359809 (RPL)0WILvsn47 rtscrosr
PERMIT NO. DEPARTMENT OF BUILDING &.SAFETY
j
35:98 O 9 COUNTY OF RIVERSIDE ,
�R�Mr
"DST]
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL'FEES
NO. tU'N1BfNG FEES'
IST FL.
�.` `,A ,. ,•... g•_
POR.
SQ. FT. @ $
UNITS 4;
YARD SPKLR SYSTEM
. - L„ .. . M0BILEH0M&SVC. u`4,. k:{'
SQ:. FT. @
BAR SINK
GAR. SQ, FT. @
CAR P. SQ. FT. @ t
WALLSQ. FT. @
.J•L SQ -'FT. ,@.
ESTIMATED CONSTRUCTION VALUATION $
POWER OUTLET
_ '
G� T
ROOF DRAINS .
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
'4,;*NOT&Ndf f6 -be used'Cs property Toz 6a'ldation
SWIM pOW'PVT" "'`y""
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
Date
�•�
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
a
ru.r SQ.,FJ.,,@,, �,c,
WATER HEATER
Use of Permit - -
'P'00
K(�' ' '00 L
. t"L.4.1
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
Ck. 8 Y
.�
SQ. FT. GAR @ '/. c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
OBL"`••`
•` ' TOTAL FEES
MOB. HM. FEE
MICRO FEE
" MECH.'FEE, PL. CK: FEE'
-' CONST. FEE • •' "�9E E T: FEE
SMI FEE
�-3
FEE PLU B. E
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IN
PERMIT NO. -
Job Address
Space
Zip
Owner
Community ii
-
Valuattiion
$ 9000,
Date
�•�
Dist.
Off.
F.C.C.
D�
MH.Permit Fee -
$
h t A i m-rb,
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fP
'
Micro, Film Fee
Cop $
Use of Permit - -
'P'00
K(�' ' '00 L
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Parcel No.
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se/Case No.
Ck. 8 Y
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Mech.,Fee Dbl $
PI. Ck. Fee
$
- Set Backs
Lot Size
.CoAiruction Fee Dbl $
Legal Description F'
1 c)T 6� E� E r__ -a rc m / J_N /i '?L
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S
S
0
R
11ectricol Fee Dbl $ • '"'
Zor a Restrictions
Group
Type
Plumbing Fee
.Sp.
Dbl $
Bond Amt.
$
Pion No.
Plan Checker
Final .Dot e
�. ;3
Ins actor
Unit
tn3p. Fee $
,Demol. Fee
$
Const. "Lender Branch
.
Supplimental Permit Numbers
,
,
_
tgc istr. Fee $
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1
Mtleege Fee $
Address Cit Zi
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Wil ass pee $
Relnsp Fee
$
Owner/Agent .
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Tel.
Lt
Zip
Kit {d ,t
rTotal Fees} ;
er , " $•
Address - '� ` "` " ` "' « 'r'
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Zip
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THIS PERMIT SHALL BECOME VOID IF WORK IS"NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
1. Sbwer District FOR 120 DAYS SHALL ALSO C6YSE PERMIT TO BECOME VOID.
j "
I HEREBY AGREE THAT '44,41 H THIS PERMIT WILL BE DONE IN ACCORDANCE WITH '.
THE LAWS OF. RIVERSIDE COUNTY AND HE STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev.8/78) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE Of CALIFORNIA.
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verified by:
" BUILDING PERMIT —
PERMITNO.' T•,• _ DEPARTMENT OF•'BUILDING & SAFETYA - FIELD DST
3,5 98 ` -�t COUNTY OF RIVERSIDE �' { '.
9�
,:..
`CONSTRUCTION ESTIMATE
NO.
; .v ELECTRICAL. FEES-
NO. PLUMBING FEES
IST.FL. ry.
SQ.fT`@ s -
s
UNITS :ag : •� �i$�:. f4A:j..
wer
2ND. FL. f
SQ. FT. @
''^
-
YARD SPKLR SYSTEM
.� p�Ri; il't '.:t`A ti :n:
?r'''
SQ,•FJ';@,al::�
;4 •.e «r.u• r . i'.•.�a.
