CPWU (353647)t;j',UU1LLPlNU VLKMII !� '- _.4 1 t..r ,. �, ti< `• r _t4,k'b`;a._ .. DSTy—
PERMIT NO. ' ' DEPARTMENT OF BUILDING & SAFETY~ ° + FIELD
, 3 5 3 6 4 7 COUNTY OF RIVERSIDE !I'l, iri1._.+c+•�,'`,R.-S)n}M...t+. N�wy1,i .�9�t +`:t wr.•w•s�W+l't:+fi' M`+f. ..•,u,a.w..+.•�a.J �i�.•y. .. •t•,7MF!w•...f F, I�
CONSTRUCTION ESTIMATE
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NO. ELECTRICAL FEES
Space
p
NO. PLUMBING FEES
I
t IST FL.
SQ. FT. (RI $ v
UNITS
Dist.`
Off.
F.C.C.
2ND. FL.
SQ. FT. Jt/
Cop $
- Use of Permit - -
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YARD SPKLR SYSTEM '
Use/Case
FOR.
GAR.
!
SQ. FT. Q 'r l
Mach. Fee Dbl $
MOBILEHOME SVC.
Set Backs
BAR SINK
T.
1.•
SQ. FT. @.% )r. POWER OUTLET ROOF DRAINS•,.
Legal Description
` �/ of = ••..++ �/
��� /
CAR P.
i /
SQ. FT. @ ��� - e
Electrical
Electrical Fee DbM, $
Zone Restrictions °
DRAINAGE PIPING
Type
t
WALL QFT(a? frff
S. . �
SQ. FT. Q 1 / [
ESTIMATED CONSTRUCTION VALUATION "{ Id $(I// K
SMI Fee ° $A�
Plumbing Fee
Sp. Insp. Fee
nq
Obl $."
•( Jr Yr $
DRINKING FOUNTAIN .
URINAL.-'
t ." WATER.PIPING'•.'
+
NOTE: Not to be used as property tax voluOii6 ,"/01,_
Plan Checker
SWIM POOL, PVT
,i
+FLOOR DRAIN
.a,
- Unit
MECHANICAL` =FEES 3C/i
Demol. Fee`
SWIM POOL, COMMt
•"
WATER SOFTENER
Suppbmental Permit Numb
J
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R•h+M s..a.'•vY�h.a•+w,; 1./'.`.1?arw"�,
-
VENT SYSTEM FAN EVAFIjCOOL . M0,06 ",14
.' f
SIGN }•
?
".WASHER (AUTO)(DISH) e
.
ti
APPLIANCE Y R
DR. i �.'
$
r
Owner/Ag nt_ ��/��%
z GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR 4.`ySUSP NDED . "f,
Total Fees
Is
f LAUNDRY TRAY
E,
•„ CF • AIR HANDLING UNIT
,. I'^.�.+3`�.q.�+.'
IDLE -METER
s KITCHEN:SINK
•'
ABSORPTION SYSTEM 3�. +r FABeT.`U.
TEMP USE PERMIT SVC
F '�
,WATER CLOSET
Licensed
COML
PRESSOR - "HP y;ti (,« X!
^GRAV)TY{
air. f
POLE,TEMP/PERM
t,
LAVATORY
City _
HEATING SYSTEM FORCED a :•.t.E
AMPERES SERV ENT
SHOWER
BOILER f B.T.U. a T y?R.
i .. +*L
SQ. 'FT. Q' a�, .� r'
.i• +..='$ATH TUB" C d sir•:+,j
r� v
SQ. FT. Q t
WATER HEATER
SQ. FT. RESID @I-/, c
i SEWAGE DISPOSAL
'y..
SQ. FT. GAR Q
HOUSE SEWER ,
S,P PING
PERMIT FEE `` "
PERMIT FEE
PERMIT FEE
BL.
-TOTAL FEES
MOB. 'FEE
.` MICRO FEE
MECH. FEE
PL. CK. FEE
CONST. FEE ELECT. FEE
SMf FEE
.. _ FEE PLUMB.
FEE
• sap. --hi �, �- � •.� .- - � _, ':� .
PERMIT NO.
30-3647
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Job -Address � r-- -
Space
p
Zi Owner
p
,
Commu it/y%
// d1°1,s� °
Valuation
$
Date
.s +,
Dist.`
Off.
