157039 (BLCK)DEPARTMENT OF BUILDING & SAFETY
FIELD OFFICE
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMAT
ELECTRICAL FEES
PLUMBING FEES
1st FI.
Sq. Ft.
NO.
NO.
2nd FI.
Sq. Ft.
Por.
Sq. Ft. @
Gar.
Sq] Ft. @
POLES
! Car P.
Sq. Ft. @
SIGNS
DRAINAGE PIPING
TRANS
Wall
Sq. Ft.
OR CLK.D/
DRINKING FOUNTAIN
f/
I l rO
11
Sq. Ft.
MOTOR H. P.
URINAL
MOTOR H. P.
WATER PIPING
ESTIMATED VALUATION $
MOTOR H.P.
FLOOR DRAIN
NO. MECHANICAL FEES
MOTOR H.P.
WATER SOFTENER
i HEAT APPLIANCE
MOTOR H.P.
WASHER (AUTO) (DISH)
INLETS - OUTLETS
FIXTURES
GARBAGE DISPOSAL
M. SO. FT. - UNIT HEATER
OUTLETS
LAUNDRY TRAY
M. SO. FT. - PERF. CEILING MAT.
SUB-PANEL
KITCHEN SINK
APPLIANCE VENT
WATER CLOSET
I GAS PIPE
RANGE AND/OR OVEN
LAVATORY
REPAIR OR ALTER--'--_-- '-�" •-°`M�AT'ER••-HEA•RE R..w.�.,.,;y,";,b,, v:uca+ -Awa'..
[ VENT SYSTEM ❑ HOOD ❑ EVAP. COOL ❑
SPACE HEATER
BATH TUB
COMPRESSOR
CONSTRUCTION POLE
WATER HEATER
f
COMPRESSOR
SERVICE ENTRANCE
SEWAGE DISPOSAL
IECOMPRESSOR
RESID. IQ SO. FT.
HOUSE SEWER
I
I GARAGE iQ S0. FT.
GAS PIPING
c
PERMIT FEE
PERMIT FEE
PERMIT FEE
ERMIWE
REN
DBL.
PLN CHK FEE
CON TR. FEE
HEAT & VENT
ELECT. FEE
PLUMB. FEE
TOTAL FEES
PLAN CHECKER
.�/
4JSO
N
D
F M I A
M J
J A
S
O N D
BUILDING INFORMATION
JOB ADDRE 3
OW NE
iii
WOOD11�r CONCRETE FIREPLACE
CONCRETE PIERS MEMBRANE
USE OF BUILDING
DATE
BLOCK
FRAME STUCCO BRICK CONC. METAL
OTHER°','
C6MM6NITY
DIS RICT
F.Cry
UNITS
VALUATION
O;;i�
PLASTER
DRY WALL
ROOF COVERING
BD. RMS.
L
�7
f
�d �•
EGAL DESCRIPTION
PE
R
ZONE ZONIN CHEGK BY PERMIT
USE NO.
•' /
SUPPLEMENT TO PERMIT
SET
FRONT SID I EAR LOT
SIZE
BACK
FINALEED
INSPE -QR
GROUP
TYPE
BOND
BOND
CASH
$
/DATE
� �(J /6 �
e.
$
PLAN CHECK FEE
CONTRACTOR
RELEASE BOND
$
...VV
LICENSE-TYPE
DATE
MECHANICAL FEE
In accordance with Sec. 3 of the Uniform Building Code, this permit shall
$
expire if work is not co ced within 60 days. If work is suspended or aban-
doned for a period of T days, this permit
shall automatically become null
CONSTRUCTION FEE
and void.
$
This permit is issued, and shall continue
in effect, pursuant to the terms and
conditions of Sec. 3800 of the Business
and Professions Code and as a cordi-
ELECTRICAL FEE
tion of the issuance hereof the following certificate is executed.
OWNER-BUILDER
CONTRACTOR
PLUMBING FEE
I hereby certify that in performance
I hereby certify that in performance
of the work for which this permit is
of the work for which this permit is
TOTAL FEE
$
issued I shall not employ any person
issued I have complied with Title 8
in any manner whatsoever as to be-
Article 3, Sec. 3800 of the Laoo
Come subject to the Workmen's Com-
Code, and a certificate or certifies
CASH CHECK M.O. N.L.
pensation Laws Of the State of
Copy IS On file with the Rivers•de
RECEI Y
PLAN FILE
California.
County Building Departm t.
#
Owner
Contractor
•H'AT R VOLUME PTIC TANK
LEACH LINE
SEEPAGE PIT
Address
Addressy.
GAL.
1 So. FT.
GAL.
Telephone
Tel. Lic.�k r r+
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t6hYRAMS esLCAoa 50315
tlta ITYP OAT
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r — • �"' aFgire if work is not ted tvifirin tt0 days. {! work io outggor:dea or almn-
doaori for a porlad of Barye. :ilia permit !hall ouioraotiealty beeoll.ae•noll
�I:o�lt�rucrlo� r>r and void.
rids peraeit is IosvW, Brad strait cominuo in ormcl, pursuant to the •lerrae d
Qt 6crAlcnL FEE ceallitans VUc, =0 of the Ousinasa and i;Tafemalons Cods and as a cord•'
tion of the leaveace hareof tits following cQrlifisuty Is oftotuted.
fe
II Qydlf iS1)Il,U'�R CONTRACTOR
PLUMBING r9a i-htroby -gavilk that- ia_ ltorfsslaafice 111sroby certify that Jo p*rfftrtMMCQ:
of the work 4303 which •thio permit is of file wwk for which this permit is
TOTAL. 011!:8 @ issved i spoil not Mploy any person Icsuod I have e600110i with Title 8,;
In am M4M*r whatsoevsr as to be- Articto 3, Soc. 3M of tho Lobar.
