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414032, 417516 (TT)- ---- ------ — PERMIT NO. 4140 3 2 No. DEPARTMENT OF BUILDING & SAFETY 0 I k14p,` Space Zip ;� i,t. COUNTY OF RIVERSIDE FIELD DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. .@ $ UNITS .F.C.L. to V 2ND. FL, SO. FT. @ ,I'L YARD SPKLR SYSTEM Use of Vw. 1 Tt MOBILEHOME SVCS BAR SINK POR. SQ. FT. @ - i~ 1C. - arca No. ' -� Use/ Coss' P40. .r Ck. By —fAp c of / GAR. SO. FT. @ POWER OUTLET ROOF DRAINS CAR P. SQ. FT. @ - , Legal Description DRAINAGE PIPING WALL $Q. FT. @ !€ DRINKING FOUNTAIN SQ.,FT @ Electrical Fee S URINAL ESTIMATED CONSTRUCTION VALUATION $ o WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN ! ate' 4 MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER % a GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Inspector 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. SO. FT. @ a BATH TUB SMRESID@ WATER HEATER Supplimental Permit Numbers S0. FT. SEWAGE DISPOSALS0. F HOUSE SEWER � .. GAS PIPING PERMIT FEE Add` ss City Zip PERMIT FE PERMIT FEEQBh�TOTAL FEES MOB. HM. FEE MICRO'FEE MECH. FEE PL. CK. FEE ELECT, FEE SMI FEE FEE PLUMB. FEE —7 A A I AA 0—Cl , - ---- ------ — PERMIT NO. 4140 3 2 ----`--- Job Address Camnotion Space Zip ;� i,t. f .F.C.L. to V MH Permit Fee S 'Micro Film Fes op $ Use of Vw. 1 Tt ' N' '! 'GJ �C'•1'.•y. rn C,. - i~ 1C. - arca No. ' -� Use/ Coss' P40. .r Ck. By —fAp c of / Mech. Fee Dbl S PI. Ck. Fee f - , Legal Description !€ ,�� F 5 S R - Zo coons rU f U Gro_ Type Conaruetion Fee Dbl $ Electrical Fee S SMI Fee f t !� + f < _ plumbing Fee $ dArAt-?len % a Final Dora Inspector Unit Sp. Insp. Fee 'f �• $ �o-9 Dental. Fee S Const. lender Branch Supplimental Permit Numbers � .. Regislr. Fee S Mileage Fee f Add` ss City Zip Witness.Fee f Reinsp. Fee f Inol, V JA c IG Tel. Zip Total Fees f Ade ,City Zip M.O. ❑ N.C. ❑ Cosh ❑ ec027 — ` - Received by Cont I,J L obt Tel. - '� y ..� Ucens Trees require - LXACW- Sewage System 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. o I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH 'WIS PERAIT--WILL BE DONE IN ACCORDANCE WITH �T+H,E LAWS OF RIVERSIDE COUNTY AND THE STATE'OF C;�IFORNIA. y . i_HEPfBY CE$TIFY THAT THE INLNIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN E Form 28e-208 (Rev. 1/80) 7— ens t7,--AZE41UMMCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA i verified by: NO- OPERATION DATE INSPECTOR NO, OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS I Set Back 33 Ventilation System 2 Ngs 8 Frrns 34 Plenums 8 Ducts 2A Slab Grade 35 Furnace Comport. 3 Steel 36 Inlets & Outlets 4 Grout Blocks 37 Combustion Air 5 Bond Booms 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 FGeplace P.L. F] 43 Final 10A Fireplace . T.O. EJ NO-ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE & LOCATION 11 Exierior Lath 12 Internal loth 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Balts) 12B Ceiling (Batts) 12C Ceiling (Blown) 14 Final - PLUMBING APPROVALS 15 Ground Plumb 16 Water Piping rO� 17 Rough Plumb 18 Vents 19 Sewage Disposal 20 Sewer OO 21 Water Heater 22 Water Softener 23 Water Service 24 Gas Test —25 Final 1- b- Tank Pit L. Line REAR OF PROPERTY LINE — ELECTRICAL APPROVALS P/L P/ 26 Power Pole �!6^ ff 21 Conduit 28 Service Entrance 29 29A Wiring y ra-moi Grounding Wire �(— _ pr p � 298 Bonding 30 Fixtures 31 Service 32 Final ..