MOBILEHOME SVC tR S%.��"
BAR SINK
•'
.,GAR: r
i e
SQ. FT. @
T{
POWER OUTLET
ROOF DRAINS
SQ. FT. @
ci
' �.
DRAINAGE PIPING
CAR P. '
WALL'1
SQ.FT.@ �'
Off.
11
T- -r L a
DRINKING FOUNTAIN,
SQ. FT. @
'�{}.: >!tl -
Cop $' •
URINAL
..•' .. ...: ...,... .. .} *rSS
ESTIMATED CONSTRUCTION VALUATION 4 $
••= r F: '.-!'[•••K +r -t -.+. .r, o:.y� it y,. - r
�;� ,� ,� f ( in "";�
WATER PIPING �
`-",,NOTE: NoJ:to be u'secl'tis ro eit jaz vgluatiori,
P P ya --„
�`- '� Rpt � c�.,c, 4�, i
r +
SWIM POOL PVT +�+ '
FLOOR DRAIN
MECHANICAL'FEES
-at Size
c:;o-i 1
SWI 'POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
F ' b S S
% r,
SIGN •''I '
WASHER (AUTO)(DISH)
APPLIANCE ° DRYER
!
Type
GARBAGE DISPOSAL, ,..
FURNACE UNIT 'WALL FLOOR SUSPENDED
/
''
LAUNDRY TRAY-, '
AIR HANDLING UNIT CFM
IDLE METER
•[r,
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
Dbl S �'� +4
v
TEMP USE PERMIT SVC ::
WATER CLOSET
COMPRESSOR - • - - ` HP ' +
;�•:
POLE,TEMP/PERM t
LAVATORY
HEATING SYSTEM FORCED GRAVITY
Final Dote'•'''?
CA
AMPERES SERV ENT '! '
SHOWER
BOILER B.T:U.• r'
Sp. Insp�Feea S 'f' ,
SQ. FT. @ - C.
BATH TUB
Const.'Lender
SQ. FT..•@ .0 =
WATER HEATER
-� - L
'� Supplimental P r Numbers
i SQ: FT: RESID @ Iv, c
SEWAGE DISPOSAL
_ '
}
SQ. FT. GAR @ '/. C'
HOUSE SEWER
=
, t
1?:'
GAS PIPING
PERMIT FEE
f
PERMIT FEE ' " I
PERMIT FEE
DBL..,: ,;t'+:
_ w,,TOTALFEES
MOB.HM.FE_E
.. MICRO FEE i jj <p'MECH..FEE,<t +,I4PL.'CK. FEE •K
,+ CONST ".FEE fiu Ct!E(M.• E
SMI FEE
FEE PLUAFB.
Zip ,
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Total Fees 'r r'k �: 'a?'X� So4.sr, .. .,h✓'.: •
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- PERMIT NO.
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Job Address
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Zip
I'07-2VII35980.
wer
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Community
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11-4—
Valuation -
S 1'�f )C�
Data
a J .�lT
c..
Dist.
Dist.
Off.
F.
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MH.Permit Fee $(�
Micro Film Fee +
Cop $' •
f Pr•
Use oermit "
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Parcel No.`
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se/Case No.
Ck. By
Y'
Mech. Fee Dbl E
-
PI. Ck. Fee'. +
Set Backs
-at Size
c:;o-i 1
Construction Fee . Dbl' $ : L ,••y -s
Legal Description
- ,
+:r-
• ` �'„;}
+..'7
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'3. a
t+ fa t+, ;,`t. CC0 y,
C3 Gs�. !J L l.�i $
F ' b S S
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R
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Electrical Fee '` " Dbl Is, ' s; .+.
1.0
Zone Restrictions
Group
Type
SMI Fee ` i $
/
''
7
Plumbing Fee •
Dbl S �'� +4
Bond Amt.
$ -
i7
Plan No. .
c'.k'.
•.
Plon Checker,
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. ,
Final Dote'•'''?
CA
nspector-
Unit '
Sp. Insp�Feea S 'f' ,
F
Demol. Fee T'++lr
'^..w
S� •
Const.'Lender
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Branch f`•
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'� Supplimental P r Numbers
•
•Registr.
Fee.. °3
$
=
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.
Mileage Fee , i S
Address : Cit ';#• Zi
Y
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Witness Fee' j
Reinsp. Fee •
$ =
Owner/Agent
;`,.., ", - .' �.
