353773 (BLCK)BUILDING PERMIT
PST
CERMIr No. 1 '' DEPARTMENT OF BUILDING 8 SAFETY FIELD �D
35y3 773,
COUNTY.OF.RIVERSIDE ..._ M1.., F�..,4• , .e.• x:1'Y� *'�.t'
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„ CONSTRItrZiION. ESTIMATE
'Job Address '•- - "Space
--.
NO. ELECTRICAL FEES
Own
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NO. PLUMBING FEES
'
I ST FL.
SQ. FT. • @
Commufity - /f� r
UNITS S
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SQ. FT,:t@ . ,t . - :.r
., _ ; 5. .. -• •,.
YARD SPKLR SYSTEM
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>,
2ND. FL F
f
'./ POR. SQ. FT•,@.� > r
+s. ►.
MOBILEHOME SVC
.. _
Use of Permit :�r .. ,- ;'•
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G'� i`Il,�lf.-f4:•'•J✓�'t�[' �'C•�'���.+ f(. �j t
BAR SINK 1
.. s- ,+
,+
T
�
GARf/ SQ. FT. @
Mech. Fee) Dbl E ��
POWER OUTLET ROOF DRAINS
-Set Backs
CAR P.! SQ. FT., @ ^
.�'
fee r '
Legal Description .,
,
DRAINAGE PIPING
+*
ter• r
•g„�' � i'�t. %��' •,� �.F«f; fJ.� lei
.,- ,. a o.
.. A 1
F
Electrical Fee Dbt E ',r
Zonne Restrictions
/"r=• �� ,.
DRINKING FOUNTAIN '
Type i
W SQ. FT. @�
SMI Fee .{! S
�. - *�
a
H
r ; } SQ. FT., @
Bond.Amt.
E f
Plan No.
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Plan Checker • 1
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URINAL s
Ins ecfor
PS '�/��p
1 ,, ESTIMATED CONSTRUCTION VALUATION'
Sp. Ins,. Fe is t.
Dental. Fee,f� i E t
Const Lender ' ar Branch -
.t..t,-:�•17'N. ?'i` -d t t.•. •.. •• t". ..�5<
WATER PIPING
Registr. Fee. E _ ..�
G `NOTE: Not to be used as property tox'voluotion
Address sJy' ✓y - City Zip
SWIM POOL, PVT i'
Witness Fee p f E y
FLOOR DRAIN
!� MECHANICAL FEES. '
t
SWIM POOL, COMM
WATER SOFTENER
NENT SYSTEM 1' FAN EVAP. COOL ' HOOD
'Total Fees E 'G+
SIGN.
{itys a •".+.•rS+.:/k'•n.��. ✓1;- >ew.+F.1t'!'�'t•i..r"''fk'•;:.y �' Zp•?W"'T.�
6� L v
WASHER (AUTO)(DISH)
M.O. N.0 Cash C c
APF(IANCE . T DRYER
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Received by /
Contractor
GARBAGE DISPOSAL
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FURNACE I r UNIT WALL FLOOR-SUSPENDED'i',tt
r!i.rif, .twa4"9" ' "r s�ry�t�at, �, yy� '
IAUNDRY;TRAY'
City Zip
AIR:HANDLING UNIT , [ t .: = °:CFM'' �
+
IDLE METER
KITCHEN SINK ^
i
ABSORPTION SYSTEM B.T. :' =}
;.
TEMP USE PERMIT SVC
WATER CLOSET ,
COMPRESSOR HP
POLE,TEMP/PERM ,
1 LAVATORY
HEATING SYSTEM FORCED :"i GRAVITY'
y AMPERES SERV ENT
tf
} SHOWER
BOILE B.T.U. r
?�'
i SQ. FT.• @ t c' 3
{
BATH TUB
i. } ? .a + '
.
r • SQ. FT. @ - • c ";
WATER HEATER
I• f + + '-t - -1 ��
SQ. F_T. RESID @I'V.c'
jj SEWAGE DISPOSAL "
+, . t i
E'
SQ. FT. GAR @;HOUSE
SEWER
j� ' i
'1
I GAS PIPING
PERMIT FEE:' wt
•MICRO
+
PERMIT FEE
PERMIT FEE
DBL [p
TOTAL 71Sy
MOB;" -FEE
.y FEE ,•+ ,�tMECH., FEEpi + ., jL,CK,FEE
CONS L E; .,,.!ELECT..FE_E
J, ; `s`,� SMI FEE .,t f,
f, .,,,FEE, } PLUMB. FEE r4:
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PERMIT NO,
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'Job Address '•- - "Space
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Zip ^�
Own
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35377.3
Commufity - /f� r
alugLLon.- .
