391150 (BLCK)BUILDING PERMIT
PERMIT NO.
391150
DEPARTMENT OF BUILDING & SAFETY DST
COUNTY OF RIVERSIDE FIELD 1//
11
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
$
UNITS
Micro Film Fee
IST FL. SQ. FT. @
Mech. Fee
Dbl $
PI. Ck. Fee
$
YARD SPKLR SYSTEM
2ND. FL. SQ. FT. @
Electrical Fee
Dbl $
SMI Fee
MOBILEHOME SVC.
BAR SINK
FOR. SQ. FT. @
Sp. Insp. Fee
$
A Demol. Fee
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. @
Mileage Fee
$
Witness Fee
$
DRAINAGE PIPING
CAR P. SQ. FT. @
Le Lot ` R� /' F
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)
DRINKING FOUNTAIN
WALL w "' SQ. FT. @ "�
Received by//
Group
r Trees requit'bd,Jf.r'
Bond Amt.
URINAL
SQ. FT. @
_
Inspe r
' ESTIMATED CONSTRUCTION VALUATION $
Tel
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
Address_ • ' -" Cit Zip
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Ow%nler% gent
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HIP
POLE, TEMP/PERM
LAVATORY 5
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB `
C
_
SQ. FT. @ c
WATER HEATER
S0. FT. RESID @ 1114 c
SEWAGE DISPOSAL
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
S0. FT. GAR @ %c
HOUSE SEWER
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
c
DBL.
, JOTA�_EES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CO�•1S '«FF,� ELECT. FEE
SMI FEE
FEE PLUMB. FEE
i � •%•,rte'
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T U. P
Sewer District
r
Form 284-208 (Rev.B/78) as
PERMIT NO.
39.1.J.,.1..15®
MH.Permit Fee
$
Micro Film Fee
Cop $
Mech. Fee
Dbl $
PI. Ck. Fee
$
Construction Fee
Dbl $
Electrical Fee
Dbl $
SMI Fee
$
i
Plumbing Fee
Dbl $
Sp. Insp. Fee
$
A Demol. Fee
$
Registr. Fee
$
Mileage Fee
$
Witness Fee
$
Reinsp. Fee •
$
Le Lot ` R� /' F
S S /•,
Jot61 Fee; I
$
M. 0.
Cash Chec 1
Received by//
Group
r Trees requit'bd,Jf.r'
Bond Amt.
Sewage S edr4 '
Plan Checker Final
T U. P
Sewer District
r
Form 284-208 (Rev.B/78) as
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.
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Job Address )
Space _Zip .�
Owner
-5— -14, 77—
Com unity •
Val qfl'
Date
Dist.
Ofj,
F.C.C.
Use of Permit Parcel
No.
Use/Case No.
Ck. By )
(71
i
Set Backs /
Lot Size
t
r
Le Lot ` R� /' F
S S /•,
R
I I
� Zone
Restrictiojns
Group
Type
Bond Amt.
Plan No.
Plan Checker Final
_
Inspe r
Unit -... ,...
$
-^Dote
C.J
Const. Lender •nn:••
upplim�•mit Numbers
,BranchJ,,,
Address_ • ' -" Cit Zip
•
-
Ow%nler% gent
Tel.
li
.,. Zip •^�•'"'-'
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7
Add/ r "V � uag�'��.o � �
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Zip
Contractor
Tel. tj
License#
Address
City - 'y Zip
ar
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
F
E 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.
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NO.
OPERATION
DATE
INSPECTOR
NO. OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVA.
1
Set Back
33 Ventilation System
2
Ftgs 8 Frms �y�?c
34 Plenums 8 Ducts
2A
Slab Grade
35 Furnace Comport.
3
Steel
36 Inlets 8 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.
OP'N ADDITIONAL INFORMATION
NO.
r� _
v
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Batts)
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
PSL
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
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
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
• 284 199A 9/74 CAN.IRY—FILE, PINK—APPLICANT
W'La)W IX1l(LL MnC.�S W;q Contractor—v--.—
Owner Architect— -
Addres 60 A), LeNNNA (-nA1b Address___ Address — -----
CityCity--- - City---"--. -- --
Phone 6'$ r70 Phone m6 -40D Phone—
_ -----.--..-
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 cone 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 I (we) have
complied with all laws of the County of Riverside and the State of California governing said property.
DATE __--_— 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.
1 SPACE NO.
1 USE OF STRUCTURE
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JOB ADDRESS SINGLE FAMILY Z DUPLEX El
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LEGAL DESCRIPTION OF PROPER El
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COMMERCIAL INDUSTRIAL LJ
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COMMUNITY2Qa/
%� 175�-GY6*tVVUrN ALTERATIONS EJ
NO. OF SUBMITTED PLANS USE OF PERMIT f+
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CASE NO.
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NO. OF PARKIN? SPACES REQUIRED _ — NO. OF BUILDINGS NOW EXISTING
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ZONE ____SETBA(fKS: FRONT SIDE REAR
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GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE �0 X
SETBACK ORDINANCE # OF FEET REQUIRED ON STRE T
DATE SIGNATURE OF LAND USE OFFICIAL--
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET-_.
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CURB AND GUTTER REQUIRED: YES ❑ NO ❑ —STREET
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CAN CURB AND GUTTER a FEASIBLY BE INSTALLED? YES ❑ NO ❑
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HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR D-RIVEWAY AND STREET
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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
= O
FOOD ESTABLISHMENT w
WATER POLLUTION REMARKS
%A FLOOD CONTROL
t-
W AIR POLLUTION
= F DIV OF HWY
YOUR PROPERTY MAY BE SUBJECT TO
O a —
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
• 284 199A 9/74 CAN.IRY—FILE, PINK—APPLICANT