360520 (RPL)PERMIT NO. - -
360520
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Job Address
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Zip
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Pl. Ck. Fee $
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Lot Size
Construction Fee Dbl $
rElectrical
Legal Description
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Fee Dbl $
Zone Restrictions
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SMI Fee E
Plumbing Fee Dbl E
Sp. Insp. Fee
Bond Amt.
Plan No.
Plan Checker
Final I e c
Inspector
Unit
Dental. Fee E
Const. Lender
'Branch
$upplimental er it Numbers
Regisir. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee $
Owner/Age
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Tel.
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Total Fees Is
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T LL ' P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
Sewer District r FOR 120 DAYS SHALL ALSO CAUS RMIT TO BECOME VOID.
I HEREBY AGREE THAT74LL�� THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE CO AND T STATE OF CALIFORNIA.
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I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
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t ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Form 284-208 (Rev.8/78) -
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
1INSPECTOR
1
2
BUILDING APPROVALS
Set Bock
Ftgs & Frms
33
34
MECHANICAL APPROVALS ,
Ventilation System '
Plenums & Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
S• 1 �T"19
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
Fireplace T.O.
OP'N ADDITIONAL -INFORMATION
NO.
-cNe%Ai 6
11 Exterior Lath
12 Internal Lath
12A DrywallS�7
13 Finish Grade
INSULATION Thick R
Value
7A Wall's (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final ale
i
PLUMBING APPROVALS
BUILDING PERMIT
PERMIT NO.
DEPARTMENT OF BUILDING &i SAFETY
FIELD
3605.20
COUNTY;OF RIVERSIDE[DST
`
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. ., SQ. FT. @ $
UNITS
`
2ND.' FL. SQ. FT. @
1
YARD SPKLR SYSTEM
POR. SQ. FT. @
AGAR.
MOBILEHOME SVC.
BAR SINK
SQ. FT. @
POWER OUTLET
ROOF DRAINS
�'
CAR P. SQ. FT. @
DRAINAGE PIPING
WALL'' ' SQ. FL
Al ' + ' s •ti s, + ••;
DRINKING FOUNTAIN
SQ. FT. @
,z '''
URINAL
ESTIMATED CONSTRUCTION VALUATION
WATER PIPING
_ t
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
"
MECHANICAL FEES
SWIM POOL, COMM LL
WATER SOFTENER
VENT SYSTEM �,: FAN ' " ' EVAP.'000L 'HOOD
SIGN -0
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.
f%wwJ 1 w.YJ i s}:. �...„R,.„ ,,e.. r.y,a-'••ror,t�
1.=. _ s ._� :a;. .•:1. +s.•! -SQ. FT: `@ •"t' 4,v
WATER HEATER
SQ. FT. RESID @I'/.c
SEWAGE DISPOSAL
SQ. FT. GAR @ '/. <
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT. FEE _
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELEtY. FEE—
SMI FEE
• FEE
PLUMB. FEE -
!d
15
Ground Plumb
16
Water Piping
17
Rough Plumb
_Z0 _7av
18
Vents
19
Sewage Disposal
20
Sewer
21
Water Heater
22
Water' Softener
23
Water Service
24
Gas Test
A
SEWAGE SYSTEM SIZE A LOCATION
25
Final
•GCS
Tank Pit L.Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
26
Power Pole
27
Conduit
28
Service Entrance
29
Wiring
.r
`
29A
Grounding Wire
PSL
FAL
29B
Bonding
30
Fixtures
31
Service
L
32
Final
Q 2 7 d
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STREET NAME
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
Y
DISTRICT
F`
Permit No
284 199 9/74
CANARY—FILE, PINK—APPLICANT
Owner O' k -`t Architect Contractor_ 40, "'.4 -
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Address �i�V . ✓=r�r/f? Address._ Address -
City �!�y�i/ri� W/- City
Phone Phone % Phone Phone �k y
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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
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 Z� SIGNATURE OF OWNER AND/OR AGENT'/�^S�
Approval by Signature from the Following Departments Listed Below
Must Be�Obtained Prior to the Issuing of a Construction Permit.
