368766 (MECH)BUILDING PERMIT FIELD OFFICE
1PERMIT NO. DEPARTMENT OF BUILDING & SAFETY DIST
3687661 COUNTY OF RIVERSIDE I // I
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
-\ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @
Valuation
E
UNITS
Dist.
//
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $
WATER PIPING
R NOTE: Not to be used as property tax valuation
I Electrical Fee Dbl E
SWIM POOL, PVT
FLOOR DRAIN
.;. MECHANICAL FEES
.!.'SMI Fee E
SWIM POOL, COMM
WATER SOFTENER
�V NE T'SYSTEM FAN EVAP. COOL HOOD
Plan Checker
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Dental. Fee E
Const. Lender Branch
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
g'Aileoge Fee E
Address City Zip
LAUNDRY TRAY
AIR HPrNDLING UNIT CFM
Owner/Agent
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
Address
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
Contractor ':Yt .. /�"9
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POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
Sewage System
ff
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
SQ. FT. @ c
WATER HEATER
r
SQ. FT. RESID @I th c
SEWAGE DISPOSAL
(:
SQ. FT. GAR @ 3/4 c
HOUSE SEWER
GAS PIPING
PERMIT FEE
U
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
�o
MOB. HM. FEE
MICRO FEE
MECH. FEE
is �'-
PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.6:]Job
7 3687
Address Space
Vel
Zip
Owner
Community
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Valuation
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Date
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Dist.
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Plumbing Fee Dbl E
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"Sewer District ^�
Form 284-208 (Rev.8/78) @s
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
FOR 120 DAYS SHALL ALSO CAUSE FERMI B E
I HEREBY AGREE THAT All WORK I I I RMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND THE STAT F 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.
BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD F/;;/]
3 6 8 7 6 6 COUNTY, OF RIVERSIDE I
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @
Date,.,
UNITS
Off.
SQ. FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
BAR SINK
POWER OUTLET
SQ. FT. @
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
Electrical Fee Dbl §
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SMI Fee Is
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD _
Plan Checker
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Sp. Insp. Fee §
Dental. Fee §
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Registr. Fee §
Mileage Fee §
LAUNDRY TRAY
AIR HANDLING UNIT CFM
Reinsp. Fee §
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
Total Fees § ZaAddress
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
by
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
Trees required
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
SQ. FT. GAR @ s/. c
HOUSE SEWER
GAS PIPING
PERMIT FEE
Q %
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE
PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.Job
368766
Address Space
t ,
Zip Owner
izzs�:' 14:2.11al_
Community
+ A-., n4
Valuation
§
Date,.,
Dist.
Off.
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Porcel No.
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Use/Case No.
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PI. Ck. Fee §
Set Backs
Lot Size
Construction Fee Dbl §
Legal Description F
r'" 7- ,e � PS-
S
S R
Electrical Fee Dbl §
Zone Restrictions
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Group
Type
SMI Fee Is
Plumbing Fee Dbl §
Bond Amt.
§r
Plan No.
Plan Checker
Final Date 79
!
Inspector
rq
Unit
Sp. Insp. Fee §
Dental. Fee §
Const. lender Branch
Sup li I Permit Numbers
v
Registr. Fee §
Mileage Fee §
Address City Zip
Witness Fee §
Reinsp. Fee §
Owner/Agent
Tel. Zip
Total Fees § ZaAddress
City Zip
M.O. N.C. Cash n -Check
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License#
Trees required
Sewage System
Address
City Zi
} T LL PTHIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer District _ FOR 120 DAYS SHALL ALSO CAUSE PERMIT BEC V/O��j��
I HEREBY AGREE THAT ALL WORK I ITR TFlfS�ERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND THE STgi�ATE CALIFORNIA.
I HEREBY CERTIFY THATTHE IND.iDUAL 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.
Form 284.208 (Rev.8/78'
verified by:
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
I
Set Bock
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums & 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—(-79 t°
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 6� (-7 9
�,Kf
10A
Fireplace T.O.
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 F1.1 ,
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
296 Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE
DATE
TIME
PERMIT NUMBER
&,F7&4_�_l INSPECTION
RFOIIFSTFD
ADDRESS SPACE NO. FOR:
2oade&
DIP,
� DIP A.M.
OWNER COMMUNITY
r
P.M.
BUILDING PLUMBING ELECTRICAL MECHANICAL.
MON
TUES
I a WED t
REMARKS:
s THUR
FRI
OWNER/CONTRACTOR TEL.NO.
28446 {1/IS
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT
Permit No
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
1 1
Owner Architect —. Contractor--'—'-
C_J
/Adre��
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4
14A
City City_— _ __ _ City_—
Phone Phone Phone //,90
—/ _ --c34`'7_ _
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(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 1 (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 Countv 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.
PA
SPACE N0.
USE OF STRUCTURE
CJ
JOB ADDRESS_! __ (�
' — SINGLE FAMILY 2"' DUPLEX
Z
LEG L DESCR PTION OF PROPERTY OL
f_�`•_O_ APARTMENTS El AGRIC.
W
7/7— 1L �✓ V
n r COMMERCIAL [:] INDUSTRIAL n
j `^
COMMUNITY
TERATIONSCASE
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NO. OF SUBMITTED PLANS — USE OF PERMIT
NO.__ /_��TI J
nil!
Z
NO. OF PARKING SPACES REQUIRED _— — NO. OF BUILDINGS NOW EXISTING
Q
ZON��SETBACKS: FRONT SIDE REAR
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Co
GRADING PERMIT REQUIRED? YES•`,I NO ❑ LOT SIZE
SETBACK ORDINANCE II OF FEET REQUIRED ON — STREET
DATF� / —7,,;1- SIGNATURE OF LAND USE OFFICI --
f
DEDICATION REQUIRED: YES .❑ NO ❑ NO. OF FEET__
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
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
O
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IMPROVEMENT? YES ❑ NO El
Cie
DATE SIGNATURE OF ROAD DEPT. OFFICIAL—
x
SWIMMING POOLS PUBLIC
Q I.:
SEWAGE DISPOSAL
FOOD ESTABLISHMENT
_
WATER POLLUTION REMARKS
FLOOD CONTROL
zAIR POLLUTION
= f, DIV OF HWY
o a — YOUR PROPERTY MAY BE SUBJECT TO
a
UA FLOOD. RIVERSIDE COUNTY ASSUMES
- NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 CANARY—FILE, PINK—APPLICANT