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391943 (PLBG)PERMIT NO. 391943, DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD M1, CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES . IST FL. 2ND. FL. POR. GAR. CAR P. WALL ESTIMATE '4 SQ. FT. @ UNITS y SQ. FT. � YARD SPKLR SYSTEM - SQ. FT. @ MOBILEHOME SVC. BAR SINK POWER OUTLET SQ. FT. @ ROOF DRAINS SQ. FT. @ DRAINAGE, PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL. VALUATION $ 1 WATER PIPING • NOTE: Nohto be used as property tax valuation SWIM POOL, PVT s. FLOOR DRAIN MECHANICAL FEES SWIM POOL;•COMM WATER SOFTENER VENT SYSTEM FAN. EVAF, COOL HOOD SIGN WASHER (AUTO)(DISH). APPLIANCE DRYER Registr: Fee $ GARBAGE ,DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Wilness-Fee $. 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 Sp. FT. RESID @1''/.E SEWAGE DISPOSAL SQ. FT. GAR @ 3: c HOUSE SEWER GAS' PIPING PERMIT FEE PERMIT FEE PERMIT FEE - DBL. TOTAL FEES I MOB. HM. FEE MICRO FEE l 'MECH:.FEE • PL. CK. FEE I CONST. FEE "ELECT., FEE SMRFEE FEE PVM&ffr PERMIT. NO. 1391943 - Job Address Space Zip Owner Community Valuation Date Diat. Off: :Ca �I4 $ MH'.Permit"Fee S. Micro Film Fee .�- ` Cop $ Use of Permit Parcel No. - Use/ se No. 4. By M'ech. Fee r 'DbI $ PI. Ck. Pee $ Set Backs Lor Size Construction Pee Dbl $ L. gol Description y � riot 9 'U. -.8 Q F S S R Electrical Fee Dtil s- Zone Restrictions Group Type . SMI Fee $ Plumbing Fee D_bl s Bond -Amt. $ Plom No. Plan Checker Final %Date Q / — ( — Inspetlor Unit " Sp. Insp. . Fee $ DemoL-Fee s Const. Lender Branch Supplimentol Permit Numbers Registr: Fee $ Mileage -fee s Address City - Zip Wilness-Fee $. Reinsp. Fee S Owner/Agent Tel. Zip Total Fees s Address • i'' 1 ' City Zip M;Q. N.C. Cash Check Received b ` -_.r T�6esirequfrod C - of, `- - eri9� D - Tel. ".License# 346 + _ - Sewage System . Address _Q�Q� - ��y t 3-9W faviAl city Zip I PaUL ftwft*CA 92260 T L P THIS,PERMIT'SHALL BECOME VOID IF WORK ISNOT COMMENCED"WITHIN 120 DAYS. CESSATION OVWORK 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 OF RIVERSIDE COUNTY AM?,THE-ST^E ORCALIFORNIA. ±'9 6 ''JD -g0 I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONC50 IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. Form 284-208 (Rev.8/78) ©s verified bye w NO. OPERATION DATE INSPECTQR4 N0. 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,Domper 8 Vents 41 Smoke Detection Device 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P. L. 43 Final 10A Fireplace T.O. 0 OWN NO. - - ADDITIONAL INFORMATION - - - -- - - - - - - - - - - - - - - - - - - - - SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Loth 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 - — irzo 16 Water Piping 17 Rough Plumb �� v 18 Vents 19 Sewage Disposal 20 Sewer 21 Water Heater 22 Water Softener 23 Water Service .24 Gas Test 25 Final Tank Pit LAine REAR OF PROPERTY LINE 5 " PSL P) ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 296 Bonding 30 Fixtures 31 Service 32 Final u STREET NAME NOTICE: THIS IS, NOT A BUILDING, PERMIT APPLICATION TO CONSTRUCT DEPARTMENT .OF BUILDING AND SAFETY COUNTY OF RIVERSIDE Eta DISTRICT Permit No 1 284 199A 9/74 CANARY—FILE, PINK—APPLICANT Owner haA205177--l-�£-eZ'-S l-7`f/47,11/3irchitect_ _ Contractor Address __�_ Address__ Address— City- City---- City__��c_ Phone Phone Phone. I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application .and -agree that if Curb and Gutter„ and of w Z Paving, and/or Dedication of right of way is: required by the County of Riverside, the Riverside County Department of Building and Safety. 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 ;propertyo be occupied until- 1 { ) 'have complied with all laws of the County of Riverside- and the State of California governing said property. DATE--_� SIGNATURE OF OWNER AND70R AG , T Approval by Signature from the Following Departme �n isted Below Mast Be Obtained. Prior to the Issuing of a Con coon Permit. J. 1 SPACE NO: USE OF STRUCTURE -ADDRESS r.LL �- ^iLL1 JOB SINGLE FAMILY DUPLEX ❑ >' ,❑' LEG L DESCRIPTION OF PROPERTY �.