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PERMIT NO. •• ! ; DEPARTMENT OF`BUI'LDING 8 SAFETY - FIELD
DST'
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353633
COUNTY, OF RIVERSIDE
,1 PERMIT NO.4
CONSTRUCTION
ESTIMATE
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NO. ELECTRICAL FES
NO. PLUMBING FEES
IST FL.
SQ. FT, @ $
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UNITS
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Off..
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2N D. FL.
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SQ. FT. @ ' �. F,
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` YARD'
t•t:r}d'
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POR.
SQ. FT. K r°
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MOBILEHOME SVC
n
BAR SINK
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GAR.
Use/Cosa No:
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SQ. FT. @ i, V L p t
Niech! Fee Dbl $ -J
POWER OUTLET
Set Backs -
1' ROOF DRAINS
'Construction Fee p Dbl $ • ` a :
P.
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SO.' FT: /@ i a' } t
Electrical Fee : Abl 8 7y
-
Group
•
DRAINAGE PIPING
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4 �' t
t�C4R
PWALLSQ.
F1 }�
•Unit
DRINKING FOUNTAIN
Ic
f
Plan No. •``C'
PT. �
Final Date
Inspector
Sp. Insp. ,Fee '1 / $
Demol. Fee t`f .) $ "
Const. Lender —I,
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SQ. FT! @ ' t�.
Registr. Fee $
Mileage Fee �I+. $
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Address' !` City •� Zip
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URINAL
!ESTIMATED CONSTRUCTION VALUATION $ ' _
Reinsp. Fee $ t
Owner/Agent
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Tel. Zip
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WATER PIPING
Total Feeg� $ _
'Cash
}!NOTE: Not to be used as property tax valuation I;j
City Zip'
SWIM POOL, PVT
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FLOOR DRAIN'
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MECHAN° TCMIFEES'"t :;.r,7_r
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WATER SOFfiENER ° Vi c
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NENT-SYSTEM
FAN EVAP.;1COOL t' HOODS ".�i..
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SIGN
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APPLIANCE
DRYERI
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GARBAGE DISPOSAL;
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I HEREBY.CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
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S'_ �•
FURNACE
UNIT WALL FLOOR jrr`. :SUSPENDED»
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q LAUNDRY TRAY
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AIR HANDLING UNIT�;� + ?CF.M % {�
T '
IDLE.METER w
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KITCHEN SINK-,' .
ABSORPTION SYSTEM K r ,' yy 'B.Ta� .,,`.t
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�+, TEMP USE PERMIT SVC
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j WATER CLOSETe;
COMPRESSOR j a HP ' 7n t�.
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POLE,TEMP/PERM
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F LAVATORY
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HEATING SYSTEM FORCED��
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AMPERES SERV ENT
V
SHOWER' '4
BOILER]
B.T.U. . iw.is„7/'t'•T •
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r' y $Q. FT. @+n CI 4,.• _. a'.. u�.
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SQ.`FT. @ t
WATER HEATER,
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SQ. FT. RESID @11/.t
=SEWAGE DISPOSAL
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SQ. FT. GAR @ 31, c
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' HOUSE SEWER'
GAS PIPING .`
PERMIT FEE
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PERMIT FEE �k .... s PERA/11T FEE'',. •s ti•^
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DBL.
TTOTAL'FEES
MOB.HM FEE
MICRO FEE-
MECH. FEE • 'PL. CK. FEE •
,t CONST., FEE
ELECT. FEE
SMI. FEE
FEE PLUMB. FEE
16
,1 PERMIT NO.4
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Owner' t '
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Valuation
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Dish.' -
Off..
F.C.C.
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tlrr
MH.Permit Fee b
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Micro Film Fee t.� Cop $ /
Use of Permit �:
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Parcel No. •
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Use/Cosa No:
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Ck. By,
Niech! Fee Dbl $ -J
j P $
PI. Ck� fee ,lt
Set Backs -
Lot Size
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'Construction Fee p Dbl $ • ` a :
legal Description as`) t� 4/ p' 'y
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F - S S R ,
Electrical Fee : Abl 8 7y
Zone Restrictions �).
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Group
•
Type'
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4 �' t
SMI Fee,, $
' J +�„�..
