354061 (BLCK)BUILDING PERMIT
PERMIT NO. DEPARTMENT OF.BUILDING St. SAFETY
i..,C0IJNTY.;0F RIVERSIDE
354061
CONSTRUCTION ESTIMATE"
NO. ELECTRICAL FEES
NO. PL MBI NG FEE8�7
I ST FL.
2ND. FL.
POR.
GAR.
CAR P.
W
,P,LL
ESTIMATED CONSTRUCTION
UNITS
SQ. FT. @ $
SQ. FT. @ 14 YARD, SPKLR,SYSTEM—..
SQ. Ft. '6* MOBILEHOME SN(Q.. BAR-SIPjK.,W.. .,--4
POWER OUTLET ROOF DRAINS
SO. FT. @
SQ. FT. @ DRAINAGE PIPING
DRINKING FOUNTAIN
SO. FT. @
URINAL
SQ. FT. @
VALUATION WATER PIPING"
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMW
MH.Permil Fee
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL, HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Micro Film Fee
GARBAGE DISPOSAL
FURNACE UNIT WALL fL6W-,' T t�-t 0S0E N b -E 6
'Xe
—4'
Use/Cose No.
Ck. By..
AIR HANDLING UNIT
Mach. Fee
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM �B.T.U:
fv
TEMP U SE PERMIT SV
Pl. Ck. Fee
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
Legal Description
4��,
C
LAVATORY.,
HEATING SYSTEM FORCED GRAVITY
�-1
JAIMPERES SERV ENT
Type
§HOW -ER
BOILER B. T. U.
Is, I
I ,
SQ.
If
1� BATH TUB
f X
"r
SQ. Fj.
Plumbing Fee
DbI $
�Q- FT. RESID @PA C
Plan No.
kj �EWAGE DISPOSAL .
Final Dole
-;Z 9
7,
Inspector
SQ. FT, GAR @, 3/t c
I HOUSE SEWER
Dental. Fee
$
Const. Lepcl�r Branch
GAS PIPING!
PERMIT FEE
Regisir. Fee $
PERM11 FEE
Address' City Zip
PERMIT FEE
DBL.
TOTAL FEES
MOBHM. FEE
Fq'4 ,
j,,,',MECFj. FEE
L'
1, :PL CK. FEE
COt*��ZfElij.a�
FIE!
"�LECT.,tEE.1,, MjI E
F EE PLUMB�� FEE -&-j
... .......
PER MIT NO,,
A
i.b' cicir.0
Ah�
SP9,t;. ;�ip
3
Own e,
3. 41
5
Q6
t
Community lvoluoti
on,
Dist.
C.C.
MH.Permil Fee
1$
Micro Film Fee
C -PIs
Use of Permit
Parcel No.
Use/Cose No.
Ck. By..
Mach. Fee
DbI $
Pl. Ck. Fee
Set Bock s
Lot Si�e
Construction Fee DbI $
Legal Description
4��,
C
F S S
Electrical Fee DbI $
Zo e Restrictions -
lei
'. T
Iroup
Type
7
SMI Fee
$
f X
Plumbing Fee
DbI $
Bond Amt.
$
Plan No.
Plan Checker
Final Dole
-;Z 9
7,
Inspector
Unit
Sp. Insp. Fee $
Dental. Fee
$
Const. Lepcl�r Branch
S upol imentol P it Nurnbe�s
J�,
Regisir. Fee $
Mileage Fee $
Address' City Zip
Witness Fee
$
I
Reinsp. Fee
$
Owner/Agen
Tel.
Zip
10 I Fees
$
M.O.
N.C' Cash [Ell
..,XKei
��cei�ecl by
,000K
Contractor
Tel..
Llcense#
irees required
Sewage System
Address
city Zip
T U. P THIS PERMIT SHALLBECOME V61D IF WORKIS NOT COMMEN CED WITHIN 1,20 DAYS. CESSATION OF WORK verified by: J,
Sewer District FOR 120 DAYS SHALL A���I� �BE OMEVOID.
IEHEREBY AGREE T14 , L ZWO CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
�R
LAWS 0
JH F RIVERSIDE COUNTY AND THUSTATE OF CALIFORNIA.
