354206 (SATT)BUILDING PERMIT
I PERMIT NO. - • - _ •DEPARTMENT OF BUILDING & SAFETY..FIELD;=-; •r-5771*
354206
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMAtE,
NO.. ELECTRICAL FEES
NO. r= PLUMBING FEES
IST FL. `� Qr-i
2ND. FL.
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GAR. ��f
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WALL
E6TIMATED CONSTRUCTION
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YARD SPKLR;SYSTEM
SQ. FT..@-
MOBILEHOME SVC. BAR SINK
FT. @ ,%J
SQ. FT. @ d� POWER OUTLET ROOF DRAINS
SQ. FT. @ DRAINAGE PIPING
DRINKING FOUNTAIN
SQ. FT. @
URINAL
SQ. FT. @
- t.:uofion Date
VALUATION S sat 3,,Z tr` WATER PIPING
isF.C.C.
,, ,TJOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL.FEES
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SWIM POOL, COMM
WATER SOFTENER
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ABSORPTION SYSTEM B.T.U.
Electricol Fee Dbl $ •Mi
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COMPRESSOR �? HP
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POLE,TEMP/PERM _
LAVATORY
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HEATING SYSTEM % FORCED GRAVITY °
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/PERMIT NO.
Job Address
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' Space Zip
Owner
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Community
- t.:uofion Date
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Mileage fee $
Address City Zip
Witness Fee $
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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:
Seer, District FOR 120 DAYS SHALL ALAZIN
P MIT BECOME VOID.
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I+HEREBY AGREE THAT ONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDETY A THE STATE OF CALIFORNIA..
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jt I HEREBY CERTIFY THAT P•IE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
w ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Form 284-208 (Re,8/78)
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS `
1
Set Back
33
Ventilation System
2
Figs 8 Frms
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comparl.
3
Steel
36
Inlets 8 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 Detectior Device
9
Garage Fire Wall
42
Ccmmerciol Hood
10
Fireplace P. L. ❑
43
Final
IDA
Fireplace T. 0.
NO
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & 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
25
Final
Tcnk Pit L.Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
. ,fir I � C • �
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT
Permit No
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"A2884 199 9/74
4
CANARY—FILE, PINK—APPLICANT
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Owner Architect . Contractor ^
'Addres�__)� E �` I ! " t� Address_ — U f� t Address_ . j ✓
City et0 City —�U J ' i I't 1 �— �+ City_
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Phone ' ,t L) I �t Phone ` `` _ , `y Phone 7
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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
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. s
DATE SIGNATURE OF OWNER AND/OR AGENT
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 w _ SINGLE FAMILY DUPLEX
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LEGAL DESCRIPTION OF PROPERTY ' Z =-
.-4 I ({� Lvr I-- �. y- APARTMENTS AGRIC.
`� (� ' s COMMERCIAL [� INDUSTRIAL L] '
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COMMUNITY .�
ALTERATIONS LJ
NO. OF SUBMITTED PLANS __— USE OF PERMIT _
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CASE NO. ,atrgnTlin�avt.i«....
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NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING
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ZONE SETBACKS: FRONT SIDE REAR `
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GRADINU PERMIT REQUIRED? YES, NO LOT SIZE --5-t, 241
SETBACK ORDINANCE # -- OF FEET REQUIRED ON /0� STREET
DATE --_ SIGNATURE OF LAND USE OFFICIAL
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
CIMPROVEMENT?
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YES 0 NO ❑ % _ C/ r -
DATE_��"` - -- y SIGN �TURE OF R DEPT. OFFICIAL - l
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SWIMMING POOLS PUBLIC
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SEWAGE DISPOSAL
FOOD fSTABLOSitMENT.
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WATER POLLUTION { REMARKS
�n FLOOD CONTROL—
Z t'^ AIR POLLUTION i
= F DIV OF HWY
YOUR PROPERTY MAY BE SUBJECT TO
TFLOOD.
o ; RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
"A2884 199 9/74
4
CANARY—FILE, PINK—APPLICANT
PERMIT NO.
OWER
Job Address
Space "Zip Owner
35420-
54n600 Am, -1 Ar
•
Community. ,
Valuation Date
$ r/
Dis. Off.
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Construction Fee
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Electrical Fee
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Dental. Fee
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Supplimentol Permit Numbers
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Reglstr. Fee S
Mileage Fee $
Address City -. Zip
Witness Fee $
Remsp. Fee
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LL j1HIS PER �T SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK venfied by:
tact FOR 120 D/, rS SHAt1 ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGRkE•THAT'ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
` I HEREBY CERTV THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
(Re,8/78 1 ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
DEPARTMENT OF BUILDING AND SAFETY
`'•'� ,v -�P&ATY'OF RIVERSIDE
CL;AIM��OF: - �,. �_ :. DATE: ,
ADDRESS:
CITY -AND STATE = �`
ON THE TREASURER OF THE COUNTY OF RIVERSIDE, STATE OF
CALIFORNIA
Instructions: Permittee will furnish the following information:
(1) Permit Number
;i2) " Date Issued,
(3) Total Fees Paid
(4) Reason for Refund '
I CERTIFY THAT THIS CLAIM IS TRUE AND CORRECT, AND THAT NO PART HEREOF HAS
BEEN PREVIOUSLY PAID BY THE COUNTY OF RIVERSIDE.
Claimant's Signature
(Do not write below this line)
Date: March b, 197-4 General Fund: 1001-284-1231 t
FROM: DEPARTMENT OF BUILDING AND SAFETY
TO: AUDITOR -CONTROLLER,. COUNTY OF RIVERSIDE
Please issue to the above indicated claimant a refund of $ 104.29 , on the above
permit deposited under Treasurer's Receipt No. 015471 ,dated 2--13-79
AUTHORITY: Ordinance No. 457, Section 7, Subsection E
Approved= ilf-w— p e for the following reason: (strike out words not applicable)
Morar r-Anrral UA
' Director -of Building and Safety