•Unit
Plumbing, Fee I}/t `Pbl- $ _
Bond Amt ' r
Plan No. •``C'
Plan Checker
Final Date
Inspector
Sp. Insp. ,Fee '1 / $
Demol. Fee t`f .) $ "
Const. Lender —I,
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'Siipplimenial'PermitNUmbers b - °'''�^}c' '> '^+ . ;�'"'•T
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Registr. Fee $
Mileage Fee �I+. $
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Address' !` City •� Zip
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Witness Fee $
Reinsp. Fee $ t
Owner/Agent
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Tel. Zip
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Total Feeg� $ _
'Cash
Address ' T ..
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City Zip'
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Rece veff y/
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Tel. / J• •
License A/
�G.O�.:•
Trees requjred V
Sewog,e System
Addr�eess/•s•,
Cit ,{ . •
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THIS PERMIT SHALCiECOMEx6D IF WORK Is NOT COMMENCED WITHIN •120 DAYS. CESSATION OF WORK "verified by:,
FOR 120QAYS SHJlI ALSO E P IT,T ECOME VOID,
Sewer District
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ONI WILL t =
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I HEREBY AGREEJHAT A I ,N WITH THIS PERMIT BE DONE IN ACCORDANCE WITH
THE LAWS OF R-IVERSIDE COUNTY A THE STATE OF CALIFORNIA.. ¢
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I HEREBY.CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
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Form 2,84-Z08 (Rev.8/78) 8t •.:L v r .:, , «• �: ',, _ .. ti . •;
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NO.
OPERATION DATE
INSPECTOR
NO.
9
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
Commercial Hood
10
Fireplace P. L.
43
Final
10A
Fireplace T.O. ❑
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 (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 Pit L.Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
PSL
P/.
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET
carr•'"` • .-
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE ,
DISTRICT ��77 mayyy( P
Permit No
284 199A 9/74 t
t
CANARY—FILE, PINK=APPLICANT
ow I Architect — ___—_ Con tract4�jj --b f_ —.._
9--'-
Address __—_ Address___ Addressl3' _,3
City— Cit — _ it _
CY — y — City*- ----- —
n /
PhonF��
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
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 AGN,
'.Approval by Signature from the Following' Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
775— I SPACE NO.
USE .OF STRUCTURE
JOB ADDRESS—__ r—___ " rG,� SINGLE FAMILY 'DUPLEX El
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LEGAL DESCRIPTION'OF PROPERTY — ��/ _ APARTMENTS AGRIC.
3�--- ' 7
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COMMERCIA � INDUSTRIAL n
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COMMUNITY ALTERATIONS
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NO. OF SUBMITTED PLANS _ U EiOF PRMIT
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CASE NO. -e ���1// — _--rd - GQU rhe
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NO. OF YARKING AC S REQUIRED _— — NO. OF BUILDINGS NO EXISTING
Q 0
ZON L,12- ETBACKS: FRONT SIDE REAR
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GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE N OF FEET REQUIRED ON _ S EET
DATE- SIGNATURE OF LAND USE OFFICIAL - -
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
Q
IMPROVEMENT? YES ❑ NO ❑
O
cc
DATE — SIGNATURE OF ROAD DEPT. OFFICIAI
=
SWIMMING POOLS PUBLIC
SEWAGE DISPOSAL
QW
= G
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
u� FLOOD CONTROL
F
W AIR POLLUTION
W DIV OF HWY 62tr6 4' 4V
H
c OUR PROPERTY MAY BE SU CT TO
a —
I W FLOOD. RIVERSIDE COUNTY ASSUMES
0
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 t
t
CANARY—FILE, PINK=APPLICANT
DATE 19% � EMP, NAME
CUSTOMER'S USTO ER'S NAME oLA .G
MAILING ADDRESS
ORDERED BY
J013 LOCATION
4
P. 0. #i
FJ
DATE
PHONE
TIME RECEIVED
DESCRIPTION OF WORK TO BE DONEA
On
Off
0 Al -e Z?, -,-C1> I -Ad
-1(91Z
/0v 7-&,9 o 14 A4D R v 1.1e- t7 & e
Total Hra.
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Chg. Account: C T&M W D 0 MK.j