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391641 (BLCK)
BUILDING PERMIT — PERMIT NO. DEPARTMENT OF BUILDING & SAFETY DST 39164 1 COUNTY OF RIVERSIDE FIELD CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES Job Address Space UNITS Owner IST FL. SQ. FT. @ Valuation ,C $ ,C,. `� J�'r Date ,iI' •' r'(1J 2ND. FL. SQ. FT. @ a Off. YARD SPKLR SYSTEM MH.Permit Fee $ MOBILEHOME SVC. BAR SINK POR. SQ. FT. @ Use/Case No.� J �/ Ck. By GAR. SQ. FT. @ POWER OUTLET ROOF DRAINS CAR P. SQ, FT. @ '' � DRAINAGE PIPING � ` } DRINKING FOUNTAIN WALL SQ. FT. @ ,.��fi "' Bond Amt. $ PI n N1. r URINAL SQ. FT. @ Unit Sp. Insp. Fee $ ESTIMATED CONSTRUCTION VALUATION Const. Lender Branch 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 City Zip GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED ` Y"ractor�,- ' Ar� !lamp • 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 SQ. FT. RESID @1'/.c SEWAGE DISPOSAL SQ. FT. GAR @ 3/4 < HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES MOB. HM. FEE MICRO FEE MECH.. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 391641 Job Address Space Zip Owner Community s Valuation ,C $ ,C,. `� J�'r Date ,iI' •' r'(1J Distr a Off. F.C.C. MH.Permit Fee $ Micro Film Fee Cop $ Use of Permit 'x L � �.i (f Parcel No. �1 -"'o 7 , Use/Case No.� J �/ Ck. By Mach. Fee Dbl $ PI. Ck. Fee $ Set Backs it / Of Size S S � R ' Construction Fee Dbl $ Legal Qe}cr�o� �1 cc � F ,9r lG "`� `�� 1 C Electrical Fee Dbl $ Zone Restrictions -.J(('''' Group Type SMI Fee $ Plumbing Fee Dbl $ Bond Amt. $ PI n N1. Plan Checker Final Date I I Inspector Unit Sp. Insp. Fee $ i Demol. Fee $ Const. Lender Branch Suppliment�Irrnit Numbers P Registr. Fee $ 1, Mileage Fee $ Address City Zip Witness Fee $ ' Reinsp. Fee $ Owner/Agent Tel. Zip 1 Total Fees $ —1 Address ! / / / / City Zip M.O. N.C. ( Cash Check ' Received by ' ' ' Trees required �.` ` Y"ractor�,- ' Ar� !lamp • Tel. 7F /'� C Licenself ' Sewage System T LL P Address /� }' 7 �1J f 1 Ci ' i �• ry _ c!! S a Z�5- 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 BEIDONE IN ACCORDANCE WITH r THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. 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. , 'Sewer District L�Form!284-208 (Rev.8/78) @s NO: OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs 8 Frms �j '_� l �j` 34 Plenums & Ducts ! 2A Slab Grade 35 Furnace Comport. 3 Steel ,✓� 36 Inlets 8 Outlets 4 Grout Blocks $-06 37 Combustion Air 5 6 Bond Beams Roof Deck ' 38 Compressor 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. 43 Final 10A Fireplace T.O. ❑ 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 PSL P/ ELECTRICAL APPROVALS 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 DISTRICT +� APPLICATION TO CONSTRUCT Permit No DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE 284 199A 9/74 CANARY—FILE, PINK—APPLICANT Owner r� N� U Architect 06 Contractor-- — Address Address Address—.