359785 (ELEC)BUILDING PERMIT
PERMIT No. DEPARTMENT OF BUILDING & SAFETY FIELD FD11359785 COUNTY OF RIVERSIDE
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
FOR.
GAR. -
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
SQ. FT. @
UNIT
YARD $PKLR SYSTEM
SQ. FT. `@ ' " MQBILEHQME SVC.
BAR SINK
POWER OUTLET
$Q. FT. @
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. (r
URINAL
VALUATION $
WATER PIPING
NOTE;. Not tote 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) r
APPLIANCE DRYER
Type
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Plumbing Fee
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 C n
SHOWER
BOILER B.T.U. i
SQ. FT. @ c
BATH TUB
Supplimental Permit Numb
SQ. FT. @ c
WATER HEATER
Registr. Fee $
SQ. FT. RESID @ 1 to c
SEWAGE DISPOSAL
Witness Fee $
S0. FT. GAR @ 3VA c
HOUSE SEWER
Owner/Agent/ 1� `lam
GAS PIPING
PERMIT FEE
Zip
PERMIT FEE '7
PERMIT FEE
DBL,.TOTAL
FEES
I -:d
MOB. HN4FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ,.,EL . FEE
"
SMI FEE
FEE PLUMB. F
EE
PERMIT NO.
13597851-
Job Address
Commu ity
I r'. 0. rr
Space Zip
- �10-1p -
Valuation � Oata
S 'i -7 >i� " -1
Owner
Dist. � Off.
F.C.C.
MH Permit Fee $
Micro Film Fee
Cop $
Use o Permit -
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V
.._ 1 ��
4 f 1-i
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Parcel No. t
�' ,,,
-
Use/Case No.
Ck. By
Mech. Fee Dbl $
PI. Ck. Fee f
Set Backs
Lot Size
Construction Fee Dbl $
Lego) Description
�• +
F S
S R
Electrical Fee Dbl $ '01
Zone Restrictions
Group
Type
SMI Fee $
Plumbing Fee
Dial $
Bond Amt.
$
Plan No.
Plan Checker
Final Date
Inspector' /
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender Branch
`/
Supplimental Permit Numb
Registr. Fee $
Mileage Fee $
Address City Zip
/-< "-- & i
Witness Fee $
Reinsp. Fee
$
Owner/Agent/ 1� `lam
Tel.
Zip
Total Fees
' E
Address
'? '7 t^ -t r
r)r)C5-
Zip
M.O. N.C.Cask Check
Received by
Contracior
r
Tel.
LicenseM
Trees required
Sewage System
7 J
y
Address �t�.G� .%
�
Cit Y
Zip
--# I - "^6 U. P THIS PERMIT SHALL BECOME VOID IF WORK L$ NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verilied by:
Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO.BECOME VOID.
I HEREBY AGREE TH 49&=ON'WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSI TY D THE STATE OF CALIFORNIA.
%, 1 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 OFTHE STATE OF CALIFORNIA.
Form 284-208 (Rev.8/781
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS ;
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums 8 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. p
43
Final
IDA
Fireplace T. 0. [] ,
NO
ADDITIONAL INFORMATION
"
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R••
Value
7A Walls (Batts)
12BCeiling (Batts)
12C Ceiling (Blown)
14 " ' Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
i
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test.
25
Final
Tank Pit L.Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
PSL
+
t _ . P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final _
i9
• I
STREET NAME
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE DATE TIME PERMIT NUMBER
.4113 INSPECTION
REUUESTED
ADDRESS I SPACE NO. FOR:
I
.M.
OWNER COMMUNITY
BUILDING I PLUMBING I ELECTRICAL I MECHANICAL
-?o2
REMARKS:
OWNER/CONTRACTOR TEL.NO.
P.m.
a KION
El TUES
DIED
11 THUR
ElFRI
1
281-61 11/75
_ 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 '` CANARY—FILE, PINK—APPLICANT
Owner, &04" 4441° A41 C-0 , Architect —. Contractor—_-- �_
Address' Wr S Address___ Address_
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City—�t—_—.4t 9000,jr City-- City----- — —
hone—
Phone oU � �o � e� 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 properhy and will not cause said proper to be occupied until I (we) ave
complied with alllaws offthe of Riverside and the State of California governing said property.
�County
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.
'7 4, O 1 SPACE NO.
USE OF STRUCTURE
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JOB ADDRESS _—__.—_. — rs. Oo SINGLE FAMILY � DUPLEX
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LEGAL DESC5IPTION OF PROPERTY—. _/?.�- . APARTMENTS AGRIC.
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L as1-Il�Z r SAY- G f2%
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— �T `' — COMMERCIAL Q --'INDUSTRIAL LJ
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COMMUNITY ZA f
0 �Uw1� ALTERATIONS ❑
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NO. OF SUBMITTED PLANS USE OF PERMIT
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CASE NO. A'0 A'"% /,1 61
3^Iv957iFr'C oC7-j'
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NO. OF P IRKING SPACES REQUIRED NO. 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 ONSTREET
DATE 3— 2" %
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 ❑
°C
DATE SIGNATURE OF ROAD DEPT. OFFICIAI
2
SWIMMING POOLS PUBLIC
Q W
SEWAGE DISPOSAL
FOOD ESTABLISHMENT
_
WATER POLLUTION REMARKS
H FLOOD CONTROL
H
Z. AIR POLLUTION
� W
_ x
H DIV OF HWY
c a — YOUR PROPERTY MAY BE SUBJECT TO
CL
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF ,FLOOD.
284 199A 9/74 '` CANARY—FILE, PINK—APPLICANT