F.C.C.
MH.Permit Fee $
Micro Film Fee
Cop $
- Use of Permit - -
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Parcel No. • 4 r,_-
.•��'
Use/Case
No.
Ck. By
Mach. Fee Dbl $
PI, Ck. Fee y
Set Backs
Lot Size:,
T.
1.•
Fee Dbl Ii
Legal Description
` �/ of = ••..++ �/
��� /
F.r 5
-
S IR
_� R
Electrical
Electrical Fee DbM, $
Zone Restrictions °
Group '
_• -
Type
t
•o' •r•
SMI Fee ° $A�
Plumbing Fee
Sp. Insp. Fee
nq
Obl $."
•( Jr Yr $
'.� .:
BondAmL".
$
Plan No.: ' t• •'
Plan Checker
Final Date • c
7q,•-
•Inspector„•
-
- Unit
Demol. Fee`
�( Is
•"
Const. Lender Branch • t f,
Suppbmental Permit Numb
J
•°
R•h+M s..a.'•vY�h.a•+w,; 1./'.`.1?arw"�,
-
•.'G rd.'.`.�'•'i' Tivl.1ti{-Y�}
~
'
Regisfr. Fee $ r,
Miles9 Fee
a $ .I
S:' .'
Address City Zip
:ai,a. W. x•.',ay l..+"'t w` a:ar.. Js'M, i•�..'ri:•FiFd .s•Vt? 'w. r, ...
Witness Fee $
Reinsp. Fee
$
Owner/Ag nt_ ��/��%
Tel
Zip
Total Fees
Is
Address `
v C -as PM" i _ +,'1%s +
°G+'�^`
City 1
, ,,'y:' . r ; s a ..yts
' "'"
,. I'^.�.+3`�.q.�+.'
Zip
Y�,•;`
_a.
x. I/
N.C. Cash Chec }:~
Recel�ed b'/
Free1} requ• ed
�•"'
Contractor
✓
Tel.
Licensed
'
ieWyage/ ystem
Address
City _
Zip
' L T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK vwif ed by
Sewer District FORJ20 DAYS WPLL,,ALS95CALISE PERMIT,TO BECOME:
I HEREBY Ptr/6t21�E T 'iI�tGQK1NECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH f'
1' T� THE LAWS OF RIVERSIDE 915UNTY AND THE STATE OF CALIFORNIA.
Y ♦ 1
+ f I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
_ �.
f 1;t CCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA., • a.
Form 284-208 (Rev.8/78)
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & 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
IDA
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 (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 .1
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
298 Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
NOTICE- THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT // •
Permit No
284 199A 9/74 CANARY -FILE, PINK -APPLICANT ,
Owner -h Q� - -N _- _ Contractor__ _
Address o k 3 " Address___ Address
_-_ --
La �iti�
City "'L 4 City— City___
Phone - C411.1 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. 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 pCoperty..�^
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. ,
�oi2J�3 (SPACE NO.
1 USE OF STRUCTURE
JOB ADDRESS/
>'
_.�7�_- SINGLE FAMILY Q DUPLEX
OF P OPERTYF�ZO
*LE�;jALDESCRIPTION
APARTMENTS 0 AGRIC. 0N--_ � ��
b-----
/ COMMERCIAL INDUSTRIAL ILITY
eie /
ALTERATIONS
Z
NO. OF SUBMITTED PLANS - USE OF PERMIT
H Q
O
CASE NO._1/[1Y1��_.
J`
Z
NO. OF PARKING SPACES REQUIRED -- — NO. OF BUILDINGS NOW E STING
Q
ZONE �SETBAeKS: FRONT SIDE REAR
J
m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE 9 OF FEET REQUIRED ON STREET
DATESIGNATURE OF LAND USE OFFICI
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET - —
z
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ -STREET
t -
a
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑' - NO ❑
Lu
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 ..
=
SWIMMING POOLS PUBLIC
QW
SEWAGE DISPOSAL
FOOD ESTABLISHMENT
I
WATER POLLUTION. REMARKS
vt FLOOD CONTROL t
t -
z AIR POLLUTION
= F DIV OF HWY
II -
0 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 ,