360493 (GRD)BUILDING PERMIT
PERMIT NO.
360493
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD ; f
CONSTRUCTION
ESTIMATE
Job Address,%'
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NO. ELECTRICAL FEES
NO. PLUMBING FEES
I ST FL. w} "�
2ND. FL.
POR. ••
GAR. —1 r O
CAR P.
WALL' .. ..
ESTIMATED CONSTRUCTION
SQ. FT. @ ' $
`' ) 4 u :::+
UNITS
r
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ - t "� _. MOBILEHOME SVC.
BAR SINK
SQ. FT. @ .; '- POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
-
SQ. FT. @.
DRINKING FOUNTAIN
SQ. fT. @
URINAL
VALUATION f
WATER PIPING
NOTE: Not to be used as property tox valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
se/Case No.
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
Set B cks
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Legal Description
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,
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
R `
LAUNDRY TRAY
AIR HANDLING UNIT CFM
Group
t`-
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
Dbl $
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
No. /
POLE,TEMP/PERM '
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
Sp. Insp. Fee $
SQ. FT. @ c
BATH TUB
•
Const. Lender
SQ. FT. @ c
WATER HEATER
Supplime to
S0. FT. RESID @I'/. c
SEWAGE DISPOSAL
Regisir. Fee f
SQ. FT. GAR @ s/4 C
HOUSE SEWER
Witness Fee $
Reinsp. Fee
$
GAS PIPING
PERMIT FEE
f/Jf
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE
CK. FEE
:.FL.
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
360493
Job Address,%'
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Space
T 1 .1
Zip
Owner
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111i , ,-((
Community
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Valuation
$
Date
•
L `� t
Dist.
Off.
F.C.C.
MH Permit Fee $
Micro Film Fee
Cop $
Use of Permit
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t � . •,
_„ rt' i r , f t
Parcel No.
se/Case No.
Ck. By
Mech. Fee Dbl $
PI. Ck. Fee = r -i
Set B cks
Lot Size
t t
Construction Fee Dbl $
Legal Description
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F Il ry S S
R `
Electrical Fee Dbl $
Zone e'strictions
Group
t`-
Type
SMI Fee j
Plumbing Fee
Dbl $
Bond Amt.
$
Plan
�'
No. /
IK
Plan Checker
Final Dote
Inspector
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender
Branch
Supplime to
ermit Numbers
Regisir. Fee f
Mileage Fee j
Address Ci h Zi
Witness Fee $
Reinsp. Fee
$
Owner/
f/Jf
Tel.
Zip
Totol Fees
S
Address `
•4f
City
Zip
M.O. C3 N.C. C3 Cash Check
Received by
Contractor
Tel.
License#
frees required
Sewage System
Address
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City
L
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Zip
1. i L-! ,I-V •.
If T U. P
L Sewer District
Form 284.208 (Rev.W8;
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK _ verified by:
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
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 CALIFORNIA.
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 CALIFORNIA.
NO.
OPERATION DATE
INSPECTOR
NO.
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.
OP'
ADDITIONAL INFORMATION
-
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
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
25
Final
Tank Pit L. Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
PSL
Py
A.
4`+
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
I
I NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT
l' APPLICATION TO CONSTRUCT Permit No / J
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
Job 926-30
owner. W. �1 H BUILDERS Architect R :kDaMS _ Contractor . TC
Address 930 Vella Road Address — Address_9:10—VP11A RDad ---
Palm Si,�rin s, Ca 922 t Palm S�rin s Ca_92262
Ciry y�� City------T--.-.,—
320-4136 20-1136
Phone
_,Phone,-,,PhonA
7 o n
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 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 I VAU1-i1-19--7-9— SIGNATURE OF OWNER AND/OR AGENT--
.
1 PERRY C. RNERTSON
Approval by Signature from the Following Departments Listed Below Gen, Supt.
Must Be Obtained Prior to the Issuing of a Construction Permit.
1SPACE NO.
1 USE OF STRUCTURE
JOB ADDRESS ,Ianida-i:arar�x- I SINGLE FAMILY DUPLEX
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LEGAL DESCRIPTION OF PROPERTYId]� - APARTMENTS AGRIC.
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COMMUNITY LO Q
ALTERATIONS C�
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NO. OF SUBMITTED PLANS USE OF PERMIT
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CASE NO.
-
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NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING
ZONE SETBACKS: FRONT ---. SIDE REAR
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GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE # _— OF FEET REQUIRED ON — STREET
DATE SIGNATURE OF LAND USE OFFICIAL
iF f
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET—
F
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ �tL�_ 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
IMPROVEMENT? YES ,CL NO ❑ i {
DATE �! _ 4- SIGNATURE OF ROAD DEPT. OFFICIAL
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WSEWAGE
DISPOSAL r.
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ATER POLLUTION
REMARKS
�n FLOOD CONTROL