Cop $ GAR. SQ. FT. @ Parcel No. '� �o -r� POWER OUTLET ROOF DRAINS CAR P. SQ. FT. @ PI. Ck. Fee s DRAINAGE PIPING WALL SQ. FT. @ Lot Size Construction Fee Dbl $ DRINKING FOUNTAIN Legal Description F r �) -y-� /rf 1�C1 y / `✓ L� �'Y/ ! S S R Electrical Fee Dbl s URINAL SQ. FT. @ Group '1`k Type - .. ESTIMATED CONSTRUCTION VALUATION $ SMI Fee s WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES Dbl $ SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD Plan Checker - SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER Demol. Fee $ GARBAGE, DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Supplimental Permit Numbers Regisir. Fee $ LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. Reinsp. Fee TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP 1,00POLE,TEMP/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY $ AMPERES SERV ENT SHOWER BOILER B.T.U. M. 0. N.C. Cash Check SQ. FT. @ c BATH TUB Contractor fit✓ ` 'Y / t tai ') U �'�'� � SQ. FT. @ c WATER HEATER SQ. FT. RESID @1'/.c SEWAGE DISPOSAL SQ. FT. GAR @ '/. c HOUSE SEWER Sewoge System GAS PIPING PERMIT FEE f U PERMIT FEE PERMIT FEE DBL. TOTAL FEES 610 MOB. MOB. HM. FEE MICRO FEE MECH. FEE f� U PL. CK, FEE CONST. FEE ELECT. FEE SMI FEE --F FEE PLUMB. FEE I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND, THE SThTE OF CALIFORNIA. PERMIT NO. Job Address - Space Zi T. Owner 3690101 ..,,�✓- Community f:Y' /moi —1 Valuation E Date 1 l/.r' —'//- 77 --- Dist. Off. ' F.C.C. ' MH Permit Fee S Micro Film Fee Cop $ Use of Permit (',Qr/�. '' t r�a'� Parcel No. '� �o -r� Use/Case No.. Ck. By .-�.: Mech. Fee Dbl PI. Ck. Fee s Set Bocks Lot Size Construction Fee Dbl $ Legal Description F r �) -y-� /rf 1�C1 y / `✓ L� �'Y/ ! S S R Electrical Fee Dbl s one Restrictions "e —/ Group '1`k Type - .. SMI Fee s f�,v Cl,� / ✓` rr+ i Plumbing Fee Dbl $ Bond Amt. $ Plan No. Plan Checker - Final Dat �� spa r Unit (/ Sp. Insp. Fee $ Demol. Fee $ Const. Lender Branch Supplimental Permit Numbers Regisir. Fee $ Mileage Fee s Address City Zip Witness Fee 5 Reinsp. Fee $ Owner/Agent Tel. Zip Total Fees $ f Address City Zip M. 0. N.C. Cash Check .Received by �� �'j Contractor fit✓ ` 'Y / t tai ') U �'�'� � Tel. LicenseY Trees required Sewoge System AddressCit � / /�'-/ /fir /Y/'��j' ! Zip / / '0 z � /�' :.�[./ r C` / -C� I THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CE TION OF WORK verified by: FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. T LL P Sewer District I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND, THE SThTE 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) NO. OPERATION DATE INSPECT -.`,R- -NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs & Frms 34 Plenums & Ducts 2A Slob 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 JOA Fireplace T.O. ❑ No ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Botts) 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 REAR OF PROPERTY LINE ELECTRICAL APPROVALS PSL P) 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 APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE DISTRICT Permit No 284 199A 9/74 CANARY—FILE, PINK—APPLICANT LV a C Owner Architect— —" _ Contractor _ Address 9'12B 1_CwtjAddress___ Add res (._LL_CAk1"_1ft�L__1?K city �- s11(�12�_ city----- Phone "— Phone _ Phone —7 45 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 wilt 