----- 0-11.4 C4 IEI� • City--- City City — PhonesaL. " e 77b a l ` Phone— Phone _ --_— _ WI (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 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 that no work is to be do 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 prope to b occupie until I (we) have complied with all laws of the County of Riverside and the State of California governing said property. �o_._—� DATE :'31/b SIGNATURE OF OWNER AND/OR AGENT Approval by Signature from the Following De elow Must Be Obtained Prior to the Issuing of a Construction Permit. I SPACE NO. J I USE OF STRUCTURE -�// JOB ADDRESS �0_" GL FAMILY DUPLEX Iit H 7E LE L ESCRIPTION OF PROPERTY pARTMENTS AGRIC. Z O v. �`- j –f C61 AERCIAL ❑ INDUSTRIAL N N ElCOMMUNITY. u M Q ALTERATIONS n Z NO. OF SUB IT ED PLANS --- USE OF PERMIT _ mi a W " CASE 140 p Z Q NO. OF ARKING SP E/� EQ IRED _ NO. OF BUILDINGS EXISTING ZONE"SETBACfkt: FRONT SIDE REAR J Co GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE N OF FEET REQUIRED ON — STREET DATE_ SIGNATURE OF LAND USE OFFICI _ _ DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET—_ W CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET H a CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET O IMPROVEMENT? YES ❑ NO ❑ °C DATE SIGNATURE OF ROAD DEPT. OFFICIAI S SWIMMING POOLS PUBLIC Q W SEWAGE DISPOSAL _ FOOD ESTABLISHMENT _ WATER POLLUTION REMARKS FLOOD CONTROL— Fes- z AIR POLLUTION ma I WDIV OF HWY c a - YOUR PROPERTY MAY BE SUBJECT TO c FLOOD. RIVERSIDE COUNTY ASSUMES t NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199A 9/74 CANARY—FILE, PINK—APPLICANT BUILDING PERMIT PERMIT NO. 391641 DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES $ UNITS Space I; IST FL. SQ. FT. @ n, Community 2ND. FL. SQ. FT. @ YARD SPKLR SYSTEM POR. SQ FT. @ MOBILEHOME SVC. BAR SINK I F.C.C. POWER OUTLET ROOF DRAINS GAR. SQ. FT. @ Use of Permit W L, Q t� 6) " CAR P. SQ. FT • @ ParcelNo. �j �} Use/Case No. r� / / --0 /a - V �' 3 (� DRAINAGE PIPING Mech. Fee Dbl $ F1fury PI. Ck. Fee $ DRINKING FOUNTAIN WALL SQ. FT. @ Construction Fee Electrical Fee Dbl $ Dbl $t1 SQ. FT. @ URINAL ESTIMATED CONSTRUCTION VALUATION $ Zia 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 Inspector GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Dental. 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 SQ. FT. RESID @1'/.c SEWAGE DISPOSAL Address / � j /- ,,� %J// ,✓ S0. FT. GAR @ 3/. c HOUSE SEWER City Zip M.O. N.C. Cash Check GAS PIPING PERMIT FEE •r roctor � -NA PERMIT FEE PERMIT FEE DBL. TOTAL FEES MOB. HM.FEE MICRO FEE MECH. FEE PL. CK. FEE CO//N��ST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE ✓ r 'r/ PERMIT NO, 3 916 41. Job Address � f f Space I; Zip Owner � n, Community Valuation raj is Date / Dist Off. I F.C.C. MH Permit Fee $ Micro Film Fee Cop $ Use of Permit W L, Q t� 6) " 11 ParcelNo. �j �} Use/Case No. r� / / --0 /a - V �' 3 (� Ck. By f IS Mech. Fee Dbl $ F1fury PI. Ck. Fee $ Set Bocks Lot Size F S S R Construction Fee Electrical Fee Dbl $ Dbl $t1 Legal p�cripppyyyaaan _j v Oil, ""� J Zone Restrictions Group Type SMI Fee $ Plumbing Fee Dial $ Bond Amt. I E Plan N Plan Checker Final Date 6 Inspector Unit Sp. Insp. Fee $ Dental. Fee $ Const. lender Branch Supplimental Permit Numbers Regisir. Fee $ Mileage Fee $ Address City Zip Witness Fee $ Reinsp. Fee E Owner/Agent Tel. Zip Total Fees S Address / � j /- ,,� %J// ,✓ ` City Zip M.O. N.C. Cash Check Received by •r roctor � -NA L10 Tel. .✓/� F '� U License# Trees required Sewage System AddressCity Zi T U. 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. 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 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284-208 (Rev.8/78) ©s ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. verified by: