374748 (BLCK)BUILDING PERMIT
PERMIT No. DEPARTMENT OF BUILDING & SAFETY Ds
374748
COUNTY OF RIVERSIDE FIELD
CONSTRUCTION ESTIMATE
NO; ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @
UNITS
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SQ. FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
BAR SINK
POWER OUTLET
SQ. FT.
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. �
DRINKING FOUNTAIN
FT. @ \
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 4'
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Electrical Fee Dbl S
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Type
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
Mileage Fee $
SQ. FT. @ c
WATER HEATER
f
SQ. FT. RESID Qlt/.c
SEWAGE DISPOSAL
t
SQ. FT. GAR @ 3/. c
HOUSE SEWER
x
= -.5
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL. -
TOTAL FEES
0F &:k?
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
I CONST. FEE ELECT. FEE
,��
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
874748
Job Address
-bis Ave
/
D/'
Space
Zi Owner
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t
Date
17—/3--)�
Dist.
F.C.C.
MH. Permit Fee $
Micro Film Fee
Cop $
Use of Permit
040ad
� eAJL E'_,
Parcel No.
2-3
Use/Case No.
Ck. By
Mech. Fee Dbl $'7
Pl. Ck. Fee $
Set Backs
of Size
Construction Fee Dbl $ Q
Legal Description/O�
/� 11 �i✓moi
/
'Z y / ` / F
7LJ•C/F/
S S R
Electrical Fee Dbl S
Zone Restrictions
Group
Type
SMI Fee $G.{t
Plumbing Fee
Dbl $
and Amt.
E
Plan No.
Plan Checker
FinQal�Dat Q
Inspector
Unit
Sp. Insp. Fee s $
Demol. Fee
S
Const. Lender
Branch
Supplimental Permit Numbers '
Registr. Fee S
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent
,- Q
Tel. Zip
+Total Fees
= -.5
Address //
City Zip
M. 0. C. Cash kjff
,Received by
Contractor
'
Tel.
License#
Trees required
Sewage System
Address
City Zip
T LL P
rForm
r District
284-208 (Rev.&18)
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
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
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
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NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
d
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums & Ducts
2A
Slab Grade
35
Furnace Comport.
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 Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L.
43
Final
10A
Fireplace T. 0.
FI
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
Tank Pit L.Line
PSL
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
n
I1
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 _ Final
STREET NAME
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE
DATE
TIME
PERMIT NUMBER
r
1
TUf S '
INSPECTION
REMARKS:
THUR
RFOIIFCTFn
ADDRESS I SPACE NO.
(Q � I
I
OWNER C515MMUNITY
�j
FOR:
A. M.
P.M.
BUILDING PLUMBING ELECTRICAL MECHANICAL
KAON
a
r
1
TUf S '
WED
REMARKS:
THUR
FRI
OWNER/CONTRACTOR TEL.NO.
2e4-" ►��s
NOTICE: THIS IS NOT A'BUILDING PERMIT
DISTRICT /
APPLICATION TO CONSTRUCT
Permit No
DEPARTMENT OF BUILDING AND SAFETY
City. City---
COUNTY OF RIVERSIDE
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Phone«/�_— / Phone _ Phone •�I -- --- -
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I (we) the undersigned, hereby certify and acknowledge that 1 (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.
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DATE J/ SIGNATURE OF OWNER AND/OR AGENTr��y�
—! —
Approval by Signature from the Following Departments Listed Bel
Must Be Obtained Prior to the Issuing of a Construction Permit.
7,v? aS3 I SPACE NO.
USE OF STRUCTURE
JOB ADDRESSJ !J JJ 4 v
SINGLE FAMILY DUPLEX
LEG L DESCRIPTION OF PROPERTY �7_=��-0�_
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APARTMENTS AGRIC.
a U13i— COMMERCIAL INDUSTRIAL n
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COMMUNITY
LTE RATIONS LJ
NO. OF SUBMITTED PLANS — USE OF PERMIT
Lu q
CASE NO.
_
p z'
NO. OF P KING SPACES REQUIRED — NO. OF BUILDINGS NOW EXISTING —
Q 4
ZONE SETBACKS: FRONT SIDE REAR
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GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE OF FEET REQUIRED ON _ TREET
DATE- SIGNATURE OF LAND USE OFFICIA
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DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET - —
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CURB AND GUTTER REQUIRED: YES ❑ NO ❑ —STREET
oc
a
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
D
C
IMPROVEMENT? YES ❑ NO ❑
°C
DATE SIGNATURE OF ROAD DEPT. OFFICIAL
S
SWIMMING POOLS PUBLIC
Q w
SEWAGE DISPOSAL
FOOD ESTABLISHMENT
_
WATER POLLUTION REMARKS
FLOOD CONTROL
W AIR POLLUTION
_ DIV OF HWY
c < — YOUR PROPERTY MAY BE SUBJECT TO
o.
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 I99A 9/74 CANARY—FILE, PINK—APPLICANT