I'HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREP&R�DTHE,FLAt44-A.ND,$PgC.IFICATlOt45 W&!LDONE
eCtOdANCE WIW�LtT]61`$�541'OP THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. 1
284-208 (Re,8/78)
NO.
OPERATION DATE
INSPECTOR
I
NO.
OPERATION
DATE INSPECTOR
I
BUILDING APPROVALS
MECHANICAL APPROVALS
I
Set Bock
33
Ventilation System
2
Ftgs & Frms
-3-2 _7 C1
34
Plenums & Ducts
2A
Slab Grade
35
Furnace Comport.
3
4
5
Steel
Grout Blocks
Bond Beams
'3
y
h2az,
36
37
38
Inlets & Outlets
Combustion Air
Compressor
6
Roof Deck
39
Appl. Clearance
7
Framing
40
Fire Damper
8
Vents
41
Smoke Defection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace
P. L. 0
43
Final
IDA
Fireplace
T.O. E:]
OP'N
NO.
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
I I Exterior Loth
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick
Value
7A Walls (Botts)
12B Ceiling (Botts)
12C Ceiling (Blown)
14 1 Final 7
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Soft'ener
23 Water Service
24 Gas Test
25
Final
Tank Pit L.Line
REAR OF PROPERTY LINE
P/L P/
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
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
S?�AA)Ak—1 -Ar ViA .5
owner Architect Con tract:)r___T4_Ai1_�__
Address Address—
City City— City—
&;A Phone—
Phone—'T Phone
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I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and acree that if Curb and Gutter, and
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Paying, 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
0
without' an encroachment permit.
NOW,' therefore, it i� agreed that I (we) will not Occupy said property and will not cause said pro0ert! to be occupied until I (we) have
complied'w th 11 1 s f the County of Riverside and the State of California governing said property.
D IT E SIGNATURE OF OWNER AND/OR AGENT 0�1
Approval by Signature from the Following Departments Listed Belaw
Must Be Obtained Prior to the Issuing of a Construction Permit -
I SPACE NO.
I .,USE OF STRUCTURE
JOB ADDRESS AIAZZAtz-Ack
SINGLE FAMILY'F� DUPLEX
LEGAL DESCRIPTION OF PROPERTY V
'D 'AGRIC.
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_-�- — , APARTMENT;
A- .0
>COMMERCIAL
LL
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le -
INDUSTRIAL L]
COMMUNITY AlLfERATIONS 'Ej
PERMIT
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NO. OF SUBMITTED PULANS USE OF
CASE NO.
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NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW E,XISTING
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iONE AZ ETBA&�S: FRONT SIDE---- ____RE.&R
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GRADING PERMIT REQUIRED? YES j_�, NO M 'LOT SIZE
SETBACK ORDINAIN�Ef OF FEET- REQUIRED ON STREET
DATE 7,6;5� 7_45 SIGNATURE OF LAND USE OFFICIAL
DEDICATION REQUIRED: YES El NO [3 NO. OF FEET --
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CURB AND GUTTER REQUIRED: YES 0 NO, El STREET
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CAN CURB. -AND GUTTER FEASIBLY BE INSTALLED? �ES [I NO 0
.'HAS AN.ACCEPTABLE APPLICATION BEEN UADE FOR ENCROACHMENT- PERMIT FOR DRIVEWAY AND STREET
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IMPROVEMENT? YES�O 'NO 0
.09
DATE_� SIGNATURE OF ROAD -DEPT. OFFICIA1
S-WIMMING POOLS PUBLICL
SEWAGE DISPOSAL
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FOOD ESTABLISHMENT
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WATER POLLUTION REMARKS
4A FLOOD CONTROL—
z AIR POLLLITION*
DIV OF HWY.'.
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0 < YOUR PROPERTY MAY BE SUBJECT TO
FLOOD. RI VERSIDE COUNTY ASSUMES
NO RESPONSIBIL TY IN EVENT OF / FLOOD.
284 199A 9/74
CANARY—FILE, PINK—APPLICANT