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376207 (RPL)BUILDING PERMIT PERMIT NO. 13762071 DEPARTMENT OF BUILDING & SAY ETY COUNTY OF RIVERSIDE FIELD - ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES _CONSTRUCTION o ow I ST FL. 2ND. FL. FOR. GAR: - CAR P. WALL = "E4IMA_ ED. CONSTRUCTION SQ. FT. @ $ Zip UNITS 3 7 62 0 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 SO. FT, @ r,J URINAL VALUATION WATER PIPING NOTE: Not to be used as property tax valuation f SWIM POOL, PVT E FLOOR DRAIN „r MECHANICAL FEES SWIM POOL, COMM :Micro Film Fee WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD f SIGN '� ' v WASHER (AUTO)(DISH) T APPLIANCE DRYER iMech: Fee Dbl SPV I �`,: GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED PI. Ck. Fee f r • LAUNDRY TRAY AIR HANDLING UNIT CFM ., IDLE METER Legal Description / L 6 i-� �3 /� j� �+4 KITCHEN SINK ABSORPTION SYSTEM B.T:U. .Electrical Fee DBI f TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP $ POLE,TEMP/PERM xp LAVATORY HEATING SYSTEM FORCED GRAVITY Plumbing Fee, AMPERES SERV ENT Bond Amt. SHOWER BOILER B.T.U. Final Dot , dor SQ. FT. @ c Sp. Insp. Fee BATH TUB f SQ. FT. @ c — D WATER HEATER Demol. Fee f SQ. FT. RESID @T1Gc Supplimental Permit Numbers _ SEWAGE DISPOSAL Regisir. Fee ; Mileage Fee f SQ. FT. GAR @ is c "Witness Fee f HOUSE SEWER - Owner/Agent Tel. Zip GAS PIPING F PERMIT FEE PERMIT FEE City PERMIT FEE J DBL. - TOTALFEES — MOB.HM.PEE MICRO. FEE MECH. FEE Pl. CK. FEE I CONST. FEE ERCT. FE f SMI FE FEE PLUMB. FEE i PERMIT'NO. Job Address Space Zip Owner 3 7 62 0 7 � .. � �:.� � E��:�..r Community Valuation — Date ~ Dist. Off. F.C.C. MH.Permit Fee f " :Micro Film Fee Cop f Use,o. Permit n Parcel No. Use/Case No. Ck. By iMech: Fee Dbl SPV I �`,: - �- PI. Ck. Fee f r • Set. Backs Lot Size ., ,Construction Fee Dbl f Legal Description / L 6 i-� �3 /� j� �+4 F S -S aL R .Electrical Fee DBI f Zone esiridions AGroup -fy p" Typ SMI Fee $ xp Plumbing Fee, Dbl S Bond Amt. Plan No. Plan Checker Final Dot , dor Unit Sp. Insp. Fee f f — D Demol. Fee f Const. Lender Branch Supplimental Permit Numbers _ Regisir. Fee ; Mileage Fee f Address City Zip _ "Witness Fee f Reinsp, Fee f Owner/Agent Tel. Zip ? Total Fees ddre City Zip M.O. N.C. Cash Check 11 /s"" ..1 Received by 00 14o Tel. t `+ -4' Lice nse# - Trees requ Sewage System g Ys Adress dty �• Zip T LL P THIS pERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION C WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. t verified by: • tSewerDistiict I HEREBY AGREE THAT ALL WORK IN CQ.bfNECTION WITH THIS PERMIT WILL BE DONE IN -ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNV' Aa61AE'STATE OFjCALIFORNIA. / I HEREBY CERTIFY THAT THE INDIVIDUALMHO PREPARED THE PLANS'AND SPECIFICATIONS HAS DONE SO IN �I ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONSrCODE OF THE.STATE OF CALIFORNIA. V Form 284.208 (Rev. ) P 3 _ , t 1r NO. OPERATION DATE INSF*--TRR `+ NO. 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 Damper 8 Vents 41 Smoke Detection Device 9 Garage Fire Wall 42 Commercial Hood t0 Fireplace P. L. C3 43 Final 10A Fireplace T.O. ❑ No - - ADDITIONAL INFORMATION - - - - - -- - - - - - - - - - - - - - - - - - - - i SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Loth 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 12B Ceiling (Batts) 12C Ceiling (Blown) 14 Final PLUMBING APPROVALS 15 Ground PI6m6 - - - - - - - - - - - - - - 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 r 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 3 Final STREET NAME NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENTOF BUILDING AND SAFETY COUNTY OF RIVERSIDE Dist. Office Permit No 284-199, 5/16/69 WHITE — ROAD DEPT., CANARY — FILE, PINK—APPLICANT Owner 'M;'� d�rTic Architect Contractor z @ Address�'a� Address Add res C c Cit 14, .�T� �•C "'"' y�L?ItiJ/ ® City City �. p W .