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 List?.e Must Be Obtained Prior to the Issuing of a Construction Permit. I SPACE NO. USE OF STRUCTURE JOB ADDRESS O SINGLE FAMILY DUPLEX J 7�_ W LEG L DESCRIPTION OF PROPERTY --�� -- APARTMENT E:] AGRIC. Z �] Q — -=L COMMERCIAL INDUSTRIAL C COMMUNITY --- , ALTERATIONS [� Z NO. OF SUBMITTED PLANS _ USE OF ERMIT I L CASE NO. - p Z NO. OF PARKING SPACES REQUIRED "— NO. OF BUILDINGS NOW EXISTING — o ZONE; \ SETBACKS: FRONT SIDE REAR J m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE ## OF FEET REQUIRED ON EET DATE _155� % _�SIGNATURE OF LAND USE OFFICIAL ( DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET_— W CURB AND GUTTER REQUIRED: YES ❑ NO ❑ —STREET i 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 O IMPROVEMENT? YES ❑ NO ❑ °C DATE _ SIGNATURE OF ROAD DEPT. OFFICIAI Z SWIMMING POOLS PUBLIC a SEWAGE DISPOSAL FOOD ESTAB.LiISHMENT = O WATER POLLUTION — REMARKS FLOOD CONTROL— z AIR POLLUTION _ 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 BUILDING PERMIT PERMIT NO. 369010 DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NI IST FL. 2ND. FL. FOR. GAR. CAR P. SQ. FT. @ $ SQ. FT. @ SQ. FT. @ Community / A,/ Y UNITS MOBILEHOME SVC. SQ. FT. @ SQ. FT. @ POWER OUTLET WALL SQ. FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ F.C.C. MH. Permit Fee E NOTE: Not to be used as property tax valuation Useof Permit 1/l ..sem' / F /fJ /, !� /(, 0� I SWIM POOL, PVT MECHANICAL FEES Ck. By SWIM POOL, COMM VENT SYSTEM FAN EVAP. COOL HOOD Set Backs SIGN APPLIANCE DRYER Legal Description F S 5 R FURNACE UNIT WALL FLOOR SUSPENDED one Restrictions ie Group +c.w AIR HANDLING UNIT CFM SMI Fee E7.'. IDLE METER ABSORPTION SYSTEM B.T.U. Pion No. TEMP USE PERMIT SVC COMPRESSOR HP Unit POLE,TEMP/PERM HEATING SYSTEM FORCED GRAVITY Const. Lender Branch AMPERES SERV ENT BOILER B.T.U. Mileage Fee $ SQ. FT. @ c Witness Fee $ Reinsp. Fee 1 $ SQ. FT. @ C Tel. Zip SQ. FT. RESID @1'/.c Address City Zip SQ. FT. GAR @ 3% c Received by Controcto,;K� T!!/ '42�,� r /"�' %� + Tel. PERMIT FEE 1:00 PERMIT FEE DBL. TOTAL FEES� MOB. HM. FEE MICRO FEE MECH. FIEF! PL. CK. FEE I CONST. FEE ELECT. FEE PERMIT NO.Job 69010..� 369010 Address - Space r (�-N Zip Owner Community / A,/ Y Valuation $ Date,,. 4) // 7 Dist. // Off. F.C.C. MH. Permit Fee E Micro Film Fee Cop E Useof Permit 1/l ..sem' / F /fJ /, !� /(, 0� I Parcel Noo.. %� �%% �,/� �,� I —1 3 '" 4'1 Use/Case No. Ck. By Mech. Fee Dbl $ !/ PI. Ck. Fee E Set Backs Lot Size Construction Fee Dbl $ Legal Description F S 5 R Electrical Fee Dbl E one Restrictions ie Group +c.w Type SMI Fee E7.'. Plumbing Fee Dbl $ Bond Amt. E Pion No. Plan Checker Fina Inspe r Unit Sp. Insp. FeeS Demol. Fee $ Const. Lender Branch Supplimental Permit Numbers Registr. Fee $ Mileage Fee $ Address City Zip Witness Fee $ Reinsp. Fee 1 $ Owner/Agent Tel. Zip Total Fees E Address City Zip M. 0. N.C.0 Cash El Check Received by Controcto,;K� T!!/ '42�,� r /"�' %� + Tel. License# Trees required Sewage System AddressCiy 1 .:�� _ t Zip T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESS4TION 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 ItNCCORDANCE WITH (DSTHE LAWS OF RIVERSIDE COUNTY ARID THE STATE OF CALIFORNIA. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN CCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. Form 284-208 (Rev.8/78) @s ,