�C, ,��� :NOTICE:- THIS IS NOT- A •BUILDING PERMIT APPLICATION TO: CONSTRUCT., DEPARTMENT OF .BUILDING" -AND `SAFETY. COUNTY OF RIVERSIDE 384 1.99 -9/74 CANARY—FILE, PINK'—APPLICiANT Owner rchitecf " Contractor Addre-_ u�.• Addr_esg Address_ Cit Al CA y' City City_ i� Phone-Phone Phone - . W I (we) the undersigned„ hereby ,certify and acknowledge. that' I (we)' have read the application. and -agree that if Curb. and Gutter;. and _ Paving, and/or Dedication of rigF t_of way is required by the; County of, Riverside; .the Riverside Courify Department of Building and'Safety ;'hall not make a Final Inspection. until "said ,requirements have, been. met" I amalso Aware that ino work, is to be done within the County R' /W O without an en.-roachrrient 'permit_. ' NOW,, therefore it is -agreed that I (we) will not occupy said. property and will not cause said p perty .be _occupied. until 1 (we) have ,,to ;complied; with all laws of the County of Riverside and the State of California governing said, property"rDATE2- 3 vSIGNATURE OF OWNER. AND/ AGENT -OR Approval by'Signature from the -Following Departments Listed. Below . 'Must Be Obtained Prior to the Issuing -of a Construction 'Permit: 1 SPACE N0. = 1 U.SE OF STRUCTURE L >' JOB AD S . SINGLE FAMLLM DUPLEX: 0 ARE S_ ION PROP R. Y 0� - �/-� APARTMENTS Q �� �S o �.' AG'RIC. N .N'd COMMERAL INDUSTRIAL [] COMMUNITY Com. ALTERATIONS ' NO. OF SUBMITTED PLANS.- USE OF' PERMIT _ W z . .. CASE,NO, �q.. 3Ou p Z NO. OF' PARKI G'SPACES REQUIRED NO: OF BUILDINGS NOW EXISTING _< / ZONE, SETBACKS ',.FRONTS SI,DE� �� ' R'E.AR (yd 'm. GRADING PERMIT REQUIRED? YES 0 N0 ❑ LOT SIZE SE..TBACK•ORDINAN E OFFEET. REQUIRED ON STREE"T' DATE. SIGNATURE OF LAND. USE OFFICIAL F, DEDICATION REQUIRED: _ "YES O NO,fk NO'. 'OF FEET__ W CURB AND GUTTER .REQUIRED:. YES "❑: NO.*.- LdT.REET X W M" CAN -CURB I AND GUTTER' FEASIBLY BE INSTALLED? YESX_ NO ',❑ 0- ' " :HAS AN ACCEPTABLE APPLICATION -BEEN MADE FOR ENCROACHMENT PERMIT FOR D EWAY ANDS EET IMPROVEMENT? YES OiLLN0 ❑„ 00 DATE_; – SIGNATURE OF' ROAD DEPT. OFFI�^�–^" - �-3. -�/ SEWAGE DISPOSAL Q,Q _ _ F T42 -WATER POLLUTION REMARKS - FLOOD CONTROL Z m W, AIR. POLLUTION' = F DI F HW.Y 0 0 _ " ' — YOUR ,PROPE+RTY' MAY BE SUBJECT TO o FLOOD.- RIVERSIDE :COUNTY ASSUMES NO RESPONSIBILITY IN EVENT,.OF FLOOD. 384 1.99 -9/74 CANARY—FILE, PINK'—APPLICiANT DEPARTMENT OF BUILDING -AND SAFETY APPLICATION CERTIFICATE COUNTN'OF RIVERSIDE' PERMIT p Effective July 1, 1980, Chapter'1301 Section 19825'of the H"Ith and Safety Code requires the execu- tion of the following applicable declarations prior to the issuance of a building permit. Please print'or type.and sign -below: [� LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code and my license is in full force and effect. License Class B l License No. 333762 Date—Contractor— den Corbor1 ion owner ulIcier l Q OWNER -BUILDER DECLARATION I hereby -affirm that I am exempt from the Contractor's License Law for the following reasons: [l I, as owner of the property, or my employees - with wages as their sole compensation, will do the work, and the -structure is not intended or offered for sale. If I sell within one• - year of completion, I understand I. will have the burden of proving I did -not build or improve for.the purpose of sale (Sec. 7031.5;'B.&P.C.). [� I, as owner of the property,, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, B.BP.C.). [� I am exempt under Section B-.