RR (354502)tduIWInv VCKMIN t .. . : 4�- . ,• . • ., w i. , - t=v.. , s - .4,,r_ S.:
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY
FIELD}nsr
,'•
35450.2
k ti . ,� _ �<•�'' ,_. CO�INTY� OF,,RIVERSIDE _ ,— .,....,. �._ ,
CONSTRUCTION
ESTIMATE
lob Address.
NO. ELECTRICAL FEES
NO. PLUMBINGFEES
IST FL.
.
SQ. FL $
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F✓
UNITS
hu. .
2ND. FL.
'
SQ. FT. 4ia •
Af. C. C:' ._
MH.Permit Fee r �.' E
YARD SPKLR SYSTEM
SQ.FTc ��
MOBILEHOME SVC.
BAR SINK
FOR.
GAR. SQ. FT.@`
Ck. By
.
POWER OUTLET
ROOF DRAINS
q
` CAR P. SQ. FTc @ '
'Lot.Size.-
i
DRAINAGE PIPING
WALL SQ. FT: @ s
{
{ -
DRINKING FOUNTAIN
"' iJG,Ji b a
Ol, an
Zone Restrictions.
�/', "
URINAL
Kms: SQ. FT. @
y
.. -
SMI Fee $
Plumbing Fee ,t
ESTIMATED CONSTRUCTION VALUATION $
Bond Am)�y
t.
$ s
.- ...-.._,,.
WATER PIPING
NOTE: Not to be used as ro ert ,tox,•Yaluation it
P p Y 1sf y3
tswl*llev+t % ?n+r.SWIM POOL, FVT'� ".' - '0k}"'"* -^? 9
v ..
f FLOOR.DRA]"':"f 4:M y r.i
MECHANICAL FEES 1
n
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL "HOOD ,y
i '
�> SIGN
.WASHER (AUTO)(DISH)
APPLIANCE t ; DRYER '! I
Branch (
-
'GARBAGE DISPOSAL
FURNACE UNIT WALL, FLOOR' SUSPENDED
Registr. Fee $
�1..-
AI;77-
Mileage Fee $ `
LAUNDRYTRAY,
AIR HANDLING UNIT -� CFM o `
1
IDLE METER ?
KITCHEN SINK
ABSORPTION SYSTEM "B.T.Uz Y'
TEMP USE PERMIT SVC
r WATER CLOSET
COMPRESSOR 3' , HP,':' a
POLE,T.EMP/PERM
LAVATORY
HEATING SYSTEM FORCED ' • r :GRAVI.TY
Address
Y:,i 4 .a�rq,
AMPERES SERV ENT
SHOWER
BOILER B. T. U
SQ. FT. ' @ a `C '
-
BATH TlY$
/'. r
SQ. FT. @ t
WATER. HEATER
,..ti
Tel. • F�'�
s,
SQ. FT. RESID @1'/.<
SEWAGE DISPOSAL
Sewage System
� r
ESQ. FT. GAR @ - `!4, c 'ter'
HOUSE SEWER
ra.ua,"r+w�.r rk•:•,
.�
i -V. s.rrw r.«+ rya GASpIPING:,wr.-
PERMIT FEE
.
PERMIT FEE
PERMIT FEE'
DBL.
TOTAL FEES
MOB.HM:FEE'
MICRO. FEE--•+.
YMECH.'FEE,
PC CK. FEE
CONST. FEE ELECT: FEE'
SMI FEE -
FEE 1 PLUMB. FEE
I
PERMIT NO.
354502
/,+
lob Address.
Space Zip
Owner - - -
Community y
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Valuation
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Date
°Ur� /.ice
Dist.t
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.Offl.
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Af. C. C:' ._
MH.Permit Fee r �.' E
t
Micro Film Fee
Cop E
Use of Permit i'
J -
r
-Parcel-.No.
- -
.1%. r .•
�
se/Case Nq:
Ck. By
.
Mech. Fee Dial E-
PI. Ck. Fee r, $
- set Backs -
'Lot.Size.-
i
Construction Fee 'I.,r Dbl $ 1rZ
Legal Description
,
c
}
a
-: ��. o�
." •' 'Y
{ -
F 5 -
S R,
Electrical Fee .r Dbl E
Zone Restrictions.
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Group
_ -
Type
y
.. -
SMI Fee $
Plumbing Fee ,t
Dbl E
Bond Am)�y
t.
$ s
.- ...-.._,,.
Plan
No."'
..,.
Plan Checker
.. ..
' .
:_:
Final Date
Q•
.. .. ,.,--..
InspectUnir
y
..
. .
Sp. Insp. Fee " $ i
Demol. Fee Il
$
Const. tender
. • ' :
Branch (
-
Supplimental Permit Numbe��
(
7J'V��1V�
y'. _fi 4:..:ye:;.,�-.0.� �+. �`w ..flyY+..A':s"'�+sWw.F�
..
„7w r,,.•. ..f.
Registr. Fee $
�1..-
AI;77-
Mileage Fee $ `
.xy.�1 `.J^s tram
.-c,-,.•.bes '. fib. qi.
'Address ., 'City ? Zip
'
Witness Fee $
Reinsp. Fee
1 1$
,Owner/Agent
Tel.
,t
Zip
Total Fees
$
DE
Address
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y %'a '.3
City
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Zip
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'1u10. N.C. Cos Che
Received by
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Contractor �/
c .- �•
I
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Tel. • F�'�
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License#
Trees required
Sewage System
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Address ,.
City `ti aj Z.
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,f ' r LL P T�. •,rt„ r• ;,q+, .THIS,PERM1T SHALL.BECOME- VOID,LF-.WORK IS NOT CcOMMENCED`WlTHIN"120'DAYS, OESSATION•OF;WORK '+s'•ve.if� c by: �.• ;'�'•
Sewer District /A FOR 120 DAYS SHALL ALSO CAUSE P 17 O CO VOID. r
{ ' I HEREBY AGREE THAT ALL WOR NE 10 T THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
I! f THE LAWS OF RIVERSIDE COUNTY'AND THEA TE OF CALIFORNIA.
t _ t I t• I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CAL(FORNIA. n
Form 284-208 (Rev.8/78)
A... i_k _ ::. �-r. ...-. 'iM � ,i. :^:. ... � JL: a'. .' M. _..:h r• .__rn. .r r. A._.. �.. .D. ..h -..... u �Mi. .w ... - .i- ..•H..
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE rk 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
6
Bond Beams
Roof Deck
38
39
Compressor
Appl. Clearance
7
Framing
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace
P. L. E]
43
Final
10A
Fireplace
T. 0.
NO
ADDITIONAL INFORMATION
_ _
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Botts)
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
PSL
P/
s
t
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
I�:..� �...� ....SII►
DEPARTMENT-OF.'BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE DATE TIME
PERMIT,NUMBER
p( D INSPECTION
REQUESTED,
ADDRESS I SPACE NO. FOR:
- � A.M.
OWNER COMMUNITY
F] P.M. _
BUILDING " PLUMBING ELECTRICAL MECHANICAL
FIMON
TUES•
Y WED:
REMARKS:
THUR
DRI .
J p
ooh.. '� .•
OWNER/CONTRACTOR TEL'.NO.
L. 281-64. {175
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE I DATE I TIME I PERMIT NUMBER u
ADDRESS
4�y- 7��
OWNER
BUILDING
PLUMBING
/ lOi✓7c72d
COMMUNITY
ELECTRICAL
SPACE NO.
I
MECHANICAL
REMARKS: �/J�y7 4-
6 'a
O*v
OWNER/CONTRACTOR TEL.NO.
INSPECTION
REUUESTED
FOR:
A.M.
P.M.
WON
El TUES
OWED
THUR
DPFI f
1
281-41 t1 75
r.
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT N,_
Permit No
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
U �•'
Owner Architect_— —. .__—_ Contractor_e -te�� ._
r
Address --(Address___— Addrensss
'
Cityt(tJ[t 'r`ity-- City-�M—y_.�
Phone �±1�- W4kl&
Phone Phone _
I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and
W
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 pan 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
compl Ld with all laws, of the County of Riverside and the State of California governing said proper
DATEI-A6--- SIGNATURE OF OWNER AND/OR AGENT' s, �_ �Iri�f�✓^—
Approval by Signature from the Following Departments ListedBelow
Must Be Obtained Prior to the Issuing of a Construction Permit.
SPACE -NO.
Zf9 %�.V�+"f%IIi� USE OF STRUCTURE
JDB ADDRESS SINGLE FAMILY Ed/ DUPLEX
LEGAL DE CRfPTION OF PROPERTY _ - APARTMENTS AGRIC.
L(�!� ---
Z.
/� �/L
��V (
OC. "
_ --'- - COMMERCIAL INDUSTRIAL n
COMMUNITY ❑
ALTERATIONS
G �
Z
NO. OF SUBMITTED PLANS USE OF PERMIT (d/CZ-=I
H Q
CASE NO.
Z
NO. OF P�RKIING SPACES REQUIRED _— NO. OF BUILDINGS NOW EXISTING
Q
ZONES SETBACKS: FRONT SIDE REAR
J
ca --
/
---GRADING PERMIT REQUIRED? YES ,'] NO ❑ LOT SIZE
SETBACK # OF FEET REQUIRED ON STREET
``ORDINANCE
DATE �Yd ' SIGNATURE OF LAND USE OFFICIAL
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET - —
z
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ —STREET
F-
oe
IL
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. OFFICIAL
2
SWIMMING POOLS PUBLIC
J
SEWAGE DISPOSAL
_
'-FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
H FLOOD CONTROL—
z AIR POLLUTION
XDIV OF HWY „w
cc YOUR PROPERTY MAY BE SUBJECT TO
0 a _
c FLOOD. RIVERSIDE COUNTY ASSUMES
r� NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 CANARY—FILE, PINK—APPLICANT