�' V�-�� _ APARTMENTS ❑ AGRIC. O LL �j ❑ H Q Q Z J r'I T�'�K7--�-- COMMERCIAL ❑ INDUSTRIAL ElQ COMMUNITY ALTERATIONS ❑ NO. OF -SUBMITTED PLANSUSE OF PERMIT in Q CASE N0. � t7 p Z, NO. 0'F P KING SPACES REQUIRED NO. O.F BUILDINGS NOW EXISTING — Q ZONE_ r SE.TBA&S: FRONT SIDE. -REAR. J m . GRADING.PERMIT REQUIRED? YES ❑ NO '❑ LOT SIZE SET.;B'A-CCKK�ORDDINANCE # OF FEET REQUIRED ON STREET DATE 1 — ��i_�) SIGNATURE OF LAND USE OFFICIAL DEDICATION REQUIRED: YES ❑ NO ❑ NQOF FEET w CURB AND GUTTER REQUIRED: YES ❑, NO ❑ STREET A - a a CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑. NO ❑ < w 4 HAS AN ACCEPTABLE' APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET CIMPROVEMENT? YES ❑ NO ❑' a DATE- SIGNATURE OF ROAD DEPT. OFFICIA► Z SWIMMING POOLS PUBLIC 'a WSEW'AG'E, DISPOSAL ' FOOD ESTABLISHMENT _ WATER POLLUTION REMARKS �► FLOOD'CONTROL W AIR, POLLUTION Will DIV OF HWY 5 % _ YOUR PROPERTY MAY BE SUBJECT TO c ROOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199A 9/74 CANARY—FILE, PINK—APPLICANT BUILDING PERMIT PERMIT NO. . -191943- DEPARTMENT OF BUILDING '& SAFETY _ COONT'Y OF RIVERSIDE FIELD OFFICE MJT CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES • NO. PLUMBING FEES IST R. SQ. FT. @ - $ UNITS . MH.Permll Fee. S ,2ND. FL SQ: FT, 'top: $ YARD SPKLR, SYSTEM POR. Fi @ MOBILEHOME SVC. BAR SINK GAR., Sa *T, @ POWER OUTLET ROOF, DRAINS r , _Sbr Backs Lot Size ' DRAINAGE PIPING WALL SQ; FT., ,@ , DRINKING: FOUNTAIN SQ, FT. g URINAL. ESTIMATED. CONSTRUCTION VALUATION $ Group WATER PIPING NOTE:. Nofto be used, as property tax valuation SWIM POOI; PVT F.LOORD"IN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENTSYSTEM FAN EVAP. COOL HOOD SIGN WASHER!(AUTO)(DISH) APPLIANCE DRYER GARBAGE -DISPOSAL FURNACE UNIT 'WALL FLOOR SWSPENDED Sp: Insp. Fee ,LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METERr KITCHEN SINK ABSORPTION.SYSTEM B.T.U. TEMP USE PERMIT SVC WATER, CLOSET COMPRESSOR HP POLE,�FEMP/PERM LAVATORY HEATING SYSTEM FORCED '--GRAVITY AMPERES SERV ENT - SHOWER., BOILER B T,U. SQ_ FT. BATH TUB - SQ: FT. Q t `WATER HEATER • Tatal1.., -.. SO. FT.. RESID @l Wi SEWAGE DISPOSAL SQ. FT. GAR' 3:4 HOUSE SEWER Zip { GAS PIPING PERMIT FEE PERMIT FEE I PERMIT. FEE DBL.. TOTAL FEE MOB. HM `FEE MICRO FEE MEC -H. FEE PL.. CICIFEE CONST..FEE ELECT. FEE SMI FEE _ FEE- MB. E City Zip, PERMITNO: 1391943gas- -job Address Commuuniyyry, Voluotlen; ice., ; - - - Space Zip owner . Dale Dlat. Off. '.CX, MH.Permll Fee. S Wao, Fllm4be 'top: $ Use of Permit - � _ I l force l''No: '_. Ux/Case lJe. -k. By Mech,:Fep -,Dbl $- Pl. Ce . Fee S . , _Sbr Backs Lot Size ' Construction Fee IDbI S LegallDescrlPNotx! - - � aj+ti►r. sl?f '1i► " – - ~ F -- .S` - 'SR Electrical Fee Dbl S Zone Restrictions Group Type SMI Fee $ Plumbing Fee Dbl. �:. Bond Amt. Plan No.. Rlgn Checker ', 'Final, Date nsprwr Unit Sp: Insp. Fee Demo!., Fee S' Const. Lender BroncK Supplimenlol Permit Numbers - - Registr. Fee S Mileage Fee S C)4" Witness Fee: $ Refmp. Foe S OwnWAgent .Tel. - .ZIP Tatal1.., Adar— - 'City Zip Mi N:GCdah, 6tteck Rete relvod. - - met required ',. .. �' %f I Af .w'•� r+, ,'fat. =.3_ LTcenseM Sewage: System.. _ Address G City Zip, T P SewerEDistrict to, 284-206(Rev.e./M . THIS PER( IIT:SHALL BECOME _VOID 1F WbRIE IS NOT COMMENCED WITHIN'120 DAYS. CESSATION OF WORK verifled.by M FOR'126 Wit.SHALL /ALSO CALjSE PERMIT ATG BECOME VOID. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH'THIS PERMIT:WIUL BE DONE IN ACCORDANCE'WITH THE LAWS OF RIVERSIDE COUNTY ANDITHE STAITOF:CALIFOR►!IIA. I' HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED•THE PLAINS AND. SPECIFICATIONS HAS DONE SO IN ACCORDANCE`WITH SECTION 5541 OE THE BUSINESS AND P.ROFESSIOWCODE OF THE STATE OF CALIFORNIA.