398617 (RPL)BUILDING PERMIT
PERMIT NO,
3.98617
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELDrD T71
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CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO.
PLUMBING FEES
1ST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
'ESTIMATED CONSTRUCTION
SO. FT. @ $
UNITS
Community
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Valuation
S j�l %V � +~
Date
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SO. FT. @ YARD SPKLR SYSTEM
,may..-•
SO. FT. @ MOBILEHOME SVC. BAR SINK
MH Permit Fee S
SO. FT. @ POWER OUTLET ROOF DRAINS
Cop E
SO. FT. @ DRAINAGE PIPING
SO. FT. @ DRINKING FOUNTAIN
Parcel
;,,� ,�%
94 URINAL
Use/Cose No.
VALUATION $ WATER PIPING
Mech. Fee Dbl $
NOTE: Not to be used as property tax valuation
% SWIM POOL, PVT
j E=sem
Construction Fee Dbl 5 / .'Legal
FLOOR DRAIN
."t
MECHANICAL FEES
SWIM POOL, COMM
R
Electrical Fee Dbl S 0 sr t
WATER SOFTENER '
Group
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
Plumbing Fee
Dbl E
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Plan No.
Plan Checker
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Sp. Imp. Fee S
Demol.Fee
$
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
Supplimental Permit Numbers
Regist, Fee S
KITCHEN SINK
Address City
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
Reinsp. Fee
$
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
Tel. Zip
LAVATORY
S
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
Address
ff •.,,�.'�:,,, ,1
SHOWER
M.O. N.C.E) Cash Checks
BOILER B.T.U.
SO. FT. @ a
t
BATH TUB
Tel. _
lzlTrees
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SO. FT. @ c
requir^ ,7 `_
Sewage System"
WATER HEATER
S0. FT.•RESID @lt/ae
City Zip
SEWAGE DISPOSAL
S0. FT. GAR @ 3/.a
HOUSE SEWER
GAS PIPING
kS (J
PERMIT FEE $
PERMIT FEE
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PERMIT FEE
DBL.
TOTAL FEESMOB.
HM. FEE
MICRO' FEE '� MECH. FEE
PL. CK. FEE
CONST. Fl`,
ELECT. FEE �
SMI�,F.f ��.
FEE
PLUMB. FEE...
NO.
1-3986 17
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THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Job Address / �'�
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Dist.
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r
MH Permit Fee S
Micro Film Fee
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Parcel
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Use/Cose No.
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Mech. Fee Dbl $
PI. Ck. Fee S . _ ��.,
Set Bock$
lot Si a `, J ` `
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Construction Fee Dbl 5 / .'Legal
Description
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Electrical Fee Dbl S 0 sr t
Zone Restrictio /
Group
Type
SMI Fee 5
Plumbing Fee
Dbl E
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nd Ams.
S
Plan No.
Plan Checker
FinalIr—
Sp. Imp. Fee S
Demol.Fee
$
Const. Lender Branch
Supplimental Permit Numbers
Regist, Fee S
Mileage Fee E
Address City
Zip'""%
Witness Fee $
Reinsp. Fee
$
Owner/Agent
r` ,fir
Tel. Zip
Total Fees
S
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Address
ff •.,,�.'�:,,, ,1
City Zip
M.O. N.C.E) Cash Checks
Received by
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Controctor'. !
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License#
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requir^ ,7 `_
Sewage System"
Address . -
City Zip
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THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer District
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
E LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
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EREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED'THE PLANS AND SPECIFICATIONS HAS DONE SO IN
'Ff/
Form 284-208 (Rev. 1/80)
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.-
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veri fiedjty:
/ s,1
OPERATION • `[ DATE
BUILDING APPROVALS
1 Set Back
2 Ftgs & Frms
2A Slab Grade
3 Steel
y
Giyrt Blocks
27
5
6
Bond Beams
Roof Deck
Service Entrance
7
Framing
29A
8
Vents
Bonding
9
Garage Fire Wall
T
10
Fireplace P. L.
Ej
JOA
Fireplace T. 0.
I I
Exterior Lath
12
-Internal Lath
12A
13
Drywall
Finish Grade
INSULATION
Thick R
Value
7A
Walls (Botts)
12B
12C
Ceiling (Botts)
Ceiling (Blown)
14
Final
PLUMBING
15
Ground Plumb
T_
16
Water Piping
17
Rough Plumb
18
Veirts
19
Sewage Disposal
20
21
Sewer
Water Heater
22
Water Softener
23
Water Service
24
Gas Test
25
Final
26
Power Pole
27
Conduit
28
Service Entrance
29
Wiring
29A
Groundirig Wire
29B
Bonding
30
Fixtures
31
Service
32
Final
INSPECTOR •
T
"NO. OPERATION , DATE
MECHANICAL APPROVALS
33 Ventilation System
34 Plenums 8 Ducts
35 k Furnace Comport.
