ELEC (402959)uuLLUlmo rtKMll
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD DST
1402959 COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. @ $
2Np. Fl. SO. FT. @
FOR. SO. FT. @
GAR. SO. FT. @
CAR P. 50. FT. @
WALL SO. FT. @
SO. FT. @
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
GG
a
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL '
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
Community
Z 14,$
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
Dole
/ r
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
F.C.C.
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Micro Film Fee Cop $
Use of Permit
��(-�
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Use/Case No. Ck.. By
s
lof Size
R
Mech. Fee DbI S
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
Type
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
Plumbing Fee Dbl $
SHOWER
BOILER B.T.U.
SO. FT. @ a
Checker
BATH TUB
Inspector
SO. FT. @ a
Unit
WATER HEATER
Damol. Fee *�„ $
S0. FT. RESID @ 1 t/a
SEWAGE DISPOSAL
SO. FT. GAR @ 3/4a
Ragislr. Fee -""'� $
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
zirC�—O
PERMIT FEE e ,o
DBI.
TOTAL FEESMOB.
45'
HM. FEE
MICRO'FEE
MECH. FEE L. CK. FEE
CONST. FEE
E CT. FEES
�
SMI FEE
FEE PLU B. FEE
Q
PERMIT NO.
402959
!ob Address '
,, e ZIX
/.:
Space
Zip Owner
etc. f/ • � :�
Community
Z 14,$
r
Voluation
Dole
/ r
Dist.
Off.
F.C.C.
MH Permit Fee $
1
Micro Film Fee Cop $
Use of Permit
��(-�
Parcel No.
S cks
-- S S
Use/Case No. Ck.. By
s
lof Size
R
Mech. Fee DbI S
PI. Ck. Fee S
Construction Fee Dbl $
Legal Description r•-
—/H�•I-'-
Electrical Fee Dbl $
Zonee R,a�/1 fictions
r_
Group
Type
SMI Fee E
Plumbing Fee Dbl $
Bond Amt.
$
Plon No.
Plan
Checker
Final Date /
�' — r, �—•• go
Inspector
Unit
Sp. Insp. Fee $
Damol. Fee *�„ $
Const. lender Branch
Suppli�rmit Numbers
Ragislr. Fee -""'� $
�w""�u^•.�,s.
Mileage Fee $
Addrass,,,ev �` City Zip
,r++
a ,
^
Witness Fee 5
Reinsp. Fee $
Owner Agent \
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Zip
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Total Fees Is z
Ad/V'dress /
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City
, Zip
M.O. ED N.C. El Cash Q Chec
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Received by
Contractor
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Tel.
License#
Trees require
Sewage System
: Address -
City
Zip
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T LL P ' THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verifie,i_by:
Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT,. TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE D014E IN ACCORDANCE WITH
Tjjf LAWS OF COUNTY AND THE STATE'OF CALIFORNIA.
TIFY THAT THE IgIDIVIDUAL WHO PREPARED THE PLANS AND SPECIrFICATIONS~HAS DONE SO IN /
Form 284.208 (Rev. 1/80) 01 ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. 1\A
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Figs 8 Frms
34
Plenums 8 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
IOA
Fireplace T. 0.
Ej
°o
ADDITIONAL INFORMATION
-
'
SEWAGE SYSTEM• SIZE & LOCATION
11 Exterior Lath
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 D .
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater `a Q
22 Water Softener
23 Water Service
24 Gas Test
25 Final _
Tank Pit L. Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
I'
29A Grounding Wire
298 Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
e y y{ Yy
A.+' 4
41
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:p,0;►Box-`1463�� .'
' Loi `Gat .
s. 9 0
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"OM'' -T T -MAY' CONCERN . r ,
TO W -H,
i
Re: 5l1=100 Nava'rro
La Quin.ta, "Cal ,.
r
~. Thi lett-er will authorize' Mr., Dan -Sherman to ae
as my'`agent.,in'connection with installing new.;'el.eetr.ical .
. wiring ' n , t'h.e laundry room at the above building: ;
d .
s
.f Sincerely yours,
x Johrr.'L, Kulander, owner
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NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT l
Permit No
284 199A 9/74 CANARY -FILE, PINK -APPLICANT
Owner Archit ct_ -. _ Contractor__-.. -
ddress --- -----
Address Z ss__ Address----------
city-
City_ City ----
hone-
Phone �T a'>/ Phone _ : Phone---
cc
cc
W
I (we) the undersigned, hereby certify and acknowledge that.l (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 oL_B6444Aiqg 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 do within th- 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 saidoper to be cupied til I (we) have
complied with all laws of the Countv of Riverside and the State of California governing said proper
DATE O SIGNATURE OF OWNER AND/OR AGEN -
- ---
Approval by Signature from the Following Department's Listed .Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
w /� I SPACE NO.
�/ "c' I USE OF STRUCTURE
ti -7� (/_2v"
�lL__l�
JOB ADDRESSS _ SINGLE FAMILY 0 DUPLEX
SINGLE FAMILY
�v �D
LEG D CRIPTION OF PROPERTY`, AGRIC.
���----_,/`��/
� COMMERCIAL E INDUSTRIAL
Q
COMMUNITY . ALTERATIONS [�
_
C
Z
NO. OF SUBMITTED PLANS USE OF PERMI -
Q
CASE NO.
