399593 (SPIN)BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY
399 593 COUNTY OF RIVERSIDE FIELD TTIT
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SO. FT. @ $
UNITS
Valuation
S
SO. FT. @
YARD SPKLR SYSTEM
50. FT. @ MOBILEHOME SVC.
BAR SINK
SO. FT. @ POWER OUTLET
ROOF DRAINS
SO. FT. @
DRAINAGE PIPING
SO. FT. @
DRINKING FOUNTAIN
SO. FT. @
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
SMI Fee $
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Plan No.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. @ a
BATH TUB
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SO. FT. @ a
WATER HEATER
Received.lo y
S0. FT. RESID @ 11/4
SEWAGE DISPOSAL
License#
S0. FT. GAR @ 1144
HOUSE SEWER
Address
City Zip
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
�jTOTAL FEES d
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
S( Jj�E]_ PLUMB. FEE
PERMIT NO
1`399593
Job Address Space
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Owner
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Mech. Fee Dbl f
PI. Ck. Fee $
Set Backs
Lot Size
Construction Fee Dbl f
L/G �� !� sem• � �w�!�
Legal l Description
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R
Electrical Fee Dbl $
Zone Restrictions
Group
Type
SMI Fee $
Plumbing Fee Dbl S
Bond Amt.
S
Plan No.
Plan Checker
Final Dote
f� V
Inspect Unit
4;
Sp. Insp. Fee $ (� r
Demol. Fee $
Const. Lender Branch
s
Supplimental Permit Numbers
4-�
Registr. Fee S
Mileoge Fee $
Address City Zip
J
Witness Fee�-
Reinsp. Fee $
Owner/Agen
1Y,, T7/
Tel. Zip
Total Fees S
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City f/ Zip
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1
M.O. EDN.C. Cash E) Check
Received.lo y
Contractor
Tel.
License#
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5ew0ge System
Address
City Zip
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Sewer District
Form 284208 (Rev. 1/80)
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. - 4'
1 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
-J� BUILDING APPROVALS
1 Set Back
2
2A
Ftgs 8 Frms
Slob Grade
Conduit
3
Steen
29
4
Grout Blocks
Grounding Wire-
ire29B
5
6
7
Bond Beams
Roof Deck,
Framing
30
8
Vents
Service
9
Garage Fire Wall
10
Fjreplace P. L.
U
10A
Fireplace T.O.
11
Exterior Lath
12
Internal loth
12A
Drywall
13
Finish Grader
. iNSULATION
Thi
7A
Walls (Batts)
12B
Ceiling (Botts)
12C
Ceiling (Blown)
14
Final
P_LI
IS
GroundPIS umb �L
16
Water Piping
17
Rough Plumb
18
Vents
'19
Sewage Disposal
20
Sewer
21
Water Heater
22
23
Water Softener
Water Service
'
24
Gas Test
25
1 Final
INSPECTOR NO, OPERATION DATE
MECHANICAL APPROVALS
33 Ventilation System
34 Plenums & Ducts
35 R Furnace Comport.
36 Inlets 8 Outlets
INSPECTOR
� t
37 Combustion Air
{ 38 Compressor
39 Appl. Clearance
40 Fire Damper
41 I Smoke Detection Device
42 Commercial Hood
43 Final
OWN ADDITIONAL INFORMATION
NO.
ck Value 1
ELECTRICAL APPROVALS
26
Power Pole
27
Conduit
°Set is Enhance
29
Wiring
29A
Grounding Wire-
ire29B
29B
Bonding
30
Fixtures_
31
Service
32
Final
- - - - - - - - - -- - - - - - -
SEWAGE SYSTEM SIZE & LOCATION
Tank Pit L. Line
REAR OF PROPERTY LINE
PSL PSL
i
STREET NAME
NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT /
APPLICATION TO CONSTRUCT Permit No
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
284 199 9/74 f CANARY—FILE, PINK—APPLICANT
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OwneArchitect Contractor
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Addres+ 1 Address Address_
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City � ir�� A r City City_
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
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without an encroachment permit.
