367032 (SFD)BUILDING PERMIT
PERMIT NO.
367032
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DEPARTMENT OF BUILDING & SAFETY FIELD F77T
COUNTY OF RIVERSIDE
• PERMIT NO.
367032
ESTIMATE
-
Address Space'!'
NO.' ELECTRICAL'F€ES`��
NO''�s '-''PLUMBING FEES
ISTFL. `
2ND. FL.
GAR. '
/CONSTRUCTION
r K576
L Lt G�
SQ. FT. @ >sv> $
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UNITS t
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MH.Permit Fee $
- t YARD SPKLR SYSTEM
SQ. FT. @
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MOBILEHOME S. •• BAR SINK
SQ. FT. @
Parcel No i.- - ,J Use/Case. No..
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-
SGt �D <S �•- POWER OUTLET ,+",, .�. ROOF. DRAINS
SQ. FT. @
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WALL
' .,`_Set Backs ,.a,.,
FT. @ r
' Construction Fee Dbl $
` :
DRAINAGE PIPING
-
DRINKING FOUNTAIN
SQ. FT. @
ZoneRestnctioni ���' • t
SQ. FT. @ •-� _
i ESTIMATED CONSTRUCTION VALUATION $ C,
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td,r"ttF"{t4:i siY^:•r�rw � ierfi
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WATER PIPING 3.,.
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NOTE: Not to be used as property tax valuation
$p .Insp. Fee $
-
POOL,SWIM ,DRAIN,-,
_e sir. Fee
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L Witness Fee $ .
MECHANICAL FEES
$
swlM POOL, COMM ;y s!,' `• ' `
WA TER- SOFTENER'-,, `
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VENT SYSTEM
FAN EVAP. COOL HOOD
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WASHER (AUTO)(DISH)
Received by
APPLIANCE ,
DRYER
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, GARBAGE DISPOSAL,,';
Sewage System
FURNACE
UNIT WALL FLOOR SUSPENDED
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LAUNDRY TRAY: �,
AIR HANDLING UNIT •+ i CFM
IDLE METER `- ii " nr,
4 KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP'USE PERMIT SVC.rl' .' `au '': y`• -�,
WATER CLOSET,;.. _ •`
>
COMPRESSOR HP
POLE,TEMP/PERM ,° t', , {{ T LAVATORY, . a
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HEATING SYSTEM FORCED GRAVITY
AMPERES SERV,ENT,Y, a j
SHOWER
BOILER
B.T.U.
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BATH TUB'
!
SQ. •
-.V WATER HEATER '
S0. FT. RESID @11 t: .. +
SEWAGE DISPOSAL•
S0. FT. GAR Q '% < > k ' 'tt 4 HOUSE SEWER`P
;GAS PIPING
r '.
PERMIT FEE
_
PERMIT FEE'
PERMIT FEE
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DBL.
TOTAL FEES
MOB. HM. FEE
r MICRO FEE
MECH. FEE
PL. CK. FEE •
CONST FEE ELECT. FEE
SMI FEE
-FEE
PLUMB. FEE ;
• PERMIT NO.
367032
'Job
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Owner `' ,
Community
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Valuation '" i}.'_! / } n
$ 1�
Da�tye•'
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MH.Permit Fee $
Micro Film Fee
Co $
Use of Permit ,r 0-,)4 ,e>T w �'�• ,!a
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Parcel No i.- - ,J Use/Case. No..
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Mech. Fee Dbl $
:. PL Ck. Fee - $
' .,`_Set Backs ,.a,.,
Lot Size.
' Construction Fee Dbl $
Legal Description " � .. Z, 6
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it
Electrical Fee Dbl $
ZoneRestnctioni ���' • t
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TY`±A i '• -
ype
SMI Fee $ -
Plumbing Fee
Dbl $ •
Bond Amt. Pldn No. Plan
Plan Checker'� ` ns - ��"'F '•;`^'i'h" �'' 'Unit, ,�. r-'r''>�
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$ 41 C f:
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Const. Lender Branch SuppbmenfoT�Permit Numbers i` -?�•
Address City' Zip .
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$p .Insp. Fee $
-
08mol. Fee $
_e sir. Fee
q,mileage Fee $
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L Witness Fee $ .
!'.Reinsp. Fee
$
Owner/Agent �`
7Q'
-Tel. Zip 'n
3 •
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i Total Fees
$ O
Address - . • . l ".
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M.O. Cash Che±
Received by
� .asy
Contractor - s
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License#1
!lT<'ji•
Trees required- -
Sewage System
Address -
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(✓T U. P :0"T /o THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer District r FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.. i
' 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 HERBY 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 Ox CALW'ORNIA.
Form 284-208 (Rev.8/78) +
• verified bT*,' tX.-J,
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums 8 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. C]
NO.
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 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 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
I
STREET NAME
r .
a
DEPARTMENT OF BUILDING AND SAFETY
RTVERSID�
--SAY i '' � -7
C. IM OF:.?� DATE:
ADDRESS: (4
CITY AND STATE :'T
ON THE TREASURER OF THE COUNTY. OF-RIVERSIDE, STATE OF
CALIFORNIA s..
�S
Instructions: Permittee will furnish -the f..ollowing information:
- (1) Permit Number 0-) 7-Q) 367032
(2)- Date Issued
(3) Total Fees Paid e O
.(4) Reason for Refund a=Gi t:
I CERTIFY THAT THIS CLAIM IS. TRUE AND CORRECT, AND THAT NO PART HEREOF HAS
BEEN PREVIOUSLY PAID BY THE COUNTY OF RIVERSIDE.
