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391759 (BLCK)BUILDING PERMIT .-i L3 �1759 MIT NO. DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. POR. GAR. CAR P. WALL ` ESTIMATED CONSTRUCTION SQ. FL @ SQ. FT. @ SQ. FT. @ SQ. FT. @ SQ. FT. @ SQ. FT. @ 7� SQ, FT. @ VALUATION `p UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING ` T DRINKING FOUNTAIN URINAL $ ,l 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 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 HIP 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'/4c SEWAGE DISPOSAL SQ FT. GAR @ '/, 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 FEF7 FEE PLUMB. FEE PERMIT NO, /�'`Jry ram,-{ 3 �J d V Job Address f ~ Space J Zip Community - Valuation $ e�.. Date Dist. Off, F-CC MH. Permil Fee $ Micro Film Fee Cop $ Use of Permit - Parcel No. - Case No, dk. By Meth. Fee Dbl 5 Pl. Ck. Fee $ Set Backs Lot Size Construction Fee Dbl :S Legal Description - F S S R Electrical Fee Dbl 'S Zone Restrictions - , Group Type SMI Fee !$ Plumbing Fee Dbl $ Bond Aml. Plan No, $ Plan Checker Final Dale ,}-' v �� v e) Ins ector `z�- i"' 7�1� Unit Sp. Insp. Fee $ Demol. Fee $ Consl Lender Branch Suppllmennial Permil Numbers J4 1 .Fee $ Mileage Fee Mil e a E Address City ZIP ! ••r'' Witness Fee 5 Reinsp. Fee $ Qw �/Agent - - Tel, Zip Total Feas $ - Address City Zip M.O. N-C- El C FCn I,:he•t Received by Contractor Tel, License# Trees required Sewage System Address City Zip T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS- CESSATION OF WORK verified 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 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 f / Farm 281.713H -(R¢v.8r76) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS ANF PROFEooiJNS CODE OF THE STATE OF CALIFORNIA, W ©s fff 1 lld ,/d 3NIl Ala3d0ad iO av3a louli ze aDinJaS IF. sajnlXy OE 6ulpuo9 96L aj!M 6uipunoig V66 6uijiM 6L a7uoJiu3 @D!AJaS 9L (inpuo] LL alod Jarnod 9L S1VAOaddV lVDIM313 - .. aull'l 1!d Juol I i l louli SL N0I1V301 V MS W31SAS 30VM3S NOIIVWBOANI 1VNOI11aaV N ❑ sal so0 pZ a:)inlaS JaloM EL JaualloS JaloM Lb Ja10aH JaloM IL jom,aS OL losodsl(] a6omn cS 61 sluaA yI gwnld 46nod Ll 6uidid JaloM 9[ gwnld punoj0 Sl S1VAOaddV ON18Wf11d louli b I (U, 019) 6ulpoD JLI (sUo9) 6uiliaJ 9Ll (s1109) sIlOM VL anlon All JD!41 NOIlVlflSNI apojo 4siulj El IIOM{.JU VLL 4101 lowawl dI 4lol JoljalX3 I I 0'1 aDoldajlj VOl louli EC -I'd aDoldaai j Ol POOH lopJawwo:) V, IoM anj abojo0 6 aDlnaa uoy39laa ajowS Iy sluan g jadwoa an j oy 6ulwoJj L 9:)uoJ0917 'IddV 6E 'Paa pod 9 jossaidwo' gE -1 s�S7vy� i �� -�� - swoa9 Pu09 S nV uollsngwo' LE ssholg inoj0 q slal4n0 8 slalul 9E IaalS E •lJodwoJ mown j SE apoi0 golS VL slona 8 swnuald hE l �.�ef' %� ^ �V S > . — L swJ j 8 s61j L waists uollollluM EE loo9 laS I SIVAOaddV 1VDINVH33W SIVAOaddV ONimine HO1J3dSNl 31Va N011Vd3dO 'ON 801J3dSNl 31Va N011Vd3dO ON < •'" NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE DISTRICT Permit No 284 199A 9/74 CANARY—FILE, PINK—APPLICANT Owner ontractor__._ —___ Contractor--.