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374953 (BLCK)PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD DST 374953 COUNTY OF RIVERSIDE I /! I CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. POR. GAR. CAR P. WALL / ESTIMATED CONSTRUCTION SQ. FT. @ $ UNITS MH.Permit Fee E SQ. FT. @ YARD SPKLR SYSTEM SQ. FT. @ MOBILEHOME SVC. BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ 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 VENT SYSTEM FAN EVAP. COOL HOOD SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER Bond Amt. E GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Plan Checker 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 E SQ. FT. @ c WATER HEATER Tel. SQ. FT. RESID @VAc SEWAGE DISPOSAL Total Fees SQ. FT. GAR @ %c HOUSE SEWER City r GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES 1000 1 �p0 MOB. HM. FEE MICRO FEE MECH. FEE PL, CK. FEE I CONST. FEE ELECT. FEE Ga SMI FEE FEE PLUMB. FEE PERMIT NO. 374953 Job Address - Community nV )14 I. ��' Valuation Space Zip Own Q —Di,,. Offs � F.C.C. MH.Permit Fee E Micro Film Fee Cop E se o er it (///�^j W 0Q (f + e C "e, orcel No. — Ise Case No. Ck. By Mech. Fee Dbl E Pl. Ck. Fee E Set Backs Lot Size Construction Fee Dbl E legal Description /O/� [/ 4 C. �" F �" 13^ / 5 S R Electrical Fee Dbl E� Zone Restrictions Group Type SMI Fee E Plumbing Fee Dbl E Bond Amt. E Plan No. Plan Checker Final Date (� -Zq` Inspect r Unit Sp. Insp. Fee E Demo). Fee b Const. Lender Branch Supplim nt Permit Numbers i Regisir. Fee E Mileage Fee E Address City Zip Witness Fee E Reinsp. Fee E Owner/Agent L Tel. Zip Total Fees E A res. �/ A City r Zip M.O. N.C. Cosh Chec Received by Trees requ r Contractor Tel. License# Sewage System Address City Zip T LL Sewer District 1, -,Form 284-208 (Rev.8/78) 3 P 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. 1 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 INSPf4TOR t BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Figs 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. E:] No _ __ ADDITIONAL INFORMATION _ _ ____ ___ __ SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Loth 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 PSL REAR OF PROPERTY LINE ELECTRICAL APPROVALS P/ 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 298 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 6 e DISTRICT / Permit No 284 199A 9/74 CANARY—FILE, PINK—APPLICANT G S e—c-> Architect �__ _ Contractor Owner � � p� ©+8 LC 4 A Address—LZ_�___ AddressAddress-_lid City 0 ta---- City-- City— c3._`P f - Phone C5 '- L3o� Phone W I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if c=urb and Gutter, and Z Paving, and/or Dedication of right of way is required by the County of Riverside, the Riverside County Department o' 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.. fes% a' DATE_` .! 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. ISPACE N0. USE OF STRUCTURE H JOB ADDRESS SINGLE ���?e�`_ �`�}-- SINGLE FAMILY � DUPLEX LEGAL D RIP ONO PROPERTY..�_5�_� Z APARTMENTS AGRIC. �� C.�y� COMMERCIAL INDUSTRIAL n Z COMMUNITY ALTERATIONS n PERMIT `_—_�.� ir4 Lu a NO. OF SUDMITTED PLAN: USE OF Q r^ CASE NO— NO. OF RKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING p Z Q ZONE 'ETBA(fKS: FRONT SIDE REAR J m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE N OF FEET REQUIRED ON STREET _ t DATE _7= —� SIGNATURE OF LAND USE OFFICI� _ F DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET— z CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET t - a a CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ w HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET Q IMPROVEMENT? YES ❑ NO ❑ C DATE SIGNATURE OF ROAD DEPT. OFFICIAI 2 SWIMMING POOLS PUBLIC H Q W SEWAGE DISPOSAL FOOD ESTABLISHMENT - _ WATER POLLUTION REMARKS to FLOOD CONTROL >e H 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 BUILDING PERMIT PERMIT NO. 374953 DEPARTMENT OF BUILDING t& SAFETY FIELD OFFICE �� COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. POR. GAR. CAR P. WALLSQ. Q ESTIMATED CONSTRUCTION SQ. FT. @ `p UNITS Own SQ. FT. @ YARD SPKLR SYSTEM MOBILEHOME SVC. SQ. FT. @ BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING FT. @ DRINKING FOUNTAIN SQ. 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 VENT SYSTEM FAN EVAP. COOL HOOD SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER O GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED / 39 / 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 Final Date / �/J1 ( Lq-- SQ. FT. @ c WATER HEATER , Unit SQ. FT. RESID @1'/.c SEWAGE DISPOSAL Demol. Fee SQ. FT. GAR @ 3/ c HOUSE SEWER Branch Supplimentol Permit Numbers GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE I CONST. FEE ELECT. FEE i SMI FEE FEE PLUMB. FEE PERMIT NO. 374953 Job Address i �' Space Zip Own C0/J Community `�� Valuation $ V� Dote �� Dist. /+j Off. F.C.C. MH. Permit Fee $ Micro Film Fee Cop ; se of Permit �45019)00 �j to c _e_ Parcel No. 11 /-0 /71 Use/Case No. Ck. By Mech. Fee Dbl $ Pl. Ck. Fee $ Set Backs Lot Size O Construction Fee Dbl S Legal Description�O� 0 � / I/ �+ I ^ / 39 / F S S R Electrical Fee Dbl E Zone Rest 'coons Group Type SMI Fee $ Plumbing Fee Dbl $ Bond Amt. E Plan No. Plan Checker Final Date / �/J1 ( Lq-- Inspector Unit Sp. Insp. Fee $ Demol. Fee $ Const. Lender Branch Supplimentol Permit Numbers ' Registr. Fee $ Mileage Fee $ Address City Zip Witness Fee E Reinsp. Fee $ Owne'/Agens� �/ Tel. © Zip Total Fees $V25 Ad re y Q F1 City t f I►V`F1i•– Zip M. 0. N.C. Cash Check Received by frees require Contractor Tel. License# 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. i 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 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.8/78) s verified by: