368722 (BLCK)BUILDINO PtKMIT
1,PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD r—DS-T—,l
3687221 COUNTY OF RIVERSIDE .11 1 )/1
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
I ST FL.
2ND. FL.
FOR.
SQ. FT. @
UNITS
Dote
I
SO. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
GAR.
CAR P.
WALL
SQ. FT. @
POWER OUTLET
ROOF DRAINS
SQ FT @
DRAINAGE PIPING
SO' FT.
DRINKING FOUNTAIN
Lot Size
SQ. FT. @
egol Desc vion
Ad 14;cy, C,74 /j -7,
URINAL
ESTIMATED CONSTRUCTION VALUATION
Zone ReAlions
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
Demol. Fee $
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Registr. Fee $
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B. T. U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HIP
POLE, EMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B. T. U.
SQ. FT. @ c
BATH TUB -
Address
/1�2 -571- - -- -
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @11/,c
SEWAGE DISPOSAL
SQ. FT. GAR @ 31, c
HOUSE SEWER
GAS.PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DEL.
TOTAL FEEI,,�,
MOB.HM.FEE
MICRO FEE MECH. FEE
PL. CK. FEE
T- CONST. FEE ELECT. FEE
St7�—E,–]—
FEE PLUMB. FEE
PERMIT NO.
1 368722],
Job Address Space
S,1VA,7
-7 — R
Owner
Co;m?mn,,Y,.
Valuation
ao
Dote
I
Dist.
F.C.C.
MH.Permit Fee $
Micro Film Fee Cop $
Use of Permit
Parcel No.
Z/0`7– �;)u
�Ise/Ccrse No.
Ckj
Mech. Fee DbI $
Pl. Ck. Fee $
Set Backs
-T-
Lot Size
4' 74
Construction Fee DbI $
egol Desc vion
Ad 14;cy, C,74 /j -7,
F 5 R
Electrical Fee DbI j$
Zone ReAlions
Group
Type
SMI Fee 1$
Plumbing Fee DbI $
Bond Amt.
$
Pion No.
Plan Checker
Final Date
-5-- 7
I ispecto . r
Unit
Sp. Insp. Fee $
Demol. Fee $
Const. Lender Branch
Supplim to ermit Numbers
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee $
Owner/Agent
Tel. Zip
Total Fees $ 'Address
City Zip
M-0.0 N.C-0 Ca5bQ Check.
Received by 10en'tro
Trees required
Tel.
45/ -
License#
Sewage System
1
Address
/1�2 -571- - -- -
City Zip
I ///,
T U. P I
Sewer District
1�1,
01
Form 284-208 (Re,8/78)
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
FOR 120 DAYS SHALL ALWCAUSE.PERM!IWD BECOME VOID.
I HEREBY AG d�&"VeA�W�ITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
LAWS OF RIVERSIDE COUNTY IND THE 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.
verified by:
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSIiECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
I
Set Back
33
Ventilation System
2
Ftgs & Frms d/1,
34
Plenums & Ducts
2A
Slab Grade U
35
Furnace Comport.
3
Steel
36
Inlets & Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
39
Appl. Clearance
7
Framing
40
Fire Damp r
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L.
43
Final
IDA
Fireplace T. 0. E:]
OP'N
NO.
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
I I Exterior Loth
12 Internal Loth
12A Drywall
13 Finish Grade
"R"
INSULATION Thick Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
-- --- I . 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
P/L
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
DEPARTMENT OF BUILDING AND SAFETY 9 COUNTY OF RIVERSIDE
OFFICE DATE TIME PERMIT NUMBER
INSPECTION
REUUESTED
ADDRESS SPAc E NO. FOR:
I
28� r
OWNER
BUILDING
REMARKS:
I COMMUNITY
PLUMBING I ELECTRICAL
OWNER/CON TRACTOR TEL.NO
P.M.
MECHANICAt
L?�kTUES
WED
THUR
IF R.1,"'
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE DATE TIME PERMIT NUMBER
INSPECTION
ADDRESS SPACE NO. REUUESTED
FOR:
OWNER
BUILDING PLUMBING
Iq
COMMUWTY
ELECTRICAL I MECHANICAt
REMARKS: 0,
OWN ER/CON TRACTOR TEL.NO.
A.M.
P.m.
F� WON
TUIES
WED
THUR
M FRI
28446 11/7S
DEPARTMENT OF BUILDING AND SAFETY 9 COUNTY OF RIVERSIDE
OFFICE
DAT
TIME
PERMIT NUMBER
INSPECTION
r CTg:r)
ADDRESS
W
OWNER
BUILDING
SPACE NO
COMMUNITY
Q.
PLUMBING ELECTRICAL CHANICAL
REMARKS: Ljoq-06W W�KL
OWN ER/CON TRACTOR TEL.NO.
FOR:
F-1 A.M.
F] P.M.
PMON
T,
UIES
WED
THUR
FRI
284-" 11/75
NOTICE: THIS IS NOT A BUILDING PER
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFE
COUNTY OF RIVERSIDE
/f -DISTRICT
P
Permit No
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
Contractor J_
Owne Architect— _C1601—wit_
Addr Address— Add e e ss_P_0_3C14/_':2_5
ss _21
City City—
Phone
C9
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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 6f right of way i' s 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
0
without an en�,roachment permit.
NOW, therefore, it is agreed that I (we) will not occupy said property and will not cause said property to be occup.e until I (we) have
complied with all laws of the County of Riverside and the State of California governing said property
D A T E SIGN'ATURE OF OWNER AND/OR AGENT
Approval by Signature from the Following Departmenft Listed Below
-Must Be Obtained Prior to the Issuing of a Construction Permit.
SPACE NO.
USE OF STRUCTURE
LP [V
JOB ADDRESS SINGLE FAMILY DUPLEX
177
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1AI, DESCRIPTIQUJOf PROP�RTY _11-17 -
LEG - ). — D_ A P ARTMENTS AGRIC. 'E]
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C.
COMMERCIA L INDUSTRIAL [j
COMMUNITY /V 1---1 le? 1
ov4.� ALTERATIONS
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NO. OF SUBMITTED PLAN USE OF PERMIT
CASE NO.
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NO. OF P KING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING
Z 0
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ZONE SETBA(fKS: FRONT SIDE REAR
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co
GRADING PERMIT REQUIRED? YES `� N 0 LOT SIZE
SETBACK ORDINANCE # 0 1— FEET REQUIRED ON —7 STREET
DATE SIGNATURE OF LAND USE OFFICI
7
DEDICATION REQUIRED: YES 0 NO [I NO. OF FEET ---
t-
3; -
CURB AND GUTTER REQUI-RED: YES 0 NO 0 STREET
cd
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES C3 NO EI
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HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
IMPROVEMENT? YES 0 NO n
0
cc
DATE SIGNATURE OF ROAD, DEPT. OFFICIAl
SWIMMING POOLS PUBLIC
SEWAGE DISPOSAL
au
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
4A FLOOD CONTROL
z AIR POLLUTION
F'i :*
X I DIV OF HWY
t- cc YOUR PROPERTY MAY BE SUBJECT TO
0
FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 CANARY—FILE, PINK—APPLICANT