Rin cprca Coma subject to the Workman's Coen- Cade, and a etrtifieote or cortiiiod,
11Cccf r PLAN ►IL[ pitnsatiott Lows of the STaie of copy is on fllft with the Riaaralde:
Colifamia. County lYdi ding OsOlachr t.
aaC Owner _ Controcto
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t6hYRAMS esLCAoa 50315
tlta ITYP OAT
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r — • �"' aFgire if work is not ted tvifirin tt0 days. {! work io outggor:dea or almn-
doaori for a porlad of Barye. :ilia permit !hall ouioraotiealty beeoll.ae•noll
�I:o�lt�rucrlo� r>r and void.
rids peraeit is IosvW, Brad strait cominuo in ormcl, pursuant to the •lerrae d
Qt 6crAlcnL FEE ceallitans VUc, =0 of the Ousinasa and i;Tafemalons Cods and as a cord•'
tion of the leaveace hareof tits following cQrlifisuty Is oftotuted.
fe
II Qydlf iS1)Il,U'�R CONTRACTOR
PLUMBING r9a i-htroby -gavilk that- ia_ ltorfsslaafice 111sroby certify that Jo p*rfftrtMMCQ:
of the work 4303 which •thio permit is of file wwk for which this permit is
TOTAL. 011!:8 @ issved i spoil not Mploy any person Icsuod I have e600110i with Title 8,;
In am M4M*r whatsoevsr as to be- Articto 3, Soc. 3M of tho Lobar.
Rin cprca Coma subject to the Workman's Coen- Cade, and a etrtifieote or cortiiiod,
11Cccf r PLAN ►IL[ pitnsatiott Lows of the STaie of copy is on fllft with the Riaaralde:
Colifamia. County lYdi ding OsOlachr t.
aaC Owner _ Controcto
"A 0L. At Yam Yal LiACM L1N[ " altPAQs rrT hdd►oss Aadrss — �
BAL.s0. sT, tsL. Talephoae Tal. Lic. arJC_
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ELECTRICAL APPROVALS
!6
Po.eer Poise
!7
?8
Ccnduit _^
Service Eotvanca -�
t
tg
Ylirieap
30
)i
Fixture - - - -
So:vice —
-
A �
37
_
Final
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:::�:.. '_b alriR:i fo►_�?t!�aitactor :i�bt ai war ix repviwaby.lhe cctwar at Rcewdfa. Pb'Al"T Ida County
f�,0iftB a! adidr: sawy
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l••, - ::::•- t 1[� 4: $3 .�� *3sA i te) will ml c=ipv YAH pmpWv tinct WIH !:at C3M"3� sod t Y i0 �S'C:'•GaD'w+•Gf17�{i.1;=L�;, iSlt;OQ
�' `; C6tF+ E.+iiilS.Adl iiC+c`uir llstt �"�ratnlY t a14 rm SW of Cai.tatWa Ya1d Cxdiotfx.'
?,. ~ `'° - • 'E ..� ys R,.
SIGNATURE OWNED----
,y _aN ..w
wast abssd P'ew tv eta i ig at a cm0m,06*9 Ptmit. -
3rd. � �tRe � e .ri
USE OF S11fWICTURE
f aI' cvi tictt Ql tFta aP`�: i x��°" r.c�P. _ SiNaE FAMILY DUPLEX
APART'.i�tE4 0 AGA IC. 0
OP SU!84Li=Y_0'PI.AWz_ t °"YPE 0 +,GAdS7i';iCTION I CC, NASIRCIAL Q 1NVUS1�!fAi �
A' WiTIONAC FLOT (MANS-_ fLSFRA`I IONS i3
aC` CASE EA x�,,i' «R". --
.m 1 _ _ ,
:r. OF yi Rmr4 s -w%C:_ Ct.� llYGi��. _.- -i i^. yr Bili: t4OVir EXISTING.
i��tEbY..fipCc�IT _._ -r
;F 10 ARADS OR i*SEE, TOPOGRAPHIC 6il_07' PLAN RECUiRm YES [] me RECI#jxi �1,
SVFACIC Oh#1 A EEFT P-EVJIRED CFL._._.-._ 7 4
Sl&uZAVURi ': F LAUD USE 0FFiCIAL _—�� '1__' M
s
�o
i? DK.'A*?1ON ACQ V11 0. YES 0 1:0 cc'j. MO. OF FEE
►
Cklm -,t.'47 t rw( Im..wiftED. YF.S [3 •tO
THE AtOl(C CONST11110110k.? YES C NO l
za
CAN CURB AND Ct1-t':"'rEg PyA'SIOLY BE WSTALLED? YES 0
I+I:'i t2
HAS AN ACCEPT -ABLE. Afl?LICttr*N SCEN MPAX FOR Lt.CROACHMiXi`:T PIAMIT FOR DnIVEWAY AND STREET
• L�
!tVi9RortmENT? YES-? o NO 0
DAT'E—_ SIGNATURE OF ROAD
DEPT. OFi IMIAI
RESIDENTIAL. SEWAGE DISPOSAL -
COMHtERC1A.l
FOOD ESTABLISHMENT
SWIMMING POOLS PUBLICy
BLDG. DEPT.,._--- _ GRADING PERMIT REq PED
PLAN CHECK
FLOOD CONTROL \'PATER FOlLUTION—
t�
AIR POLLUTION ._ . —DIV OF HWY.—
YOUR PROPERTY MAY BE SUBJECT TO
FLOOD. RIVERSIDE COUNTY ASSUME$
—__---
NO RESPONSIBILITY IN EVENT OF FLOOD.
PLATE # 284.1411. 3/67 WHITE—ROAD DEPT., CANARY—•FILE, PINK --APPLICANT'