No Permit No (BLCK)APPLICANT NAME (L, F. MI)
CITY/COMMUNI, IST EI IP •� �'
JOB SITE ADD SISP
CITY1COMMUNITYISTATI2121V
OK
PAG
PRC
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LIRA T I IF f.TM
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SB
TRACT NAME
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OWNER NAME (L,F,MI) -
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PHONE 9
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LICNC qCOflGRtt'M
ADDRESS
CITY/COMMUNITYISTATE/ZIP '
PHONE U
BL I CTOF�5F
FINAL DATE '
{ ARCIENG FIRM NAME
LICNC # '
ADDRESS
1
CITY/COMMUNITYISTATE/ZIP'
PLAN #
PLANS EXAMINER
APPROVE DATE
USE OF PERMIT,
BL
ZON
FSB
SSB"
SB",
RSB
OFC
ZONEORDH
LOT SZ
END S16E
APPLIPRMT H PS DATE
,� ...._. 47033
i
TOTAL .
FEE
'CA
CK
NC
COUNTER B.I.
COUNTER L.U.T.
9
t
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147037371
I
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back :.
1
33
Ventilation System
2
Figs 6 Frms �L
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel ¢ . eL
36
Inlets 8 Outlets
4
Grout Blocks Z
37
Combustion Air
5
Bond Beams c�
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. 0. ❑
No
ADDITIONAL- INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
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
PSL
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
Pp
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 1
APPLICATION TO CONSTRUCT Permit No
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
284 199'A 9/74 CANARY—FILE, PINK—APPLICANT
Owner/T/ t Architect —_ Contractor--_-.. ----___
Ad r s res -/ Address- .— .--
City---- ---
hone—
Phone /- Phone _ Phone--
I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and
I
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
P
O
without an encroachment permit.
NOW, therefore, it is agreed that I (we) will not occupy said property and will not cause s rop t oc p' u til (we) have
complied with all laws of the County of Riverside and the State of California governing said prop
DATE __.—____ SIGNATURE OF OWNER AND/OR AGEN _
Approval by Signature from the Following Departments Lis Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
I SPACE N0.
USE OF STRUCTURE
JOB ADDRESS
SINGLE FAMILY DUPLEX
f=��D�,
LEG L DEF_"
Z W
_—
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�� ,lC�`"=`�F— / APARTMENTS AGRIC.
v
a
COMMERCIAL INDUSTRIAL n
COMMUNIT'
�TERATI ❑
%,_k
Z
NO. OF SUOF PERMIT p*2��
uj a
CASE NO.—_
—_
Z
NO. OF PARKING SPACES REQUIRED _ — NO. OF BUILDINGS NOW EXISTING
a
ZONE SETBACKS: FRONT SIDE REAR
J m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE # OF FEET REQUIRED ON STREET
DATE /e -1/ -7 _ Z- SIGNATURE OF LAND USE OFFICIAL
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET -
W
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ -STREET
H
a
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 [INO ❑
o�
DATE SIGNATURE OF ROAD DEPT. OFFICIAL
S
SWIMMING POOLS PUBLIC
QW
SEWAGE DISPOSAL
_
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
H FLOOD CONTROL
H
W AIR POLLUTION
oc
W
"
DIV OF HWY
c a YOUR PROPERTY MAY BE SUBJECT TO
—
a
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199'A 9/74 CANARY—FILE, PINK—APPLICANT