353667 (SATT)OUILDING PERM17—
PERMIT NOc DEPARTMENT OF BUILDING & SAFETY FIELD. ` D T
"3 5 3,�,1'�'V-7 ,.`1 COUNTY OF RIVERSIDE
t= rx:. s _.•'. 7a
t.h- CONSTRUCTION
ESTIMATE
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NO...- 'ELECTRICAL FEES
NO. PLUMBING FEES
r
IST FL.
'
SQ. FT.
F.C.ff'
UNITS
Use of Permit -
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2ND. FL' ±f
SQ. FL, (R
Ck. By
Much. Fee Dbl E
y
YARD SPKLR SYSTEM
SQ. FT..
pp r .�'..
Consiruction Fee Dbl E
Lugol Description - '{'
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t/' �� /
MOBILEHOME SVC
BAR SINK
y FOR.
i
SQ. FL @
Type
r :
POWER OUTLET
ROOF DRAINS ,
GAR.'
SQ. FT: @
Final Date
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Inspecto �40A7TZR
-Unit/ ,
?
DRAINAGE PIPING
6
GARR P.
Const. Lender 8* Branch t
Supplimentol Permit Number ,
,
Registr. fee E•,,,,,.l,
Mileag@ Fee E
DRINKING FOUNTAIN
1 J SQ. FT. @
Reinsp.:FeeE
Owner/Agent-
Tel.Zip
URINAL
!1
ESTIMATED CONSTRUCTION VALUATION
iV�
'5
r M.O. %N.C. 0, Cash Che
WATER PIPING
NOTE: Not'to be used as property tax valuation a-? '
Tel.
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SWIM POOL, PVT
FLOOR DRAIN
t I rMECHANICAL FEES
AddressCity
- Zi
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM / FAN EVAP. COOL
HOOD
SIGN
L WASHER (AUT (DISH)
i,PPLIANCE { f / DRYER
Pun
GARBAGE DISPOSAL
FURNACE UNIT WALL FLQOR,—,.r*..Sl1SPENDEDw0
j,u .wr•.y rs+t fi"S-`�� ""�„�" r.'wk
t LAUNDRYJRAY.- 1!»-
AIR HANDLING UNIT
CFM ' a air'±
IDLE METER o
KITCHEN SINK '+ '--
ABSORPTION SYSTEM �•
B.T.U..
TEMP USE PERMIT SVC ;
WATER CLOSET
COMPRESSOR, Z• „HPPOLE,TEMP/PERM
LAVATORY i
HEATING`SYSTEMT FORCED GRAVITY
AMPERES SERV ENT.
SHOWER
BOILER. • B.T.U.
SQ. FT. @, • c r
ca'L BATH TUB
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r` :.
a • SQ. FT. @,• ' C 1
WATER HEATER -'—
I
SQ. FT. RESID'@1!/.'C: X,%01'
SEWAGE DISPOSAL" -
4 "SQ.
bti
FT. GAR @ '/. C
HOUSE SEWER
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ri
h•
GAS PIPING
PERMIT FEE t ' •
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PERMIT FEE `
PERMIT FEE
DBL. f
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MOB.HM.FEE
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MICRO FEE . s, ME H. EEE
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-PL. CK. FEE
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PERMIT NO. �
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;'Permit Fee E
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Job rens Space
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Micro. Film Fee Cop E
Use of Permit -
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Parcel No.
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Use/Case No. -
Ck. By
Much. Fee Dbl E
PI�`Ck;:Fee E - -
- •. Set Backs _
Lo //iz��e, /}/' A
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pp r .�'..
Consiruction Fee Dbl E
Lugol Description - '{'
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F fi7 S S , l
'
El tricol Fee Dbl E 'r
Zone shictigns '
1
Gr -
/` e,C•+
Type
SMI Fee $
Plumbing Fee Dbl E
Bond Amt.
E
PIa��1f�1o. ,k '`
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PIt;Pheckpr/ r
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Final Date
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Inspecto �40A7TZR
-Unit/ ,
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/Sp. Insp. Fee E
Dental. Fee E
Const. Lender 8* Branch t
Supplimentol Permit Number ,
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Registr. fee E•,,,,,.l,
Mileag@ Fee E
Address City Zip.r.0
t
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Witness Fee E
Reinsp.:FeeE
Owner/Agent-
Tel.Zip
"TotalfeesE .a --'f,`e..Address�'+.t7y
.tr`1'C`i"�!'�i'•. ♦..•t`.a'�
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. ` �� �,-f •L`' }Y u^��
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Received b
Contra
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Trees required ✓ - -
ewage System
AddressCity
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•�^' 1 LL p0 • AV- THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by --
Sewer Distract FOR 120 DAYS SHALL ATWOINCOCN'INECTIO)N
T9 BE ME
VOID, r
I HEREBY AGREE THAT ALL WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COTH�STATOOF, CALIFORNIA.
ff ±
I HEREBY CERTIFY THAI THE INDI�7fDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN 1
e
'rf ACCORDANCE WITH,SECTION 55ALOF THE &US]NESS ANDPROFESSIONS CODE OF THE STATE ORCXIFORNIA
R Fors Zea -toe (Rev.Bne) Z'
If x. Y.
NO.
OPERATION DATE
INSPECTOR
NU.
' OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
- Z -
33
Ventilation System
2
Ftgs 8 Frms
z 71?
34
Plenums 8 Ducts P
2A
Slab Grade
.z ^
35
Furnace Comport.
3
Steel
36
Inlets 8 Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor 7
6
Roof Deck
S ` 22-79
39
Appl. Clearance
7
Framing
NI
40
Fire Damper
8
Vents
41
Smoke Detection Device _
9
Garage Fire Wall S
42
Commercial Hood
10
Fireplace
P. L.
43
Final
10A
Fireplace
T. 0.
NO ADDITIONAL INFORMATION
D p
(T ell- O t -
----- ---- - ----------------
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Lath
12A Drywall
13 Finish Grade t7
INSULATION Thick R
Value
7A Walls (Batts) Ly /
12B Ceiling (Botts)
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 1000 Pit � � L.Line
REAR OF PROPERTY LINE
v
r
P/L P/
13
•7
if—
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring 7—.5-79'
29A Grounding Wire
29B Bonding
30 Fixtures , S_ 7 %.10
31 Service
32 Final
r 7
STREET NAME=ZL(/���?N
i w
"'ri.•NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT / v
Permit No
284 199 9/74 CANARY—FILE, PINK—APPLICANT
Owner--'" E '! Bk>2T Lo or, U l(J Architect A#' A4 I kCAU'lf �� of 0 F Contractor � .4 J fi ti ►' ! '100
Address Address '�V 4 ' E15 3 T Address:F Q • � 2 A DIY k R �
City City li-o2tU City_\rt4}t'+ C ZL!
Phone Phone ? 4 CJ Phone .q � ' C> & ,u
of
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1 (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 1 (we) will not occupy said property and will not cause said property to be occupied until /(we) have
complie witfi-all laws of the County of Riverside and �ihe tate of California governing said property.
I y C.777
..�•
DATE 1 SIGNATURE OF OWNER AND/OR AGE#
d
Approval by Signature from the Following Depaments,Lis Below
IT
Must Be Obtained Prior to the Issuing of a Construction Permit.
SPACE NO.
1 USE OF STRUCTURE
770 JOB ADDRESS
%I }�LL` �iK �:�/�_ �y
. c �L' SINGLE FAMILY LN DUPLEX
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LEGAL DESCRIPTION OF PROPERTY ' � �' � Lam, � AGRIC.
7 fG - r) APARTMENTS
Or
``y�r••+- v COMMERCIAL INDUSTRIAL
) lam!/tel �Yx A
j C
Z
COMMUNITY - �`- > �! ALTERATIONS n
NO. OF SUBMITTED PLANS _ USE OF PERMIT�rM
CASE NO.
z
NO. OF PARKING SPACES REQUIRED/ NO. OF BUILDINGS NOW
p
Q
,E-XISTING -
ZON % SETBACKS: FRONT Q
m
SIDE REAR
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE r k ��� 7)
SETBACK ORDINANCE.—#----- OF FEET REQUIRED ON -'-STREET
DATE_ /—//0 SIGNATURE OF LAND USE OFFICIAL
�.
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET.__
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CURB AND GUTTER REQUIRED: YES ❑ NO ❑ i " ��if i' rl^ ( STREET
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t�
d
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
CIMPROVEMENT?
O/NO ❑ 1?! —� t
AYES
DATE—ZSIGNATURE OF ROAD DEPT. OFFICIAL fi + 11-! ,;-- + '• _ ' ��
47 .tt�_ Ir
_IC
W
SEWAGE DISPOSAL rg'S'a r X
= p
r_.
NT 11
WATER POLLUTION REMARKS
�n FLOOD CONTROL—
z AIR POLLUTION
_ f.- DIV OF HWY
c a — YOUR PROPERTY MAY BE SUBJECT TO
o ;
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199 9/74 CANARY—FILE, PINK—APPLICANT
BUILDING PERMIT
A
"St3
;PEr RMIT Na
6 6 7N0.
