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404057, 413893 (SFD)PERMIT NO. 04057 DEPARTME ca PERMIT NO. CONSTRUCTION/ ESTIMATE 1 ST FL. 2ND. FL. FOR. GAR. -- - CAR P. WALL ESTIMATED CONSTRUCTION SO. FT. @ / J $ SO. FT. @ SO. FT. @ t s SO. FT. @ - SO. FT. @ SO. FT. @ SO. FT. @ VALUATION $ NOTE: Not to be used as property tax voluotion Ow4040 ner Commun/itjy /,/ y f_ J� ( %�/ /� MECHANICAL FEES Dote VENT SYSTEM FAN EVAP. COOL HOOD F.C.C. APPLIANCE DRYER FURNACE UNIT WALL FLOOR SUSPENDED _ Use/Cote No. Ck, By O / Set Backs lot Sire S 5— R � / GroovFt � Typ AIR HANDLING UNIT CFM Pl. Ck. feeS r�, ! C ABSORPTION SYSTEM B.T.U. Electricol'Fee Dbl S,y. COMPRESSOR HP Plumbing Fee Dbl $ HEATING SYSTEM FORCED GRAVITY Bond Amt.Plan $ BOILER B.T.U. Final Dote 2 . L Ll .,?0 Inspector Unit Sp. Insp. Fee S Demol. Fee S Const. Lender Branch Supplimentol Permit Numbers 1 Regist, Fee S Mileage Fee $ PERMIT FEE _ Witness Fee y Reinsp. Fee $ DBL. TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE PERMIT NO. Job Address r_ r Space Zip Ow4040 ner Commun/itjy /,/ y f_ J� ( %�/ /� Valuation S Dote Dist. Olf. F.C.C. MH Permit Fee 5 Micro Film Fee Cap S Use of Permit ",. / `��J �. '. ✓J / .` / ! •/�/� /�. j��? �F f / Legal Description / L / `�•.•• A, / �/ 131, Parcel No.,. %� / F i S �� Zone Restrictions _ Use/Cote No. Ck, By O / Set Backs lot Sire S 5— R � / GroovFt � Typ Mech. Fee Dbl S �j Pl. Ck. feeS r�, ! C Construction Fee Dbl $ ' Electricol'Fee Dbl S,y. SMI Fee S Plumbing Fee Dbl $ Bond Amt.Plan $ No. 5 9 Plan ecker Final Dote 2 . L Ll .,?0 Inspector Unit Sp. Insp. Fee S Demol. Fee S Const. Lender Branch Supplimentol Permit Numbers 1 Regist, Fee S Mileage Fee $ Address City Zip _ Witness Fee y Reinsp. Fee $ Owner/Agent Tel. Zip Total Fees $ —+ Acid i L� l! ! ! City Zip M.O. ❑ N.C. Cash ❑ Check Received by y_ i ., Contractor r Tel. licensgp / l Trees required Sewage System Address /61 City Zip T LL P Sewer District Form 284208 (Rev. 1/80) 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. NO. 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 3 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. °o 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 ELECTRICAL APPROVALS PSL P/ 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME BUILDING PERMIT I PERMIT NO. DEPARTMENT OF BUILDING & SAFETY i 4 0 4 0 5 7 aI COUNTY OF RIVERSIDE FIELD OFFICE V/ CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. 19 2ND. FL. POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SO. FT. @ le, $ 2 G 7, Z51 UNITS Valuation S SO. FT. @ YARD SPKLR SYSTEM ggr SO. FT. @ i MOBILEHOME SVC. BAR SINK SQ. FT. @ -S O �d POWER OUTLET ROOF'DRAINS 50. FT. @ DRAINAGE PIPING SO. FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL VALUATION $�'D WATER PIPING NOTE: Not to be used as property tax valuation Dbl S SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES Inspector SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD S SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER Mileage Fee S Address City A Zip GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED $ Owner/Agent t LAUNDRY TRAY AIR HANDLING UNIT CFM Tocol Fees IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. M.O. ❑ N.C. ❑ Cash Q Check TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP Tel. - 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 S0. FT. RESID @11/,c SEWAGE DISPOSAL SO. FT. GAR @ t/<C 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, 4040 5 7 Job Address � S El . ,e i o w ea Space Zip 1 53 Owner Gvi.� � e Community �/1;�!� Valuation S Dote)^� Dist. I. F.C.C. MH Permit Fee S(,�( Micro Film Fee Cop S Use of Permit / Parcel No. 1 Use/Case No. Ck. By 7 /i1 ' `/� C"• f'/ �j �/ �-y �,% ,[% G s� ^ Set Backs Lot Size legal Description ,7 " F 5 S R/6 ' Zone /Restrictions Group `'��� Type /�; / /lit /S 7, V '•"� IJV f�C, !. Y �.. — / AVE!r-/ I TV Mech. Fee bbI S PI. Ck. Fee S r Construction Fee Dbl S Electrical Fee Dbl S SMI Fee S Plumbing Fee Dbl S Bond Amt. S Plan No. Li Plan Check Final Date /j2 — ;z C` Inspector Unit Sp. Insp. Fee S Demol. Fee S Const. Lender Branch Supplimeotol Permit Numbers Registr. Fee S Mileage Fee S Address City A Zip Witness Fee S Reinsp. Fee $ Owner/Agent t Tel. Zip Tocol Fees SH Addr '� _ �✓" � r f ' It City Zip M.O. ❑ N.C. ❑ Cash Q Check Received by ' Contractor Y / Tel. - LicenseP or Trees required Sewage System Address '� J} City Zip J� T u P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 1201 DAYS. CESSATION OF WORK 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 �'HE LAWS O A2IVER$IDE COUNTY AND THE STATE OF CALIFORNIA. G I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284.208 (Rev. 1/80) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. vernhed by: PERMIT NO. 13893 DEPARTMENT OF BUILDING & SAFETY COUNTY OF. RIVERSIDE RR 0413993 93 FIELD DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES space NO. PLUMBING 'r` Owner " A 1ST FL. 121 2ND. FL. POR. 15 GAR. G7 CAR P. WALL ESTIMATED CONSTRUCTION SO. FT. @16-4: $ 2319,20 UNITS Dote ... n71, nt. Off. YARD SPKLR SYSTEM SO. FT. @ MH Permit Fee S SO. FT. @'4 . 001 628.0 MOBILEHOME SVC. BAR SINK }� SO. FT. @• 52 7 f r POWER OUTLET ROOF DRAINS LI & &Ti skas.1> {s GE DRAINAGE PIPING SO. FT. @ - Use/Casa No. SQ. FT. @ DRINKING FOUNTAIN Mech. Fee Dbl S 0 SO. FT. @ URINAL Set Backs VALUATION $24-721,..70 WATER PIPING Construction Fee Dbl $ 4M7Q! s2 NOTE: Not to be used as property tax valuation 246 SCVLQ 423 SWIM POOL, PVT R FLOOR DRAIN a MECHANICAL FEES Type SWIM POOL, COMM Plumbing Fee Dbl § WATER SOFTENER s VENT SYSTEM FAN EVAP. COOL IHOOD Pionl Checker l..li L G� Ns SIGN Unit WASHER (AUTO)(DISH) ' APPLIANCE DRYER Const. Lender Branch Supp mentalermit Number'R1041.138934. BB13893 / �� GARBAGE DISPOSAL C FURNACE UNIT WALL FLOOR SUSPENDED Witness Fee § Reinsp. Fee S LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER 20 0I KITCHEN SINK 12 ABSORPTION SYSTEM B.T.U. M.O. N.C.0 Cash O Check E5' E]» TEMP USE PERMIT SVC WATER CLOSET jr � COMPRESSOR 300 HP License# , POLE, TEMP/PERM Sewage Syy,tt'e/m. LAVATORY Address HEATING SYSTEM 1 FORCED ` GRAVITY 400 12 AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. @ a BATH TUB SO. FT. @ a WATER HEATER S0. FT. RESID @ 1 /4aF. SEWAGE DISPOSAL ^7, 50. FT. GAR @ s/4a 20 5 HOUSE SEWER GAS PIPING e PERMIT FEE I) PERMIT FEE 30P) . PERMIT FEE 4 DBL. TOTAL FEES 57 20 MOB. HM. FEE t 1 MICRO FEE MECH. FEE 9. PL. CK. FEE [---E0-NST., FEE ELECT. FEE 2. 7.2 SMI FEE 6P�-@� FEE PLUMB. FEE 47, PERMIT NO. 413893 8 st 5 Job Address 53845 6JCSJ HOW space Zip 3 Owner " A Community I Valuation S ? Dote ... n71, nt. Off. F.C.C. MH Permit Fee S Micro Film Fee Cop $ Use of Permit DWELLING LI & &Ti skas.1> {s GE Parcel No. Use/Casa No. Ck. By (�+ Mech. Fee Dbl S 0 PI. Ck. Fee S Set Backs Lot Size ' Construction Fee Dbl $ 4M7Q! s2 Legal Description LOT 7 BL 246 SCVLQ 423 F S S R Electrical Fee Dbl § 2 Zone Restrictions Group Type SMI Fee S Plumbing Fee Dbl § I] Y Bond Amt. § Pion No. NNo. ✓ r v Pionl Checker l..li L G� Ns ikt Dat c o '• Unit Sp. Insp. Fee E Demol. Fee § Const. Lender Branch Supp mentalermit Number'R1041.138934. BB13893 / �� Regior. Fee § Mileage Fee § Address City Zip Witness Fee § Reinsp. Fee S Owner/Agent CONKIN Tel Zip 4 Total Fees S 20 0I Address { OBO 12 City Zip .LA Qtr I NT ' M.O. N.C.0 Cash O Check E5' E]» Received by Controc / f) / _". jr � Tel. License# , Trees requir C/f Sewage Syy,tt'e/m. Address '" ""� City Zip T LL P THIS PERMIT SHALL BECOME VOID IF.. WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK Sewer DiLtrict 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 (7 3 HE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. 5;oe RF Y CEBJIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO INS- yiS --:r WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. Form 284208 (Rev. 1/BOQ, sp�; %+ t Yl{ 7' 9 tir7: elf :' verified by: NO. I OPERATION 'DATE INSPECTOR NO. OPERATION DATE i INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1• Set Back l�� Tp( 33 Ventilation System 2 Ftgs 8 Frms % •� 34 Plenums 8 Ducts 2A 3 Slab Grade Steel 35 Furnace Comport. 36 Inlets 8 Outlets 4 Grout Blocks 37 Combustion Air 5 Bond Beams 38 Compressor 6 7 Roof Deck Framing 9 I - 1 ( /,., 39 40 Appl. Clearance Fire Damper 8 `lents - Z , 41 Smoke Detection Deice 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P. L. 43 Final IDA Fireplace T. 0. Ej °o ADDITIONAL INFORMATI 0 . -��-..�-..-----------------`-----_-•- SEWAGE SYSTEM SIZE & LOCATION . 11 Exterior Lath 12 Internal lath 12A Aywall2-%� 13 Finish Grade INSULATION Thick RSI Value - 7A Walls (Bans) I- A - 11-4- -- - 12B Ceiling (Batts) 12C Ceiling (Blown) 14 Final PLUMBING. APPRJOVVALLSS// 15 Ground Plumb --- --- 16 Water Piping 17 Rough Plumb 18 Verts 19 Sewage Disposal �" •� %_ x 20 Sewer 21 Wa'er Heater•/flJ / 22 Water Softener 7 C 23 Water Service 24 Gas Test 25 • Final /� Tank D Pit y /\ � � L. Line t .r REAR OF PROPERTY LINE S ELECTRICAL APPROVALS P/L • ' ~ P/ �� �• 26 Power Pole 't 27 Conduit 28 Service Entrance _ 97 29 Wiring -1 29A Grourding Wire L�''l 29B Bonding ��� 30 Fixtures /�� ��� ��A� 31 Service 32 Final STREET NAME Er I S � ^ 1N k1 QVV�F, of W Z O I I7 APPLICATION FOR TREE PLANTING I (we), the undersigned, hereby certify and acknowledge that I (we) have read the..oppl i cation and agree that if trees are required under River- side County Ordinance No. 457, the applicant agrees to install said trees prior to final inspection. It is understood that no final inspection will be given until said requirements have been met or exception has. been granted by the County. Now, therefore, it is agreed that the prop- erty owner shall cause the property lines to be surveyed in the event no survey stakes can be found. Further, it is agreed that the County of Riverside shall assume no responsibility should trees have to be removed due to lot line errors. Owner's Name ` c Building Permit No. 4- 138`73 Mailing Address _d City d �iiState/64� Zip Za5a Job Address �`S ��H�c✓ omrtyynity �1! I?U/ /✓T�/ Legal Description Assessor's Map, Book & Page /� l Type of Soil j Is water available Road Dept. Plot Plan No. Type of existing trees in road right-of-way /i�B /✓ Trees preferred by applicant (1) ©xtJP (2) Date _/ d — 3 d — F--0 Owner's Signature Type Structure S•� PI—i.. C.....i—i— Cas. Nn_ ROAD DEPARTMENT APPROVAL Approved species(%0 • - �S /QNumber of trees cW Spacing of trees -- Dis ance from lot lines: F nt ide— CCo Additional requirements �/Q-Aelya,�Y01 _� 0 >- Z �- LLJLL J � N m otf � F IL _z W O Z Z p J O IL 0: 0 Z z �- Za Q W J � IL r Date Building and Safety notified Signaeuee ,O-�'l'J . REQUEST FOR EXCEPTION Reason Request for hearing: YES ❑ Owner's Signature (attach additiondl page if necessary) (Forward application to Planning Dept. if exception requested) NO REQUEST FOR HEARING Planning Dept. Concur p Date Non -concur F-1 Explanation Signature Road Dept. Concur ❑ Non -Concur ❑ Date Signature REQUEST FOR HEARING AND COMMITTEE DECISION Date hearing established Approved F-1 Disapproved ❑ Date Building & Safety notified _ Date hearing notice mailed to owner Date Owner notified of decision Signature I j 1. ^` �' .` 7 � i;V DEPARTMENT OF BUILDING AND SAFETY APPLICATION CERTIFICATE COUNTY OF RIVERSIDE PERMIT M Effective July 1, 1980, Chapter 1301 Section 19825 of the Health and Safety Code requires the execu- tion of the following applicable'deciarations prior to the issuance of a building permit. Please print or type .and sign below.' LICENSED CONTRACTORS DECLARATION 1 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. LicenseJgJAPV License No. Date f/J�fg� Contractor w ' 0 -t` t OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reasons: Q 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. 1044, B.&P.C.). [� I am exempt under Section` _ _ B.&P.C. for this reason: Date Owner M WORKERS' COMPENSAG-ON DECLARATION 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'(Sec. 3800,ab. Code). Policy No. �? Insurance _trr4 et 0 Q Certified copy is hereby furnished. �J Certifie c v is filed with t: -'� iveg5i et t of Buildinq and Safety. . Date_ 2/ 8� Applicant_ I , Q ERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSNSURAn,, (This section need not be completed if,permit valuation is for $100.00 or less.) 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 or this•permit shall be deemed revoked. Date Applicant 0 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which.this permit is issued (Sec. 3097', Civ."Code). Lender's Name 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 in 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.) 0 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 Applicant CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY I certify I have read this application and state that the information given is correct. I agree to comply with all state laws and county ordinances relating to building construction, and authorize a resentative of the Count of Riverside, Department of Building and Safety to enter upon the pro- er for which/A have applfed for this permit for th pu pose of making inspections. TE9 n—aU4r vT%„ppITcaniii.drnt ( _ ate nt o;Vv. icantiname -2000 7/80 • NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT _ APPLICATION TO CONSTRUCT Permit No DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE Owner Address City Phone_[ " A Contractor Address Address!_ "- flax I City City__iA - $R I 40A -� Phone Phone 5-641- /1/0/ 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 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 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 a cupi un ' vc complied with alVlawsf the County of Riverside and the State of California governing said property.DATE I 0 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. 