359945 (CPWU)OUILUIN%v VLKM11
PERMIT NO. DEPARTMENT OF BUILDING a SAFETY FIELD
5 9 9 4 5 COUNTY OF RIVERSIDE
DST
3
A/
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
SQ. FT. @ $
UNITS
Owner
----!
SQ. FT. @
YARD SPKLR SYSTEM
POR.
SO. FT. @
MOBILEHOME SVC.,
BAR SINK
GAR.
SQ. FT. @
POWER OUTLET
ROOF DRAINS
CAR P.
WALL
SQ. FT. @
Cop E
DRAINAGE PIPING
SQ. FT. @'
DRINKING FOUNTAIN
SQ. FT. @
URINAL
ESTIMATED CONSTRUCTION VALUATION $
By
WATER PIPING
NOT.E;Jlot to be used as property jax valuation
SWIM POOL, PVT- • s
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
R
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Group
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
E
SQ. FT. @ C
WATER HEATER
SQ. FT. RESID @1 /.t
SEWAGE DISPOSAL
SQ. FT. GAR @ s/. C
HOUSE SEWER
Address City Zip
Witness Fee E
Reinsp. Fee
GAS PIPING _
PERMIT FEE
Owner/Agent ^
PERMIT FEE
PERMIT FEE
DBL. ..
, ,TOTAL FEES -
J$
MOB. HM, FEE
- MICRO FEE
MECH. FEE PL. CK. FEE..
CONST.. FEE ELECT. FEE
SMI FEE
FEE PLU B. rP
J1+
PERMIT NO.
359945
Job Address
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Space
Zip
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Owner
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Community
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Valuohon
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Date
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F.C.C.
MH Permit Fee E
Micro Film Fee
Cop E
Use of Permit
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Parcel No.
Use/Case No. jCk.
By
Mech. Fee Dbl EWE
PI. Ck. Fee E
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Construction Fee Dbl E
Legal Description
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Electrical Fee Dbl E
Zone Restrictions
Group
Type
SMI Fee E
Plumbing Fee
Dbl E
_
Bond Amt.
E
Plan No.
Plan Checker
final Date
4- 1 Z- Zq
Inspector
Unit
Sp. Insp. Fee E
Demol. Fee
E
Const. Lender
Branch
Supplimental it Numbers
Regist, Fee E
Mileage Fee E
Address City Zip
Witness Fee E
Reinsp. Fee
E
Owner/Agent ^
-
' -- L `' -
Tel.
Zip
Total Fees
M.O.
' ' S
4
N.C. El Cash , Check
Address f
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City •,,�• yy Gif-
Zip
Received by
Contractor
el.
License#
Trees required V
Sewage System
Address
City Zip
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 CAUS PERMIT TO BECOME VOID.
HEREBY AGREE THAT ALL OPF(J H THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
HE LAWS OF RIVERSIDE COU# A D7aT)EASEgATE OF CA—L FORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 280-208 (Rev.8/78) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
AL
verified by:
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
loA
Fireplace
T. o.
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ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
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 o � _
25
Final
Tank Pit L.Line
REAR OF PROPERTY LINE
PSL P/
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring ,
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
R
NOTICE: THIS IS NOTA BUILDING PERMIT DISTRICT ,
APPLICATION TO CONSTRUCT Permit
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
ti t
284 199A 9/74 CANARY -FILE, PINK -APPLICANT ,
Owner Architect-- -. __-_. Contractor-_ ---
Address L/[�d res __ Address _ —__—
Ciry — City__ City____
Phonel�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
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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--
GENT -Approval
Approvalby Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
��c I SPACE NO.
1 USE OF STRUCTURE
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JOB ADDRESS 7�-,C// ����/ - v SIN�GL'E FAMILY DUPLEX
LEGA^/L/DESS//�fp_IIP�TI N OF ROPERT
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71/7 /jJ�ec�- �J- APARTMENTS AGRIC.
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COMMERCIAL INDUSTRIAL LJ
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COMMUNITYCv
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NO. OF SUBMITTED PLANS - USE OF PE -
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CASE NO.
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NO. OF PARKING SPACES REQUIRED _- - N0. OF BUILDINGS NOW ISTING -
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ZON SETBACKS: FRONT SIDE REAR
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GRADING PERMIT REQUIRED? ' YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE F OF FEET REQUIRED ON r STREET
DATE- - SIGNATURE OF LAND USE OF FICIA•L� -
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET__
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CURB AND GUTTER REQUIRED: YES, ❑ NO ❑ _STREET
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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
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IMPROVEMENT? YES O NO ❑
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--
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DATE SIGNATURE OF ROAD DEPT. OFFICIAI
I
SWIMMING POOLS PUBLIC
QW
SEWAGE DISPOSAL
_
FOOD ESTABLISHMENT
r
WATER POLLUTION REMARKS
rn FLOOD CONTROL -
z AIR POLLUTION
cc
l-
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DIV OF HWY
c a YOUR PROPERTY MAY BE SUBJECT TO
—
a
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 CANARY -FILE, PINK -APPLICANT ,