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397646 (BLCK)BUILDING PERMIT PERMIT NO, 97646 DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD FDST, i CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST Fl. 2ND. FL. POR. GAR. CAR P. WALL a ESTIMATED CONSTRUCTION SO. FT. .@ $ Voluaicm UNITS Owner � Dis. fl. /F. SQ. FT. @ YARD SPKLR SYSTEM SO. FT. @ MOBILEHOME SVC. BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS SO. FT. @ DRAINAGE PIPING SQ. FT. @ A i''� r'�'" . i DRINKING FOUNTAIN SQ. FT, @ ..... URINAL VALUATION $ cam^ WATER PIPING NOTE: Not to be used as property tax roluotion Construction Fee Dbl S Electrical Fee Dbl S SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER I VENT SYSTEM FAN EVAP. COOL HOOD R SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER Type SMI Fee $ GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Bond`Amt. §/ Plan No. LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. Demol. Fee $ TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP Branch POLE, TEMP/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY I Registr. Fee § AMPERES SERV ENT SHOWER BOILER B.T.U. Reinsp. Fee § SQ. FT. @ a BATH TUB SO. FT. @ a WATER HEATER Zip S0. FT. RESID @ I'Aa SEWAGE DISPOSAL Addr ss +� Contraffor - S0. FT. GAR @ 3/4a HOUSE SEWER City ,( Tel. ^� Zip Ucensell M.O. ❑rN:CrEl Cash O Check Received by GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES c_4' MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE 4t _o1 SMI FEE FEE PLUMB. FEE PERMIT NO. 397646 Job Address ? 7 C mtm;y t Voluaicm SpaceZip - �- - Date-' Owner � Dis. fl. /F. MH Permit Fee f Micro Film Fee Cop S Use' of Permit (,..t /C� I4 (�.{ /�,% / rI`f f 5. y a 'No. `" r Usa/Gose No. "'" ' Ck. By i Mech. Fee Dbl S PI. Ck. Fee $ et cks t_ o' Sh, g�ty(� "}i_. Construction Fee Dbl S Electrical Fee Dbl S 3 Legal Description �� F S S R Zone Restrictions Group Type SMI Fee $ ' Plumbing Fee Dbl $ Bond`Amt. §/ Plan No. Plan Checker Finp . WA -30 Unit Sp. Insp. Fee S Demol. Fee $ Const. Lender Branch Supplimental Permit Numbers ' I Registr. Fee § Mileage Fee $ Address City Zip ' Witness Fee § Reinsp. Fee § Owner/Agent Tel. Zip Total Fees. S Addr ss +� Contraffor - City ,( Tel. ^� Zip Ucensell M.O. ❑rN:CrEl Cash O Check Received by Trees require - i Sewage System Address City Zip T LL P 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. •1 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. % Z �� I REBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN 4 Form 284.208 (Rev. 1/80) CORDANCE WITH SECTION 5541 -OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. 14 Final 15 1 Ground Plumb 16 Water Piping 17 Rough Plumb 18 Vents J, _r,* 19 Sewage Disposal 20 Sewer 21 Water Heater 22 Water Softener 23 Water' Service 24 Gas Test 25 Final ELECTRICAL APPROVALS I 26 Power Pole 27 28 Conduit Se -ice Entrance 29 Wiring • ,29A Grounding Wire OPERATION Bonding DATE INSPECT NO. OPERATION DATE Final BUILDING APPROVALS MECHANICAL APPROVALS Set Back A/0 33 Ventilation System 2 1 Ftqs & F,ms 4--v _r34 I Plenums & Ducts 2A Slab Grade 1 35 Furnace Comport. 3 Steel _CLer-,Q� 36 Inlets & Outlets 4 Grout Blocks 37 Combustion Air 5 j Bond Beams 38 Compressor �6 t Roof Deck 39 Appl. Clearance Ing 40 Fire Damper 8 Vents 41 Smoke Detection Device 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P.L. 43 I Final • 10A Fireplace T.O. OP'N ADDITIONAL INFORMATIO-P NO. TI, Exterior Loth 7- 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick Value 7A Walls (Botts) 12B Ceiling' (Botts) 12C Ceili 'Blown' 14 Final 15 1 Ground Plumb 16 Water Piping 17 Rough Plumb 18 Vents J, _r,* 19 Sewage Disposal 20 Sewer 21 Water Heater 22 Water Softener 23 Water' Service 24 Gas Test 25 Final ELECTRICAL APPROVALS I 26 Power Pole 27 28 Conduit Se -ice Entrance 29 Wiring • ,29A Grounding Wire 29B Bonding 30 Fixtures 11 Service 32 Final INSr�CTOR to I SEWAGE` " SYSTEM SIZE & LOCATION Tank Pit L. Line REAR OF PROPERTY LINE P/L P/L STREET NAME — — — — — — — — — — — — — — — — — — — — — — — — — — — — NOT:CE: 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 I R AcL°`l Owner Architect — Contractor—_. 