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F.C.C.
MH.Permil Fee E
'
Micro Film Fee X Cop E
Use of Permit :�r .. ,- ;'•
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Parcel No. -
I f� "' c:7 :.. L" 2. Z,
Use/Case No. • �.
Ck. By
f•y.,
Mech. Fee) Dbl E ��
PI. Ck. Fee E
-Set Backs
Lot Size -
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fee r '
Legal Description .,
,
Construction Dbl E
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F
Electrical Fee Dbt E ',r
Zonne Restrictions
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Group'
r•t .,
Type i
( -
SMI Fee .{! S
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a
s T
Plumbing Fee Dbl
Bond.Amt.
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Plan No.
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Plan Checker • 1
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Final Dote!
p
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Ins ecfor
PS '�/��p
Unit '
Sp. Ins,. Fe is t.
Dental. Fee,f� i E t
Const Lender ' ar Branch -
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Supplimental Perm mbers :•
•. v. iY,,n•.•n.`"!f4!\',:!�. r .:�: ...-.v.•
i.
Registr. Fee. E _ ..�
Mileage Fee } E
Address sJy' ✓y - City Zip
Witness Fee p f E y
-v'
Reinsp. Fee ` N E
Owner/Agent - Al % *
Tel. �, { Zip
'Total Fees E 'G+
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d �Z %1.'t.Gc?
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•
M.O. N.0 Cash C c
g:= •1-
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Received by /
Contractor
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Trees required
Sewage Systte;4t , .
Address 1' S
City Zip
�T U• ' P r '- ' , THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK ,ver''!`•! by:
Sew�,r cf t FOR 120 DAYS SHALL ALS RMIT jQ COME VOID. '
rl...(�/
y ' ` I HEREBY AGREE THAT ALL WORK CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH '
THE LAWS OF•RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
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I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
j !:--ACCORDANCE WITHSEOTION'554POF-THE BUSINESS AVD PROFESSIONS'CODE"OP�'THE STATE'OPCAI.IFORNIA+.;''
Form 284-208 (Rev.8/78) _ ++ • _.. 4'T • 2 s - - �' +.
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
32
BUILDING APPROVALS
•� Y
MECHANICAL APPROVALS '
1
Set Back
33
Ventilation System
2
Figs 8 Frms q
/
��
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets 8 Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams LIZ
38
Compressor
6
Roof Deck
39
Appl. Clearance
7
Framing
40
Fire Damper
8
Vents
41
Smoke Detectior Device
9
Garage Fire Wall
42
Ccmmercial Hood
10
Fireplace P. L.
43
Final
10A
Fireplace T.O.
NO
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE A 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
zs
Final
Tank Pit L.Line
I
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance _
29 Wiring
29A I Grounding Wire
29B
Bonding {
30
Fixtures
31
Service
32
Final
•� Y
P/L
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
Owner I'111'A A ��1% Architect —. _—_. Contractor_—.. _
Address ! 7-7v3 ?jV . VE/d,CO Address___— Address --- ---
City_d- Q u["/� � City-- City-__— —
,tA,1 �L°'
,Phone � b��J 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
complied with allllaws ofthe County of Riverside and the State of California governing said property..DATE;
/1(we)ave
`� /----SIGNATURE OF OWNER AND/OR AGENTi
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
SPACE NO.
USE OF STRUCTURE
�_��
JOB ADDRESS - SINGLE FAMILY ER/ DUPLEX Q,
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Z F
LEGAL ESCRIPTIO F PROPE TY
/moi /� / s� ��q �- APARTMENTS AGRIC.
C-�-C C
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N Q
- —'- COMMERCIAL INDUSTRIAL • n
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5: '^
COMMUNITY
C� LTERATIONS n
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----NO—GF—SU,BMITTED_PLAN.S USE -OF PERMIT `Q
---
H Q
- - --
CASE N0.
-- -
4A l7
C Z
N0. OF P IRKING SPACES REQUIRED -- NO. OF BUILDINGS NOW EXISTING -
Q!
ZONE 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 --
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET_ -
F
W
CURB AND GUTTER REQUIRED: YES O NO ❑ _STREET
H
99
.
a
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. OFFICIAL
=
SWIMMING POOLS PUBLIC
QW
SEWAGE DISPOSAL
_
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
FLOOD CONTROL—
F
z AIR POLLUTION
_ DIV OF HWY
c a YOUR PROPERTY MAY BE SUBJECT TO
—
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 CANARY—FILE, PINK—APPLICANT