387112 (RPL)38,7112
DEPARTMENT OF BUILDING S< SAFETY
COUNTY OF RIVERSIDE
FIELD Ds
-71
I W I
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES .
IST FL, SQ. FT. @
2ND. FL. SQ. FT. @
FOR. SGL. FT. @
GAR. SQ. FT. @
CAR P. SQ. FT. @
)"1. `1 SQ. FT.0
SQFT. @
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
; r
t
_
.
a
YARD_ SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING -FOUNTAIN
URINAL
WATER PIPING
-
3
NOTE'. Not to be used as property tox valuation
:SWIM POOL, PVT
.�►
FLOOR DRAIN
Cop =
MECHANICAL. FEES
SWIM POOL, COMM
Pa el,No. �, �/� J� /10
/7_'< -_ —V r 10
WATER SOFTENER
Ck. By
�
VENT SYSTEM FAN- EVAP. COOL HOOD
SIGN
Sol Bocks
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Legal Description
b/21- -7 G7
F / 1{ S Zj S -57 R
GARBAGE DISPOSAL
Zone Reesstr' nns /
FURNACE UNIT WALL FLOOR SUSPENDED
Type.
SMI Fee $
LAUNDRY TRAY
Dbl SBond
AIR HANDLING UNIT CFM
IDLE METER
Plan Checker
KITCHEN SINK
Finol'.Date�� .or„
ABSORPTION SYSTEM ..B:T.U..
TEMP USE PERMIT SVC
Dental. Fee
WATER CLOSET
Const, Lender Branch
COMPRESSORHP
POLE,TEMP/PERM
- -
LAVATORY
Mileage. Fee $
HEATING SYSTEM , - FORCED GRAVITY
AMPERES SERV ENT
Reinsp. Fee
SHOWER
Owner/Agent
BOILER &T.U.
SQ. FT. @. C.
Zip
BATH TUB
Total Fees.
M.O.
_- -
C. .• Cosh'n - :Chec
SQ. FT. @ c
WATER HEATER
Q
Received by
SQ, FT. RESID @ltlit
6ontZi`'�•p--+�-^'•""- "•"" -•�
A - -�' /� _ �'j
SEWAGE DISPOSAL
Tel
C� 1�/�
-5744-
7 � /
" e sed d?Trees
4 Of 43
SQ. FT: GAR @ -Y. c
Sewage System �� ,. r'( —7 .80
r --=f
HOUSE SEWER
Cl ty �f i ZI
irA, I A.Aq p
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
�T
DBL.
yFEb,MOB.
% TOT
HM. FEE
MICRO FEE
MECH..FEE PL. CS. FFF
CONST. FEE -
FEE -6.
��MMI FEy
FEE
U FE
PERMIT NO.
38 7.11.2
Job ss
`f z c 114,6L,3]�_xs
S
Zi Owner
�
Co munity 0"
c V
Valu do
$ (!� '�I v+
v8l_i�
DIV.
f f
F.C'.C.MH.Permit
•�
Fee s
Micro Film Fee
Cop =
Use of Permlt
5
/jj�
/� V �/ /
Pa el,No. �, �/� J� /10
/7_'< -_ —V r 10
Use/Case No.
Ck. By
�
Mech. Fee: Dbl S
PI. Ck. Fee $
Sol Bocks
Lot Size
Construction Fee Dbl = 4
Legal Description
b/21- -7 G7
F / 1{ S Zj S -57 R
.r
Electrical Fee Dbl $+
Zone Reesstr' nns /
Group
Type.
SMI Fee $
Plumbing Fee •
Dbl SBond
Amts
>t .
Plan No.
. -
Plan Checker
Finol'.Date�� .or„
Unit
Sp. Imp. Fee f
Dental. Fee
$
Const, Lender Branch
Supplimental Permit Numbers
- -
Registr. Fee
Mileage. Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
=
Owner/Agent
Tel:
Zip
Total Fees.
M.O.
_- -
C. .• Cosh'n - :Chec
Address - -•- '-! ^,f• .
, .mss••. .r�„�t' �4'.. ; �' •—"'
City
Zip
Received by
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6ontZi`'�•p--+�-^'•""- "•"" -•�
A - -�' /� _ �'j
Tel
C� 1�/�
-5744-
7 � /
" e sed d?Trees
4 Of 43
required
Sewage System �� ,. r'( —7 .80
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Addr c�
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irA, I A.Aq p
YAW- As
Form@8¢208 (Rev.8/78)t'pJIt
THIS PERMIT SHALL BECOME VOID IF WORK ISNOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL UlORK INCONNECTION WITH THIS PERMIT WILL BE,DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THBINDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS'AND PROF.ESSIONS'CODE OF THE STATE OF CALIFORNIA.
verified by:
j2.
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
,2
Figs & Ferns O
�
34
Plenums & Ducts
2A
Slob Grade
35
Furnace Comport.
3
Steel ANI
w
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
B
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L.
43
Final
10A
Fireplace T.O. El
OP'N ADDITIONAL INFORMATION
NO.
PI e, 70
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts) 1
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 'Sof toner
23 Water Service
24 Gas Test
25
Final
Tank Pit L. Line
REAR OF PROPERTY LINE
PSL 1F,
l
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding. Wire
296 Bonding —'R —ifo
30 Fixtures
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
DISTRICT
Permit No
i
Lac„ 3(o I?
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
OwnerLr 9 4 Architect _ Contracto
,, `
Addre— �� a_4AiJ�Address-- Addressorr Aa N Sew /.I/c7 —
City LIG: 41aJ.)fsA City City L� ��w-iir77 1_C�4
Phone 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
Z
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 pr ty to be occupied until 1 (we) have
complied with all laws of the County of Riverside and the. State of California governing said pro
DATE SIGNATURE OF OWNER AND/OR AGEN
-Approval by Signature from the Following, Departments Listed Be ow
Must Be Obtained Prior to the Issuing of a Construction. Permit.
ZZ.S 3 1 SPACE N0.
USE OF STRUCTURE
&I
JOB ADDRESS _
SINGLE FAMILY DUPLEX
LEGAL DESCRI�PTION OF.PROPERTY
C t-
—'mac_
_ APARTMENTS AGRIC. [�
N N
-- COMMERCIAL INDUSTRIAL.
G G
Z
COMMUNITY ALTERATIONS []
NO. OF SUBMITTED PLANS USE OF PERMIT
N a
CASE N0.
p I
NO. OF PARKING SPACES REQUIRED — NO. OF BUILDINGS NOW EXISTING
a �
ZONE 1_SETBAC'KS: FRONT 10 SIDE ZV 5— REAR �i
J
in
GRADING PERMIT REQUIRED? YES, ❑ NO ❑ LOT SIZE
,SETBACK ORDINANCEOF FEET REQUIRED ON STREET
DATE ���SIGNATURE OF LAND USE OFFICIAL --
t-
DEDICATION REQUIRED: YES ❑ - NO p NO. OF FEET
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
H
d
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
W
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
CIMPROVEMENT?
YES ❑ NO ❑
ad
DATE— SIGNATURE OF ROAD DEPT. OFFICIAI
I
SWIMMING POOLS PUBLIC
QW
SEWAGE DISPOSAL
_
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
I-- FLOOD CONTROL—
W AIR POLLUTION
W
_ DIV OF HWY .
c a _ YOUR PROPERTY MAY. BE SUBJECT TO
d
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD..
284 199A 9/74 CANARY—FILE, PINK—APPLICANT