354218 (SFD)1 BUILUING PERMIT y
PERMIT NO.
354218
DEPARTMENT OF BUILDING & SAFETY FIELD DST
COUNTY OF RIVERSIDE 1
"PERMIT NO. �
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CTION ESTI TE
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NO. ELECTRICAL FEES
NO. PLQMBING FEES
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UNITS
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Fee $
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YARD SPKLR SYSTEM t -
2ND. FL.
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Micro Film Fee Cop $
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MOBILEHOME SVC.
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Set Backs •
SQ. FT: @
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POWER OUTLET
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ROOF DRAINS
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Construction Fee Dbl $ �•"
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SQ. FT. @
DRAINAGE PIPING "
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Fee $
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i' URINAL
ESTIMATED CONSTRUCTION VALUATION'
Unit
Sp. Insp. Fee
$ _
WATER PIPING_
NOTE: Not to be used as property tax valuation ,
SWIM POOL, PVT
FLOOR DRAIN a
Demol. Fee $ �°
MECHgN1CAlFEE `rjr
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SWIM POOL,
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WATERwSOFiENER4 '
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Witness Fee
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WASHER AUT (DISH
APPLIANCE
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GARBAGE DISPO_SAI
FURNACE UNIT
WALL FLOOR t + ,SUSPENDED 4,
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;' LAUNDRY TRAY
AIR HANDLING UNIT
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IDLE METER
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a. KITCHEN SINK,
ABSORPTION SYSTEM
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TEMP USE PERMIT SVC
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COMPRESSOR
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POLE,TEMP/PERM
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HEATING,SYSTEM
q .' GRAVITY, �'
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AMPERES SERV ENT
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BOILER '�.
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WATER HEATER
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SEWAGE DISPOSAL.
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SQ. FT. GAR @ °/. C
HOUSE SEWER
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PERMIT FEE
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Use/Case No.
C �Y
%Jtech. Fee Dbl $ - ..,r
ee
PI. Ck. Fee
Set Backs •
Lot Size '
$
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Legal Description, - a , '•
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Construction Fee Dbl $ �•"
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Electrical Fee Dbl $
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Fee $
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Plumbing Fee Dbl $'
Bond Amt. •''�
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Plcn ck'er �,
Date
•Ins
Unit
Sp. Insp. Fee
$ _
$ _
tJ/U
Demol. Fee $ �°
Cons. Lender , t ' Branch ^ _F
Supplimental Permit Numbers -. • :, '
fti rvry�+t'tr'R.✓?•^4.'RI:iR•. a..i4..t 'i*�',w'�.
'Regise. Fee $
Mileage Fee $
Address _ - City ;, Zip ;• ' i-
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Witness Fee
Reinsp. fee $
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Total Fees $ lJ
Address y/►l/ r,.`•°y - � ` �
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Re eived by
Contractor
ees required
` t'•
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Sewage System 1
-Address :(3. _
,I
Ci1. Zip
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THIS PERMIT SHALL`BECOME OID IF ORK IS NOT COMMENCED WITHIN, DAY,i'r.CESSATION OF WORK % verified by ' + '
Sewer District ,;FOR 120,pAYSySHALI ALSO ITT CfjTME„.V,OID Ky.«yH } w. y1rf *M,yr, *J*�- sMa�.a�tk k:t t�y+-}k1.r
t I HWBY AGREE THAT ALL RK IN ONN�„E'"'C�TIIOONN WITH THIS PERMIT WILL BE DONE IN />CCORDANCE WITH
f THE LAWS OF RIVERSIDE.000NTY AN THE STATE OF CALIFORNIA. `
1�
I HEREBY CERTIFY T�IAT 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.
Form 284-208 (Rev.8/78) _ :, - - t . »• t , ; -
NO.
OPERATION DATE
INSPECTOR
NO. ' _
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS '
1
Set Back
33
Ventilation System
2
Ftgs & 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
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 Loth
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
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
ELECTRICAL APPROVALS
PSL
P)
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
DEPARTMENT.OF BUILDING AND SAFETY
`GO;UIITY OF .'RIVERSIDE
CLAIM 0'::- -S ' \� r` C;'•! DATE: y% 'i
ADDRESS: .