{•
.Tela„• :
Zip ,
s'
Total Fees 'r r'k �: 'a?'X� So4.sr, .. .,h✓'.: •
--Address
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Address" -
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LL;,;.P,y.-;,..tN, THIS PERMIT "SHALL �BECOME VOID IF WORK IS NOT COM/ViENIdb'WITHIN 120 DAYS. CESSAON OF WORK verified 6:
'Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.''
I HEREBY AGREE THAT.AJ� 1 I�Q�,1l14TH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH .
THE LAWS OF RIVERSIDE CDIINTY AND7E STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 Rev.B/78)
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
({•-
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
VSPECT R
BUILDING APPROVALS
MECHANICAL APPROVALS
I
Set Back
33
Ventilation Sys*.em
2
Ftgs & Frms
34
Plenums & Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
.�!'�_7i�
pry
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. 0.
ADDITIONAL INFORMATION
NO.
/
ao V ^ ' C Gh / e— -
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
128 Ceiling (Batts)
12C Ceiling (Blown)
14 Final 7 3--7G 7/f rayl
PLUMBING APPROVALS
15 Ground Plumb S- 11%9
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas rest
25.
Final.
Tank Pit L.Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L
t
3
1
26 Power Pole
L--
27 Conduit 5'�1�7 TMriL�
`
28 Service Entrance
29 Wiring/
29A Grounding Wire
298 Bonding
30 Fixtures N tC� ✓ G ' 1
31 Service
32 Final
STREET NAME
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
Dist. Office
Permit No.
284-199, 5/16/69 WHITE—ROAD DEPT., CANARY—FILE, PINK—APPLICANT
-Owner Architect Contracto
do
AddressAddress, 3�
TCity_�+ City 0�l 4
T
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Phone 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
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,
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 '•
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without an encroachment permit.
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NOW, therefore, it is agreed that I (we) will not occupy said property and will not cause said property to be ccupie until I (we) have
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complied with all laws of the County of Riverside and the State of California governing said property.
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DATE — SIGNATURE OF OWNER AND/OR AGENT
oto.
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
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USE OF STRUCTURE
/
LOCATION OF JOB�,�{ �J SINGLE FAMILY DUPLEX
LEGAL DESCRIPTION OF PROPERTY /-moi /�/" i. ii
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it _– APARTMENT AGRIC.
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`" to ! f '� � - COMMERCIAL INDUSTRIAL
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COMMUNITY rt.
p
I / Ce ALTERATIONS
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N0. OF SUBMITTED PLANS TYPE OF CONSTRUCTION Z� "" ? r"
CASE+NO.
r i
p Z
NO. OF PARKING SPACES REQUIRED NO. OF BU DINGS NOW EXISTING
JZONE
SETBACKS FRONT
SIDE !' v REAR
'PERMIT
m
GRADING REQUIRED YES ❑ NO ❑
SETBACK ORDINANCE $I OF FEET REQUIRED ON — / STREET
DATE —� SIGNATURE OF LAND USE OFFICIAI�'11_�' A,,
F
DEDICATION REQUIRED: YES ❑ NO ❑ NO. O FEET
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ rf STREET
THE ABOVE CONSTRUCTION? YES ❑ NO ❑
W
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
IMPROVEMENT? YES ❑ NO ❑
ce
DATE SIGNATURE OF ROAD DEPT. OFFICIAL
2
SWIMMING POOLS PUBLIC ��
J W
SEWAGE DISPOSAL
FOOD ESTABLISHMENT
S
t ,
WATER POLLUTION _ REMARKS
FLOOD CONTROL—
z AIR POLLUTION
� W
_ DIV OF HWY
H
0 a — _ YOUR PROPERTY MAY BE SUBJECT TO
o FLOOD. RIVERSIDE COUNTY ASSUMES t ,
NO RESPONSIBILITY IN EVENT OF FLOCID.
284-199, 5/16/69 WHITE—ROAD DEPT., CANARY—FILE, PINK—APPLICANT
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APPROVED BY: -
LAND USE DIVISint,
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SEAR YARD
LOT AREA p KING
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BARD _
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APPROVED BY: -
LAND USE DIVISint,