391149 (BLCK)BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY M1,Tj
39114.9 COUNTY OF RIVERSIDE FIELD
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
SQ. FT. @ $
UNITS
* _
2ND. FL.
POR.
GAR.
CAR P.
WALL <� +
SQ. FT. @
.3
-
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @ 71 "'" w
DRINKING FOUNTAIN
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
Copl$
URINAL
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
$Set
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
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. @ c
BATH TUB
Final Date
SQ. FT. @ c
WATER HEATER
Sp. Insp. Fee
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
SQ. FT. GAR @ 3/4 c
HOUSE SEWER
Demo!. Fee
GAS PIPING
PERMIT FEE
Supplemental ermit Numbers
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
42
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
I CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
Job AddressSpace
K 4
,�
Zip Owner
9.114
9
* _
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-
CommunityValuation
Date Dist. Off.f
F.C.C.
MH.Perm it Fee
$
/ - $
'
,,,�' - is
Micro Film Fee
Copl$
Use of'Permit -
Parcel No.
Use/Case No.
Ck. By
Mech. Fee
Dbl b
/
/ fiG. ,yjr A p i // j/�
—2—
PI. Ck. Fee
$Set
,
Backs` - Lot Size
FS S R
1k5,*i::>
Construction Fee Dial $ gal Description
Electrical Fee
Dbl $
�� IV-_-�
Zone Restrictions Group Type
I
SMI Fee
$
V — / /
Plumbing Fee
Dbl $
Bond Amt.
Plan No.
Plan Checker
Final Date
Inspe r Unit
Sp. Insp. Fee
$
$
, a
Demo!. Fee
$
Const. Lender Branch
Supplemental ermit Numbers
Registr. Fee
$
Mileage Fee $ Address City Zip
Witness Fee
$
Reinsp. Fee
$
Owner/Agent I
K
Tel.
Zip
Total Fees
$
Address% -
Ci y
Zip
' M.O. N.0
Cash El Check
Received
Contractor
Tel.
Licensees
/
Trees
r quir
Sawa ysrem
Address
City Zip
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T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer DistrictFOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID,
01
HEREBY AGREE THAT ALL WORK IN. CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITHy
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THE LAWS OF RIVERSIDE COUNTY AND,THE,STATE OF CALIFORNIA.
(� b • S .� a _,a e /6 . C, I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
l ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Form 284.208 (Rev.8/78) I
verified by:
NO.
OPERATION DATE
INSPECTOR
NO. OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back Z� ZlSi
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33 Ventilation System
2
figs & Frms Z�
fi���
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
IDA
Fireplace T.O.
No ADDITIONAL INFORMATION
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T
SEWAGE SYSTEM SIZE & LOCATION
I1 Exterior lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Botts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING AP ROYALS
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
NOT:CE: THIS IS NOT A BUILDING PERMIT DISTRICT
APPLICATION TO CONSTRUCT Permit No
DEPARTMENT OF BUILDING AND SAFETY
f COUNTY OF RIVERSIDE
284 199A 9/74 i CAMARY—FILE, PINK—APPLICANT
^'atracror�l�—{r�Arn�`-.—.
L Architect e�a,s vl�t2T�/�, Con
Owner _
Addres'YJ' -�L 4R� Address—__ Address—_1-----
City NpiCod qnny"f City—_— City_
/ �n
40Phone--.__j
Phone sry70 Phone M 0 _ Phone— - _--_—.--.--
I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree tha' 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 dbne 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 •1. (we) have -
complied with all laws of the County of Riverside and the State of California governing said property.
GENT
DATE ------ SIGNATURE OF'OWNER AND/OR AGENT—
Approval by Signature from the Following Departments Listed Below,
Approval
Most Be Obtained Prior to the Issuing of a Construction Permit.
SPACE NO.
I 1 USE OF STRUCTURE
52-605 .-�Lz 1
JOB ADDRESS — SINGLE FAMILY,] DUPLEX
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LEGAL DESCRIPTION OF PROPERTY—Gy��l% 0/1— _ APARTMENTS AGRIC.
L Of Gf 1341j�-
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COMMERCIAL INDUSTRIAL L,
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COMMUNITY `
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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
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'ZONE_ ( SETBACKS: FRONT SIDE REAR
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GRADING PERMIT REQUIRED? YES `1N0 F-1LOTSIZE l
SETBACK ORDINANCE # _ OF FEET REQUIRED ON STRE T
DI9— SIGNATURE OF LAND USE OFFICIAL --
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET
W
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ 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 ❑ NO ❑
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DATE SIGNATURE OF ROAD DEPT. OFFICIAI
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SWIMMING POOLS PUBLIC
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SEWAGE DISPOSAL
FOOD ESTABLISHMENT —
_
WATER POLLUTION REMARKS
FLOOD CONTROL—
H
z AIR POLLUTION
n' DIV OF HWY
t—
c cc YOUR PROPERTY MAY BE SUBJECT TO
U& FLOOD. RIVERSIDE COUNTY ASSUMES
w
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 i CAMARY—FILE, PINK—APPLICANT