399074 (AR)BUILDING PERMIT
PERMIT NO.
99074
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD DST
CONSTRUCTION ESTIMATE
Job Address Space Zip Owner
t /.-
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.SO.
Z74 <zf f9
2ND. fl.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
FT. .@ O $
pUNITS
MH Permit Fee 5Ibluotion
t + ��' YARD SPKLR SYSTEM
SO. FT. @
Use of Per(nit
_j •• ' } y A7� ,r�1
/ fl vC.
/
SO. FT. @ MOBILEHOME SVC. BAR SINK
se/Case o. """"
SO. FT. @ POWER OUTLET ROOF DRAINS
Mech. Fee Dbl S
' DRAINAGE PIPING
SO. FT. @
Set Backs
SO. FT. @ DRINKING FOUNTAIN
Construction Fee Dbl $
SO. FT. @ URINAL
F
,w
VALUATION $ t1J WATER PIPING
R
NOTE: Not to be used as property tax roluotion
Zo - Restrictions
SWIM POOL, PVT
Or FLOOR DRAIN "
SMI Fee S i �/
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH
Plumbing Fee Del $
APPLIANCE DRYER
pRsti No- s' '""
P14n Checker '
GARBAGE DISPOSAL
Inspector if
FURNACE UNIT WALL FLOOR SUSPENDED
Sp. Insp. Fee $
S
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
Const. Lender Branch
ABSORPTION SYSTEM B.T.U.
Regist, Fee $
TEMP USE PERMIT SVC
WATER CLOSET
Witness Fee E
COMPRESSOR HP
` ner/Agent
POLE, TEMP/PERM
LAVATORY
Total Fees 5
HEATING SYSTEM FORCED GRAVITY
!
Zip
M.O. N.C. Cash eck
`
Received by ` - t`
a
Co troctor
el.
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 —it.ied by:
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
Sewer District
? HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE OF RIVERSIDE THE STATE
l'"•1
LAWS COUNTY AND OF CALIFORNIA.
I I E EBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284.208 (Rei. 1/80) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. � i
NO OPERATION
DATE
INSPECTOR
NO. OPERATION
S
DATE -INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS i •,
1 Set Bock/.4,,
33 Ventilation System
2 Ftgs 8 Frms I 3 ��
2A Sldb Grade 04 y
J /
34 Plenums 8 Ducts t
35 Furnace Comport ;
3 Steel
r
36 Inlets & Outlets
4 Grout Blocks
37 Combustion Air ', S
5 Bond Beams
38 Compressor ?
t
6 Roof Deck
7 Framing2 &Q �Au
/
39 Appl. Clearance4 '
40 Fire Damper
41 Smoke Detectiony Device
9 Garage Fire Wall
42 Commercial Hood `
10 Fireplace P.L.
43 Final i
IDA Fireplace T. 0. U
NO. ADDITIONAL INFORMATION
F
(/L/I¢5 Gv� e� �o��`��� �'
_
?
t
SSo
f
SEWAGE SYSTEM SIZE &LOCATION
11 Exterior Lath
12 Internal lath
h c/f
12A Drywall
13 Finish Grade
INSULATION
Thick Value-
7A Walls (Batts)
qq/ �U U c6�✓
,/� // /�
12B Ceiling (Batts)04
///g
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb % ��' 8U �j 0 ��/)7/✓
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20' Sewer
21 Water Heater
22 Water Softener
23 Wafer Service
24 Gas Test
25 Final Z_l , �v
Tank Pit L. Line
P/L
REAR OF PROPERTY LINE
' t
P/
1
) r
ELECTRICAL APPROVALS
26 Power Pole}��
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
Q
/
298 Bonding
30 Fixt3fes
-%— .�—4 2v
l
31 Service
^32 final
NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT &
APPLICATION TO CONSTRUCT Permit No
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
0 i
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
Owner Architect _ _ Contractor_0_—
p
Addres 'o __ Address___ Address—.—
ddress .—City
Cit 0. City___- _
Phone _ Phone— ._
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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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 until I (we) have
complied with all laws of the County of Riverside and the State of California governing said property.
S ci---
DATE r SIGNATURE OF OWNER AND/OR AGENT _4. _,Z�
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
_ I SPACE NO.