3 i SPACE NPr? O. USE OF STRUCTURE JOB DDRE ✓ r`% r`tI/f/- ' It Z at W W O Q to c 9/74 LEGAL D.UCRIPTION OF PROPERTY SINGLE FAMILY DUPLEX APARTMENTS ❑ AGRIC. -2GAMMERCIAL ❑ INDUSTRIAL COMMUNITY t;^1 ALTERATIONS NO. OF SUBMITTED PLANS ,--_ USE OF PERMIT c r elf - CASE N0. � � NO. OF P RKING SPACES REQUIRED N0. OF 96LDINGS ZONE_ SETBACKS: FRONT �. SIDE GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZ SETBACK ORDINANCE # _ OF FEET R UIRED ON _ DATE/ � SIGNATURE OF LAND USE OFFICIA i ISTING / REAR �` STREET ❑ DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET___. CURB AND GUTTER REQUIRED: YES ❑ NO ❑` 'I 1cl�STREET D- O/0 -- #7- / 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 ❑ I DATE __ -�� SIGNATURE OF ROAD DEPT. OFFICIA SEWAGE DISPOSAL WATERrPOLLUTION FLOOD CONTROL— AIR ONTROL_AIR POLLUTION _ DIV OF MWY /to REMARKS YOUR PROPERTY MAY BE SUBJECT TO _ FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. CANARY—FILE, PINK—APPLI BUILDING PERMIT 1PERMIT NO. 413893 DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE RR 041:3ROA FIELD OFFICE DST M11 ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES .LCONSTRUCTION 15T FL. 121 2ND. FL. .l FOR. 1 5 GAR. 27 CAR P. WALL 4 ESTIMATED CONSTRUCTION SQ. FT. @ .'i $ r� 23 . 0 UNITS Community LA QUINTA SQ. FT. @ YARD SPKLR SYSTEM SO. FT. @ 4.0 2 MOBILEHOME SVC. BAR SINK SQ. FT. @ 6. 51774. 50 POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SO. FT. @ DRINKING FOUNTAIN SO. FT. @ URINAL VALUATION $ 24721.70 WATER PIPING NOTE: Not to be used as property tax valuation Use/Cosa No. SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES Set Backs SWIM POOL, COMM WATER SOFTENER VENT SYSTEM 1 FAN EVAP. COOL 1HOOD szoo SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER 1 300 Group GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Plumbin Fee Dbl 5 - LAUNDRY TRAY AIR HANDLING UNIT CFM Plan No. y/ v / IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. Inspector TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR 300 HP0 POLE, TEMP/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY �� AMPERES SERV ENT SHOWER L152— BOILER B.T.U. Address City Zip SQ. FT. @ a BATH TUB Reinsp. Fee S SO. FT. @ a WATER HEATER S0. FT. RESID @ 1 Y4¢ SEWAGE DISPOSAL Total Fees $ 2Oj 27 50. FT. 00 @ s/4a205 HOUSE SEWER 12 City Zip LA QUINTA GAS PIPING PERMIT FEE �0 PERMIT FEE 300 PERMIT FEE 4 vio DBL. LTOTAL FEES 207, i� d MOB. HM. FEE MICRO FEE MECH. FEE 9.00 PL. CK. FEE CONST. FEE ELECT. FEE 2 V 27 ,21, SMI FEE FEE PLs1MB. FEE PERMIT NO, 413893 ' J�Y QA G Job Address 53845 tJ c.sRJ I HOW Space Zip e Owner Community LA QUINTA Valuation $ Dateist. „r, Off. F.C.C. MH Permit Fee S Micro Film Fee Cop S Use of Permit '�"ELLING & ATT GARAGE Parcel No. R --.IBS Use/Cosa No. Ck, By Mech. Fee Dbl S 1900 PI. Ck. Fee S Set Backs Lot Size 1 000 009) q �yry Construction Fee Dbl S 1 00 Legal Description LO T 7 BL �j �I �j02 245 S C 1p/ L Q, # 23 v F S S R 005 100, Electrical Fee Dbl $ 27 21 Zone Restrictions Group Type ' luSMI Fee Sr•� Plumbin Fee Dbl 5 Bond Amt. S Plan No. y/ v / Plan Checker ,.�fin6l,Dt. caz L/ 'VS Inspector Unit Sp. Imp. Fee S Demot. Fee 5 Const. Lender Branch Supplimentol Permit Numbers as iiJJy/1 iJ/sir/L�1 V RB n141-389 J / v Registr. Fee S Mileage Fee S Address City Zip Witness Fee S Reinsp. Fee S Owner/Agent CONKIN Tel. Zip Total Fees $ 2Oj O1 Address F O BO 12 City Zip LA QUINTA M.O. C N.C. Q Cash O Check 5 Received by 4 Contra r / / �- Tal. Licansall Trees requi 7 Sewage System Address City Zip 'T v ~ 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 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. ER Y CERUFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284208 (Rev. 1/80) WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. verified by: