353793 (BLCK)PERMIT NO.
5 3 7 9 3
3 3537931
CONSTRUCTION ESTIMATE'
DEPARTMENT OF BUILDING & SAFETY,
COUNTY OF RIVERSIDE
NO. ELECTRICAL FEES
, . FIELD T-
NO. PLUMBING FEES
IST FL.
T 2ND. Fl.
POR.
"'GAR.
J•CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ » ' Y
UNITS
$Valugfioa�y��is�
�i/-.^
SQ. FT! @' -
« YARD SPKLR SYSTEM ,
MOBILEHOME SVC.
SQ. FT. @
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @ -
DRAINAGE PIPING
r
SQ. FT.
DRINKING FOUNTAIN
SQ. 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.g000L.1 HOOD w
- : r . SIGN s# t `�* ♦+• ` +' ='
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Bond Amt.
E
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Final Date
p
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
t TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
f POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ E
BATH TUB
City Zip
SQ. FT. '@ t
WATER HEATER
Contr ./ es s
j/y
SQ. FT. RESID @I'/.t
SEWAGE DISPOSAL
i
Trees required
Trees
S0. FT. GAR @ % t
HOUSE SEWER
Ci)y Zip
GAS PIPING
PERM FEE
PERMIT FEE .• . . , �. « . PERMIT FEE, •
DBL.
TpYEF�,SS/,
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
�( 1ST Rfq ELECT. FEE
SMI FEE
FEE PLUMB. FEE
J PERMIT NO.
x'353793
,MH.Permit
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l Film Fee Cop E
Micro
Use of Permit
Parcel No. -
Use/Case No. ICVY
Mech. Fee Dbl E
Pl. Ck. Fee E
Set Backs
Lot Size
1 "'«
'Construction Fee Dbl E
Lego[ Descriptio F
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Electrical Fee Dbl E
Zone�rict`iorly'
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Group
Type
SMI Fee E
Plumbing Fee Dbl E
Bond Amt.
E
Plan No. -
c
Plan Checker.
Final Date
p
Inspector tQA?
Unit
Sp. Insp. Fee E
Demol. Fee E
Const. Lender Branch
Suppllmen rm,(t Numbers ` r
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, -
Registr. Fee E
Mileage Fee j
Address Cit Y Zi P
-
Witness Fee E
Reinsp. Fee E `
OwnerlAgent `• 'i . 1 .. R .. s .. .. n t.,r..
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Total Fees E "'
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Address �!�/-ry r 1 w
City Zip
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Contr ./ es s
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Trees required
Trees
Sewage System
A .Pass
Ci)y Zip
T LL P
Sewer District
THIS PERMIT SHALL BECOME VOID IF W RK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
FOR 120 DAYS SHALL ALSO CAP T C.BE OME VOID.
I HEREBY AGREE THAT ALL ARK IN C NECTION WW(TH.THIS PERMIT WILL BE DONE IN ACCORDANCE WLTIt,
THE'LAWS OF RIVERSIDE'COUNTY'AND HE STATE OF [IK(3ifN A.
I 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 OF THE STATE OF CALIFORNIA.
Form 284-208 (Rev.8/78) -
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 _L��Cj�vT
—!
��'
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
10A
Fireplace T.O.
NO
ADDITIONAL INFORMATION
_______r____ __-__._
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
128 Ceiling (Batts)
12C Ceiling (Blown)
14 Final 'ZOJ
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
ELECTRICAL APPROVALS
PSL
I
P)
,
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
298 Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
Y NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
rik,
DISTRICT
Permit No
Z;C_ 7 9
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
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6�
Owner Architect —. Contracto
.
D
AddressTl Address--- Address
,r
Cit
City //Cy City��i��f�iJ� cc�0
�
�/ Phone _ Phone ._''
W
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 property to be occupied until I (we) have
complied with all laws of the Countv of Riverside and the State of California governing said property.
DATE/"E._!_.�Z�LLLl� SIGNATURE OF OWNER AND/OR AGENT,rr�rl
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
SPACE NO.
USE OF S ( TURE
J
>
JOB ADDRESS
_/ 6-0 SINGLE FAMILY DUPLEX
77y 0 �_
Z W
LEGAL DESCRIP ON F PRTY
""f/ `s /,�} �9 �-'r�� APARTMENTS AGRIC.
( 4Jt� `
U.
_-V CJ
COMMERCIAL INDUSTRIAL
CCOMMUNITY
ALTERATIONS n
1C
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NO. OF SUBMITTED PLANS USE OF PERMIT
CASE NO.
_
Z
NO. OF PARKING SPACES REQUIRED . NO.,OF BUILDINGS NOW EXISTING
Q
ZONESETBACKS: FRONT SIDE REAR
J
m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE # OF FEET REQUIRED ON STREET
DATE —S �9 SIGNATURE OF LAND USE OFFICIAL
H
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET—
W
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
H
W
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
0
C
IMPROVEMENT? YES ❑ NO ❑
cc
DATE SIGNATURE OF ROAD DEPT. OFFICIAI
Z
SWIMMING POOLS PUBLIC
QW
SEWAGE DISPOSAL:
FOOD ESTABLISHMENT
_
WATER POLLUTION REMARKS
FLOOD CONTROL—
H
z AIR POLLUTION
� W
_DIV OF HWY
t -
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
BUILDING PERMIT FIELD OFFICE T
I' PERMIT NO. DEPARTMENT OF BUILDING t& SAFETY.. , . , _ , j,
3537937 COUNTY OF RIVERSIDE �� I
G,.•�J-p�C/�l%«'�'7C. SpaCe
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
t
POR'.
GAR.
CAR P.
1
WALL
ISQ.
ESTIMATED CONSTRUCTION
SQ. FT. @
UNITS
F.CC
SQ. FT -V -
,YARD $PKLR SYSTEM
MOBILEHOME SVC'
SQ. FT. @
BAR SINK
r POWER OUTLET
SQ. FT. @
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
r --•-
SQ. FT.
DRINKING FOUNTAIN
FT. @
URINAL
VALUATION $
WATER PIPING
f OTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
• - Branch...
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT'SYSTEM
FAN EVAP.,COOL% .... HOOD
SIGN - - . • •
W,ASHER'(AUTO)(DISH) '.-
APPLIANCE
DRYER
10<
GARBAGE DISPOSAL
FQRNACE
UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING
UNIT r 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. @ C
BATH TUB
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @IV.c
SEWAGE DISPOSAL
SQ. FT. GAR @ : c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE -
PERMIT FEE
DBL.TC�If
Eino
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
��S�F� ELECT. FEE
SMI FEE
FEE PLUMB. FEE
G,.•�J-p�C/�l%«'�'7C. SpaCe
G!,
/rte '
% iK1
Vol ,i ,:;r ? ,�
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[FyTe` _ ��
wii
st
F.CC
Parcel fJy. r /� O /
Use/Gose No.'y
Set Backs
Lot Size '
,
F
S
S R
Zone rirfv;K
Group
Type
Plan Checker.
Final Date
/S ?�'1
Insp"r
V�_'
Unit
• - Branch...
Supplimentol Permit Numbers -
City Zip
.. .... .-.. ....
Tel. zip,**
City Zip
10<
Zip
ll BECOME VOID IF RK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
,LL ALSO C(/1�C17�` T ID.
THAT ALL WORK IN NNECTION WjjF{T}ILSPER/kIT WILLIE DONE INA�CQR4yjNC� WILH
2SIDE'COUNtY AND THE STATE OF CALIFORNIA.
' THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
I SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
I
. verified by: