374700 (AR)BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY DST
374700 COUNTY OF RIVERSIDE FIELD W
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL. p
POR. A s
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. 8 $
UNITS
Com/unity t A' ) �'
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SQ. FT. @
YARD SPKLR SYSTEM
I�'O �
SQ. FT. @ , ., MOBILEHOME SVC.
BAR SINK
POWER OUTLET
SQ. FT. @
ROO= DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
•
DRINKING FOUNTAIN
SQ. FT. @
URINAL �
`
�
VALUATION $
WATER PIPINGµ5
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
Legal Description
��e
FLOOR DRAIN P
MECHANICAL FEES
SWIM POOL, COMM
Typ
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
Bond Amt.
$
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Final to �or
Unit
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
$
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM T. U.
TEMP USE PERMIT SVC
Witness Fee $
WATER CLOSET
COMPRESSOR HP
POLE,TEMP/PERM
Owner/Agent
X
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ c
Address
A
BATH TUB
City
SQ. FT. @ c
M. 0. C. Cash Check
WATER HEATER
SQ. FT. RESID @ I /, c
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„ �FS/
SEWAGE DISPOSAL
Tel. y
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S0. FT. GAR @ I/, t
Trees required
HOUSE SEWER
Address
Ci
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GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
...r
MOB.HM.FEE
MICRO FEE
s
MECH. FEE t�jPLCK. FES
.e
CONST. FEES/
O .�J e TV
,
�
SMI FEE,
FEE PLUMB. FEE
1PERMIT NO
3,747070
Job Address !
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Space
s s
Owne
4';)e
Com/unity t A' ) �'
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Dote 4//F 79
7
Dls�
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MH.Permtt Fee $
Micro Film Fee
Cop $
Use of Permit
' �g,�L/. / j
!7! / (% Ci%d -
Parcel
lNNo.
��//. Use/Case No. (CCkk
BBy,
Mech. Fee Dbl
PI. Ck. Fee r
E
Set Backs Lot Size
F �7 S S R /� -
V „� G ,,,yi �C>/ r•�'
Construction Fee Dbl $
Legal Description
��e
Electrical fee D61
SMI Fee $
Zone Rest i i`ionsGroup
Typ
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Final to �or
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender
Branch
Supplimental Permit Numbers
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent
X
Tel.
Zip
Total Fees
$
Address
A
!
City
Zip
M. 0. C. Cash Check
Received by
"C ra or. ``` ++yy
„ �FS/
/
Tel. y
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Licelnse# J
,34f�'Gr (5-7�
Trees required
Sewage System
Address
Ci
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T LL P
Sewer District
^
Form 284-208 (Re B)
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK,
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. r:
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.
verified ¢Y:
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back _ %%
33
Ventilation System c
2
Ftgs 8 Frms ���—�!� Q!/
34
Plenums 8 Ducts
2A
Slab Grade _ 7
35
Furnace Comport.
3
Steel
36
Inlets 8 Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck ,_Z3_���
39
Appl. Clearance
7
Framing Q
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. 0.
FI
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Cath
12A Drywall O
O
13 Finish Grade
INSULATION
Thick R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
J
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 F!f
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures.
31 Service
32 Final
STREET NAME
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT
Permit
284 199 9/74
CA`4ARY—FILE, PINK—APPLICANT
p/1,19
Owner_ Architect Contracto4or
IA
2-160 AUS' /�i�t�lE�1L Addr s 12401 SSE
Addres Address s34r
/'
Cityl—A `0i`607A fi4- City City_ L0/j 1,,IJ4 S, GAA
Phone
Phone Phone
W
1 (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agre= 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
3
shall not make a Final Inspection until said requirements have been met. I am also aware that no work is to be 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 prope ty to be c upd n 'I I (we) have
complied with all laws of the County of Riverside and the State of California governing said property
%-1I-7G c
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.
G.`C. � 3 I SPACE NO.
1 USE OF STRUCTURE
JOB 53-1,46 Rye-
ADDRESS
.e� SINGLE FAMIL" DUPLEX
7754'"
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LEGAL D SCRIPTLON OF PROPER Y
�).J - APARTMENTS AGRIC. El
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COMMERCIAL 1(,DUSTRIAL
COMMUNITY "1
ALTERATIONS Ej
57W
OF
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NO. SUBMITTED"PLANS - USSI51OFFjERMIT ��%�� 1'AJ a
CASE NO. v �� ���f ✓�
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KIN
NO. OF P SPACES REQUIRED NO. OF BUILDINGS NOEXISTING
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Q to
ZONE SETBACKS: FRONT °�`-� SIDE REAR' O��-
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Co
GRADING PERMIT REQUIRED? _ YES ❑ NO ❑ LOT SIZE
P
SETBACK ORDINANCE_— OF FEET REQUIRED ON STREET
DATE' %% SIGNATURE OF LAND USE OFFICI +rte"Ao-- ---
t
DEDICATION REQUIRED: YES ❑ NO ❑ NO..OF FEET__—.
W
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
W
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NOD
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
IMPROVEMENT? YES `❑ NO ❑
°L
DATE __ SIGNATURE OF ROAD DEPT. OFFICIAI
=
SWIMMING POOLS PUBLIC
WSEWAGE
DISPOSAL
_
FOOD ESTABLISHMENT
_
WATER POLLUTION REMARKS
�rt FLOOD CONTROL
Z AIR POLLUTION
S DIV OF HWY
I-
0 < — YOUR PROPERTY MAY BE SUBJECT T0.
o FLOOD. RIVERSIDE COUNTY ASSUMES
c•
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199 9/74
CA`4ARY—FILE, PINK—APPLICANT