397647 (GRES)PERMIT NO.
397647
PERMIT
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DEPARTMENT OF BUILDING & SAFETY
Community
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13976V7
COUNTY OF RIVERSIDE
Micro Film Fee Cop S
FIELD
DST
Use/Case No.
Ck. 8
'Meth. Fee Dbl $
`PI. Ck. Fee 5 _
Set Backs lot Size
F., 5 � S a+ R
J .%7
f Construction Fee Dbl S .
l
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. @ $
UNITS
• Plumbing Fee Dbl S
Bond Amt.
2ND. FL. SO. FT. @
Plan Checker
Final Dote nspector
YARD SPKLR SYSTEM f
POR. SO. FT. @
MOBILEHOME SVC.
Const. Lender Branch
,.
BAR SINK
GAR. SO. FT. @
POWER OUTLET
Address City Zip
ROOF DRAINS
CAR P. SO. FT. @
Owner/Agent
Tel. - Zip
DRAINAGE PIPING
s
WALL SO. FT. @
Address
City Zip
DRINKING FOUNTAIN
/
1 ^� SO. FT. @
Contrd �0-
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Tel.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
f✓
Address I
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
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
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.
SO. FT. @ a
BATH TUB
SO. FT. @ a
WATER HEATER
'Ly I S0. FT. RESID @ 1 tGa
SEWAGE DISPOSAL
50. FT. GAR @ t/44
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
+J
PERMIT FEE
DBI.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEEPL K. FW
CONST. FEE,
ELECT. %E
SMI FEE
FEE PLUMB. FEE
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PERMIT NO.
397647
Job Address Space
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Community
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.MH Permit Fee $
Micro Film Fee Cop S
Use of Permit Par
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Use/Case No.
Ck. 8
'Meth. Fee Dbl $
`PI. Ck. Fee 5 _
Set Backs lot Size
F., 5 � S a+ R
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f Construction Fee Dbl S .
Lego] Descriptio
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(Electrical Fee Dbl S
J
Zone Restrictions J
.. �/
Group
Type
.,SMI Fee S
• Plumbing Fee Dbl S
Bond Amt.
Pion No.
Plan Checker
Final Dote nspector
Unit
Sp. Insp. Fee S
Demol. Fee S
Const. Lender Branch
,.
Supplimentol Permit Numbers
:to-... .
(• : i�?
s �t
�.Registr. Fee S
'. Mileope Fee S
Address City Zip
!Witness Fee $
�k.insp. Fee S
Owner/Agent
Tel. - Zip
'Total Fees S 70 6;
Address
City Zip
M.O. N.C. ❑ CPsh ❑ Check
Received by
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Trees required
Sewage System
Address I
City I Zip,p
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T LL P 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
�THELAWSF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
ERTIFY THAT. THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
For 284.208 (Rev. 1/80) E WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by:
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
� I
24 Go s Test -
25 Final SEWAGE SYSTEM SIZE & LOCATION
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance `
29 Wiring
29A Grounding Wire P/L P/L
29B Bonding
30 Fixtures
1
31 Service
32 Final
STREET NAME
.•. ;Q»;,
'a ;: .-.' OPERATION
DATE
INSPECTOR NO.
OPERATION -
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System k
2
Ftgs 8 Frms
- 34
Plenums 8 Ducts
2A
Slob Grade
t
I 1 35
Furnace Comport.
3
Steel
36
Inlets 8 Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
t
39
Appl. Clearance
^ 7
Framing
40
Fire Damper
8
Vents
t 41
t Smoke Detection Device
9
Garage Fire Wall
1
{ 42
a
t Commercial Hood
10
Fireplace P. L.
�]
43
Final
10A
Fireplace T.O.
P
[]
OP'N
No.
� ADDITIONAL INFORMATION
1 S,
I
ry
11 Exterior Lath ! -'
12 Internal loth
12A Drywall
+ 1.3 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
128 Ceiling (Batts)
i
12C Ceiling (Blown)
14 j Final
i
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
� I
24 Go s Test -
25 Final SEWAGE SYSTEM SIZE & LOCATION
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance `
29 Wiring
29A Grounding Wire P/L P/L
29B Bonding
30 Fixtures
1
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 No
00
284 199�y - 9/74 CANARY—FILE, PINK—APPLICANT
Owner ! chitect Contractor
�Ad �7 f i i Mj0it'U41 At
Addres —�- Address Address_ —�
City (—1:l✓City City_"
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Phone 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 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 proper t be occupied until I (we) have
complied with all law of th 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.
