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387985 (BLCK)PERM -ITT NO.FIELD O. DEPARTMENT OF BUILDING & SAFETY M 38 1 J H 5 COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE Job AddressSpace NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. POR. SQ. FT. @ Owner UNITS Communi ` SQ. FT. @ YARD SPKLR SYSTEM MOBILEHOME SVC. SQ. FT. @ BAR SINK GAR. SQ, FT, @ CAR P. SQ. FT. @ WALL �_ W i SQ. FT. @ �^ SQ FT @ ESTIMATED, CONSTRUCTION VALUATION .J a POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation MH.Permit Fee $ SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES _ // SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD Ck. ey SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER Lot Size GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED �f/ LAUNDRY TRAY AIR HANDLING UNIT CFM R IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. Type TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP Dbl E POLE,TEMP/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY Plan Checks AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. @ c BATH TUB $ Const. Lender SQ. FT. @ c WATER HEATER Suppli 1 Permit Numbers I SQ. FT. RESID @1'/.c SEWAGE DISPOSAL Mileage Fee Is Address , City Zip SQ. FT. GAR @ s/. c HOUSE SEWER $ O, r/Agent - ILA GAS PIPING PERMIT FEE Zip PERMIT FEE PERMIT FEE DBL. TOTAL FEES E� MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE / 0 SMI FEE FEE PLUMB. FEE •PERMIT NO. 'JH798� Job AddressSpace r' C'�� Zip � Owner Communi ` ,/( Valuation $ i Date f95 Disti. . Off. F.C.C. MH.Permit Fee $ Micro Film Fee Cop $ Useof er lV L4 _ // %�. (� Parcel No. v - �•' Z Use/Case No. Ck. ey Mech. Fee Dbl $ PI. Ck. Fee $ Set Backs Lot Size Construction Fee Dbl . $ Legal Description �f/ F S S R Electrical Fee Dbl E Zona Restricti ns / Group Type SMI Fee $ Plumbing Fee Dbl E Bond Amt. Plan No. Plan Checks Final Dote A•.i�� �U Inspector Unit Sp. Insp. Fee $ Demol. Fee $ Const. Lender Branch ' Suppli 1 Permit Numbers I Registr. Fee $ Mileage Fee Is Address , City Zip Witness Fee $ Reinsp. Fee $ O, r/Agent - ILA Tel. Zip Total Fees $ Address City L Zip M. N.C. Cash ~ Check Received by Trees required ! Contractor Tel. - " LicenseX Sewage System Address s City Zip I' Sewer District Form 284-208 (Rev.8/78) THIS PERMIT SHALL BECOME VOID'IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK 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. verified by' NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS �. 1 Set Back -,w�r�— �� yy9g� 33 Ventilation System 2 Ftgs & Frms_ ` rQ,�,� 34 Plenums & Ducts -2A Slab Grade 35 Furnace Comport. 3 Steel 36 Inlets & Outlets 4 Grout Blocks �_ 37 Combustion Air 5 Bond Beams _, , % 38 1 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. E] 43 Final IDA Fireplace T. 0. FI 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 (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 L.Line REAR OF PROPERTY LINE ELECTRICAL APPROVALS PSL P/ 0 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 Architect Address___ City -- Phone _ DISTRICT Permit N Contractor—_ —.._ Address__---- ---__ City--------- Phone— cc ity--------- Phone_ W 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 -fight 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 with all laws of the County of Riverside and the State of California governing said property. DATE �— �U^ v _— SIGNATURE OF OWNER AND/OR AGENT Approval by Signature from the Following Departments Listed Below Must Be Obtained Prior to the Issuing of a Construction Permit. JOB ADDRESS 7— -7— LE A DESCRIPTION OF PROPERTY COMMUNITY NO. OF SUBMITTED PLANS — USE CASE NO. NO. OF PARKING SPACES REQUIRED -- ZONE��SETBACKS: FRONT GRADING PERMIT REQUIRED? YES SETBACK ORDINANCE # OF DATE — i OF PERMIT SPACE N0. 