&P.C. for this reason: Date ', < S Owner , 'l WORKERS' COMP A OIf ECLA ON i I hereby affirm that I have a certificate of consent to.self-insure, or a Certificate of Workers' Compensation Insurance, or a certified copy thereof (Seec. 3800, Lab. Code).. Policy No. jJIC 20-385-101391 Insurance Argonaut Insurance Company CM Certified copy is hereby furnished. C3 Certified copy is filed with the County of Riverside, Department of Building and Safety. Date 2/2/8.) ---Applicant Anden CorporFttion [, CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if ,permit valuation is for'$100.00"dr Tess.) 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 -understand that if after making this Certificate of Exemption, I should become subject to the Workers' Compensation provisions of the labor code, I must forthwith comply with such provisions i. or this permit shall be deemed revoked. Date' Applicant ;A0 f � �� � tdO iUUCTION LENDING AGENCY I he"tD, affirm that there is a construction lepding-agency for the performance of the work for which this permit is Issued (Sec. 3097, Civ. CoA)'%(Neq i &�)1 Lender's Name 7 F T..- 1 Lender's Address DIVISION Of INDUSTRIAL'SAFETY PERMIT CERTIFICATION I hereby certify .that no excavation five (5) or more feet in depth into which a person is re- quired to descend, will be'made 16 connection with work authorized by this permit, and that no building, structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap 3.2, Grp 2, Art 2, Sec 341, Title 8, C.A.C.) Q As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety., as noted above, unless such person has a permit to do such work from that division. [] Division of Industrial Safety Permit No. Date :. 2/2/81. Applicant Andpn Cornoration CERTIFICATE OF COMPLIANCE:AND AUTHORIZATION OF ENTRY Ic rere tffy-I have read this application and state that the information given is correct. I agree to compl.'ivith all :state laws and county ordinances relating to building construction, and authorize a reprei�ibative of thee,, Cou ty f Riverside, Department of Building and Safety to enter, upon the pro- peInu o; phi �I ha e l f r this permit for the purpose of making inspections. 2/2/81 re opTican gent ate ltic haejS O'Rourke for Anden Coy goration Pint p�cant//Agent Name - ' 284-2000 7180 BUILDING PERMIT PERMIj NO., 14032 DEPARTMENT OF BUILDING '& SAFETY FIELD OFFICE OST COUNTY :OF RIVERSIDE, CONSTRUCTION ESTIMATE NO'. ELECTRICAL FEES NO. PLUMBING FEES 1 ST FL. 2ND. FL., POR. GAR.SQ. CAR P. WALL ESTIMATED CONSTRUCTION SQ: FT. -@ $ UNITS Space I Zip Owner SQ', FT. @ 1 YARD SP.KLR SYSTEM SQ. FT, @ M'OBILEHOME 'S C'. BAR SINK FT:, @ POWER OUTLET ROOF DRAINS SQ. FT: @ DRAINAGE PIPING - SQ. FT, @. DRINKING FOUNTAIN SQ: FT.. @ URINAL VALUATION $ ijn WATER PIPING ©� NOTE, Not- to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN 57 MECHANICAL FEES SWIM POOL, COMM WATER SOFTENF,R VENT SYSTEM FAN EVAP. COOL HOOD SIGN WASHER (AUTO)PSH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNI CFM IDLE METER KITCHENSINK 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- @ d BATH TUB "'Use/Gose No. SQ. FT. @ a WATER HEATER 'PI. SO! 