344183 (BLCK)sl Y DEPARTIi M OF BUILDING i SAFETY. Fid: 'r,.,�• i_7 ::
COUNTY OF RIVERSIDE,;`_!;
•Ty :r ELECTRICAL FEES NO. PLUMBING FEES' %;` r� :.ti�ttc;r
STRUCTION ESTIMATE NO.
UNITS
YARD SPKLR SYSTEM ?` i
x: .r
i��%•'tgy ..,.:• So.FT..pMOBILOOMESYC
BAR SINK .
SM.FT. 1•i,;90�• - POWER OUTLET ROOFORAtNS :_�:�
-GAL SC Ff. ® DRAINAGE PIPING
SOFT•DRINKING FOUNTAIN
Wj allo
SWL.
. 0---- ?/ 7 URINAL
(... '
t;� Sti Fi• WATER PIPING
'ESTIMATED CONSTRUCTION VALUATION $
.:: NOTE. Not to be used as pro" tali valuotton SWIM POOL, PVT FLOOR 0RA1N
:MECHANICAL FEES SWIM POOL, COMM WAIERSOFTENER
WASHERIAUTOIIDISHI'
=5' VENT.SYSTEM• []FAN• QEVAP.000L
C) HOOD
SIGN
DRYER GARBAGE DISPOSAL
I;.;; APPLIANCE`• •';: : ❑
FURNACE .. Q UNIT'' p WAIL p FLOOR p SUSPENDED LAUNDRY TRAY
AfRHANGUNGUNIT: CFM
IDLE METER KITCHEN SINK
B.T.U. TEMP USE PERMIT SVC WATERCLOSET
AESOR 71ONSYSTEM
`'.POLE, TEMP/PERM LAVATORY
CoMpamR'• . E:=}Ip
GRAVITY AMPERES SERV ENT SHOWER
;..,HEATINGSYSTEM:. 'Q'fORCED .❑
`i'r 601LER, B.T.U. so. FT. r c BATHTUB
+'. WATER NEATER
50. FT. C4 ` .
4.'�. SO. FT. RESID 6 1 •ac SEWAGE DISPOSAL
$C. R. GAR i:t HOUSESEWER `
' GAS PIPING
rP13UAIT FEE: PERMIT FEE PERMIT FEE
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D0�•:• raKMM•F[[ MICROFEB MECN.FEE PL-GK.PEE CONST.FBpLL ELECT.FEE SMIFEE FEE PUIMB.FEE
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.• D'IF WORK'1S NOR COhAMENCED WITHIN 140 DAYS CESSATION OF . YNdMdby.
i:••••;%:: ••T?tR.A.ERAUF .SNAIL•BECOME. .. .. s
W0119 POR 1Z00AY55NALL TO BECAME VOID.
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u TY.oTHEST'MATEW ciw'n Wsu:sg DONE.w AcmxaAN�
PMUL
'
WHO PREPARED THE n" AND SPECIF{CAiQNS HAS DONE
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1.l1EA1!BY CERFtfY.THAT :1HE.N1DIVIDUAI
5011CCORDA OF THE 13USiNE55 ANO PRCIFiSIONS 000E Of THE STATE OF
'%hii3i1�708lIYIi.�•7Titst''
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_--____W.....y._.._.�......�.....•-,.•....vuy.�triew.•..�t.NaSg7!7.Y�hf6L'iS�'C•eS{i'a�t`.'"1r°.�:�w5_�i9�� i`..r 1. ... :7.' ..<.-.
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INSPECTOR
t` OPERATION GATE
NO.: .
BUILDING APPROVALS
.•.• .. 1 , Set Bade
Fr acrm� Y 2 —
�: 11+ .
2A Slob Grade
3 SPR;;i
l 'Z "
;.:.4 4 Blocks
AultmBeams
6 eckng------------
9 Garage Frre Wall
10 FireplM
.
•..10A • Fireplace. T.O.
11, Exterior Loth
"
.-12 Intemot lath
12A Drywall
13.. Finish Gtcde .
�? :.*aLAATl0N 1h•Kk ••g..