36 Inlets 8 Outlets
37 Combustion Air
38 Compressor
39 Appl. Clearance
40 Fire Damper
41 Smoke Detection Device
42 I Commercial Hood
43 Final
OFIN
NO. I ADDITIONAL INFORMATION
NO.
r
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1-6
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APPROVALS
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SEWAGE SYSTEM SIZE & LOCATION
ELECTRICAL APPROVALS
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REAR OF PROPERTY LINE
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P/L P/L
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STREET NAME
Space
PERMIT NO.
1398617
Owner
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD OFFICE
.
r DST
Dist.
CONSTRUCTION ESTIMATE
F.C.C./
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
MA ED CONSTRUCTION
SQ. FT. C° $
UNITS
Use/Case No. Ck. By
SQ. FT. @ YARD SPKLR SYSTEM
Set Backs
SO. FT. @ MOBILEHOME SVC. BAR SINK
SQ. FT. @ POWER OUTLET ROOF DRAINS
SQ. FT. @ DRAINAGE PIPING
50. FT. @ DRINKING FOUNTAIN
SO. FT. @ URINAL
�,,•(/
VALUATION Is WATER PIPING
Group
NOTE: Not to be
used as property tax valuation
Plan No.
SWIM POOL, PVT i
Final Dote /0r
FLOOR DRAIN
Unit
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
Supplimant, Permit Numbers
VENT SYSTEM
FAN EVAP. COOL . HOOD
City Zip
SIGN
Tel. Zip
WASHER (AUTO)(DISH)�,
APPLIANCE
DRYER
GARBAGE DISPOSAL
Licensed
3�"
FURNACE UNIT-
WALL FLOOR SUSPENDED
City Zip
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. @ a
BATH TUB
SQ. FT. @ a
WATER HEATER
�..
50. FT. RESID @ 1 t/4a
SEWAGE DISPOSAL
SO. FT. GAR @ t/na
HOUSE SEWER
s
GAS PIPING
-0„ J-0
PERMIT FEE
PERMIT FEE
PERMIT FEE
`sem
DBL.
TOTAL
FEES rAMOB. HM. FEE
MICRO FEE
MECH. FEE
PL. CK. FEE
I CONS FF ELECT. FES,
SMIjfi�p
FEE
PLUMB. FEE
Space
I Zip
Owner
'
n
Gg�Do-:--
Dote
Dist.
Off.
F.C.C./
a
OA,6
Parcel No.
Use/Case No. Ck. By
id
Set Backs
Lot Size
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F 5
R
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Zone estrictions„
Group
Plan No.
Plan Checker
Final Dote /0r
1 Inspector
Unit
Branch
Supplimant, Permit Numbers
2� ✓1 �'/ ^� // '
t•I '7
City Zip
Tel. Zip
F:
City - Zip
Tel.
Q-
Licensed
3�"
City Zip
MIT SHALL BECOME VOID IF WORK 1S NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
AYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH s
OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
JCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT
T
APPLICATION TO CONSTRUCT Permit No
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
199 9/74 CANARY—FILE, PINK—APPLICANT
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Owner Z��=.,,,�� Architect ;�� �/ Z�eflFw Contractor.
Address Z&220 AddresAddress_
Ciry7 Ciry_-��e /N�Ti'-� City_ _t1cr1�J�rJ%L
Phon- Phone ? 77a U Phone"•3:b Gc1r1G
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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
3shall
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 occupied until I (we) have
complied with all laws of the County of Riverside and the State of California governing said property. /
1
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DATE ��/" O� SIGNATURE OF OWNER AND/OR AGENT
Approval by Signature from the Following Departments Listed Below P—`_
Must Be Obtained Prior to the Issuing of a Construction Permit.
I SPACE NO.
J USE OF STRUCTURE
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JOB ADDRESS 7-D30 1.1�//L. �1 _
SINGLE FAMILY � DUPLEX
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LEGAL DESCRIPTION OF PROPERTY �� ���-�,
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Tom— u ���-' `�' COMMERCIAL INDUSTRIAL ED
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COMMUNITY eoe4.4
LTERATIONS ❑
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NO. OF SUBMITTED PLANS - USE OF PERMIT
�P7
CASE NO.13
p Z
N0. OF KIN SPACES REQUIRED NO. OF BUILDINGS NOW I TING
Q
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ZON 'ETBACKS: FRONT �1 SIDE / REAR
J
m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK OR INAN E 4-_ OF FEET REQUIRED ON r — STREET
DATE SIGNATURE OF LAND USE OFFICIAL rr9
F,
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET___
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ -STREET
d
W
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
CIMPROVEMENT?
YES ❑ NO ❑
°L
DATE _ SIGNATURE OF ROAD DEPT. OFFICIAL
S
SWIMMING POOLS PUBLIC
.W
SEWAGE DISPOSAL
_
FOOD ESTABLISHMENT
S
WATER POLLUTION REMARKS
�+ FLOOD CONTROL—
z AIR POLLUTION
�
DIV OF HWY
c a — YOUR PROPERTY MAY BE SUBJECT TO
0
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
199 9/74 CANARY—FILE, PINK—APPLICANT