354594 (BLCK)BUILDING PERMIT
PERMIT NO. i .; .y .;v. rr+•4.^i tsr:irsq• ,DEPARTMENT., OF,BUILDING B...SAFETY,,�,,.,,yF,ti;.,.N ,. ti,n ._,�..�•wr�,.',flfl'D'F'Y" Dr
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CONSTRUCTION
ESTIMATE
NO.
ELECTRICAL FEES' '.
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NO. PLUMBING FEES
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UNITS
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Construction Fee
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DRAINAGE PIPING
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Group
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DRINKING FOUNTAIN
Plumbing Fee
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VALUATION. $t`L;•�
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SWIM POOL, PVT
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GARBAGE DISPOSAL .
FURNACE UNIT WALL FLOOR' SUSPENDED
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TEMP USE PERMIT, SVC
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THIS PERMIT SHALL" BECOME VOIDA WOR S NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK + verif ed
FOR 120 DAYS SHALL ALSO CA B V D. ?
I HEREBY AGREE THAT ALL WORK IN CON + CTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
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HOUSE SEWER ;
GAS PIPING'
PERMIT FEE .z{ '`.;
PERMIT FEE
PERMIT FEE
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MOB.HM FEE.
'• MICRO FEE -
MECH. FEE - PL. CK. FEE'.
?6NE.,FEV ELECT. FEE
SM_ I FEE
- FEE PLUMB."FEE •. r
PERMIT NO.
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Plumbing Fee
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Pian No.
Plan Checker
Final DaPSR We,�
Unit
Sp. Insp. Fee
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Demol,,Fee
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Witness Fee $
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THIS PERMIT SHALL" BECOME VOIDA WOR S NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK + verif ed
FOR 120 DAYS SHALL ALSO CA B V D. ?
I HEREBY AGREE THAT ALL WORK IN CON + CTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
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by `
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Sewer District
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# I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
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J ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE. OF THE SLATE OF CALIFORNIA "
I Form 284-208 (Rev.8/78) 3+. a ` .'L ' • r w.. ^. • 3.."-'QJ";C.•2R syn �id'.s. Jrt''na;R T r.a`�: FN'S !".Y: 1,>r::'.F
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NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTbR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & 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. C]
43
Final
IDA
Fireplace T.O.
F'
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Botts)
12B Ceiling (Botts)
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
REAR OF PROPERTY LINE
P/L P/
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE '
t
DISTRICT
Permit No
284 199A 9/74 y - •, CANARY -FILE, PINK -APPLICANT
Owner//, O�j4S u% t riSCw» j Lf S Architect __. *_—_ Contractor--- _.
Addres OS 4S l`_ " Address___ Address_--._----
City-_ �"� City City_—_- -
PhonePhone 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 propert to be occupied until I (we) have
-
complie with all laws of the County of Riverside and the State of California governing said pro y. %
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.
U ,/1 1 USE OF STRUCTURE
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JOB ADDRESS ( -�""—
y- .0 �l SINGLE FAMILY DUPLEX El
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LEGAL DESCRIPTION OF PROPER Y _v! - - APARTMENTS AGRIC. E,
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_ COMMERCIAL E] INDUSTRIAL - L,
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COMMUNITY ALTERATIONS ❑
USE OF PERMIT %D
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NFS MITTED PLANS - -
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CASE NO.
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NO. OF PARKING SPACES REQUIRED N0. OF BUILDINGS NOW EXISTING -- -
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( ZONE SETBACKS: FRONT SIDE REAR
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GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE _
SETBACK ORDINANCE # -- OF FEET REQUIRED ON STREET
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DATE �- 6 7 / SIGNATURE OF LAND USE OFFICIA `
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
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IMPROVEMENT? YES ❑ NO ❑
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DATE SIGNATURE OF ROAD DEPT. OFFICIAI
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SWIMMING POOLS PUBLIC
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SEWAGE DISPOSAL
_
FOOD ESTABLISHMENT
WATER POLLUTION _ REMARKS
rn FLOOD CONTROL
W AIR POLLUTION
ag
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DIV OF HWY
c a YOUR PROPERTY MAYBE SUBJECT TO
—
FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 y - •, CANARY -FILE, PINK -APPLICANT