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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
3B 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. 0
43 Final
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Fireplace T.O.
OP'N
NO.
ADDITIONAL INFORMATION
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11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
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 Softener
23 Water Service
24 Gas Test
25
Final
Tank Pit L.Line
P/L
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
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26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring if •Z�`
29A Grounding Wire
29B Bonding
30 Fixtures G2J
31 Service
32 Final to L r-6'e-
STREET NAME
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT
Permit No
284 199A 9/74 ; Y CANARY—FILE, PINK—APPLICANT .
Owner Arc�hitect_—. --_ Contractor------
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ddress- -- ----
Address�l)0.���j GQ9 �(ddress___ Address-._---
City�"�'!
CityCry— _ City --------
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Phone y o I 7 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
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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 1 (we) have
complied with all laws of the County of Riverside and the State of California governing said property.
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DATE --------- SIGNATURE OF OWNER AND/OR AGENT1-/4�L,eC�/
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
SPACE N0.
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JOB ADDRESS SINGLE FAMILY DUPLEX El
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LECA DESCRIPTION OF PROPERTY - APARTMENTS AGRIC.
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COMMUNITY
ALTERATIONS
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NO. OF SUBMITTED PLANS USE OF PERMIT
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CASE NO. — -
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NO. OF%kR RKKINNGG 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
SETBA DIN%SCE # OF FEET REQUIRED ON STREET
DATE `�' �zf SIGNATURE OF LAND USE OFFICIAL
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 ❑
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DATE _ SIGNATURE OF ROAD DEPT. OFFICIAI
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SWIMMING POOLS PUBLIC
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SEWAGE DISPOSAL
_
FOOD ESTABLISHMENT
WATER POLLUTION — REMARKS
to FLOOD CONTROL—
z AIR POLLUTION
cd W
2 DIV OF HWY
c a — YOUR PROPERTY MAY BE SUBJECT TO
a
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 ; Y CANARY—FILE, PINK—APPLICANT .