CITY AND STATE
ON THE TREASURER OF THE COUNTY OF RIVERSIDE, STATE OF
CALIFORNIA
Instructions: Permittee will furnish the following information:
}
(1) Permit Number
.ss
' ..A
(2) . Date Issued
(3) Total Fees Paid
(4) Reason for Refund°�-
1 CERTIFY THAT THIS CLAIM IS TRUE AND CORRECT, AND THAT NO PART HEREOF HAS
BEEN PREVIOUSLY PAID BY THE COUNTY OF RIVERSIDE.
Claimant's Sign Cure
(.Do not write below this line) `n
Date: Mard. b. 1979 General Fund: 1001 -284 -1231 -
FROM:. DEPARTMENT OF BUILDING AND SAFETY
TO: AUDITOR -CONTROLLER, COUNTY OF RIVERSIDE
Please issue to .the above indicated claimant a refund of $ A05.15 , on the above,
permit deposited under Treasurer's Receipt NdI5470 , dated 9_11-29_
AUTHORITY: Ordinance No 457, Section 7, Subsection E
Approved-g�c for the following reason: (strike out words not applicable)
OFintar ran�c+l l oe9 .
Chief dui
o -
L nirPrtnr°hf Rn i'
qnspCctor`'�
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
rr
DISTRICT
4'
Permit No
ry
Owner- ! r� t -r t t r t'J� Architect c c t.. , t .�� .
Contractor
Address - f tc. • . Address 1 - t' r� J Address_ # I f
City City City_
Phone' Phone Phone
01
W
I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree- that if Curb and Gutter, and
Z Paving, and/or Dedication of right of.way is required by the County of Riverside, the Riverside County Department of Building and Safety
shall not make a Final Inspection uritil said requirements have been met. I am also aware that no work is to ie 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.
DATE If 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.
ISPACE NO.
1 USE CIF 'STRUCTURE
JOB ADDRESS . F '� .f %�F ✓ fel'.->> SINGLE FAMILY DUPLEX Q
Z F LEGAL DESCRIPTION OF PROPERTY 0 IN1 ' - �{ AGRIC.
APARTMENTSEl
'^ COhIMUNITY t �tl` COMMERCIAL INDUSTRIAL CJ
C - ALTERATIONS [�
Z NO. OF SUBMITTED PLANS - USE OF. PERMIT _
CASE N0.
Z G N0. OF PARF11_1 SPACES REQUIRED 20* NO. OF BUILDING CNQW X13TING �f.* -
Q ZONE sETBAC'KS: FRONT SIDE JJ REAR '!
J '
to GRADING PERMIT REQUIRED? YES ❑ NO -C] LOT SIZE M
SETBACK ORDINANCE # __ OF FEET REQUIRED ON "yam - =` STREET,
DATE,�S- `SIGNATURE OF LAND USE OFFICIAL'
DEDICATION REQUIRED: YES ❑ NO ❑ - NO. OF.:FEET
W CURB AND GUTTER REQUIRED: YES ❑ N�Or`=5 AF� ..!/''' STREET
a CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES. ❑ NO ❑ 't
O HAS AN ACCEPTABLE APPLICATION BEEN WADE FOR, ENCROACHMENT PERMIT FOR'DR VEWAY AND STREET
CIMPROVE ENT?^ YEAS ✓6—N0 ❑
°L DATE L� SIGNATURE OF ROAD DEPT. OFFICIA"���-`�- ��°'•
_ SWIMMING POOLS PUBLIC
4-1 77
AL
_ SELVAGE DISPOSAL
_ FOOD ESTABLISHMENT -.•, n
,4 w T -,7 7 7n
WATER POLLUTION
�n FLOOD.CONTROL
W AIR POLLUTION
W DIV OF HWY
O
W I
c
284 199 9/74 4/ +
REMARKSy V v v I
YOUR. PROPERTY MAY BE SUBJECT TO
FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN -EVENT OF FLOOD.
+
CANARY—FILE, PINK—AP PLICANf