3880889 (BLCK)Yv PERMIT NO.
DEPARTMENT OF BUILDINC,� 8a SAFETY
,3,8 8, p COUNTY OF iVERSIDE FIELD F7. O00 O
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
GAR.
SQ. FT. @ $
UNITS
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
CAR P.
SQ. FT. @
Micro Film Fee
DRAINAGE PIPING
WALL
ISO.
SQ. FT. @
�~
DRINKING FOUNTAIN
FT. @
URINAL
ESTIMATED CONSTRUCTION VALUATION $
we' s
WATER PIPING
NOTE: Not to be used as pro erty 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
Group
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
SMI Fee $T
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
Mileage Fee $
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
Reinsp. Fee
SQ. FT. GAR @ s/. c
HOUSE SEWER
�
Tel.
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO F—EE-7
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE --T—FEE
PLUMB, FEE
PERMIT NO. '
388®89
Job Address
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SpaceZip
Owner
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Community /�f
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Val uoti/on
Date
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Dist.
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F.C.C.
MH.Permit Fee Is
Micro Film Fee
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Use of Permit
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Parcel No. -
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Use/Case o.
Ck. By
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Mech. Fee Dbl EG
PI. Ck. Fee $
Set Backs
Lot Size
Construction Fee Dbl $ {., -legal
Description / {J''
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fr� r
•Plan
F S
S
R
Electrical Fee Dbl $
Zone Restrictions
Group
Type
SMI Fee $T
Plumbing Fee
Dbl $
Bond Amt.
E
Plan No.
Checker
Final Datj�-7ypi . or
4-16 //"—
Unit
-
Sp. Insp. Fee $
Demon. Fee
$
Const. Lender
Branch
Supplimentol Permit Numbers
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
§Oz")ent
�
Tel.
Zip
Total Fees
$
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Address
P
City
�se
Zip
M.O. N.C. Cosh Check
Received by
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Contractor
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Tel.-
Licenseq
Trees require /'�
iewage System
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Address
City Zip
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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.
r CLQ . j a$ 8d (6 �" I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
(Form 284-208 (Rev.B/78 . CCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
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a
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33 Ventilation System
2
Ftgs & Frms
34 Plenums & Ducts �•
2A
Slab Grade
35 Furnace Comport.
3
Steel
36 Inlets & 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. ❑
43 Final
10A
Fireplace T.O.
P'N
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
IB 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
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
NOTICE: THIS IS NOT A BUILDING PERMIT
r APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
�. AI I
DISTRICT
Permit No
284 199 9/74
CANARY—FILE, PINK—APPLICANT
OwnerW I I I I il r Lox,,-Alp,r hi Contractor
Addres d5,e__ Address—
City V /i� City_
1 City_
Phone — Q Phone Phone
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I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and
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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. - 1
.
NOW, therefore, it is agreed that 1 (we) will not occupy said property and will not cause said property to be occupied until 1 (we) have
complied with all laws of the .County of Riverside and the State of California governing said property.
FQ
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.
SPACE NO.
/ %f/ I USE OF STRUCTURE
JOB ADDRESS 3'_ '41f /CY�!/{ _ SINGLE FAMILY �: DUPLEX
f
5
71/ " r7s
LEGAL DESCRIPTION OF PROPERTY J— ��"()
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` S' /, >/ APARTMENTS AGRIC. El
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COMMERCIAL INDUSTRIAL
COMMUNITY 19
G,G
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I - ALTERATIONS n
NO. OF SUBMITTED'PLANS — USE OF PERMIT % % 7_711 _
CASE NO.
O l7
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NO. OF PA. KING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING
Q
ZONE SETBACKS: FRONT SIDE �r REAR / 0
J
m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE __ .OF FEET REQUIRED ON STREET
e F�
DATE__ �� SIGNATURE OF LAND USE OFFICIALl ` I a- l• - ___
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET—
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
H °
oc
i
CAN CURB AND ,GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
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HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
O
IMPROVEMENT? YES ❑ NO ❑
°C
DATE __ SIGNATURE OF ROAD DEPT. OFFICIAL
SWIMMING POOLS PUBLIC
F
WSEWAGE
DISPOSAL
FOOD ESTABLISHMENT '
_
WATER POLLUTION REMARKS
�n FLOOD CONTROL
z AIR'POLLUTION
W 17 T
_ DIV OF HWY
a YOUR PROPERTY MAY BE SUBJECT TO
—
FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199 9/74
CANARY—FILE, PINK—APPLICANT
PERMIT NO.
3 S S O Q n COUNTY OF RIVERSIDE 111
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
SQ. FT. @ $
UNITS
Com/munity
I",
SQ. FT. @
YARD SPKLR SYSTEM
POR.
SQ. FT. @
MOBILEHOME SVC.
BAR SINK
GAR.
SQ. FT. @
POWER OUTLET
ROOF DRAINS
CAR P.
SQ. FT. @
Use/Case
DRAINAGE PIPING
WALL SQ. FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION
Mach, Fee Dbl E
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
w SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Group
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
SMI Fee E
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
Regist, Fee E
SQ:. FT. @ c
WATER HEATER
Witness Fee E
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
Ow Er/A ent
S0. FT. GAR @ 3/4 c
HOUSE SEWER
Zip
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES,
/zo�
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
X88089
Job Address
` -
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Space Zip Owner
1. -
w -ie
-
Com/munity
I",
/ r
Valu tion
E Vol
�+^ �-
Date
'--,�j'�
Dist.
Off.
F.C.C.
MH.Permit Fee E
Micro Film Fee
Cop E
Use of Permit
�,.�%~�
/ �y' //�� / / ) ,
= 7./"..6 G.) (�° �^"
v�,,,,
Parcel No.
''!� �I� ^
Use/Case
No.
Ck. By
Mach, Fee Dbl E
PI. Ck. Fee E
Set Backs
lot Size
'Legal
Construction Fee Dbl E
Description -
�`
` {"
r
F S S R
Electrical Fee Dbl E
Zone Restrictions
.1 1Plumbing
Group
Type
SMI Fee E
Fee
Dbl E
Bond Amt.
E
Plan No.
Plan Checker
Final Dote �XI r
Inspector
Unit
Sp. Insp. Fee E
Demol. Fee
E
Const. Lender
Branch
Supplimental Permit Numbers
Regist, Fee E
Mileage Fee E
Address City Zip
Witness Fee E
Reinsp. Fee
E
Ow Er/A ent
Tel.
Zip
Total Fees
E
Address
.+• ►
,[
/J' �"r `'
City
'�'-"
Zip
fx-.
M.O.0 N.CZ—)Cashn Check
Received by
Controctor
Tel.
License#
Trees require
Sewage System
Address
i
City
Zip
r
T U. 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. l
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
CCORDANCE WITH SECTION 5541, OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA:
Form 284-208 (Rev.8/78 " P s