385005 (PLBG)PERMIT NO.
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Job Address ^`
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Space
Zip
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•Date
Owner
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VClgation
$
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Dist.
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Off.
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F.C.C.
MH.Permit Fee $
Micro Film Fee
$
Use of Per -
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1
Parcel No.
Qr" / •`•!'� /
Use/Case No,
Ck. By
Mech. Fee $�-
PI. Ck. Fee $
Set Backs
Lot Size
.Construction Fee $
[Db
Le al Description
///�Electrical
(�/Zone
f�.
F
S S R
Fee $
RestrictionsGroupType
SMI Fee $
Plumbing Fee
$
Bond Amt.
$
Pion No.
Plan Checker
Final Date
OC. �0 �7
Inspector '/Jo
i/IiLv�:lA'�
Unit
Sp. Insp._Fee $
Demol. Fee
$
Const. Lender Branch
"
SuppI' e I Permit Numbers
Regisir. Fee $
:Mileage Fee $
Address City t Zip
Witness Fee $
�Reinsp. Fee
$
Oner/, nt
Tel. Zip
,Total Fees
$Address
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City Zip
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M.O. N.C. Cash 0 Check
Received by
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Contractor
Tel. /1
License#
Trees required
Sewage System
Address
City Zip
T LL P
Sewer District
Form 284-208 (Rev.8/78) Os
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
ACCORDANCE. WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
NO.
OPERATION DATE
INSPECTOR NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs i3 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
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L.
43
Final
IDA
11
12
12A
13
Fireplace T. 0.
Exterior Lath
Internal Lath
Drywall
Finish Grade
P'
ADDITIONAL INFORMATION
INSULATION
Thick R
Value
7A Walls (Batts)
12B Ceiling (Botts)
12C Ceiling (Blown)
14 I Final
PLUMBING APPROVALS
�v r
PERMIT NO.
385'0 . 057,
DEPARTMENT' L ,'- —DS T]
COUNTY OF~S:a .—m—mmmW——lW-
IfFIELD
-
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
i r IST FL.
2ND. FL._
POR.
GAR.
CAR P.
WALL
-
. k+-"
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
'
BAR SINK
SQ. FT. @ POWER OUTLET
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 HIP
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 @I'/.t
SEWAGE DISPOSAL "
SQ. FT. GAR @ '/. t
HOUSE SEWER
s-
GAS PIPING s'
PERMIT FEE a
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
' MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLLIMB. FEE
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20
21 Water Neater
22 W te%Sdflener
23 Water Service
24 Gas + est _ 0
25 h. Fiat /o% —/U —74 f212t�
ELECTRICAL APPROVALS
26
Power Pole
27
Conduit
28
Service Entrance
29
Wiring
29A
Grounding Wire
29B
Bonding
30
Fixtures
31
Service
32
Flhal
I, rr.
��r• i
SEWAGE SYSTEM SIZE & LOCATION
Tank Pit L.Line
REAR OF PROPERTY LINE
P/LP/L
NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT
APPLICATION TO CONSTRUCT Permit No_
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
284 199A 9/74 - CANARY—FILE, PINK—APPLICANT
Own e L, / ^! Architect-- _. --_. Contractor—___ --.-
ddress
Address ! - Address___ Address—
City--_--• City
City LY�f_—.
city_--- � --
[1r��
Phone / Phone _ Phone— ---_---_.._
;
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 to be occupied until I (we) have
complied wit II laws of the County of Riverside and the State of California governing said property.
DATE _ �5 �_LQ�� SIGNATURE OF OWNER AND/OR AGEN _
Approval by Signature•from the Following Departments fisted Below
l Most Be Obtained Prior to the Issuing of a Construction Permit.
I SPACE NO.
I USE OF STRUCTURE
_
JOB ADDRESS 6 '� l—Sl=Lf �'-E3
y SINGLE FAMILY DUPLEX 0
>
LEPAL DESCRIPTION OF PROPERTY 1� - r C
Z H
APARTMENTS AGRIC.