� DEPARTMENT OF BUILDING &`SAFETY
- t+' .-_COUNTY,OF RIVERSIDE,'.-.
r
' - rltl.A V�FIGE
T
C N TRUCTION
E T E
NO. ELECTRICAL FEES
NO.. PLUMBING FEES
T
S FL.
2 � D: FL.
AOR.
GAR.
„ yJCAR P.
r1°r, WALL
C
ESTIMATED CONSTRUCTION
SQ. FT. $
r
UNITS
�t
'
SQ. Fjj @, e
YARD SPKLR SYS TEM
.
Sq- F7.. @ MOBILEHOME SVC
' POWER OUTLET '
SQ. FT.- @
BAR SINK
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'
Use/Cose No. ,
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEE
SWIM POOL, COMM
WATER SOFTENFf
VENT SYSTEM FAN EVAP. COPL* HOOD
SIGN
WASHER (AUT )(DISH)
APPLIANCE DRYER
t°p�W�ze Y
{onstruc Fee -
GARBAGE DISPOSAL
FURNACE UNIT WALL FI Q(°1Rje»,,,�.SUSP..ENDED,..+
�y,., '�. ; ,.,�
,,.r : 4 .� p»ti. .a, ,,z v,,•.. ye�sa� i LAUWPPY TRAY,.w.,
AIR IHANDLING UNIT
r
Electricoj,Fee Dbl §
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM',f B:•T.U. " ;
'
S
TEMP USE PERMIT SVC
WATER CLOSET.
COMPRESSOR I' . , HP..: -
§
POIE,TEMP/PERM
LAVATORY
HEATING SYSTEM ;( FORCED GRAVITY ` ' r
AMPERES SERV•ENT
SHOWER
BOILER a B.T.U. r
SQ. FT. @ c
�t BATH TUB
F Z
l i Jr
Fin/o1�Date /+
r✓l ��.��[/�
SQ. FT. @ C
SQ. FT. RESID` @ 1'/'c'
WATER. HEATER
SEWAGE DISPOSAL *'^
T
.
SQ. FT. GAR @ 1% C
HOUSE SEWER
Lj
Const. lender Branch
Supplimental Permit Numbers
-
Regis;,! Fee §
GAS PIPING
PERMIT FEE f: t'f
Address•. City Zip
PERMIT FEE
PERMIT FEE
DBL.
IJy,.��EE
MOB.HM FEE
�.` MpCRO FEE•_ {
MEGH PL. CK. FEE
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b
FEE�y�g t
PERMIT NO./
1''353�r67.
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MH.Permit Fee
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Micro Film Fee
Cop §
Use of Permitil _ L
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P cel No. -
Use/Cose No. ,
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'PI, Ck. Q§
-•- Se Socks ,±w. -
F S S
t°p�W�ze Y
{onstruc Fee -
Dbl E
Legal• Description ` .� - 3
SC U 'Zo
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Electricoj,Fee Dbl §
srricd s
Gro;
Type .
SMI Fe`
§
R,
Alum ing Fee
Dbl § 1
'Bond Amt.
§-
PII
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PI heclyr/ t ''
.�i! r1. �7v-..J
Fin/o1�Date /+
r✓l ��.��[/�
Insp r //
!/ �'i'•-�"�
•Unit/
Sd.' nip. Fee §i/
D�. o�: fee
§
-
Const. lender Branch
Supplimental Permit Numbers
-
Regis;,! Fee §
Mileaije
Address•. City Zip
Fee
§
. *_
t
-
Witness Fee §
Reinsp. Fee
§
J�_Aa
Owner/AgentTel.
-ell-
Zip
itotal;Fees
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a�ess y4.'•.'Ft!'i"'., �e .E
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rq' i.. +�r.. ;'.r•..�•a J ZTp
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,f M.O. N.C.
Cas
Che
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Receivecl bosk
Contra fo%r A;-
jo
ireL�' requ fired
Sedge System
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Addre7,) R A W i'
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THIS PERMIT SHALL BEC E VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
FOR 120 DAYS SHALL T B ME VOID.
Sower District
/
I HEREBY AGREE THAT
ALL WO IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNT AND THE STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN I
II ' ,;ACCORDANCE WITH SEGTION,5541 OF THE BUSINESS AND'PROFESSIONS-CODE OF -THE STATE OF CALIFORNIA^
Iform 284-208 (Rev.8/78) • r ' •.