359858 (RER)BUILDING PERMIT _
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY
3 5 9 8 5 8 COUNTY OF RIVERSIDE FIELDFIST I
DST
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
SQ. FT. @ $
UNITS
'
2ND. FL. SQ. FT. @
-__-
YARD SPKLR SYSTEM
FOR. SQ. FT, @
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. @
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT. @
MH Permit Fee $
DRAINAGE PIPING
WALL SQ. FT. @
Parcel No.
DRINKING FOUNTAIN
SQ. FT. @
Mech. Fee Dbl $
URINAL
ESTIMATED CONSTRUCTION VALUATION $
Lot Size
WATER PIPING
. NOTE. No) Lo be used cls 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
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Plumbing Fee Dbl $ .
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
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
Supplimental Per mbers
�'
SQ. FT. GAR @ '/. c
HQUW—UWW A -
Address City Zip
Witness Fee $
Reinsp. Fee $
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL. -
TOTAL FEES
MOB. HM.FEE
MICRO FEE
MECH.. FEE., PL. CK. FEE
CONST. FEE - '� ELECT. FEE
SMI FEE
FEE PLU B. FEE
Trees required
Sewage System
I
City Zip
PERMIT NO.
Job Address Space
Zip
Owner
359858
-
Jf`��
-__-
Community
Valuation
i
Date
Dist.
Offs
F.C.C.
MH Permit Fee $
Micro Film Fee Cop $
Use of Permit
/. ,`4Gs_ `�L �l�v� ?,
Parcel No.
Use/Case No.
Ck. By
Mech. Fee Dbl $
PI. Ck. Fee $
Se Backs
Lot Size
Construction Fee Dbl E
LeF
Leg Description
,✓per
G4' /� is .S4'T tom' ._ Y�i>t�%
5 S
R
Electrical Fee Dbl $L/
Zone Restrictions
Group
Type
SMI Fee $
/� L!/
Plumbing Fee Dbl $ .
Bond Amt.
Plan No.
Plan Checker
Final Dote-0'r,
Inspector
Unit
4—J �-/
Sp. Insp. Fee E
$
Demol. Fee $
Const. Lender Branch
Supplimental Per mbers
�'
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee $
Owner/Agent
'
Tel. Zip
Total Fees- -
+Cash
Address 1 �� 1
1
Ciry ,., Zip
M. 0. El N.C. CheckChe
� t � 94_ �
Received by
Contractor �/
Tel.
LicenseN
Trees required
Sewage System
Address
City Zip
Xy�
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T . x • LL P
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
FOR 120 DAYS SHALL ALSO CAUSE IT TO BECOME VOID.
Sewer District
I HEREBY AGREE THAT ALL WO THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND T -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.
NO.
OPERATION i
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 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
IDA
Fireplace T.O. E]
OP'N
NO.
ADDITIONAL INFORMATION
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 P1 T J14 LV
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25
Final
Tank ` XI$TI,`:' Pit Q•,�) L.Line
REAR OF PROPERTY LINE
PSL P)
V'
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 t�
Permit No
t
284 199 9/74 CANARY—FILE, PINK—APPLICANT
ontractor
Owner Architect_ Contractor-
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fi✓ -G -i lt.
AddVv�'`�Address Address_ '�'_ —
City P0 City City_
City
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Phone Phone Phone
1 (we) the undersigned, hereby certify and acknowledge that I (w'e) 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
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 until I (we) have
complied with all laws of the County of Riverside and the State of California governing said property. '
DATE 7 SIGNATURE OF OWNER AND/0 �NT Jam✓ �`�'v-�' t��
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
SPACE NO.
`% 1 �SE OF STRUCTURE
r� - r
JOB ADDRESS 1 _ _ ! I " _ ' '
SINGLE FAMILY DUPLEX 2
LEGAL DESCRIPTION OF PROPERTY r APARTMENTS AGRIC. r []
Y
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— -- COMMERCIAL E] INDUSTRIAL L,
CC
COMMUNITY r'r �' r ALTERATIONS n
Z
NO. OF SUBMITTED PLANS ---_ USE OF PERMIT ''
N Q
CASE NO.
p Z
NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING -
ZONE SETBACKS: FRONT SIDE REAR
.r Co
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE # _— OF FEET REQUIRED ON STREET
DATE —_ it SIGNATURE OF LAND USE OFFICIAL _-—.;,i
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF TEET__
F,
W
CURB AND GUTTER REQUIRED: YES ❑ NO O STREET
i
a
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
W
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
CIMPROVEMENT?
YES ❑ NO O
°C
DATE SIGNATURE OF ROAD DEPT. OFFICIAI
=
IC
SEWAGE DISPOSAL yyU
W
W O
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F T r .r: yJ,/f t' ri I A, &Ae.
WATER POLLUTION REMARKS
�n FLOOD CONTROL—
z POLLUTION
AIR
ot SDIV OF HWY
H
c % _ YOUR PROPERTY MAY BE SUBJECT TO
o.
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199 9/74 CANARY—FILE, PINK—APPLICANT