397987 (BLCK)BUILDING PERMIT
1PERMIT NO,
397987
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD D5/ i
" CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. @ $
UNITS
Own
;,��►�,
2ND. FL. SO. FT. @
Communi y
YARD SPKLR SYSTEM
FOR. SQ 'FT. @
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT: @
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT. @ _
1
DRAINAGE PIPING
WALL SO. FT.
Use of Permit
`.,,�%� �
DRINKING FOUNTAIN
SO. FT. @
Ck. By
URINAL
ESTIMATED CONSTRUCTION VALUATION $
Set Backs
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
SMI Fee S
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
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. @ a
BATH TUB
Mileage Fee S
SQ. FT. @ a
WATER HEATER
Reinsp. Fee
SO. FT. RESID @ 1 t/.a
SEWAGE DISPOSAL
', ndi/A e
SO. FT. GAR @ 1/44
HOUSE SEWER
Zip
Total Fees
GAS PIPING
PERMIT FEE
Address,.
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PERMIT FEE
PERMIT FEE
DBL. ,�
TOTAL FEES .2
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
I CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
Trees required
Sewage System
Address
City Zip
PERMIT NO.
397987
Job Address�•^"
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Parcel No. Use/C.A No.
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Ck. By
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PI. Ck. Fee S
Set Backs
Lot Size
Construction Fee §
Legal Description
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Electrical Fee Dbl §
Zone Rest"yto
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Type
SMI Fee S
Plumbing Fee
Dist §
Bond Amt.Plan
S
No.
Plan Checker
Final Date
qL
ns <tor
Unit
Sp. Imp. Fee $
Demol. Fee
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Const. Lender
Branch
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Supplimentol Permit Numbers
Registr. Fee §
Mileage Fee S
Address - City Zip
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Witness Fee §
Reinsp. Fee
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Total Fees
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Address,.
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M.O. VN.C. Ca eck
Received by,
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Contractor
Tel.
Licenselt
Trees required
Sewage System
Address
City Zip
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.
I 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 �CPJFORNIA.
Y CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284208 (Rev. 1/80)4'NACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROF.ESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by:
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NO"
OPERATION
DATE
INSPECTOR
,,.NO. rte" ' 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. 1
3.••:;
,StF-'1
t
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36 Inlets & Outlets
i.4 '
-GroutBlocks
37 Combustion,,Air
5
Bond Beams
-
38 Compressor'"
6
Roof Deck
39 Appl. Clearance '
7
Framing
[�,L��
-4-�
/
40 Fire Damper
8
Vents
41 Smoke Detection Device
9
Garage Fire
Wall
42 Commercial Hood -
10
Fireplace
P. L. U
43 Final r
10A
Fireplace
T.O. [j .
°0 1 ADDITIONAL INFORMATION
I
`
' i
1 ,
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath s
12A Drywall-
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Botts)
12B Ceiling (Botts)
12C Ceiling (Blown)
1A Final r
PLUMBING APPROVALS
V_ 'Ground
15 Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
''22?" IA!We'5d0gner
23 Water Service
24 Gas Test
25
Final
Tank Pit L. Line
REAR OF PROPERTY LINE w
ELECTRICAL APPROVALS
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1.
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s
P/
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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 DISTRICT �(
APPLICATION TO CONSTRUCT Permit No
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
Owner Architect — --_ Contractor_..--
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Address12o5���! Address— ----
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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 e) have
complied with all laws of the Countv of Riverside and the State of California governing said property.
DATE —_-- SIGNATURE OF OWNER AND/OR AGE
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
`� 2 57-5 , 1 SPACE NO.
1
USE OF STRUCTURE
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JOB ADDRESS SINGLE FAMILY DUPLEX
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LEG ESC PTION OF PROPERTY �___t/,O .APARTMENTS AGRIC. El
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-- COMMERCIAL INDUSTRIAL n
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COMMUNITY .
ALTERATION
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NO. OF SUBMITTED PLANS USE OF PERMIT
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CASE NO. ��••+ _—. _
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OF
NO. OF P IRKING SPACES REQUIRED ._— NO. O BUILDINGS NOW EXISTING
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ZONE FRONT SIDE REAR
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GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE — OF FEET REQUIRED ON STREET
DATE ` — SIGNATURE OF LAND USE OFFICIAL _
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DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET__
.•.
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 CDNO ❑
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DATE SIGNATURE OF ROAD DEPT. OFFICIAL
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SWIMMING POOLS PUBLIC
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SEWAGE DISPOSAL
FOOD ESTABLISHMENT
= Q
WATER POLLUTION REMARKS
FLOOD CONTROL
H
LN AIR POLLUTION
_ DIV OF HWY
c a — YOUR PROPERTY MAY BE SUBJECT TO
4
U11 FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
BUILDING PERMIT
PERMIT NO,
397987
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE ST
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST+FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CO S'TRUCTION
SO. FT. @ $
UNITS
Zip Own r
SO. FT. @
YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC.
BAR SINK
SO. FT. @ POWER OUTLET - -
ROOF DRAINS
SO. FT. @ i-
DRAINAGE PIPING
SO. FT. @ 193,
DRINKING FOUNTAIN
SO. 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
F
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR . SUSPENDED
Zone Rest ic' s
v
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.
SO. FT. @ a
BATH TUB
Unit
SO. FT. @ a
WATER HEATER
Dental. Fee
50. FT. RESID @ 1 /4a
SEWAGE DISPOSAL
Const. Lender
50. FT. GAR @ 3/4c
HOUSE SEWER
Supplimentol Permit Numbers
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT, FEE
1r
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
3K987
Job Address
Space
Zip Own r
Community
Valuation
S
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Dote
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.i
Dist*
Off.
FAC.
MH Permit Fee S
Micro Film Fee
Cop S
Use of Permit -
Legal bescription
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P, rcel No. Use/Co o.
Ck. By
Mach. Fee Dbl S
PL &Fee S
Construction Fee E
Ele,lhcol Fee Dbl S
Set Bock,
Lot Size
F
S S
R
Zone Rest ic' s
v
Group
Type
SMI Fee S
Plumbing Fee
Dbl S
Bond Amt.Plan
S
No.
Plan Che ker
Final Ddle
-'241—R)
Inspe or
Unit
Sp. Insp. Fee S
Dental. Fee
$
Const. Lender
Branch
Supplimentol Permit Numbers
Regist, Fee S
Mileage Fee S
Address City Zip
1
Witness Fee S
Reinsp. Fee
S
e
"�
•
Tel.
Zip
Total Fees
M.O.
S
N.C. Ca
eck
Addresw
ID
City
f�
Zip
.•s
Received by
Trees required
Contractor
Tal.
r
license
Sewage System
Address
City
Zip
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.
�THLA EREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
���!� Y CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE 50 IN
,Form 284.208 (Rev. 1/80) NCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
, r
verified by:
t