O LL
4-V--� COMMERCIAL E] INDUSTRIAL ❑
j C
COMMUNITY ALTERATIONS
Z
NO. OF SUBMITTED PLANS — USE OF PERMIT
a
CASE NO.
p Z
NO. OF P RKING SPACES REQUIRED -- NO. OF BUILDINGS NO EXISTING
Q
ZONE OR SETBA(fKS: FRONT SIDE REAR
J
m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE OF FEET REQUIRED ON —_. STREET
DATE— SIGNATURE OF LAND USE OFFICIA _ /%: _-_-g '
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET
—
z
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
t-
d
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
W
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
Q
IMPROVEMENT? YES ❑ NO ❑
O
cc
DATE SIGNATURE OF ROAD DEPT. OFFICIAI
I
SWIMMING POOLS PUBLIC
Q I..:
SEWAGE DISPOSAL
—
= O
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
to FLOOD CONTROL
t—
W AIR POLLUTION
ia �DIV OF HWY
c YOUR PROPERTY MAY BE SUBJECT TO
o.
LU FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 - CANARY—FILE, PINK—APPLICANT
1PERMIT NO.
385005
DEPARTMENT OF BUILDINd & SAFETY FIELD OFFICE DST
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
SQ. FT. @ $
UNITS
Owner
1
2ND. FL.
SQ. FT. @
V ation
YARD SPKLR SYSTEM
POR. SQ. FT. @
GAR. SQ. FT. @
CAR P. SQ. FT. @
WALL SQ. FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION
MOBILEHOME SVC.
POWER OUTLET
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
MH.Permit Fee §
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
�
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
Ck. By
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Construction Fee Dbl §
GARBAGE DISPOSAL
G'
FURNACE UNIT WALL FLOOR SUSPENDED
F 5
LAUNDRY TRAY
R
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
Type
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
Bond Amt.
§
COMPRESSOR HP
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
Sp. Insp. Fee §
BOILER B.T.U.
SQ. FT. @ <
BATH TUB
Branch
SQ. FT. @ C
WATER HEATER
,Registr. Fee §
-Mileage Fee §
SQ. FT. RESID @ 11/4 c
SEWAGE DISPOSAL
Reinsp. Fee
§
SQ. FT. GAR @ 3/4 c
HOUSE SEWER
Tel.
Zip
GAS PIPING
..^
PERMIT FEE
PERMIT FEE
PERMIT FEE
Zip
LicenseN
DEL.L
FEES
��
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE
PLUMB. FEE
610
PERMIT NO.
385005
Job Address
2'2t�
SpaceZip
2-c3l
Owner
1
Com unity
V ation
DateDist.
— -j—
XI
Off.
I F.C.C.
-
MH.Permit Fee §
Micro Film Fee
Cop §
Use of Pern
/ .
�
Parcel No.
"'� / 00
Use/Case No.
Ck. By
Mech. Fee Dbl §
PI. Ck. Fee §
Set Backs
Lot Size
Construction Fee Dbl §
Le I Description
4
6�^'
G'
F 5
S
R
Electrical Fee Dbl §
Zone Restrictions
Group
Type
SMI Fee §
Plumbing Fee
Dbl §
Bond Amt.
§
Plan No.
Plan Checker
Final Date
a /G 7
Inspector
Unit
Sp. Insp. Fee §
Demol. Fee
§
Const. Lender
Branch
Supplimentol Permit Numbers
'
,Registr. Fee §
-Mileage Fee §
Address City Zip
Witness Fee §
Reinsp. Fee
§
O er/ a
Tel.
Zip
Total Fees
M.O.
§
N.C.EjGqshEj CheckVj
Address
3
City
Tel.
Zip
LicenseN
Received by
Contractor
-
Trees required
Sewage System
f -
Address •
City
Zip
T LL P
Sewer District
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.
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.