J
1 USE OF STRUCTURE
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JOB ADDRESS �� - (M�� - Y
- SINGLE FAMIL" DUPLEX
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t-
AL DESCRIPTION OF PROPE
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/���__� - APARTMENTS /01 AGRIC.
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COMMERCIAL � INDUSTRIAL
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_
COMMUNITY ALTERATIONS n
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NO. OF SUBMITTED PLANS USE OF PERMIT —
j0
CASE N0.
c Z
a -j
NO. OF PARKING SPACES REQUIRED _— NO. OF BUI INGS NOW EXI ING —
ZONE��SETBA(fKS: FRONT �""-�� SIDE REAR
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GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZEr�
SETBACK ORDINANCE OF FEET REQUIR D ON STREET
DATE �� SIGNATURE OF LAND USE OFFICIAL _
���_YES
DEDICATION REQUIRED: ❑ NO ❑ NO. OF FEET--.
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CURB AND GUTTER REQUIRED: YES ❑ NO ❑ -STREET
cc
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
°C
DATE SIGNATURE OF ROAD DEPT. OFFICIAL
Z +
SWIMMING POOLS PUBLIC
QW
SEWAGE DISPOSAL
_
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
vt FLOOD CONTROL
t-
W AIR POLLUTION
t-
_
DIV OF HWY
c a _ YOUR PROPERTY MAY BE SUBJECT TO
a
FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
BUILDING PERMIT
u
PERMIT,NO.
PERMIT No.
3 9 9p'0 7 4
Job Address
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD OFFICE
osT
CONSTRUCTION ESTIMATE
ni y aluotion
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. .@ 4LQ $
UNITS
SO. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SO. FT. @ POWER OUTLET
ROOF DRAINS
SO. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION Is v
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
_� r� !/�
Imo'
3"I
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
�
! iMI'
�
SIGN
WASHER (AUTO) DISE
APPLIANCE DRYER
Bond Amt.
PrMtNo.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
In(�sF/L\e1ctor
Unit
LAUNDRY TRAY
AIR HANDLING UNIT CFM
S
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
Const. Lender Branch
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
Mileage Fee S
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
ner/Agent-'l
r
SQ. FT. @ a
BATH TUB
Total Fees S
SQ. FT. @ a
WATER HEATER
Zip
M.O. ❑ N.C. ❑, Cash ❑ eck
S0. FT. RESID @ 1'/4a `
SEWAGE DISPOSAL
!
Received by
S0, FT. GAR @ T/4a
HOUSE SEWER
Trees require
Sewage System C
Address
GAS PIPING
PERMIT FEE
PERMIT FEE 2.PERMIT
FEE
DBL.
TOTAL FEES.
L(`j�'
MOB. HM. FEE
MICRO FEE
-
M H.
A
PL. CK. FEFW
cV��j
CONST. �E EL C
Sh,�FE
3
FEE PLUMB. rn
u
PERMIT,NO.
Job Address
SpaceZip
►
990Owner
3 7 4
ni y aluotion
D. t. Off.
F.C.C.
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�.�
MH Permit Fee S
5
Micro Film Fee Cop S
Use o Permit %
L d..Z �.t�'�� •�/ ��
�1 �T.W�
Parcel No. se/Case o.
—
CO -Ty
Mech. Fee Dbl S
PI. Ck. Fee 5
/ / G-�
Legal Description
Set Backs Lot Size
F _5,1S S R
Construction Fee Dbl S
Electrical Fee Dbl 5
_� r� !/�
Imo'
3"I
Z e Restrictions Group Type
SMI Fee S
�
! iMI'
�
Plumbing Fee Dbl S
Bond Amt.
PrMtNo.
Plan Checker
Final D
-�-
/
In(�sF/L\e1ctor
Unit
Sp. Insp. Fee S
S
2 -( V
Demol. Fee S.
Const. Lender Branch
Supplimental Permit Numbers �)
(� '
'
Registr. Fee S
Mileage Fee S
Address City Zip
Witness Fee S
Reinsp. Fee S
ner/Agent-'l
r
Tel.
Zip
Total Fees S
Address
Zip
M.O. ❑ N.C. ❑, Cash ❑ eck
r /
�F +API
1122,,
!
Received by
Contractor
el. Lic se
Trees require
Sewage System C
Address
City Zip
T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
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.
I HEREBY 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.
r verified by: