354180 (ELEC) r{ PERMITNo. DEPARTMENT OF BUILDING & SAFETY " _" FIELD-" DST -
13 5 41,8 0 COUNTY OF RIVERSIDE v ,
CONSTRUCTION"'ESTINIATE ""' `•"' " " NO.- -. k ELECTRICAL'FEES' '"'" NO."""� "" UMBINGFEES
IST FL. SQ. FT. @ $ UNITS C
1 2 D. fL. SQ. FT.4Q- .... , .t r;�.0 r f * ".. >a . X.—, s «ti•, YARD'SPKLR'"SYSTE/Ji' ! . ..,.f:
F'OR. SQ. FT. @ f MOBILEHOME SVC. BAR SINK
, FGAR. SQ. FT. @ POWER OUTLET ROOF DRAINS
b
DRAINAGE PIPING
CAR P. SQ. FT. @
/ WALL SQ. FT. @ DRINKING FOUNTAIN
I
SQ. FT. @ URINAL .
t ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING -
NOTE: Not to be used as property fox valuation SWIM POOL, PVT FLOOR DRAIN
MECHANICAL FEES SWIM POOL,COMM. ,wArER,S,OFTENER +
VENT SYSTEM FAN EVAP. COOL HOOD SIGN WASHER(AUTO)(DISH)
APPLIANCE DRYER h r x GARBAGE DISPOSAL ,
FURNACE UNIT WALL FLOOR SUSPENDED t LAUNDRY TRAY
AIR,HANDLING UNIT CFM 1 IDLE METER KITCHEN SINK
ABSORPTION SYSTEM B.T.U. .t TEMP USE PERMIT SVC WATER CLOSET
COMPRESSOR HP POLE,TEMP/PERM LAVATORY
HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT / ' SHOWER
BOILER B.T.U. + o, SQ."FT..@, ,C.: BATH TUB:
SQ. FT. @ ,c WATER HEATER
SQ. FT. RESID @11/,c SEWAGE DISPOSAL
SQ.FT.GAR*@ '/.c HOUSE SEWER
GAS PIPING
PERMIT FEE ` PERMIT FEE / PERMIT FEE T
DEC TOTAL FEES MOB.HM.FEE MICRO FEE MECH.FEE Pl.CK.FEE CONST.FEE ELECT.FEE SMI FEE FEE PLUMB.FEE
PERMIT NO. Job Address SpacTp
Owner .-
35 4180 zo - � �- s-y� ,�,�,.//7rt/1 ,*s%<_�• �rt,..*,
t Community - Valuation - .Date Dist. Off. F.C.C.
MH Permit Fee $
Micro Film Fee Cop f Use of Permit /r Parcel No. Use/Case No. Ck.By
Mach.Fee Dbl bD ' T' / /(/e Ir /y�+�[�
PI.Ck.Fee $ /` d /+f- /t+ Set Backs lot Size
Construction Fee Dbl $ Legal Descripiiito}P / F S S R `
Electrical Fee Dbl $$
!f 0 � J Ji, /�i•.,�• fC� ��,;~ Zone Restrictions Group Type
% Gs' a'Z
SMI Fee � •
Plumbing Fee Dbl f Bond Amt. Plan NoA Plan Checker t Final Date/ Inspec Unit
Sp.Insp.Fee $ $ I r r l 2�j
.maxrv • •.��! t
Demol.Fee $ Const Lendery �• � � Branch' • •• Suppi
lime a rmt.Nu-.m..bers
Regisir.Fee y ,� /—
Mileage Fee $ 'Address � ,/ City Zip
Witness Fee $ ..,rr . ':!`':.., 1//•f•* �.-.r w•: � .. .r . +'wr r:.� ..- .+ •- n.,.,.r.v. �...w.�.
Reinsp.Fee $ Owned _ Tel. 'Zip
Total Fees $ Address /• City _l .t Zip A
i •.1 f, '�� �iC. ,'• *.,a i Y.
i V,N.�s/`4'L.•.yi/G/(v';"t.p, • .�•r'�'�7Y
M.O. N.C. Ca Che Y / p`
'R
Received by ContractorTel. .
LicenseX
Treks required IIIIIIIIIIIIIIIIIIIII IIII 54 City Zip
Sewage System Address
IE
/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 PE /1�WITTC,C.B.E.C�'O'ME VOID.
I. M I HERESY AGREE THL WO IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH�y %�~'v�
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. 4
1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE'PLANS AND SPECIFICATIONS HAS DONE'SO IN T
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Form 284?208(Rev.B eJ _
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 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 Comme•cial Hood
10 Fireplace P.L. ❑ 43 Final
10A Fireplace T.O. C3 No ADDITIONAL INFORMATION
11 Exterior Loth
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
SEWAGE SYSTEM SIZE & LOCATION
25 Final
Tank Pit L.Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire -/l -7 PSL PSL
29B Bonding
30 Fixtures
31 Service Z -�� `j q r
32 Final
STREET NAME
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE DATE�/(� TIME /l PERMIT NUMBER
INSPECTION
REQUESTED
ADSS � � It SPACE NO. FOR:
A.M.
OWNER COMMUNITY
E] P.M.
BUILDING PLUMBING ELECTRICAL MECHANICAL
MON
3� TUES
WED
REMARKS:
THUR
AFRI
OWNER/CONTRACTOR TEL.NO.
28446 11/75
NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT
APPLICATION TO CONSTRUCT Permit No
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
Owner iitect_ —. --_ Contractor—_— — -
Addres� �!r-"address___ Address_ —_—. ----
Cit �[ City— City-- --
Pho e 0 "� Phone _ Phone— _—_—_.—_.._
W
I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that i urb a d Gutf a d
Z Paving, and/or Dedication of right of way is required by the County of Riverside, the Riverside County Departm t of Buil ng an Saf y
shall not make a Final Inspection until said requirements have been met. I am also aware that no work is to b done wiihi he Co ty R
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 b cupied ntil (w have
complied with all laws of the County of Riverside and the State of California governing said property
DATE —__.__—_ SIGNATURE OF OWNER AND/OR AGE
Approval by Signature from the Following Departments �'�'Lis}}}}ted Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
I SPACE NO.
I USE OF STRUCTURE
JOB ADDRESS_ _._�v �� --- SINGLE FAMILY DUPLEX
Z F L ,G9L DESCR TION OF PROPERTY �6 9 T _00 - APARTMENTS AGRIC.
H Q COMMERCIAL INDUSTRIAL ❑
j '^ COMMUNITY U
G C .sJ�� ALTERATIONS n
Z NO. OF SUBMITTED PLANS USE OF PERMIT c�'�
a CASE NO. I�c
Z NO. OFp�PARKING SPACES REQUIRED - N0. O BUILDINGS NOW EXISTING
Q ZONE����K� �� FTBACKS: FRONT SIDE REAR
J m GRA[7ft7G PEfVI'Tl2EQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE OF FEET REQUIRED ON STREET
DATE , -- Z SIGNATURE OF LAND USE OFFICIA 7z2—
DEDICATION
REQUIRED: YES ❑ NO ❑ NO. OF FEET--
—
z CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
CieF-
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 ❑
O
°C DATE SIGNATURE OF ROAD DEPT. OFFICIAI
= SWIMMING POOLS PUBLIC
QW SEWAGE DISPOSAL
Lu_ FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
to FLOOD CONTROL
H
W AIR POLLUTION
W DIV OF HWY
S t-
c ce — YOUR PROPERTY MAY BE SUBJECT TO
c FLOOD. RIVERSIDE.000NTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 CANARY—FILE, PINK—APPLICANT