'FT. RESID @ T Ac SEWAGE DISPOSAL ) L Cki Fee SO. FT. GAR @ 30a HOUSE SEWER GAS PIPING ti PERMIT FEE , PERMIT FEE PERMIT FEE' Electrical tree t0 TOTAL FEES MOB ..HM. FEE 'NIICkO FEE J MECH. FEE PL CK. FEE CONST. .FEE E1ECT. FEE SMI FEE FEE. PLUMB: 'FEE PERMIT NO. Job Address Space I Zip Owner �L. 414032 - . Com ' unity - 'v.IUafion S Dots OQ r Q� _ Ist.Off, • I'lT FX.C. 1'. MH Permit Fee $ MBra Film foe Cop 6 Use of, Permit r� s r 1�/j�y Pec(, -4-)`•' 1 % 0 F F w.� Parcel'Na. - "'Use/Gose No. ICk. BY I Mach. Fee Dbll S 'PI. 't Bucks Lot Size Cki Fee S C F S 5 R - Zone Res rictiam - Group Type , Constryction Fee Dbl $ L[ Description Logo! Electrical tree t0 SMI Fee S I/- '/A_'/A_j S lfg'Finpl Plumbing Fees 'fond Ams, .on No. Wan -ecker Dote' Ins ecto Unit - Sp; Insp. Fee S S t✓ 4/ - demol. Fee •S 'Const. Lender Branch - Supplimental.Permit Numbers - - Regissr. Fee S Mileage fee S ATfdess •city Zip Witness Fee S, 'RpFee S - Owner% if Tel., - Zip Total Fees 'S Address - ply Zip M.O. Q Cosh 0 neck • .. Received by 42 'Controctor - - Tel. lkaa Trees required V - Sewage System Address City Zip T LL p I THIS PERMIT SHALL BECOME VOID IF WORK IS- NOT COMMENCED WiTHIN'120 DAYS. ,CESSATION OF WORK Sewer Dlitrict FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY'AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMI� WIL -BE DONE IN ACCORDANCE WITH LAWS OF RIVERSIDE COUNTY AND THE STATE OF C#UFORNIA. 4HBY��IFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN 4rm 28e-208 (Rev, 1/80), L14CE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF'CAUFORNIA. veri0ed by: . PERMIT NO. 417516 DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD FS CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST.EL. .2ND. fl. POR GAR. CAR P. WALL 'SQ. ESTIMATED CONSTRUCTION SQ. FT. @ $ UNITS SQ.. FT. @,, YARD SPKLR SYSTEM 50FT @ MOBILEHOME`SVC. BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS 5Q. FT. @ DRAINAGE PIPING SQ FT @ DRINKING FOUNTAIN FT. ® URINAL VALUATION'. $ WATER PIPING NOTE; Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VmT'SySTEM FAN EVAP. COOL HOOD SIGN WASHER (AUTO)(DISH) - APPLIANCE D7RYER - GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM ID R KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET CQMPRE$$OR HP POLE,TEMP/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B. T. U, SQ. FT. @ c BATH TUB PI�nCheckar SQ. FT, _ WATER HEATER Unit SQ, FT. RESID @11/.c SEWAGE DISPOSAL S SQ. FT. GAR @ i. c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FI&O DBL. TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE K. CK. FEE CONST. FEE EM". FEE SMI FEE i PLUMB. FEE ZZ�jr� J" THIS PH2MITtS.HALL BECOME VOID IF'WORK 15 NOT COMMENCED WITHIN_ 120 DAYS. CESSATION OF WORK Sewer District FOR 120 DAYS;SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HERLBY AGREE THAT.ALC WORK IN CONNECTION WITH.THIS PERMIT WILL BE DONE'IN ACCORDANCE WITH k, THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. 3s. s RTIFY THAT'•THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN - `+ 1 C� WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. Fo 484208 (Rev.6/7) ©s verified by:r" Job Address - Space Zip Owner t PERMIT NO: 75 Community a I4 Valuation Dote ist, Off. C.C. MH.Permll Fee S' Micro Film. Fee Cop S Use offe—rWITI 't-1 hA SVbA s� - Paicel No: Use/19 No. 3z t ocksM SIZe Ck. By Mach. Fee DbI,S PI. Ck. Fee $ Legat`Descrt ton - F 5 S R Construction Fee Dbl $ i Electrical Fee Dbl $ Zone Restrictions Group 1, A ' Type 'SMI Fee E Plumbing Fee Dbl $ n mtf Pion N PI�nCheckar FinaLDate a In sp for Unit Sp. Insp. Fe- S $ Demol..Fee