323215 (PAT)DEBARTMEW OF BUILDIP1G i SAFETY
�; rilent0, :{ ) C011MY OF Ri1/ERSIDE
4: .:323215 v =:r
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES ;t I
$ :.r ..
r:
; NS[ FL $0, FT. fry uNnS
2ND FL SO. FT, r YARD SPKLR SYSTEM
POR. SO FT 1b N MOBILEHOME SVC BAR SINK
:-.,-.GAR. SO FT POWEROUTLET ROOF DRAINS
CAR P.. SO. FT. Q6 DRAINAGE PIPING
• WALL SO. FT, 19 DRINKINGFOUNTARY
Sc. fT. f4 URINAL
ESTIMATEOCONSTRUCTION VALUATION S M WATER PIPING
NOTE. Not to br uted ct property raA volvar on S1NM POOL, PVT FLOOR ORAIN
MECHANICAL FEES_ _ Sim POOL, Comm WATER SOFTENER
VENTSYSTEM ❑FAN 0EVAP.000L 0HOOD SIGN WASHER IAU7011DISH1
APPUANCE DRYER GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR D SUSPENDED LAUNDRY TRAY
AWHANDLINGUNIT CFM IDLE METER KITCHEN SINK
ABSORPTION SYSTEM B T U' TEMP USE PERMIT SVC WATER CLOSET
COMPRESSOR NP POLE. TEMPiPERM LAVATORY
HEATINGSYSTEM Q FORCED Q GRAVITY AMPERES SERV ENT SHOWER
BOILER r= B T.U. 50 FT Ia BATHTUB
SO FT p t WATER NEATER
F '
:t
SO Fl RESID 11144SEWAGE DISPOSAL
50 FT. GAR it d.t HOUSE SEWER
'
GAS PIPING
PERMIT FEE
PERMIT FEE PERMIT FEE
D LTOTALF995
Os Ilse r[e
MICRO FEE MECN FEE
PL CK FEE
CONST FEE ELECT. FEE SMI FEE
FEE PLUMS. FEE
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Form 784.1081Re. 4.771 Qat
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t 1 284 199A 9,74
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NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT
APPLICATION TO CONSTRUCT Petnut No
DEPARTMENT OP BUILDING AND SAFETY
COUNTY OF RIVERSIDE
CANARY—FILE, PINK—APPLICANT
Owner s f• S Architect_. _.___ _—_. .._.—.. Contractor
Add,"- `� y it �! Address—..--------- -- - Aldres _v? _
--
City as— Alt-YdS. Q C1 Ctq• -_-- .._.-.___._---- •- -- -- _ City
Phone_._ ._ ph.,,.---_,•-----•--•-_- -._.. Phone..Zy.7_0."7.5_ �.._
l (wel the uhder%4ned, hereby ccrttls and Acknowledge that I k%tt have read the M*Iicatton and' agree that it Cutts and Gutter, and
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z
Pavow, and/or Dediuhan of fight of wov is icqu ted by the County o4 RnenWe; the Riverside Cortnly (apartment of tluddirio aril Safety
3
shalt not make a Final tnspcchon until %aid tequitetnentt have been met. t am also aware that rn wotk is to be dnno within she f ounlY R/W
O
..Ihaul an encrwchmenl permit
NOW, therefore; tl i% agreed that I (wt) w111 not eccuPY "id properly aha will fiat cause said Ptoperty to be occupted hf 1 Iwo) have
torriplted with all laws of rhe Caumv of Riverside and the State of Cahlornw governino said property,
7
DATE ...` _ _. SIGNATURE OF OWNER AND!OR AGENT"du _ V
Approval by Signature from the Following Departments L)sfed Below
Must So Obtained Prior to the Issuing of a Confftuction Permit.