- �loC�� `��A,rrchi�te�ct_.___. Addddress --__ —_ Addre —�������]]``__ i "�`- -d- cess-__ Address------ C City�rC""ti"''L- r City-- City_—_— — 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 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 to be occupied until I (we) have complied with all laws of the County of Riverside and the State of California governing said property. 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. I SPACE NO. % 1 USE OF STRUCTURE JOB ADDRESS SINGLE FAMILY DUPLEX t- LE DESCRIPTION OF PROPERTY__ APARTMENTS AGRIC. Z W � n� ,�—� Q COMMERCIAL E] INDUSTRIAL G'^ COMMUNITY . ❑ CALTERATIONS Z NO. OF SUBMITTED PLANS USE OF PERM IT ' -Z2_ jCASE NO. E�S-1 `ti—fit p Z NO. OF PARKING SPACES REQUIRED __ — NO. OF BUILDINGS NOW EXISTING — o ZONE SETBA(fKS: FRONT SIDE REAR J D GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE # OF FEET REQUIRED ON _. STREET DATE-164t'—F_Z SIGNATURE OF LAND USE OFFICIAL,5;C? t DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET -- z CURB AND GUTTER REQUIRED: YES ❑ NO ❑ —STREET 1 IP - of a CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET D C IMPROVEMENT? YES ❑ NO ❑ °C DATE SIGNATURE OF ROAD DEPT. OFFICIAL S SWIMMING POOLS PUBLIC Q W SEWAGE DISPOSAL FOOD ESTABLISHMENT _ WATER POLLUTION REMARKS FLOOD CONTROL F6- AIR POLLUTION W z li-DIV OF HWY c a — YOUR PROPERTY MAY BE SUBJECT TO o. c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199A 9/74 CANARY—FILE, PINK—APPLICANT PERMIT NO. 391759 COUNTY OF RIVERSIDE SAFETY FIELD OFFICE DST i i A CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ $ UNITS Owner G,�fc , 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 F S GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Zone Restrictions 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 Branch SQ. FT. @ c WATER HEATER Registr. Fee S SQ. FT. RESID @1'/.c SEWAGE DISPOSAL Witness Fee $ SQ. FT. GAR @ %c HOUSE SEWER w /Agent �T"" GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FFEEE�ry ELECT. FEE SMI FEE FEE PLUMB. FEE 1PERMIT NO. 391 7 5 9 Job Address ��, �:.� Space Zip 1-4: ;;? Owner G,�fc , ommunddity / r7 i. ( u/ / i ' .EI Valuation $ /� �1f^ 0 'v Dote j� /7 _/I 0 Dist. Off. F.C.C. MH Permit Fee $ Micro Film Fee Cop $ Use of Permit Parcel No. Use/Case No. Ck. By Imo• r Mech. Fee Dbl $ PI. Ck. Fee $ Set Backs Lot Size Construction fee Dbl E Legti Legal Description �' ! F S S R Electrical Fee Dbl $ Zone Restrictions Group Type .SMI Fee $ Plumbing Fee Dbl $ Bond Amt. $ Plan No. Plan Checker ��Finol Date Inspector Unit Sp. Insp. Fee $ Dental. Fee $ Const. Lender — i j Branch Supplimental Permit Numbers Registr. Fee S Mileage Fee S Address Cit Zip Witness Fee $ Reinsp. Fee $ w /Agent �T"" Tel. Zip Total Fees S t I{ddreessss r' "7 �� 4�J 1 ! F /v 7C 1 JF' JC City _ l ry �.'c. ' Zip M.O. N.R.Cash heck Received by Contractor Tel. License# Trees required 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 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. 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: '