397979 (PAT)BUILDING PERMIT
PERMIT NO.
1397979
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD r// I
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
POR. �' X
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
!
SQ. FT. @
YARD SPKLR SYSTEM
SO. FT. @ 1, Z MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN 4
SQ. 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
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
1 `
`.� L. \"� rl
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
F U S !
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. @ 4
BATH TUB
Inspector
SQ. FT. @ a
WATER HEATER
Sp. Insp. Fee $
S0. FT. RESID @ 1 Vaa
SEWAGE DISPOSAL
Confit, Lender
,
S0. FT. GAR @ T/.4
HOUSE SEWER
Supplimentol Permit Numbers
GAS PIPING
PERMIT FEE
Address City., Zip
\ +
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PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES �(MOB.
it
HM. FEE
MICRO FEE MECH. FEE
PL. CK. FEFk
i f> -'j
CONST. FEE ELECT. FEE
'2 —c-
SMI FE,�•
r /a14• J'L/
FEE PLUMB. FEE
PERMIT NO.
3 979 7 9
Job Address
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Space
Zip
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Owner
Community
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aluotion
Dote
Dist,
Off. F.'C.C�.
MH Permit Fee
Micro Film Fee
Cop S
Use of Permit
%
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Parcel No.
tJ/' "2 14'. 0'
Use/Case No.
Ck. By
Mech. Fee Dbl E
PI. Ck. Fee $ `� f
Set Backs
lot Si�
Construction Fee Dbl E r�'-
Legal Description
, �g�
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�:� �� rs
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F U S !
Electrical Fee Dial S
Zone Rowic(tf",g-�sJ`
J t.K
Group
Type
SMI Fee 5
Plumbing Fee
Dbl E
Bond Amt.Plan
$
No.
Plan Checker
Final Done ,�
6I8,6
6 ^16-8,6
Inspector
Unit
Sp. Insp. Fee $
Demol. Fee
E
Confit, Lender
,
Branch
Supplimentol Permit Numbers
Registr. Fee $
Mileage Fee 5
Address City., Zip
\ +
~
Witness Fee
Reinsp. Fee
$
Ownergig
LM
f Zip
Total Fees •
M. Ej N.
$
O Cash heck r
Addd tats.
—
Receivedby
Contractor
Tel.
License#
Trees required r}
Sewage System
'•
.el
Address
-
City
Zip
T LL THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer District \IFOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
r v. 1 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.
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.
verified ly:
L' •
NO.
OPERATION
DATE
INSPECTOR
NO.
(OPERATION
i
DATE
IN4�JtECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Bock
33
Ventilation System
2
Ftgs 8 Firms
34
Plenums 8 Ducts-
2A.
Slab Grade
35
Furnace Comport.
3
t:Steel ..
36
Inlets 8 Outlets
4
Grout Blocks
37
Combustion Air
5
6
Bond Beams
Roof Deck
o=.
38
39
Compressor'
Appl. Clearorice
7
Framing
S-7/—kQ
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
'42
Commercial Hood
10
Fireplace P.L.
r
43
Final r
WA
Fireplace T.O.[]
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s
i ADDITIONAL INFORMATION
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-- .-�----------------- --------_--
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SEWAGE SYSTEM SIZE & LOCATION
11 Exterior lath
12 Internal lath
12A Drywall
13 Finish Grade
INSULATION Thick 1R
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 Wcfer„Heater
22 ` ...,. Wooer "Softener
23 Water Service
24 Gas Test
25 Final
Tank Pit L. Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L
-
P/
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t
26 Power Pole
27 Conduit 1
28 Service Entrance
29 Wiring -
29A Grounding Wire
29B Bonding
30 Fixtures i
31 Service
32 Final
STREET NAME
t
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
4,
DISTRICT
Permit No 1—
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
Owner ilt ,A�Architect— �^^—_.—_ Contractor_ —
Addressl'11 , 4 (C '33-�--_ Address--- Address---.---------
.
City 1—k QI t City-- City----------.--
Phone5;�! 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 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.
DATE ___--__ SIGNATURE OF OWNER AND/OR AGENT----------
GENT—______Approval
Approvalby Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
e7'/�� I SPACE N0.
1 USE OF STRUCTURE
%
JOB ADDRESS
�2�_ SINGLE FAMILY DUPLEX
LEGAL DESCRIPTI OF PROPERTY /=G •
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APARTMENTS AGRIC.
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— —` e'pSL�COMMERCIAL INDUSTRIAL LJ
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COMMUNITY. ALTERATIONS n
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NO. OF SUBMITTED PLANS — USE OF PERMIT
CASE NO.
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NO. OF PARKING SPACES REQUIRED _— _ NO. OF BUILDINGS NOW XISTING — —
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ZONE�_SETBACKS: FRONT oC O SIDE Jam_ REAR
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GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE I$ OF FEET REQUIRED ON — 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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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
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IMPROVEMENT? YES ❑ NO ❑
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DATE _ SIGNATURE OF ROAD DEPT. OFFICIAI
2
SWIMMING POOLS PUBLIC
aW
SEWAGE MSPOSAL
FOOD ESTABLISHMENT
_
WATER POLLUTION REMARKS
FLOOD CONTROL—
f
z AIR POLLUTION
W t. '
S f. DIV OF HWY
c a — YOUR PROPERTY MAY BE SUBJECT TO
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 CANARY—FILE, PINK—APPLICANT