I SPACE NO. USE OF STRUCTURE
JOB ADDRESS - SINGLE FAMILY DUPLEX
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LEGALDESC IPT ROP TeY
f,,, APARTMENTS AGRIC. El
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COMMERCIAL E) INDUSTRIAL L�
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WQ
COMMUNITY � �
ALTERATIONS ❑
NO. OF SUBMITTED PLANS _E OFr,PEIT
N
CASE NO. rr t/ /
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NO. OFF PARKING PACES REQUIRED NO: OF BUILDINGS NOW EXISTING r
a
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ZONy€ SETBACKS: FRONT
m
IDE �2EAR QJ�
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE AP7r1X Y(6_0
Ief
SETBACK RDINANI E OF FEET REQUIRED ON 'STREET
DATE_ -`c SIGNATURE OF LAND USE OFFICIAL
F
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET---
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CURB AND, GUTTER REQUIRED: YES ❑ NO ❑ _STREET
a
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
p
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IMPROVEMENT? YES [:1" NO ❑
°C
DATE __ SIGNATURE OF ROAD DEPT. OFFICIAL
SWIMMING POOLS PUBLIC
WSEWAGE
DISPOSAL
FOOD ESTABLISHMENT
W
.WATER POLLUTION REMARKS
�n FLOOD CONTROL
z AIR POLLUTION
W Y
= F DIV OF HWY
o — YOUR PROPERTY MAY BE SUBJECT TO
o
o FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199 9/74
CANARY—FILE, PINK—APPLICANT
BUILDING PERMIT _
PERMIT No. DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
DIT
5 2 0 COUNTY OF RIVERSIDE
3 6 0
/%
CONSTRUCTION
ESTIMATEQ
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
- FOR.
SQ, FT, @ $
UNITS
Dist. Off.
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. @
CAR P. SQ. FT. @
* WALL ` r SQ. FT. @
Cd , SQ. FT. @0-0
ESTIMATED CONSTRUCTION VALUATION $
POWER OUTLET
• y y I ' " � "
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
-NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
04
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM v' FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Zone Restrictions
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
Const. Lender
• SQ'. FT. � c
WATER HEATER
Supplimentol
S0. FT. RESID @11/4c'
SEWAGE DISPOSAL
SQ. FT. GAR @ °/. c
HOUSE SEWER
Address 1/ City Zip
Witness Fee $
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
S FEE
FEE PLUMB. FEE
PERMIT NO,
360520
Job Address r
- -
Commynity .. " , .. ."
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]Voluoliott
E
Space
,
Zip Owner
Date
Dist. Off.
F.C.C.
MH Permit Fee $
Micro Film Fee
Cop $
Use of Permit
�/
���•- < �'%
Legal Description
-
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Parcel No.
se/C No.
Ck. By
Mech. Fee Dbl b
A
Pl.. Ck. Fee yOf
Construction Fee Dbl E
Electrical Fee - Dbl E
SMI Fee5
Set Backs
Lot Size
F L= S R'
Zone Restrictions
Group
Ty e
Plumbing Fee
Db1 $
Bond Amt.
$
Plan No.
Plan Checker
F' al Dot
I spector
Unit
Sp. Insp. Fee $
Dental. Fee
E
Const. Lender
Branch
Supplimentol
Permit Numbers
I egistr. Fee $
Mileage Fee $
Address 1/ City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agen `f
Tel.
Zip
Tgtal Fees
$
Address
City
Zip
M.O. 0 N.C. Cwha Check
RetceNed by
Tree;'re"
quired"
Contractor
• `
-
. • a a.
Tel'`
.. i a,
LicenseX
Sewage System
Address
City
Zip
. T LL P
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
Sewer District
FOR 120 DAYS SHALL ALSO CAU oEERM�Ir TOO BEC ME VOID.
!i • • • '
I HEREBY AGREE THAT AL RCLOTQMEC WTHIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND T STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
"" ^ v.8/78,
ACCORDANCE WITH SECTION 5541 .OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
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