366751 (ELEC)BUILDING PERMIT
PERMIT NO.
366751
DEPARTMENT OF BUILDING &- SAFETY
COUNTY OF RIVERSIDE
`. FIELD
DST
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
Job Address
- -
NO. PLUMBING FEES
$
UNITS i �
,Zip Owner
2 �r ���77
''
� IST FL. SQ. FT. @
:'
Datlee
2ND. FL. SQ. FT. @
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YARD SPKLR SYSTEM ,
Micro Film Fee
MOBILEHOME SVC.
Use of Permit
BAR SINK
POR. SQ. FT. @
Pojcel No.
Use/Case
No. -.
Ck. By
POWER OUTLET
Ck. Fee g
ROOF DRAINS
GAR. SQ. FT. @
Fee $
Description
CAR P. SQ. FT. @
S S - RLegal
FConstruction -
DRAINAGE PIPING
Zone Restrictions -
'�,• :+'.• � �.> +
'-`
�^•' �Y DRINKING FOUNTAIN
WALL SQ. FT.
X
Dal $
Bond Amt.
$
SQ. FT. @
Plan Checker
, -Final
-
URINAL
ESTIMATED CONSTRUCTION VALUATION' $
Unit
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
Registr. Fee $
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Witness Fee $
Reinsp. Fee
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
> .j
12
/�`
.` :�,'
AIR HANDLING UNIT CFM
IDLE METER ' •
Zip
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.TEMP
USE PERMIT SVC.',
Address
WATER CLOSET
COMPRESSOR HP
POLE,TEMP/PERM'.
City
-
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENTSHOWER
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Contractor
BOILER B.T.U.
SQ.Ffi.'@ ,C
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BATHTUB
,
5Q. FT, @ ' C
WATER HEATER
Sewage System
SQ. FT. RE.SID @1'/:c
Address
SEWAGE DISPOSAL
SQ. FT. GARr@ 1. c•
. Cil y•
HOUSE SEWER
,
GAS PIPING
PERMIT FEE
PERMIT FEE
r1
PERMIT FEE
DBL.
TOTAL FEES
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST,FEE - EL9.
FEE'-
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
366751
Job Address
- -
�-� -
Space
,Zip Owner
2 �r ���77
Commun//ity,�,,
/s/'/ SY.ri:i i'p;�
Valuation
$
Datlee
Dist.
Off.
F.C.C.
MH.Permit Fee E
Micro Film Fee
E
Use of Permit
'•
Pojcel No.
Use/Case
No. -.
Ck. By
Mech. Fee EPl.
r.b
Ck. Fee g
Set Backs
Lot Size-
Fee $
Description
'/
4G.'�,'01�
S S - RLegal
FConstruction -
Electrical Fee Dbl E�'
Zone Restrictions -
Group
Type
SMI Fee $
Plumbing Fee
Dal $
Bond Amt.
$
Plan No.
Plan Checker
, -Final
-
Date r
/
In;pact
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender
Branch -
.Supplimentol. Permit Number
„%' L,/d, 17�
Registr. Fee $
Mileage Fee y
Address City Zip
Witness Fee $
Reinsp. Fee
E
Owner/Agent Y
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12
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Tel.
Zip
..
Total Fees
M.O.
$
N.C. 0 Cash Che k
Address
-
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`yc"•'4
City
-
Zip
ReceNed by
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Contractor
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License#
Trees required
Sewage System
Address
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.Zip
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T LL P THIS PERMIT SHALL BECOME,VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer District \ FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
l 5
r i I HEREBY AGREE THAT ALL ILDIL)Q(jTAi THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND TF/STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
J ! ( AC'ORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS"CODE OF THE STATE"OF CALIFORNIA y'
1 Form 284-208 (Rev. 8/78) -
verified by: •
,
,� yw+
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
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 & 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.
43
Final
IDA
Fireplace T.O.
OP'N
NO.
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 (Batts)
12C Ceiling.(Blown)
14 Final'
_•-__----PLUMBING-APP_ROVALS--------------
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
PSL
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire s $y
129B ' Bonding
30 . Fixtures
31 Service
32 Final
STREET NAME
NOTICE: THIS 15 NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT
Permit No
284 199A 9/74
CANARY—FILE, PINK—APPLICANT
Owner S `MlPt%ge-M MA Architect _ _ Contractor_—
Addrg�ss y_ 06I I,AP__ Address___ Address—
\q_ —
City�TT� City_ City_—_— _
Phone 341c,— bye -0 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
O
without an encroachment permit.
NOW, therefore, it is agreed that I (we) will not occupy said property and v"sill not cause said propert to be occupied until 1 (we) have
complied with all laws of the County of Riverside and the State of California governing said prope
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.
_ _ I USE OF STRUCTURE
JOB ADDRESS SINGLE FAMILY DUPLEX El
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LEGAL DESCRI ON 0 PROPERTY C / �
APARTMENTS AGRIC. El
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---
S rr COMMERCIAL INDUSTRIAL n
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COMMUNITY .
RATIONS n
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NO. OF SUBMITTED PLANS USE OF PERMIT
CASE NO.
_
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N0. OF P RKING SPACES REQUIRED -- NO. OF BUILDINGS NOW EXISTING
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ZONF / SETBA(fKS: FRONT SIDE REAR
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GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE 1<7
SETBACK ORDINANCE # OF FEET REQUIRED ON STREET
DATE _ SIGNATURE OF LAND USE OFFICIA -
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET
F-
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CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
cc
o
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CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
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IMPROVEMENT? YES ❑ NO ❑ +
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°C
DATE SIGNATURE OF ROAD DEPT. OFFICIAI
=
SWIMMING POOLS PUBLIC
J W
SEWAGE DISPOSAL
—
_
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
%A FLOOD CONTROL
F-
W AIR POLLUTION
_ DIV OF HWY
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c a — _ YOUR PROPERTY MAY BE SUBJECT TO
a /
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74
CANARY—FILE, PINK—APPLICANT