387458 (ELEC)PERMIT NO. DEPARTMENT OF BUILDING & SAFETYDsr
3 8 7 4 5 8 COUNTY OF RIVERSIDE FIELD T
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @
UNITS
Valuation
$
SQ. FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
BAR SINK
POWER OUTLET
SQ. FT. @
ROOF DRAINS
SQ. FT. @
SQ. FT. @
•
DRAINAGE PIPING
DRINKING FOUNTAIN � r'
SQ. FT. @
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
Set Backs
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
legal Description
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WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
Zone R s fictions
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Type
SMI Fee Is
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
'� (,k.
1Plan Checker
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
Unit
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
Const. Lender Branch
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
Mileage Fee E
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
$
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
$. -
SQ. FT. @ c
City
WATER HEATER
_
.M. N.C. - Cash Check
SO. FT. RESID @lt/4c
CC�
4
SEWAGE DISPOSAL
Tel. 2 / / / •
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SO. FT. GAR @ 3/4 c
License#
HOUSE SEWER
Sewage System
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Address
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city
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GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL F,
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE —J
---CONST. FEE
ELE[T. FEE^
/J� �rV
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
]��38'7458
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Owne
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Valuation
$
Date
Dix
3qa_
F.C.C.
MH.Permil Fee E
Micro Film Fee
Cop $
Use of Permit "C \��1,0"
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Use/Case
No.
Ck. B
ts
Mech. Fee Dbl $
PI. Ck. Fee $
Set Backs
Lot Size
Construction Fee Dbl E
legal Description
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F S S R
Electrical Fee Dbl E
Zone R s fictions
Group
Type
SMI Fee Is
Plumbing Fee
Dbl $
Bond Amt. Plan No. '
E
1Plan Checker
Final Date
"' — Q
In pector
ax,
4
Unit
Sp. Insp. Fee E
Demol. Fee
E
Const. Lender Branch
SuWI*lrmit Numbers
r
.
Registr. Fee $
Mileage Fee E
Address Cil Zi
y P
Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel.
Zip
Total hics r
$. -
ddress / ^•� :- / 4
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City
Zip
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.M. N.C. - Cash Check
Received by
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Tel. 2 / / / •
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License#
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Sewage System
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city
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Sewer District
3)-.,1=3- 8L
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 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. F v
I HEREEIY CERTIFY THAT THEINDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
ANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPF6.TOR
s
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System J;
2
figs 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
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
10A
Fireplace T. 0. ❑
NO
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
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 s
Tank Pit L.Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
r
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service 0 Q v
32 Final
STREET NAME
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE
DATE
TIME
PERMIT NUMBER
1 - fle
���a INSPECTION
�ClIIC[TC11
ADDRESS
%
ER
BUILDING PLUMBING
SPACE NO
I
COMMUNITY
ELECTRICAL i MECHANICAL
REMARKS:
OWNER/CONTRACTOR TEL.NO.
FOR
A. M.
P.M.
aKION
TUBS
WED
THUR
FRI
28444 11/75
NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT
APPLICATION TO CONSTRUCT Permit No
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
Own;12 /-4U r/:-, L --`h Architect— -- --_ Contractor_-_- .-�---- -.
Add res �D� / 1 60,e-9- Address___ Address- -.___ -__ __
city /� JIJC�Io / , city_ City__.-- - --_--
Phone Phone _ Phone-.—
of
hone-.
oC
W 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
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 property be occupied until I (we) have
complied with all laws of the County of Riverside and the State of California governing said property.
DATE Q O SIGNATURE OF OWNER AND/OR AGENT gw-�
Approval
by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
5 �L I SPACE N0.
--1 y- I USE OF STRUCTURE
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284 199A 9/74
JOB ADD ESS
�EGA , DESCRIPTION OF PROPERTY
COMMUNITY .CX Ct f� 1
NO. OF SUBMITTED PLANS - USE OF PERMIT
CASE NO. 5_e) e
NO. OF PARKING SPACES REQUIRED - NO. OF BUILDIKGS NOW EXISTING
ZON ETBACKS: FRONT SIDE REAR
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE N OF FEET REQUIRED ON STREET
DATE - --2-:M SIGNATURE OF LAND USE OFFICIAL
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET --
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
CAN 'CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
IMPROVEMENT? YES ❑ NO ❑
DATE _ SIGNATURE OF ROAD DEPT. OFFICIAL
SWIMMING POOLS PUBLIC
SEWAGE DISPOSAL
FOOD ESTABLISHMENT _
WATER POLLUTION
FLOOD CONTROL -
AIR POLLUTION -
DIV OF HWY
REMARKS
YOUR PROPERTY MAY BE SUBJECT TO
FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
CANARY -FILE, PINK -APPLICANT
INGLE FAMILY [-] DUPLEX
0
A ARTMENTS f-1 AGRIC.
El
-/
COMMERCIAL E] INDUSTRIAL
n
-Ll
------- ALTERATIONS
[�
NO. OF PARKING SPACES REQUIRED - NO. OF BUILDIKGS NOW EXISTING
ZON ETBACKS: FRONT SIDE REAR
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE N OF FEET REQUIRED ON STREET
DATE - --2-:M SIGNATURE OF LAND USE OFFICIAL
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET --
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
CAN 'CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
IMPROVEMENT? YES ❑ NO ❑
DATE _ SIGNATURE OF ROAD DEPT. OFFICIAL
SWIMMING POOLS PUBLIC
SEWAGE DISPOSAL
FOOD ESTABLISHMENT _
WATER POLLUTION
FLOOD CONTROL -
AIR POLLUTION -
DIV OF HWY
REMARKS
YOUR PROPERTY MAY BE SUBJECT TO
FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
CANARY -FILE, PINK -APPLICANT