384891 (MECH)BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY MDS384891 COUNTY OF RIVERSIDEFIELD
CONSTRUCTION
ESTIMATE
Job Address Space Zip
a
NO. • ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @
Dist. Off.
UNITS
MH.Permit Fee E
SQ. FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
BAR SINK
POWER OUTLET
SQ. FT. @
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $ (f'
WATER PIPING
NOTE: Not to be used as property tax valuation
Group
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
Plan No.
SWIM POOL, COMM
WATER SOFTENER `
VERT. SYSTEM FAN EVAP. COOL HOOD
Demol. Fee $
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Mileage Fee $
Address City Zip
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Owner/Agent
Tel. Zip
LAUNDRY TRAY ^
AIR HANDLING UNIT CFM
Address
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
Contra for tr„�,,i. ?v J.j':( �, /a..,,tGL/�.� �' i
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR t HP
1910
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FO ED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
SQ. FT. @ C
WATER HEATER
SQ. FT. RESID @1'/,c
SEWAGE DISPOSAL
SQ. FT. GAR @ s/. c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
Lzig O�
MOB. HM. FEE
MICRO FEE
CH. FEE
a
PL. CK. FEE
CONST. FEE ELECT. FEE
SJtI FEE
FEE PLUMB. FEE
PERMIT NO.
384891
Job Address Space Zip
a
Cwner
Community``
4 n
Valuation
[Dare f
Dist. Off.
I F.C.C.
MH.Permit Fee E
Micro Film Fee Cop $
The of Pe n fes.
+•� `�
r %v,l,e p
Parce No.
- 25 a -471-
Use/Cose No.
I
Ck. By
Mech. Fee _Lb I_ b
PI. Ck. Fee $ .
Set Backs
I Lot Size
Construction Fee Dbl E
Legal Description
y^ \r/� �//
A -3 4'
T:..-i�IG...� Z..
F S S
R
Electrical Fee Dbl $
SMI Fee E
Zone Restrictions
Group
Type
Plumbing Fee Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Final at / pe Unit
3/
Sp. Insp. Fee $
Demol. Fee $
Const. Lender Branch
r
Supplimental Permit Numbers
.
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee $
Owner/Agent
Tel. Zip
Total Fees Is n
Address
City Zip
M.O. 0 N.C.Ej Cash Chech,
Received by
Contra for tr„�,,i. ?v J.j':( �, /a..,,tGL/�.� �' i
TeL�
License#
Trees required L -��-
Sewage System
Adgress
Cijy� t Zip
'
T LL P
Sewer District
�Gu•)•a�•8o�j�- >3
Form 284-208 (Re) @s
_ _ T
THIS ' PERMIT SHALL BECE VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS CESSATION OF WORK vUriTied 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
Figs & Frms
34
Plenums & 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
N 9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L.
43
Final
10A
Fireplace T.O. ❑
No
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION hi. k R
tia S Value
7A Walls (Botts)
12B Ceiling (Botts)
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
PSL P/
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
t
STREET NAME
- V'1111F"
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'
Cr.NARY=FILE, `PINK — APPLICANT
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Contractor
Owner Architect' _. _
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Address___ Address —�----
City f%g72k City-- City---/���U _
Phone Phone _ Phone-3�(%�
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 Depzrtment 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 :)e 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 tc be occupied until I (we) have
complied with all laws of the County of Riverside and the State of California governing said property.
1SIGNATURE OF OWNER AND/OR AGENT_`�L�/a /�
DATE 1-75— ---
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing .of a Construction Permit.
ISPACE NO.
OF STRUCTURE
USE
JOB ADDRESS SINGLE FAMILI` � DUPLEX
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LEGAL DESCRIPTION OF PROPERTY T��—cp3 � '9-a
_ APARTMENTS �
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AGRIC.
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/, 7 COMMERCIAL INDUSTRIAL n
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COMMUNITY L ALTERATIONS ❑
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Z
jCASE
NO. OF SUBMITTED PLANS USE OF PERMIT T�� f7G� r l
NO. (o
Z
/`g
NO. OF SPACES REQUIRED _ N0. OF BUILDINGS NOW EXISTING
Q o
/P�ARKING
ZONSETBACKS: FRONT SIDE REAR
J m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE OF FEET REQUIRED ON STREET
DATE/—/— i — SIGNATURE OF LAND USE OFFICIAL
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET—
z
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
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s
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
cc
DATE SIGNATURE OF ROAD DEPT. OFFICIAI
Z
SWIMMING POOLS PUBLIC
J W
SEWAGE DISPOSAL
_
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
to FLOOD CONTROL
t-
< AIR POLLUTION
`u
_ DIV OF HWY
�•t
c at — YOUR PROPERTY MAY BE SUBJECT TO
a•
UA FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILI—Y IN EVENT OF FLOOD.
284 199A 9/74'
Cr.NARY=FILE, `PINK — APPLICANT