(SPACE N0,
5-2 -tfC jPli+ -7- I USE OF STRUCTURE
>'
JOB ADDRESS _.� .. _ ! % . . O o SINGLE FAMILY a DUPLEX L]
LEGAL DESCRIPTION OF PROPERTY - 3
x0 W
./ "_3
�^ j 1y - day �O�K 70 L4•�, APARTMENTS �� AGRIC.
vim. _ rC7
jf�.��v�it7 17
-
4- COMMERCIAL' INDUSTRIAL a
COMMUNITY Qd r.0TAi
C. Z
NO, OF SUBMITTEO PLANS ._ _ _ . USE OF PERMIT 31 RP ALTERATIONS [�
.-,_�[a_-Fr •_�___
CASE N0. _��Tlo _
O Z
NO. OF PPAR�04G SPACES REQUIRED _ _ __. O .. NO. C' BUILDINGS NOW ExISTING •----�p --• ---
- ~
•I
ZONE n t SETBACKS: FRONT ___._ SIDES t—�_'_ REAR '.*Z'
ami
GRADING PERMIT REQUIRED? YES NO; LOT SIZE
SETBACK ORDINANCE,", OF- -___-_ FEET REQUIRED ON STREET
DATE .,xAi _Y SIGt1ATURE OF LAND USE OFFICIAL— ._
-- -
--DEDICATION -REQUIRED;- YES- ❑ NO ❑ NO. OF FEET _
CURB AND GUTTER REQUIRED- YES C) NO ❑ — — STREET
s
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES C NO D
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
IMPROVEMENT? YES ❑ NO ❑
DATE------. SIGNATURE OF ROAD DEPT. OFFICIAL_. —_
SWIMMING POOLS PUBLIC_ -
t
SEWAGE DISPOSAL
p
FOOD ESTABLISHMENT -- - _
WATER POLLUTION _ - ^_ REMARKS
FLOOD CONTROL_-
' AIR POLLUTION
DIV OFHWY
YOUR PROPERTY MAY BE SUBJECT TO
s
o --• FLOOD. RIVERSIDE COUNTY ASSUMES.
�-- - NO RESPONSIBILITY IN EVENT OF FLOOD.
CANARY—FILE, PINK—APPLICANT
::pp,
OPERATION
DATE
73
BUILDING APPROVALS
-2A
i$ii Sock
25
& Frmt
136
2A
Slab Grade
37 Combusivri Air
3
Steel
4
Groo mocks
40 Fwe Damper
5
Bond Booms
42 Commarriol Hood
Roof 006
z z —
DPN
Frf3rnkpg
B' -
V#ril
.9 -
cracge Fk* Woll
10.
Fireplace P.L
10A
Fimpkx* T-.0. C]
11.
bdttlw Loth
12
1(ftmal tah
••-12A
pry�voll
13-
KnIsh C -M&
1NWTJ0N Thick
VOW -
7A
Walk 180M)
..12B
Celling (Buttil
12C
CAffirig 18tQ%0mw
PLUMBING APPROVALS
15
Ground Plumb
76
Wow Piping
17
Nowh pwmb
to
V"
19
Saw*" villiposw
20
Sewer
I ELECTRICAL APPROVALS I
26
22
Wot*rSofww
73
Mhaqrseryke
-2A
C41 Tess
25
fkwji
I ELECTRICAL APPROVALS I
26
INSPECTOR NO.
OPERATION DATH tft5PjjCTO*4.
MECHANICAL APPROVALS
Cond-ilt
33 Vent -Ir -Lan SyMern
Sarvkv Enlrwm
34 Plenums & Dvcn
Wiring
35 Furnace Compos.
136
Inters & Owlich,
Bond1mg
37 Combusivri Air
Fixtures
38 Compressor
39 Appl. Clearonce
FkW
40 Fwe Damper
41 Smoke Detantion Device
42 Commarriol Hood
43 rkxd
DPN
NO, ADDITIONAL INFORMATION
I ELECTRICAL APPROVALS I
26
Power Polo
27
Cond-ilt
28
Sarvkv Enlrwm
29
Wiring
29A
Grounding Wire
29B
Bond1mg
Fixtures
F'0
3Sorvko
a 2
FkW
SSWAGE SYSTEM SIZE Se LOCATION
Toni,. Pit
REAR OFPROPEMLINE
SMEU NAME