-i Phone Phone Phone-�T�TI_ ro O � -p 1 (We) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and 0s a 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 E m d .. without an encroachment permit. NOW,,.therefore, it is agreed that 1 (we) will not occupy said property and will not cause said -pro occupied until I (we) have !W.1'3..0 _ complied with all laws of the County of Riverside and the State of California governing said propert . = oo p V DATE SIGNATURE OF OWNER AND/OR AGEN m V y Signature from the Following Departments i d' Below t sf Obtained Prior to the Issuing of a Constru on Permit: E :. USE OF STRUCTURE'. LOCATION OF J0 �� �� n/l`/Ofy� r SINGLE FAMILY DUPLEX ❑ >- Z [– LEGAL DESCRIPTION OF PROPERTY ���"`CCC ❑ APARTMENTS AGRIC. LU H Q' _ COMMERCIAL INDUSTRIAL GC CO UNITY ALTERATIO Z NO. OF ,SUBMITTED PLANS TYPE OF CONSTRUCTION LU CASE NO. Z NO, OF PARKING SPACES REQUIRED NO. OF BUILDINGS N ISTING Q 0 ZONE�'`�4 ` SETBACKS FRONT SIDE OREAR 41 m GRADING PERMIT REQUIRED YES ❑ NO ❑ SETBACK ORDINANCE # OF FEET REQ ON — -r -` STREET DATE SIGNATURE OF LAND USE OFFICIAL t DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET F W' CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET THE ABOVE CONSTRUCTION? YES ❑ NO O. of d CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT 'PERMIT FOR R DRIVEWAY AND STREET CIMPROVEMENT? YES 0 NO ❑ °C DATE SIGNATURE OF ROAD DEPT. OFFI A Z SWIMMING POOLS P IC..� A W SEWAGE DISPOS FOOD ESTABLISHMENT _ WATER POLLUTION _ REMARKS v� FLOOD CONTROL W AIR POLLUTION S DIV OF HWY o - — YOUR PROPERTY MAY BE SUBJECT TO c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT' OF FLOOD. 284-199, 5/16/69 WHITE — ROAD DEPT., CANARY — FILE, PINK—APPLICANT 16 tir A0 4 A.110 I e 14P - CIS ",Sao P^7-, o 4-1 L�_ C7 2- 01) 0 BUILDING PERMIT PERMIT NO. .�7s2o7 DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE F/;I T COUNTY OF RIVERSIDE . CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES ISTFL. 2ND. FL. POR, SQ. FT. @ $ UNITS Community r SQ. FT. @. YARD SPKLR SYSTEM MOBILEHOME SVC. SQ. FT'. @ BAR SINK GAR. CAR P. SQ. TT. @ POWEROUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING WALL SQ. FT. @ � SQ, FT. @URINAL IMATE CONSTRUCTION VALUATION . DRINKING FOUNTAIN WATER PIPING � . NOTE: ,Not to. be used as property tax valuation SWIM. POOL, PVT JFLOOR DRAIN .MECHANICAL FEES SWIM POOL, COMM WATER,SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER Electrical. Fee Dbl S SMI Fee ;. 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 POLEJEMP/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. @ < BATH TUB Mileage Fee ; SQ. FT. @ c WATER HEATER Reinsp. Fee SQ. FT._ RESID @ 11/4 c SEWAGE DISPOSAL SQ,, FT.. GAR @ % c QQL=A- Total Fees WO. N.C.. Co.h Check G'AS PIPING PERMIT FEET City FEE PERMIT FEE DBL. TOTALFEESp IMOB.HM.FEEI MICRO FEE MECH. FEE - PL. CK. V��FEE . LCONST. LEC ET. EE ZOO SMS FEE PLUMB. FEfIdea J PERMIT NO. 3 7 6 2 0 7 Job.Address r 0 L lr�,i*ow� 'Space Zip Owner !' _s Community r Valuation 1,/2- '© �� Date � -3-1 -7 17 Dist. Off. P.-C.C. MH.Permit Fee s .Micro Film Fee Cop ;. Use of Perml Parcel No. co . Use/Cose No. q. By Me ch. Fee Dbl ; P.I: Ck. Fee ; Set Backs lot Size ConstructionFeeDbl § Legal Description P - �. Q ;P-/ of�j/— (� j PP" F 5 �d S 8 d Electrical. Fee Dbl S SMI Fee ;. Zane,RaShictioneGropp Ty pf Plumbing Fee Sp, Insp. Fee Dbl ; ; Bond Amt ; Plan No. Plan Checker Final Dore �X P• Inspector Unit Demol. Fee ; Const. tender - Branch SuppllmentalPermit Numbers Registr. Fee ; Mileage Fee ; Address City Zip Witness Fee ; Reinsp. Fee ; Owner/Agent Tel. Zip Total Fees WO. N.C.. Co.h Check Addre City ZIP Received by - of V. Tel. r Z� LlcenseN, Trees requ Sewage System Address • Zlp - I T' LL P 'Sewer District 'Form 284-208, (Rev.") (Da`� 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 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.