384704 (BLCK)PERMIT NO.
1*3'8 4 7 0
Job Address Space
Zip
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10 A � �v_
Valuation
$
Date
Di.
MH.Permit Fee $
Micro Film Fee Cop $
Use of Permit Parcel
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No.
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Use/Case No.
Ck. By
Meth. Fee Dbl $
PI. Ck. Fee $
_TSet Backs
Lot Size
'
Construction Fee Dbl $
legal Description ,. 1� F
ption
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Electrical Fee D61 $
Zone Restri t' ns
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Group
Type
SMI Fee $
Plumbing Fee Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Final Date
11-10
Inspector
Unit
Sp. Insp. Fee $
Demo 1. Fee $
Const. Lender Branch
Suppl ii ment I P Numbers
"
Registr. Fee $
Mileage Fee $
Address City - Zip
_
Witness Fee $
Reinsp. Fee $
Owner/ gent '' �' �,.
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Tel. _�
Total Fees $ /'0
Address" . / ,
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City � s` f • - Zip
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M.O. 'ti.Cb� ,Cash Check
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Contractor
Tel.
License#
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Trees required
Sewage System
T LL Pr
Address
City Zip
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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.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN n '
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. UV
Sewer District
Form -284-208 (Rev.Bf78) (P)s /
NO.
OPERATION DATE
INSPECTOR NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS '
I
Set Back
33
Ventilation System
2
Ftgs & 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. Clearance
7
Framing Q—go
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L.
43
Final
10A
11
12
12A
13
Fireplace T.O. E]
Exterior Lath
Internal Lath
Drywall
Finish Grade
OON
N.
ADDITIONAL INFORMATION
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 1 Final
PLUMBING APPROVALS
BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY /SIT
384704 COUNTY OF RIVERSIDE FIELD
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL:
• 2N1D. FL.
k POR ;..
`• '
'GAR.
' CAR P.
WALL
J
•
ESTIMATED CONSTRUCTION
SQ. FT. @
UNITS
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
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
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
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 HP
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
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 @ IN c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
/TOTAL FEES
� � U
MOB.HM.FEE
MICRO FEJ
MECH. FEE PL. CK. FEE
I CONST. FEE ELECT. FEE
SMI FEE
d 4,FEE PLUMB. FEE
/(� rte"'-`•
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
ELECTRICAL APPROVALS
26
Power Pole .
27
Conduit
28
Service Entrance
29
Wiring
29A
Grounding Wire
29B
Bonding
30
Fixtures
31
Service
32
Final
P
SEWAGE SYSTEM SIZE & LOCATION
nk Pit L.Lin
REAR OF PROPERTY LINE
STREET NAME
NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT
APPLICATION TO CONSTRUCT Permit
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
Owner1"Iclah Architect —_ —_—_. Contractor— _
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Addres vu �2t__ Address___ Address_._— --
CittL�� City_— _ City_—_— —
Phone _ Phone— -----_._
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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 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 to be occupied until I (we) have
complied with all laws of the County 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.
I SPACE NO.
1 USE OF STRUCTURE
JAje
JOB ADDRESS2 r I SINGLE FAMILY DUPLEX
t
LEGAL DESCRIPT N OF PROPERTY 16 _ _ �QQ 6 APARTMENTS AGRIC. []
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COMMUNITY .
ALTERATIONS []
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NO. OF SUBMITTED PLANS USE OF PERMIT —
La Q
CASE NO.
_
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NO. OF PAPSPACES REQUIRED _— NO. OF BUILDINGS NOW EXISTING
Q
J,,KING
ZONE /Z SETBACKS: FRONT SIDE REAR
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GRADING PERMIT REQUIRED? YES ❑ NO F-1LOT SIZE 5-0 X(U
SETBACK ORDINANCE N OF FEET REQUIRED ON STREET
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DATE 7 5 SIGNATURE OF LAND USE OFFICIAL
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET-_
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CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
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CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
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HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
CIMPROVEMENT?
YES [INO El
ox
DATE _ SIGNATURE OF ROAD DEPT. OFFICIAI
=
SWIMMING POOLS PUBLIC
QW
SEWAGE DISPOSAL
FOOD ESTABLISHMENT
_
WATER POLLUTION — REMARKS
vt FLOOD CONTROL
H
W AIR POLLUTION
I-
_
DIV OF HWY
c a YOUR PROPERTY MAY BE SUBJECT TO
— _
a
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
BUILDING PERMIT
PERMIT NO.
13847041
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST,
COUNTY OF RIVERSIDE /
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
SQ. FT. @ $
UNITS
D17///,9
/
2ND. FL.
SQ. FT. @
F.C.C.
YARD SPKLR SYSTEM
POR.
SQ. FT. @
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. @
CAR P. SQ. FT. @
rWALL� f� � SQ. FT. @
FT. @
ESTIMATED CONSTRUCTION VALUATION $
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINALSQ.
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
Type
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Bond Amt.
E
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
�P"�C� v
SQ. FT. @ c
WATER HEATER
City C• ` / ' Zip
(� )7
+�^ `i
SQ. FT. RESID @1 /.t
SEWAGE DISPOSAL
Contractor
SQ. FT. GAR @ 3/4 c
HOUSE SEWER
Frees required
Sewage System
Address
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
/TOTAL FEES
MOB.HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
4JEE PLUMB.•FEE
PERMIT NO.
3 84 7 O41
Job Address Space
Zip Owner
COMM 'I (/�; � {/�
(.� � ^ �� s
Valuation
E
D17///,9
/
Dis
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Oft.
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F.C.C.
MH.Permit Fee E
Micro Film Fee Cop E
Use of Permit ,Q c/
of t!
Parcell) No.
3 �',� S +� 0 7
Use/Case No.
Ck. By
"•�,
Mach. Fee Dbl E
Pl. Ck. Fee E
Set Backs
Lot Size
Construction Fee Dbl E '
Legal Description y U `'7 /
Q T
Sc V - /
,
F S
5
R
Electrical Fee Dbl $
Zone Res ns ns
I q
Group
Type
SMI Fee
Plumbing Fee Dbl E
Bond Amt.
E
Plan No.
Plan Checker
Final DateInsp
-/0 ('` '7� .., V
or
Unit
Sp. Insp. Fee E
Demol. Fee E
Const. Lender - Branch
'
Supplimental Permit Numbers
Registr. Fee E
Mileage Fee E
Address City Zip
r
Witness Fee E
Reinsp. Fee E
Owner/ gent r
1
Tel. Zip
�P"�C� v
Total Fees E /
Addr s ..—
Cr
,/' "�' �l/ J V i� �'G•
City C• ` / ' Zip
(� )7
+�^ `i
M.O. �oshZ§ Check
Received by r
Contractor
Tel.
LiceoseX
Frees required
Sewage System
Address
City Zip
i
LL P
Sewer District
Aix_z/
Form 284-208 (Rev.
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
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.
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:
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE DATE �j TIMME, PERMIT NUM`BEER
- CJ I YS 3 Sl/o , `/ INSPECTION
REQUESTED
ADDRESS I SPACE NO. FOR:
I
OWNER
COMMUNITY
2,
BUILDING 1 PLUMBING 1 ELECTRICAL 1 MECHANICAL
REMARKS
OWNER/CONTRACTOR TEL.NO.
aWED
D 3THUR
r FAl
28446 11/75