398606 (ELEC)BUILDING PERMIT h q
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PERMIT NO.
398606y,
PERMIT NO.
PH606
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD
DST
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.-
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SO. FT. '.@ $
UNITS
Voluation
SQ. FT. @
YARD SPKLR SYSTEM.,.,
SO. FT. @ MOBILEHOME SVC.
BAR SINK
,
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SO. FT. @ t -
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
AIR HANDLING UNIT CFM
.IDL ETER _
LAUNDRY TRAY
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. @ a
BATH TUB
SO. FT. @ a
WATER HEATER
50. FT. RESID @ 11/44
SEWAGE DISPOSAL
SO. FT. GAR @ 3/44
HOUSE SEWER
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PERMIT FEE j♦
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TOTAL FEESMOB.
HM. FEE
MICRO'FEE:
"' MECH. FEE PL. CK. FEE
I CONST. FEE ELECT.. FEE
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SM�FEE-
FEE PLUMB. FEE
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PERMIT NO.
398606y,
Job Address
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Construction Fee Del $
egal Description
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Sp. Insp: Fee S
Demol. Fee S
Const. Lender
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r. Fee $
Mileage
Mileage Fee$,
Address City Zip
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License#
Trees required
Sewage SystemJi
{A'N'NA_
Address
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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 . FOR-1`20`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.
REBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED'THE PLANS AND SPECIFICATIONS HAS DONE SO IN
'Form 284.208 (Rev. 1/80) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA:
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NOTICE: THIS IS NOT A BUILDING PERMIT:
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT ff
Permit No
284 199A 9/74 CANARY -FILE, PINK -APPLICANT
Owner Architect —_ .—__ Contractor_--_ -
Addres - 5 Nff ---- Address_-- Address --_ __-
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City_P�//�y`��_ City-- - City ----. -
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Phone2() 51-6 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
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
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without' an encroachment permit. -
NOW, therefore, it is agreed that I (we) will not occupy said property and will not cause said proper be, occupied 1'
complied with all laws of the County of Riverside and the State of "California governing said propert
DATE _____ SIGNATURE OF OWNER AND/OR AGEN —
Approval by Signature from the Following Departments Listed ow
Must Be Obtained Prior to the Issuing of a Construction a it.
ISPACE NO.
&--a S-
Q� L4� 1 r USE OF STRUCTURE
JOB ADDRESS G
- SINGLE FAMILY DUPLEX
L AL DERIPT O ROPERTY� ��� 3
pAPARTMENTS AGRIC. [,
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7c COMMERCIAL INDUSTRIAL, LJ
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COMMUNITY. ��-I
ALTERATIONS LJ
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NO. OF SUBMITTED PLANS - USE PERMIT
CASE N0.�
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NO. OF P KING SPACES REQUIRED olo. OF BUILDINGS NOW EXISTING
ZONE/< ETBA(fKS: FRONT SIDE REAR
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GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE } -- OF FEET REQUIRED ON STREET
DATE 9, SIGNATURE OF LAND USE OFFICIA
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET -- —
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CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
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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
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IMPROVEMENT? YES ❑ NO ❑
O
ce
DATE _ SIGNATURE OF ROAD DEPT. OFFICIAI -
I
SWIMMING POOLS PUBLIC
WSEWAGE
DISPOSAL
_
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
%A FLOOD CONTROL
f.. - .
W AIR POLLUTION
_ I DIV OF HWY
c — YOUR PROPERTY MAY BE SUBJECT TO
0.
Lu FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 CANARY -FILE, PINK -APPLICANT
FlUitnmr. PERMIT -°- -'
'
'• PERMIT NO.,
3 9'.8_.6 0 �•
•
DEPARTMENT OF BUILDING & SAFETY.;-
COUNTY OF .RIVERSIDE
' • r
FIELD OFFICE •.
osr
CONSTRUCTION ESTIMATE
NO. • ELECTRICAL FEES
NO. ; '• PLUMBINGFEES
1ST FL. -
2ND. FL."
POR.' -
'•GAR.
SCAR Ps,
WALL
'
ESTIMATED CONSTRUCTION
SO. FT..@ $
•UNITS. - ..
-.. .. ... ,.i;, .,
SO.,FT. @
YARD SPKLR.SYSTEM
SO. FT. @ 71 MOBILEHOME SVC:. • -
BAR SINK
• POWER OUTLET
SO. FT. @
-
ROOF -DRAINS
+ `
' -
SO. FT. @
DRAINAGE PIPING•. "
SO. FT. @ •• - -'
,- DRINKING FOUNTAIN
SO. FT. @
URINAL '
'
VALUATION $. • _
WATER.PIPING
NOTE: Not to, be used as property tax voluction SWIM POOLPVT
FLOOR -DRAIN
' • MECHANICAL FEES
SWIM POOL, ,COMM
WATER SOFTENER, - -
VENTSYSTEM ' FAN EVAP. COOL HOOD
- '- SIGN t'
WASHER.(AUTO)(DISH)3
APPLIANCE DRYER
1,Ck: By
GARBAGE DISPOSAL ,
FURNACE •UNIT '. WALL FLOOR SUSPENDED
AIR HANDLING UNIT ' CFM -
144
IDLE MET5
LAUNDRY TRAY
KITCHEN SINK f
ABSORPTION SYSTEM C B.T.U.
TEMP USE PERMIT SVC
WATER -CLOSET
COMPRESSOR. HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM • FORCED GRAVITY.
AMPERES SERV -ENT
SHOWER r
BOILER-"B.T.U,
SO. FT. @ a
BATH TUB
SO.. FT. @ •a
WATER HEATER
Electrical Fee - Dbl S/`
SO. -'FT. RESIO••@1'/4a
SEWAGE'DISPOSAL
, .! -
S0. FT. GAR @/aa
HOUSE SEWER
/h.PL
GAS PIPING '
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
-Cd
MOB. HM. FEE
MICRO'FEE
MECH. FEE PL. CK. FEE
CONST. FEE. "- EhEET. FEE -
SMI FEE
., FEE PLUMB. FEE
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Job Address
Space Zip - Owner
•• , '
PERMIT NO.
398606
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r
Commnity
_
Voluotlon
Data
ist., Off: �F.GC. �.
MH Permit Fee $
Micro Film Fee Cop S
Use o(.ermit
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Porcel,No.
• f.'135
Use/Case No.
1,Ck: By
Mech. Fee Dbl $
PI. Ck. Fee r S ` •-
� Set Backs
-
Lot Size .
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Construction Fee Diol S -"
l Description - -
F
S S
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Electrical Fee - Dbl S/`
Zone Restrictions -
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GroupType•',--,.
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SMI Fee '+
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Plumbing Fee ' Dbl $
Bond Amt.
Plan No.
Plan Checker
Inspector
Unit '
$
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Sp. Insp. Fee
enrol. Fee' $
Const. Lender
Branch • L s•;
Supplimental Permit Numbers
-
t
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Mileage Fee $
Address - City Zip
Witness Fee g
Reinsp. Fee S
-
�O( ner/; ent -
-
Tel.
,Zip ,
Total Fees' - S
"Add -
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City .. -
.. Zip '
t
-
7.4
M.O.- Q N. C. ❑ Cosh Check
Received by
Contractor
, .
Tel., _
LicenseR -
Trees required
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 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. , y
f/G/�jSJ v s
- REBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED -THE PLANS AND SPECIFICATIONS HAS DONE SO IN -
Form 284-208 (Rev' 1/80) ACCORDANCE WITH -SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA