369347 (RPL)BUILDING PERMIT
DEPARTMENT OF BUILDING & SAFETY r7s7T
3693 -1 COUNTY OF RIVERSIDE
PERMIT No. 47 FIELD OFFICE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
--7
Fe2 it
I ST FL.
2ND. FL.
FOR.
GAR.
CAR P.
WALL
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ESTI��'TED CONSTRUCTION
SQ. FT. @ $
UNITS
Owne,��
SQ. FT. @ YARD SP-KLR SYSTEM
SQ. FT. @ MOBILEHOME SVC. BAR SINK
SQ. FT. @ POWER OUTLET ROOF DRAINS
SQ. FT. @ DRAINAGE PIPING
Dist.
SQ. FT. @ DRINKING FOUNTAIN
F.C.C.
SQ. FT. @ URINAL
Micro Film Fee
VALUATION NO WATER PIPING
Use ofPer'mit
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT ,eA
SAP DRAIN
No.
MECHANICAL FEES
SWIM POOL, COMM
___,2'FLOOR
WATER SOFTENER
Set
IS '000�)
Zone R;sns
'0
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
FLegol Descriptio
;.&
to,
APPLIANCE DRYER
SMI Fee 1$
GARBAGE DISPOSAL
Dbi 1$
$
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
-
Plan Checker
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
Unit
ABSORPTION SYSTEM B. T. U.
TEMP USE PERMIT*SVC
WATER CLOSET
Const. Lender
COMPRESSOR HP
POLEJEMP/PERM
LAVATORY
Numbers
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
Address City Zip
BOILER B. T. U.
SQ. FT. @ 4:
BATH TUB
Owner/Agent
SQ. FT. @ c
WATER HEATER
Zip
SO. FT. RESID @I'Ac
SEWAGE DISPOSAL
=*-z
Wdress
SQ. FT. GAR @ 3/4 c
HOUSE SEWER
city
Zip
GAS PIPING
,PERMIT FEE
PERMIT FEE
j PERMIT FEE
!EEO
elo,
DBL.
TOTAL FEE��
MOB.HM.FEE
MICRO FiF-7
MECH. FEE PL. CK. FEE CONST. FEE Yo
40&70
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SMI FEE
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mt
FEE PL' UT.. �E E�
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PERMIT NO.
13693471
Job Address
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Space
Zip
Owne,��
Valuation
$ z4no'
Do,.
I
Dist.
F.C.C.
MH.Permit Fee $
Micro Film Fee
Cop $
Use ofPer'mit
Parcel No.
_3 ,�;re/Ccrse
7
No.
Ck. By
Mech. Fee_ Dbi $
Pl. Ck. Fee $
Set
IS '000�)
Zone R;sns
'0
Backs I of Si.e
IS I R
Group Type
I
Construction Fee DbI $ '];�(A
FLegol Descriptio
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to,
Electrical Fee DbI I$ V 4*1
SMI Fee 1$
Plumbing Fee
Sp. Insp. Fee
Dbi 1$
$
A � IF
and Amt.
$
$
Plan'No.
-
Plan Checker
—Z
Fi7ole/
Inspector
Unit
Demol. Fee
$
Const. Lender
Branch
Supplimental Permit
Numbers
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel.
Zip
Total Fees
M. 0. Q
$
C. C] Cash E) Che`ckIV
Wdress
city
Zip
frees reqyi'red
Contract
Tel.
License#
Sewage System
Address
Zip
T LL P
S�ewer District
Re�.8/78)
'.Form 284-208
THIS PERMIT SHALL BECA VOID'IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CES,94TION OF WORK
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I
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
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by:
BUILDING PERMIT
PERMIT N . DEPARTMENT OF BUILDING & SAFETY FIELD DST
3693047 1 COUNTY OF RIVERSIDE 1 7.;/�/
CONSTRUCTION ESTIMATE
J- NO� ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
IMATED CONSTRUCTION
SQ. FT. @_$
UNITS
369347
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SO. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FL Al
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
1orceTr4o.
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 HIP
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B. T, U.
SQ. FT. @ c
BATH TUB
ZonWestrictiors Gr
SQ. FT. @ 4:
WATER HEATER
2 4!7�
SMI Fee
SQ. FT. RESID @I-/, c
—4 SEWAGE DISPOSAL
SQ. FT. GAR @ I/.
HOUSE SEWER
Plumbing Fee
DbI $ J.Atonc!Z
GAS PIPING C -
PERMIT FEE
Plan Checker 4
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEE�.j
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE I CONST. FEE ELW.
Fff-_ MI FEE
FEE PIUAB. FEE
- I r — — - — or/ �
PERMIT NO.
Job Address
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space O_;Z_
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369347
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$
1
Date7
Di Off. F.C.C.
MH.Permit Fee
$
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4n�4
4Z 1E
Micro Film Fee
Cop $
L Ise ofPerAit
—I �
1orceTr4o.
e/Cose No.
k. By
IC23
Mech. Fee
DbI $
4dZZ
Pl. Ck. Fee $
Set Bb,ks
F IS I I
Lot Size
I R
1
.7 1 IF% IN
Construction Fee DbI $
Legal Description
1*"—
Electrical Fee
DbI $
ZonWestrictiors Gr
.1 r �110 %..0
cup iryple
SMI Fee
$
Plumbing Fee
DbI $ J.Atonc!Z
Plcm4o.
Plan Checker 4
FinqrD.I.
Inspector
Unit
Sp. Insp. Fee
$
$
Dental. Fee
$
Const. Lender
w-w-mifte
Branch
rn
Supplimental Permit Numbem
Registr. Fee $
Mileage Fee
$
AcIdt
t
fir
INE 6 FEW K tu ou
Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel.
Zip
Total Fees
$
pAddress
City
Zip
M.O. M
(.Of ef
N.C. C] Cash 0 Ch ck)a
11
41Z 'Aa
Received by,"'W
FContrac,
Tel.
License#
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THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESS�(TION OF WORK
-Sewer District FOR 20 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT AL6.WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS 01 RIVERSIDE COUNTY AND'THE STATE OF CALIFORNIA,
I HEREBY CERTIFY THAT THE INDIVIDUAL WHCi 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
verified by:
NO.
OPERATION DATE
I
PECTOR
I I�S . 1.
NO.
OPERATION
DATE INSPECTOR
1
I
SetBack
BUILDING APPROVALS
33
MECHANICAL APPROVALS
Ventilation System
2
Ffgs & Frms
34
Plenums & Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets & Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
39
Appl. Cle rance
7
Framing
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace
P. L.
43
Final
10A
Fireplace
T. 0. E]
OP'N ADDITIONAL INFORMATION
NO.
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
"R"
INSULATION Thick Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 1 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
7f
25
Final
Tank Pit L.Line
REAR OF PROPERTY LINE
P/L P/
ELECTRICA'. APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
V
NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT
APPLICATION TO CONSTRUCT Permit No
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
284 199 9/74 ANARY—FILE, PINK—APPLICANT
Owne 44 �%ic hitect— Contractor
'�9' ,,. s /X,
Addres- 1�e'IPA fe,� I -Ole) "Add,e,,
-�f "'q (I
City city City-
Phone Phone__m_—___:�_- Phone j k6l
19
I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and
z
Paving, and/or Dedication of right of way is required by the County of Riverside, the Riverside County Department of Building and Safety
31:
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 encroachment permit.
NOW, therefore, it is agreed that I (we) will not occCipy said property and will not cause said property to be occupied until I (we) have
complied with all laws of the County of Riverside and the State of California governing said property.
,:,, / --.-0 ( / �/ �e -2 /
DATE SIGNATURE 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.
I SPACE NO. USE OF STRUCTURE
JOB ADDRESS
>.
SINGLE FAMILY ELIJ""DUPLEX
021
z
I EGAL DES I T 10 Ne F P E�21,; Y
APARTMENTS AGRIC.
.4
.
1
AL IN D
COMMERCI DUSTRIAL L
%A
0
COMMUNITY ALTER 'IT IONS
NO. OF SUBMITTED PLANS USE OF PERMIT
z
CASE NO.
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NO. OF P�RKIN SPACES REQUIRED NO. OF BUILDINGS N�0) ISTING
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< =!
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I
ZONE ETBACKS: FRONT —SIC gyAR zl
Co
GRADING PERMIT REQUIRED? YES 0 NO [:1 LOT SIZE
SETBA�K 0,RRI7),CEj ____ OF— FEET REQUIRED ON V TSTREET
DATE SIGNATURE OF LAND USE OFFICIAL
DEDICATION REQUIRED: YES E] NO 0 NO. OF FEET ---
CURB AND GUTTER REQUIRED: YES 0 NO C1 —STREET
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES El NO 0
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STRE'ET
IMPROVEMENT? YES [I NO 0
0
DATE SIGNATURE OF ROAD DEPT. OFFICIAL
x
SWIMMING POOLS PUBLIC
SEWAGE DISPOSAL
FOOD ESTABLISHMENT
x
WATER POLLUTION REMARKS
FLOOD CONTROL—
z AIR POLLUTION
DIV OF HWY
0 YOUR PROPERTY MAY BE SUBJECT TO
FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199 9/74 ANARY—FILE, PINK—APPLICANT