Claimants Signature
(Do not write below this line)
Dater june.27�9 General Fund: 100.1-284' 123.1
FROM: DEPARTMENT OF BUILDING AND SAFETY
TO: AUDITOR-CONTROLLER, COUNTY OF RIVERSIDE
Please issue. to the above indicated claimant a refund of $ G1-13 , on the above
permit deposited under Treasurer's Receipt No.- 0013690 , dated 6-19'-79 .
AUTHORITY: Ordinance No. 457, Section 7, Subsection E
Approved aa— o; -,std for the following reason: (strike out words not applicable)
Lot chnaS6.
6ky A
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Director of Building and Safety
284-188 REV. 10/27/69
P
NOTICE: THIS IS NOT A BUILDING PERMIT
(
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
Owner
Addres I< IN4t
City -M-N112110 ZZuI
34-7-0 4scb
Architect AIDC". LO N (Ej> i S
AddressP. 0. F t(O`j
City �L71it 0 , CA�Lj* 't)1-101
DISTRICT
Permit No
Contractor I • L r = pl-INSToA-;
Address a'�' b!1'"CI'L C-' 4""
City_1-NO10, GQ, djZZOI
Phone 5 4 7—moi k11
%I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and
m
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 property to be occupied til 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
H
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
` ..«rr•.' ISPACE NO.
� '. USE OF STRUCTURE
JOB ADDRESS (�, — SINGLE FAMILY of DUPLEX
LEGAL DESCRIPTION OF PROPERTY_ tai �y APARTMENTS AGRIC.
El
V 471-11CI%A1Vf 7 / CTS 9 s 00 COMMERCIAL � INDUSTRIAL
ILI
COMMUNITY� ��- CF�^ r ALTERATIONS n
NO. OF SUBMITTED PLANS — USE OF PERMIT• e—�_'"�
CASE NO.
NO. OF PARKING SPACES REQUIRED iNO. OF BUILDINGS NOW E.X)STI�tJG
ZON �c� _tom SETBACKS: FRONT .SIDE ' �� REAR
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE 'f
SETBACKJORDINANC # OF FEET REQUIRED ON �' STREET
DATE e,,. SIGNATURE OF LAND USE OFFICIAL�i
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET— f
CURB AND GUTTER REQUIRED: YES ❑ NO El'"��Cc �' G(� STREET
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
HAS AN ACCEPTABLE APPLIC-TION BEEN
MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
IMPROVEMENT? YES r. NO ❑ 1J' �""( _5 /
DATE !J _ r� / / SIGNATURE OF ROAD DEPT. OFFICIACw
SWIMMING POOLS PUBLIC
SEWAGE DISPOSAL'
FOOD ESTABLISHMENT
WATER POLLUTION
FLOOD CONTROL
AIR POLLUTION
DIV OF HWY
REMARKS
YOUR PROPERTY MAY BE SUBJECT TO
FLOOD. RIVERSIDE COUNTY ASSUMES
' NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199 9/74 CANARY—FILE, PINK—APPLICANT
4 -
You will need approvals from the following agencies:
COUNTY AND STATE OFFICES
Riverside Offices
County of Riverside
Administrative Center
4080 Lemon Street
Planning Commission
Road Department
Building and Safety
Land Use Division
Health and Finance Building
3575 11th Street . 92501
Environmental Health
Air Pollution Control
5899 Mission Blvd. Rubidoux 92509
Flood Control District
1995 Market St. 92501
Weights and Measures
2950 Washington 92504
State of California
Regional Water Quality Control Bldg. #8
6833 Indiana, Suite 1, Riverside 92506
Calif. DOT Division of Highway, Dist 8
247 W. 3rd St., San Bernardino,CA 92401
State Fire Marshal
303 W. 3rd St.
San Bernardino, CA 92401
Indio Offices
Administrative Center
46-209 Oasis 92201
Planning Commission
Road Department
Environmental Health
Air Pollution•Control
Building and Safety 6 Land Use Div.
Coachella Valley Water District
85-820 Coachella Hts. P.O. Box 1058
Coachella 92236
Water Quality Control Board (State)
73-271 Hwy 111, Palm Desert 92260
Calif. Division of Forestry
46-209 Oasis, Indio, CA 92201
Hemet Office's
Administrative Center
880 N. State St., Hemet, CA 92343
Building and Safety
Health Department
Perris
California Division of Forestry
210 San Jacinto,�St.,
P. 0. Box 248, Perris 92370
San Diego
Calif. DOT, Div. -of Hwys, Dist 11
4075 Taylor, P.Q. Box 390 92212
Regional Water Quality Control Bd i9
(State) 6154 Mission Corge Rd.
Sacramento
Dept. ofronautics
Sacramento Executive Airport
Sacramento, CA 95822
9th Floor 787-6181
8th Floor 787-6111
9th Floor 787-6146
.9th Floor 787-2011
124 1 787-6543
787-2416
787-2015
787-2620
684-9330'
889-8511
282 1 888-9255
304
342-8277
313
342-8267
203
342-8287
205
.342-8402
310
342-8271
398-2651
346-7491
309 347-1929
658-4464
658-5102
657-3183
297-4501
(I 286-5114
Land Use I—Bldg Div