S Const. Lender Branch Supplfl�ermitNumberi Registr. Fee S Mileoge Fee $ Address City 'Zip " Witness Fee $ IReinsp. Fee $ Owner/Agent Tel. Zip Ae Total Is -Address HA I ) City ,Zip " lr M.O. N.C. � sh Chec Received by frac or L_ r Tel'. LicenseO # , ,Trees required System Address - City Zip ,Sewage f r THIS PH2MITtS.HALL BECOME VOID IF'WORK 15 NOT COMMENCED WITHIN_ 120 DAYS. CESSATION OF WORK Sewer District FOR 120 DAYS;SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HERLBY AGREE THAT.ALC WORK IN CONNECTION WITH.THIS PERMIT WILL BE DONE'IN ACCORDANCE WITH k, THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. 3s. s RTIFY THAT'•THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN - `+ 1 C� WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. Fo 484208 (Rev.6/7) ©s verified by:r" NO. t OPERATION DATE INSPECTOR 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 10 Fireplace P. L. E]43 Final 10A Fireplace T. 0. OP'N NO, ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 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 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 P/L P/ ELECTRICAL APPROVALS 26 Power Pole . Z .g 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final z .x STREET NAME NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT APPLICATION TO CONSTRUCT Permit No - DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE 284 .1,09 9174 CANARY—FILE, PINK—APPLICANT Owner iG �-- ". —? �A Architect Contractor ^="1'✓+' _ Address G, = �'�LV t�. Address r Address— l)f DI1+1i- City City_ City - Phone 111' "("ZIC9 •t Phone Phone I (we), the undersigned, hereby certify and acknowledge that 1 (we) have read the. application, and .agree that, if Curb and Gutter,..and. .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 -3 shall not make a Final Inspection until said, requirements have. been met. I am, also aware` hat no work is to be done within the County R/W' - O without an encroachment permit. •NOW; therefore, it is agreed that I (we)'wilI not occupy' said property ands will not cause said p perty to be occupied, until 1 (we)' have complied with all laws of the County of Riverside and the State of California. governing said property, DATE '' SIGNATURE OF OWNER' AMD/OR AGENT l Approval by Signature from the .Following Departments Listed Below Must 'Be Obtained Prior -'to the Issuing of a Construction Permit. i SPACE NO. 1 USE OF STRUCTURE c,� JOB ADDRESS f� Y' {fir "s'/ jNGLE FAMILY ❑ DUPLEX ❑ z F -•A LEGAL DESCRIPTION OF PROPERTY y T — ° '�T•-- PARTMENTS ❑ AGRIC. ❑ ❑ INDUSTRIAL NA !^ COMMERCIAL_ ❑ .Z COMMUNITY ALTERATIONS �' NO. OF SUBMITTED PLANS USE PERMIT ` �E%'` •� _ �. �. CASE NO.f/ } t7 1 NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING _ j ZONE• SETBACKS: FRONT SIDE REAR m GRADING PERMIT REQUIRED? Y•ES: ❑ NO ❑ LOT SIZE SETBACK ORDRJANCE # OF FEET REQUIRED ON STREET DATE f _tet SIGNATURE OF LAND USE OFFICIAL' r t— DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET, W CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET d CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ HAS AN ACCEPTABLE APPLICATION' BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET CIMPROVEMENT? YES ❑ NO ❑ °C DATE— SIGNATURE OF ROAD DEPT. OFFICIAL SWIMMING POOLS PUBLIC _ SEWAGE DISPOSAL FOOD ESTABLISHMENT WATER POLLUTION % ''=' / %` % =' = 1" REMARKS FLOOD CONTROL z AIR POLLUTION ZL M� DI -Y