360051 (BLCK)�BUILDING PERMIT —
PERMIT NO.
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST
3,60051 COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
\
` 1 1ST FL.
SQ. FT. @ $
UNITS
F.C.C.
I
'1. 2ND. FL..
SQ. FT. @
YARD SPKLR SYSTEM
SQ:, FT. d ... . MOBILENOME SVC',% -14; p�
BAR SINK
GAR.
CAR P.
WALL
SQ. FT, @
POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @ i, "'
DRINKING FOUNTAIN
SQ., FT._ @ ,
URINAL
ESTIMATED CONSTRUCTION VALUATION . $
F
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WATER PIPING
NOTE:'Not tai -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
Final Date
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 HP
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
,,SQ. FT. �a . c
WATER HEATER
It 'T
SQ. FT. RESID @1'ht
SEWAGE DISPOSAL
S0. FT. GAR @ '/ c
HOUSE SEWER
l�
R ceiWld by
l
Tree¢ required
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.E -
TOTAL FEES
MOB. HM. FEE
- - MICRO FEE
MECH.'FEE' 'PL.•CK.-FEE
CONST. FE{- • ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
360051
....-1z
Job Address
3 yfa
Community
14
Valuotion
$
Space Zip Owner
Date Dist. Off.
F.C.C.
MH'.Permil Fee E
Micro Film Fee Cop y
Use of Permit
_
X�
Parcel No.Use/Case
No.
Ck. By
Mech. Fee Dbl $
X21. Ck. Fee $
Set Backs
Lot Size
C,nstruclion Fee Dbl $
Elea Iricctl Fee DblS
Legal Description
G
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Il4-.�R7
F
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S 5 R
Zone Restrictions
Group
Type
SMI Fee $
Plumbing Fee Dbl $
Bond Amt.Plan
S
No.
Pion Checker
Final Date
Inspector
Unit
Sp. Insp. Fee $
Demol, Fee $
Const. Lender
Branch
Supplimentol Permit Numbers
-
- }
R,gisir. Fee $
Mi leoge Fee $
Address City Zip
Witness Fee $
Reinsp. Fee S
Owner/Agen
Tel.
i
Zip
It 'T
TJt l Fe „. S`
N.C. Cash. _ Check
Address
-.^.Cty
-y}
Zip
R ceiWld by
l
Tree¢ required
Contractor
'
Tel.
LicenseN
Sewaal System
Address
City Zip
' ATE LL P " +i: •E THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED THIN 120 DAYS. CESSATION OF WORK verified by:
!,,Sewer District j FOR 120 DAYS SHALL ALSO CAqg PERMIT TOOBBE�COMEVOID.
I HEREBY AGREE THAT AL E ITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE CO AND E STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
( Form 284.208 (Rev.8/78) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. -
NO.
OPERATION DATE
INSPECTOR
NO.
i
OPERATION
! t
DAF, INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
I
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
;7-17-7-7
36
Inlets 8 Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
3B
Compressor
6
7
Roof Deck
Framing
2-1
39
40
Appl. Clearance
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. E]
No
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
P/L
0
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 DISTRICT i Z
APPLICATION TO CONSTRUCT Permit No
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
1{ENT'
Owner ,4W Architect_ _. Contractor---
C A
3/, // 4 2 E2
Address _—_ Address_—_ Address_ --.—_---__—
City 461/4' 101 M — City_— _ _ City—___- ---
Phone 7 7 6 ^ 0 as j 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. 1 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.
ISPACE NO.
q 1 USE OF STRUCTURE
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JOB ADDRESS " _
SINGLE FAMILY DUPLEX
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LEGAL DESCRIPTION OF PROPERTY _Z�D3 - APARTMENTS AGRIC.
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G�U/�t/Ti4 MMERCIAL E] INDUSTRIAL44
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COMMUNITY ALTERATIONS n
USE OF PERMIT 1�{ZF�ti[C
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NO. OF SUBMITTED PLANS -- --
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CASE NO.
_
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NO. OF PARKING SPACES REQUIRED .— NO. OF BUILDINGS NOW EXISTING
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ZONE A19-/ SETBACKS: FRONT SIDE REAR
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GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK OR INA E # ^— OF- FEET REQUIRED ON STREET
DATESIGNATURE OF LAND USE OFFICIAL ---
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET._—.
F-
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CURB AND GUTTER REQUIRED: YES ❑ NO ❑ -STREET
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CIE
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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
0
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IMPROVEMENT? YES ❑ NO ❑
O
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DATE — _ SIGNATURE OF ROAD DEPT. OFFICIAL
=
SWIMMING POOLS PUBLIC
QSEWAGE
DISPOSAL
FOOD ESTABLISHMENT
_
WATER POLLUTION REMARKS
H FLOOD CONTROL
f
Z AIR POLLUTION
�
_
H DIV OF HWY
c a — YOUR PROPERTY MAY BE SUBJECT TO
d
c FLOOD. RIVERSIDE COUNTY ASSUMES
40 RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
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