NOW, therefore, it is agreed that I (we) will not occupy said property and will not cause said property to b5V occupied until I (we) hav
complied with all laws of the County of Riverside and the State of California governing said property.
DATE t SIGNATURE OF OWNER AND/OR AGENT�,';7JAIv
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
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I SPACE NO.
`^— ( USE OF STRUCTURE
JOBADDRESS 4 NGLE FAMILY DUPLEX
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LEGAL DESCRIPTION OF PROPERTY
APARTMENTS AGRICEl2..
H
'^
COMMERCIAL INDUSTRIAL
!�
COMMUNITY <'
A. TONS ❑
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NO. OF SUBMITTED'PLANS — USE 0 PERMIT '%
CASE NO.t
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NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING --
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ZONE_SETBACKS: FRONT SIDE REAR
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m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE 7
SETBACK ORDINANCE,#. -- OF FEET REQUIRED ON �f 'STREET
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DATE — SIGNATURE OF LAND USE OFFICIAL e
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET -- —
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CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
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o
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
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IMPROVEMENT? YES ❑ NO ❑
00
DATE __ SIGNATURE OF ROAD DEPT. OFFICIAI
=
SWIMMING POOLS PUBLIC
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SEWAGE DISPOSAL _
FOOD ESTABLISHMENT
_
WATER POLLUTION REMARKS
�n FLOOD CONTROL
z AIR POLLUTION n '
W 1 DIV OF HWY t '�
o a — ;YOUR PROPERTY"MAY BE SUBJECT Tb
0
FLOOD. RIVERSIDE COUNTY ASSUMES
f
— NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199 9/74 f CANARY—FILE, PINK—APPLICANT
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PERMIT NO.
99593
COUNTY OF RIVERSIDE FIELD OFFICE [DIT
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST, FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
. ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
Dote
� „✓ "(J
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN ,
SQ. FT. @
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Bond Amt.
S
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Final Date
•� — C)
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN -SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ a
BATH TUB
City Zip
Vv /•s "�
SO. FT. @ a
WATER HEATER "
Contractor
50. FT. RESID @I 14a
SEWAGE DISPOSAL
Trees
S0. FT. GAR @ 3/44
HOUSE SEWER
City - Zip
,
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEESMOB.
HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
I CONST. FEE ELECT. FEE
SMI FEE
.-fFeejfiEE4. PLUMB. FEE
PERMIT -NO.
399593
Job AddressSpace
�_ 64 � C
Zip Owner
Com"'.
munity
61Z ' ry 2!�
Valuation
S
rParcel
Dote
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Dist.
Off.
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MH Permit Fee $ v
Micro.iFilm Fee Cop S
Use of Permit
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I p4 �.
No.
/Set
Use/Case No.
k. //By
Mech. Fee DW $
PI. Ck. Fee- $
Backs
Lot Size
3•-V
Construction Fee Dbl $
Legal Description
r� �"•'�r�.-
Ci`� �•I'
�"�•••
F
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R
Electrical Fee Dbl S.a'.
Zone Restrictions
^w.+ '
Group
Type/<
SMI Fee $
Plumbing Fee Dbl $
Bond Amt.
S
Plan No.
Plan Checker
Final Date
•� — C)
Inspector s
Unit
"
Sp. Insp. Fee $
Denial. Fee $
Const. Lender Branch
.r�
Supplimental Permit Numbers
T•/+ '
Registr. Fee $
Mileage Fee _ $
Address � City Zip
�•"'
Witness Fee', $
Reinsp.. Fee $
Owner/Agen `"
Tel. Zip
41
Total Fees $
Address
e' r
City Zip
Vv /•s "�
M.O. C. N.C. E] Cash E] Check
Received
Contractor
Tel. ,
Licenself
Trees
Sewoge System
Address
City - Zip
,
T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
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 DONE IN ACCORDANCE -WITH
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
r
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev. 1/80) ANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by:.
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