I SPACE NO.
r� h ,� �� �� �� i USE OF STRUCTURE
V `
JOB ADDRESS % _
/ ,r SINGLE FAMILY DUPLEX ❑
GAL DESCRIPTION OF PROPERTY Z VT �
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�L. _ APARTMENTS E] AGRIC.
ff:"
�t OMMERCIAL INDUSTRIAL C�
14-11 '� t"'-' / C "
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COMMUNITY
'ALTERATIONS n
USE OF PERMIT
NO. OF SUBMITTED PLANS —
CASE NO.T
C Z
NO. OF PARKING SPACES REQUIRED — F NO. OF BUILD IN�OW EXISTING
i /
/
Q
ZONE-% SETBACKS: FRONT �` SIDE 'J REAR
J m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE # _— OF FEET REQUIRED ON ` STREET
DATE_ SIGNATURE OF LAND USE OFFICIAL.-�
F
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET -- —
z
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
i
t-
d
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
W
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
IMPROVEMENT? YES ❑ NO ❑
°L
DATE __ SIGNATURE OF ROAD DEPT. OFFICIAL
S
SWIMMING POOLS PUBLIC
IL W
SEWAGE DISPOSAL
_
FOOD ESTABLISHMENT
_
WATER POLLUTION REMARKS
�n FLOOD CONTROL—
z AIR POLLUTION
_ DIV OF HWY
c a — YOUR PROPERTY MAY BE SUBJECT TO
6
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199�y - 9/74 CANARY—FILE, PINK—APPLICANT
I.,
BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY
�,9 7 6 4 7 COUNTY OF RIVERSIDE FIELD OFFICE FDj/ J
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.;
POR.
GAR.
CAR P.
WAIL '—
'
ESTIMATED CONSTRUCTION
SO. FT. @ $
UNITS
Owner
SO, FT. @
YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC.
BAR SINK
SO, FT. @ POWER OUTLET
ROOF DRAINS
SO. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ, FT. @
URINAL
VALUATION Is
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
Lsc
egal Deripfi
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
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
Unit
SQ. FT. @ a
WATER HEATER
S
S0. FT. RESID @ 1'Ac
SEWAGE DISPOSAL
Branch
50. FT. GAR @ 3/4a
HOUSE SEWER
Regist, Fee $
GAS PIPING '
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FE
CONST. FEE CT. FEE
SMI FEE –'[—FEE
PLUMB. FEE
PERMIT NO.
397647
Job Address
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Space
Zip
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Owner
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Community
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Vo uation
$
Date
Dist.
Off.
F.C.C.
0 2 t
MH Permit Fee $
Micro Film Fee
Cop S
Use of Permit
Al A-
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7(/�! – / " 4` 7
Use/Cosa
No. -
Ck. By
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Mech. Fee Dbl S
Pi. Ck. Fee $
Set Bock,
5 R
Lot Si -
Construction Fee Dbl 5
Lsc
egal Deripfi
Electrical Fee Dbl $
Zone Restrictions '
Group
Type
SMI Fee $�i–'CL_
Plumbing Fee
Dbl S
,Bond Amt.
Is
Pion No.
Pion Checker
Final D to
3 –xR—e)
Inspector
Unit
Sp. Insp. Fee S
Demol. Fee
S
Const. Lender
Branch
Supplimental Permit Numbers
Regist, Fee $
Mileage Fee $
Address City Zip
-Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel.
` Zip
Total Fees
S
Address
City
Zip
M.O. N.C. Cash Q Chec/1791
Received bye7r
Cant
_G
v
Tel.
��
License#
Trees required '�
Sewage System
Address
City
Zip
T LL p TAIIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verifi.d' by:
Sewer Dist ct 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
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
Form 284-208 (Rev. 1/80) R E WITH SECTION 5541 OF THE .8 1 U51NESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.