--
C Z
NO. OF PARKING'SPACES REQUIRED _- - NO. OF BUILDINGS NOW EXISTING -- -
Q
ZONE W-3 SETBACKS: FRONT SIDE REAR
J m
GRADING PERMIT REQUIRED? YES❑ NO ❑ LOT SIZE
SETBACK ORDINANCE# OF FEET REQUIRED ON 19 STREET
DATE .41 SIGNATURE OF.LAND USE OFFICIAL -
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET___
t-
W
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ -STREET
i
t-
oe
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
11%
DATE SIGNATURE OF ROAD DEPT. OFFICIAL
t =
SWIMMING POOLS PUBLIC
I..:
Q
SEWAGE DISPOSAL
_
FOOD ESTABLISHMENT
WATER POLLUTION - REMARKS
vt FLOOD CONTROL
t-
W AIR POLLUTION
W t-
S H DIV OF HWY
c a — YOUR PROPERTY MAY BE SUBJECT TO
d
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT. OF FLOOD.
284 199A 9/74 CANARY -FILE, PINK -APPLICANT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY '
FIELD OFFICE �Dsr
COUNTY OF RIVERSIDE.
PERMIT, NO. v
4029'59]'
CONSTRUCTION ESTIMATE :
NO'. ELECTRICAL FEES
NO. PLUMBING FEES'
.. -
1ST. FL.
•V2ND. FL. •r , L
'• POR',. -
` GAR.
.CARP._ ' �
WALL -
ESTIMATED CONSTRUCTIONS
.ti •$ -
SO. FT. @.
-UNITS
s
SO. FT., @
YARD SPKLR SYSTEM
SO: FT. @ - MOBILEHOME -SVC. •
- 'BAR SINK'
SO FT. @ POWER OUTLET
ROOF DRAINS
SO. FT. @ ' t • Y
DRAINAGE PIPING '
-SO. FT. @ 1 -
DRINKING FOUNTAIN -
SO. FT. @
URINAL
VALUATION $ -
WATER PIPING
NOTE:: ,Not to be used as property tax valuation
SWIM POOL, PVT
PI. Ck. Fee S.
•'.
:FLOOR DRAIN
s
MECHANICAL FEES
SWIM POOL, COMM,
Zone �Restrictions
'�
WATER SOFTENER
VENT SYSTEM
FAN EVAP. COOL HOOD
SIGN
_WASHER (AUTO)(DISH)
APPLIANCE
DRYER
Checker-
Final Dote _
+ GARBAGE DISPOSAL y
FURNACE' - UNIT ,
WALL FLOOR SUSPENDED "'
Sp. Insp. . Fee $
-
- LAUNDRY TRAY
AIR HANDLING UNIT
CFM
IDLE METER,
L -,
- •
- • '
KITCHEN SINK .,
ABSORPTION SYSTEM
B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET -•
COMPRESSOR
- HP s -
POLE, TEMP/PERM
'LAVATORY -. • . �'
HEATING_ SYSTEM
FORCED GRAVITY 'c'
AMPERES SERV ENT
ity
Lj
_
SHOWER' _
BOILER
B.T.U. s,
SO. FT. @ A
Contractor - •
-
BATH TUB
'
-Licensest
SO. FT. @ a
Sewage System -
w
WATER HEATER.
1Address s ..
SO. FT.:RESIlY @I t%a
Zip -••
SEWAGE DISPOSAL
• SO. FT. GAR @ 3/44
HOUSE SEWER w
. •
:..
. -
GAS•"PIPING
PERMIT:'FEE
�!
PERMIT FEE
_O PERMIT FEE J/ D
'_FEE
DBL.
TOTAL FEES •'
40
MOB; HM FEB
MICROFEE ^ MECH. FEE
L. CK. FEE'
CONST. FEE
CT. FEE SMI -FEE
40 10
PLU B. FE
PERMIT, NO. v
4029'59]'
Job Address
.ommunity-
-
- Space'
.
Zip Owner
. 4
s
-
Val�atia
S
�te
Dist.
ON.
C:
MH Permit Fee' ' S
Micro Film Fee Cop S
Use of Permit. k �• ,1
• • - `
-. - t � -
Parcel No.
S c
S S
..
Use/Case No. Ck. Sy,
Lot Size
R '_
Meth. Fee • Dist 5 +
PI. Ck. Fee S.
•'.
Construction Fee Dist $
ega. Description/ / �%/�
-.fid! % �+•c.�.•
Ir, 'y/�•
.✓ V V �. ./'/.!
�syy�
4./"^ "/6.r .'
Electrical Fee Dbl $
Zone �Restrictions
'�
Group
Type
�• '
SMI Fee $.
Plumbing Fee Dist $
.Bond Amt.
.5 •
:Plan No.
Pion
Checker-
Final Dote _
Inspector
Unit- '
•.t
Sp. Insp. . Fee $
Demol. Fee y'' S
Const. Lender ,. ' • `Branch
dam" '[
-
Supplimental-Permit Numberi
- • -.e'
,. ,
L -,
- •
- • '
Regisir, Fee $
Mileage -Fee $ .. n
Witness Fee $
'�••, � •• -C, City Zip
""4' r
Reins p. Fee $
Ow`nerf/Ag' f. - "
x
Tela
3
_• Zip
Total Fees S
Addrres_s 'R
�
_
rLJ/� 4/1
ity
Lj
r - Zip '.
M.O. 0 N C.O Cosh Q Choc
Received Is
Trees require -j-,
• -
Contractor - •
-
,.
Tel. ..
-Licensest
Sewage System -
w
1Address s ..
City t -
Zip -••
-
�
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 ALSO CAUSE PERMIT TO BECOME VOID.
u . .I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFQRNIA.
g'Qy�RTIFYJTHAT'THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN i
Form 284208 (Rev. •1/80) A, ACCORDANCE WITH, SECTION 5541 0F THE BUSINESS" AND PROFESSIONS CODE OF,THE STATE OF CALIFORNIA: v