3_7-3f) AOC f�it/4 Address Address___ Address_ ---_- City L��/A4r --/USA 7-4 City--_ City___— _ 4 / 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 cc Lu 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 d shall not make a Final Inspection until said requirements have been met. I am also aware that no work to be done within the County R/W without an encroachment permit. NOW, therefore, it is agreed that I (we) will not occupy said property and will not cause said pr a ty to be occupi d until I (we) have complied with all laws of the County of Riverside and the State of California governing said property. U� SIGNATURE OF OWNER AND/OR AGEN�7� DATE �__ Approval by Signature from the Following Departments List Below Must Be Obtained Prior to the Issuing of a Construction Permit. I SPACE NO. ( 1 USE OF STRUCTURE D `� t'� JOB ADDRESS _^_� --� SINGLE FAMILY [ DUPLEX El } LEGAL DES PTION O P RTY 775 -� S�� d�� ZO �� "% tti J n� APARTMENTS AGRIC. N Q -'� COMMERCIAL INDUSTRIAL n j 'n COMMUNITY G Lll� ��- C Z LTERATIO' NO. OF SUBMITTED PLANS USE OF PERMIT. W .4 �+ CASE N0. NO. OF PARKING SPACES REQUIRED _ -- NO. OF BUILDINGS NOW EXISTING p Z Q ZONE SETBACKS: FRONT SIDE REAR J m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE -- OF FEET REQUIRED ON 4LI If STREET DATE �' ��^� SIGNATURE OF LAND USE OFFICIA' N DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET --- CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET H CL. CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET ' D C IMPROVEMENT? YES [INO ❑ °L DATE SIGNATURE OF ROAD DEPT. OFFICIAL_ S SWIMMING POOLS PUBLIC F Q W SEWAGE DISPOSAL FOOD ESTABLISHMENT W ui = WATER POLLUTION REMARKS H FLOOD CONTROL— t- cc W AIR POLLUTION _ DIV OF HWY c a — YOUR PROPERTY MAY BE SUBJECT TO a c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199A 9/74 CANARY—FILE, PINK—APPLICANT I BUILDING PERMIT PERMIT NO. 97646 DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. ELECTRICAL .FEES NO. PLUMBING FEES 1ST FL. 2ND. FL. FOR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SO. FT. .@ $ Owner UNITS C munity Use of Permit Legal Description �, / / L % SO. FT. @ YARD SPKLR SYSTEM SQ. FT. @ MOBILEHOME SVC. BAR SINK SO. FT. @ POWER OUTLET ROOF DRAINS SO. FT. @ DRAINAGE PIPING SO. FT. @ '� 'G ' DRINKING FOUNTAIN SQ. FT. @ URINAL VALUATION $ S" WATER PIPING NOTE: Not to be used as property tax valuation Unit SWIM POOL, PVT `FLOOR DRAIN MECHANICAL FEES Branch SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD Regisir. Fee § SIGN WASHER (AUTO)(DISH) APPLIANCE ' DRYER Reinsp. Fee S Owner/Agent, ,// w. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Tel. Zip LAUNDRY TRAY AIR HANDLING UNIT CFM Add, sst (f IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. Zip TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY Trees require AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. @ a BATH TUB SO. FT. @ fa WATER HEATER S0. FT. RESID @ 1 %a SEWAGE DISPOSAL SO. FT. GAR @ 3/aa HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEESMOB. 4)47 HM. FEE MICRO FEE MECH. FEE PU CK. FEE I CONST. FEE ELECT. FEE 4 0 SMI FEE FEE PLUMB. FEE PERMIT NO. 397646 Job Address °7 Space Zip Owner C munity Use of Permit Legal Description �, / / L % Volua ion Dote, Dist. Olf F. .C. Si e ` Pa el No. Use/Case No. Ck. By D ` G Set Backs lot Size % F 5 S R —" / Zone Restrictions Group Type MH Permit Fee S90 Micro Film Fee Cop § Mech. Fee Dbl S PI. Ck. Fee S Construction Fee Dbl S J Electrical Fee Dbl 5 SMI Fee S Plumbing Fee DbI S Bon Amt. S Plan No. Plan Checker Final DoteCLQ. Inspector Unit Sp. Insp. Fee S Demol. Fee S- Const. Lender Branch Supplimentol Permit Numbers Regisir. Fee § Mileage Fee §• Address City Zip Witness Fee § Reinsp. Fee S Owner/Agent, ,// w. I37 Tel. Zip Total Fees S Add, sst (f " 4 157-1 City Zip M.O. � .CE) Cash Q Check Received by Controc or Tal. licensaP Trees require Sewage System [{t Address City Zip T Ll" p THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. t 1 .1 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 EBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 280208 (Rev. 1/80) ORDANCE WITH SECTION 55AI OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. verified by: i