OF;HWY' e 6 _ YOUR PROPERTY MAY BE SUBJECT TO 1 c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD.. 284 .1,09 9174 CANARY—FILE, PINK—APPLICANT BUILDING PERMIT sAl PERMIT NO. 5 C DEPARTMENT OF BUILDING A SAFETY FIELD OFFICE COUNTY OF RIVERSIDE ` CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO., PLUMBING FEES i 1ST FL. 2ND, FL. POR.. GAR. CAR P; $ UNITS SQ., FT. @ YARD SPKLR SYSTEM SQ FT. � MOBILEHOME SVC. BAR SINK SQA FT. @ SQ. FT:. @ POWER OUTLET ROOF DRAINS DRAINAGE PIPING SQ. FT. @ ��ComPnunily WALL SQ. FT. @ DRINKING FOUNTAIN, SQ. FT. 0 URINAL off. C.C. ESTIMATED CONSTRUCTION VALUATION .� WATER PIPING ' Micro FilmFeeCop NOTE; Not to be used as properiy tax valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM FOOL; COMMWATER'SOFTENER r Y `�' t L•'Iw R VENT SYSTEM FAN EVAP. COOL HOOD ISIGN WASHER OUTO)(D1SH)' ' APPLIANCE DRYER GARBAGE -DISPOSAL Mech. Fee Db! $ FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY Conslrutition.,Fee - Dbl $ AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK - Plon'Checker ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC, WATER CLOSET Electrical Fee 'Dbl S COMPRESSOR HP POLE,TEMP/PERM LAVATORY Group Type Inspector Unit HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER Sp. Insp. Fee, $ BOILER Bi T. U. SQ. FT. @ c BATH TUB $" SQ. FT. Q t, WATER HEATER Const. Leader SQ, Fr. RESID; @ If/. c SEWAGE DISPOSAL SQ: FT. GAR @ 1. c HOUSE SEWER N, - n £ GAS PIPfNG Mileoge Fee = PERMIT FEE PERMIT FEEPERMIT F. ]IJBIL TOTAL FEE COX - MOB:FiM FEE MICRO FEE. - MECK FEE - PL. CaZ. FEE CONST. FEE ELECI.4FE5 I SMI FEE FEES PLUMB. FEE Reinsp. Fee $ Own Agent Tel Zip Total Fees- Address CIH Zip M.O. N:G. h Gheak %Received'by )11/1 Y I A fiio trot or - Tel. r - Llcense.Y ' Tfees required wcge System Address _ - - - City Zip _ THI9'PERMITt$RALL•BECOME VOID IF�WORK.IS'NOT•COMMENCED WITHIN 1'2D DAYS. CESSATION OF WORK vedfiad 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 IN AC'.CORDANCE'WITH THE LAWS,OF RIVERSIDE COUNTY AND THE'STATE OF CALIFORNIA 40aAe,1/� I Q88r1ffRTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 28e 208 (Rev.B/78ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF'CAUFORNIA, PERMIT NO. .417 516 Job Address � Space Zip OLvner ��ComPnunily Voiuotion a. Dote Dist. 1-3 off. C.C. MH.Permil Fee _ x1A Micro FilmFeeCop f. Use of Permit r Y `�' t L•'Iw R • -F Parcel No. •` $� Usef- No. Ck. By .✓ - el Boeks Lot Site S - R' Mech. Fee Db! $ PI. Ck. FeeS Conslrutition.,Fee - Dbl $ Lego Descri' ton pnC. f.P.ionhfo. $' - Plon'Checker 'Zone•gest Electrical Fee 'Dbl S fictions, Final Date' ' d L Group Type Inspector Unit SMI, Fee. S' Plumbing, Fee Dbl i Sp. Insp. Fee, $ Demol. Fee $" Const. Leader Branch Suppliniental Permit N, - n Regi%0. Fee $ Mileoge Fee = "Address city Zip - ,,;'Witness Fee . f Reinsp. Fee $ Own Agent Tel Zip Total Fees- Address CIH Zip M.O. N:G. h Gheak %Received'by )11/1 Y I A fiio trot or - Tel. r - Llcense.Y ' Tfees required wcge System Address _ - - - City Zip _ THI9'PERMITt$RALL•BECOME VOID IF�WORK.IS'NOT•COMMENCED WITHIN 1'2D DAYS. CESSATION OF WORK vedfiad 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 IN AC'.CORDANCE'WITH THE LAWS,OF RIVERSIDE COUNTY AND THE'STATE OF CALIFORNIA 40aAe,1/� I Q88r1ffRTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 28e 208 (Rev.B/78ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF'CAUFORNIA,