Value
7A : Wolli IBattl
1• .':12B CellingiBottl
::'•f ' 12C. Celling181awn1
l a Find
?' PLUMBING APPROVALS
15,• •' " Ground Flumb
16 Water Piplre
'17 8cugh Plumb
18 Vent
t9 Sewage Disposal
20 Sewer
21 Water Hectef
22 WaterSeftenet
•23 Waris Senioe
24 • Gcs•Test
.25' Md
ELECTRICAL APPROVALS
:1 Power Palo
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•%• ' "28'•. �¢r'vIOe EntrOnt4 .
'""�'• tndin Wln ' '
ND.
OPERATIONM�.P�N+TQfI'
M ECHAN ICAL APPR01fIriLS:
33
Ventilation System
34
Plenums 8 Owl
35
FurnowCompart.
34
Inlets d Outlet
37
Combustion Air
38
Compressor •3 -e:s
39
Appl. Clearance
ii
40
Fire Domper
41
Smoke Detention Device
42
Commercial HOW
43
Fino1
OPT'
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
Tank Pn L. Line
wtriw ne eeAesOt♦Y l{CGE
. t .
STREET NAME .
., V!, I ._'I,
NOTICE: THIS IS NOT A .BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY Of RIVERSIDE
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Own► Architect_ Contractor..._._.,.:
--� Q
Mdrost`,. _ CC Address_.._ _._ Address_.
City Lr -t- ` City _ City_
.Phone �� _ Phone Phone_ _� ......_ __. .
I (wel ,ihe' undersigned, hereby certify and acknowledge that I (we) have read rho application and agree that it Curb.'arid'Gutter, .arid
..
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paring,_and/a Dedication of right of wpy is required by filo County of Ftt•crside, the Rrvarsidc CounlY Dcparlmenl of Bulldirq'anA'Sifili.
Shall not make a Final. Inspection until said requirements have been mci. I am also aware tfat'no work is to be done withtri the County.R/.W.
0:.
;vnfheul 'an' eneroachnient permit. ..
NOW, therefore, it is ogrccd,thar I (wel will net ourroy sad property and will not cause said property to be occupied until t'(wel,have
-
complied with atl',laws of the County of Riverside and the Stale of California governing said property.
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DATE�5,_�L.��_? SIGNATURE OF OWNER AND/OR AGENT_� `c �.
Approval by Signature from the Following Departments Llsted 13,4
Must Be Obtained Prior to the Issuing of a Construction Permit.
- ......_._
3 ISPACE N0. USE OF STRUCTURE
/I
JOB ADDRESS
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-_.t � - ice' o n
SINGLE F;,I,l1LY UPi.Fx
- e!t'- " '•�
_
LE L DESCRIPTION OF PROPERTY .. ,f �..Dr. jt� APARTMENTS 0 AGRIC: D
CtCOMMERCIAL 0 INDUSTRIAL L-3
"Q•
COMMUNITYALTERATfONS n
OF SUBMITTED PLANS USE OF PERMIT
.'
N:Q
NO. -
CASE 140.
42.%
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NO. OF PARING SPACES REOVIRED _.___..__ NO. OF BUILDINGS NOW EXISTING •-•-.--- -•--------
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S.�
ZONE SETBACKS: FRONT --- SIDE __.REAR
• tA•
GRADING PERMIT REQUIRED? YES ;_,l NO L LOT SIZE
SETBACK/ORDINANCE Ji OF.T_.._.___. FEET REQUIRED ON ___. TP,EET
SIGNATURE OF LAND USE OFFICIAL _
�.
'
DEDICATION REQUIRED: YES ❑ NO I✓ NO. OF FEET.__—
CURB AND GUTTER REQUIRED: YES 0 NO ❑
r '
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES p NO ❑
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
":.
IMPROVEMENT? YES ❑ NO ❑
" :•
DATE; _. SIGNATURE OF ROAD DEPT. OFFICIAL_
.•_, •
-StyIAAMING P0pL5 PUBLIC
S,EMACE DISPOSAL _
;FOOD.PSTABLISHMENT' —.
SW..'.WATER .ROLLUTION REMARKS
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l<a Yr i;!lIRPOLLUSI.OFi,:
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Y.'4,
YOUR: FREE TY.'MAY 8�'SUBJECT. YO•* .
"' 1VE `7 77
;r.•;r:..F.: : FL;OOD.' :.R R SIDE•CBUNTY:ASSUMES
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.,. �,.` ��•-• •NO..RESPONSJBlLITY`.E:VENT�OF FLOOD:��:•
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