1 ' USE OF STRUCTURE 2SINGLE FAMILY DUPLEX APARTMENTS AGRIC. IOMMERCIAL INDUSTRIAL ❑ .v. Z" ALTERATIONS Ej (/ NO. OF BUILDINGS NOW EXISTING — SIDE REAR ❑ NO ❑ LOT SIZE FEET REQUIRED ON SIGNATURE OF LAND USE OFFICIA / DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET CURB AND GUTTER REQUIRED: YES ❑ NO ❑ n STREET CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET IMPROVEMENT? YES ❑ NO ❑ DATE SIGNATURE OF ROAD DEPT. OFFICIAL SWIMMING POOLS PUBLIC SEWAGE DISPOSAL FOOD ESTABLISHMENT WATER POLLUTION REMARKS FLOOD CONTROL AIR POLLUTION DIV OF HWY YOUR PROPERTY MAY BE SUBJECT TO FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199A 9/74 CANARY—FILE, PINK—APPLICANT DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE OFFICE DATE. TIME PERMIT NUMBER INSPECTION ADDRESS l OWNER BUILDING PLUMBING REMARKS: &J OWNER/CONTRACTOR TEL.NO 1 SPACE NO. COMMUNITY ELECTRICAL MECHANICAL REQUESTED FOR: a A.M. P.M. MSN Vill a WED aTMUR , 281-" tl/7S. DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE OFFICE DATE y TIME PERMIT NUMBER / 2� (� O INSPECTION C REQUESTED ADDRESS I SPACE N0. FOR: OWNER BUILDING PLUMBING J REMARKS: D I OWNER/CONTRACTOR TEL.NO COMMUN ELECTRICAL I MECHANICAL A.M. P.M. aWIGN EZTUES a WED THUR FRf r 281-" 11/75 DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE OFFICE DATE TIME PERMIT NUMBER Z'— -V INSPECTION REUUESToD FOR: ADDRESS I SPACE NO. OWNER CO ITY P.M. BUILDING PLUMBING ELECTRICAL MECHANICAL KION Q /v E] TUES 0 WED REMARKS: � /� �n p p FRI OWNER/CONTRACTOR T5040. 48440 t13S 6 ~ NOTICE TO APPLICANT In conformity with the provisions of State of California Labor Code Section 3800, the applicant shall have on file or file with the Riverside County Department of Building and Safety a certificate as designated in Items I or II below, or shall indicate Item III, IV, or V, whichever is applicable. CERTIFICATE OF APPLICANT Please mark the appropriate block: ❑ I Certificate of Consent to self -insure issued by the Director of Industrial Relations. ❑ Copy on file ❑ Copy submitted ❑ II. Certificate of Workers' Compensation Insurance issued by an admitted insurer. I ❑ Copy on file ❑ Copy submitted `^❑ III. The cost of the work to be performed is $100 or less. y� V. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California. I further certify that, in the event I become subject to the Workers' Compensa- tion provisions of the Labor Code that I will comply forthwith with the provisions of Labor Code Section 3700, et seq., and understand that, if I do not comply, the permit shall be deemed revoked. ❑ V. I certify as the owner (or the agent of the owner) that in the performance of the work for which this permit is issued I have engaged contractor. (Contractor have o-wfil or submit certificate required by I or II above.) Applicant's Signatur k � _ Date ' Permit No. -- r Address and location where work is to be performed -7" /') ! – S J Cn 7,11 Lc '"S 284-141 Rev. 6/77 BUILDING PERMIT r PERMIT No. DEPARTMENT OF BUILDING A SAFETY FIELD OFFICE A 7 n 85 COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. POR. GAR. CAR P. WALL + SQ. FT. @ UNITS Zip Owner q,2N 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 ESTIMATED CONSTRUCTION VALUATION Use of PerrriTj !� ++�ff v `^r k Di..� 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 Construction Fee Dbl § GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED G V L, 4 t, P ""C (T�, & Irk t 3l, 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 Unit SQ. FT. @ c WATER HEATER Demol. Fee SQ. FT. RESID @I 1A SEWAGE DISPOSAL SQ. FT. GAR @ 3/. c HOUSE SEWER Registr. Fee § GAS PIPING PERMIT FEE Witness Fee § PERMIT FEE PERMIT FEE DBL. TOTAL FEES, I,- MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE I CONST. FEE ELECT. FEE v SMI FEE FEE PLUMB. FEE PERMIT NO. X87985 Job Ad TessSpace - Zip Owner q,2N Community • Voluation S Date / l l �v Dist. Off. F.C.C. MH.Permit Fee § Micro Film Fee Cop § Use of PerrriTj !� ++�ff v `^r k Di..� ` }} ��Ir (" Parcel No. Use/Case No. Ck. By Mech. Fee Dbl § Pl. Ck. Fee § Set Backs Lot Size Construction Fee Dbl § Legal Description — 1 4 / G V L, 4 t, P ""C (T�, & Irk t 3l, F S 5 R Electrical Fee Dbl $ Zone Restrict. s Group i , Type SMI Fee § Plumbing Fee Dbl § Bond Amt. § Plan No. Plan Checker II Final Dote / Inspect Unit Sp. Insp. Fee § Demol. Fee § Const. Lender _ Branch Supplimental Permit Numbers Registr. Fee § Mileage Fee § Addresj!�-' City Zip _ `�� t., Witness Fee § Reinsp. Fee § O ent Tel Zip Total Fees § Address �i City t Zip•'''_ M. N.C.ja Cash Check Received byCj�h Trees required Contractor Tel. License# Sewage System Address City Zip r T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:4 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.B/78)--©s - ---- _ r . .. - ' . - - - - & •