353759 (SFD)PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD
353759 COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
O.
ELECTRICAL F
NO.
PLUMBING FEES
I ST, FL.
2ND. FL.
POR.
i GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @
SQ. FT. @
SQ, FT. @
SQ. FT. @
SQ. FT. @
SQ. FT. @
SQ. FT. @
VALUATION
UNITS
YARD SPKLR SYSTEM
MOBILEHOME SVC._
BAR SINK
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
$
/
WATER PIPING
I NOTE: Not to be used as properly 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
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. @ c
BATH TUB
SQ. FT, @ c
WATER HEATER
SQ. FT. RESID @IV,c
SEWAGE DISPOSAL
SQ. FT. GAR @ 'i c
HOUSE SEWER
21N
c:
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
C�/ :-
IDEL
/JoIACFEES
MOB. HM. FEE
MICRO FEE
MECH. FEE
PL. CK. FEE
I CONST FEE
-ZE EE
SMI FEE
FEE
LftEr. FEE
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-- . PERMIT NO
�3759 W,
Job Address �i r • /It -11 �':z y�l�.:� : / Space 1
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O-Ar /,vj� -f 0(
Comrr�{ty"ty!� r ✓ �1 Valuation
$
Gist.
.,ON
FCC
MH Permit Fee
$
Mien Film Fee
Cop $
Use of Permit f' y . ! j� ri
rcel o Utc C�-e No. X1 ly r
Meth Fee
Dbl $
PI. Ck. 1,6e
E
57y Boe:i
Lot Size
Canstrvctiuri Fee
Dbl $Legal
r—
Description
' /
F
Electrical Fee
Dbl '6
Z�RestAtions
Group Type
SMI.Fae
•S
rg•
Ptumbing Fee
Dbl $
Bond Amt:
$
Plan No.
Plan Checker
Flrwi Doi o<
/�
Unit
Sp. Insp. Fee
!6
Demol. Fee
$
Consi. Lender Branch
pplim lol Permit Numbers
Registr. Fee
$
Mileoge Fee
$
Address City Zip
Witness Fee
:6
Reinsp. Fee
$
Owner/Agent
Tel. Z-P
Total Fees !6
Address
Jr
C,I} Zip
A1.D. N. �;-Cciba Check n
Received by
CGr:traUAr T
Tel.
..y A
,
liItef!�p ,
Trees required
Sewage System
Address
Zi
T ILL P THIS PERMIT SHALL BECOM �KDT�WCOMMENCED WITHIN 120 DAYS. CESSATION OF WORK .rificd 5y
Sewer District FOR 120 DAYS SHALLALSOOID.
I HEREBY AGREE THAT ALL WORK INH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
pit'-f 1'_a I ( (P I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN II i
ACCORDANCE WITH SECTION 55A1 OF THE BUSINESS AND PROFESSIONS CODE QF,Tii� STATE OF CALIFORNIA.
Form 284-208 (Rev.8/78) .-A
N
NO
OPERATION
DATE
INSPECTOR
NO
OPERATION
DATE �+ INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
I
Set Back
`33
Ventilalion System
2
Figs & 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
10A
Fireplace T.O. ❑
Nom ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11
Exterior Lath
12
Internal Lath
12A
Drywall
13
Finish Grade
INSULATION
Thick
R
Value
7A
I Walls (Batts)
12B
Ceiling (Batts)
12C
Ceiling (Blown)
14
Final
_PLUMBING APPROVALS
15 Ground Plumb
16
Water Piping
17
Rough Plumb
z �7
18
Vents
19
Sewage Disposal
20
Sewer
21
Water Heater
22
Water Softener
23
Water Service
24
Gas Test
25
Final
I ank PIP L-Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
26
Power Pole
27
Conduit
28
Service Entrance
29
Wiring
29A
Grounding Wire
29B
I Bonding
30
Fixtures
31
Service
32
Final
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT
Permit No
Owner I '� ' Architect Con tractor_±-' f •r �f.�
Addres -� °` / t} �"' '' Address___ -- Address_756 UllL
r3. (' j ''' PAom
city City-- Cry_
Phrne_ Phone �,) - —
I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and
W
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 1 (we) have
complied with all I ws of the FCounty of Riverside and the State of California governing said property.
SIGNATURE OF OWNER AND/OR AGENT
DATE
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
ISPACE NO.
�„ J � ,• :, I USE OF STRUCTURE
JOB ADDRESS -- I SINGLE FAMILY DUPLEX
H
LEGAL q�CRIPTION OF PROPERTY _ - APARTMENTS AGRIC. �l
H Q
COMMERCIAL INDUSTRIAL L]
1
j 6A
COMMUNITY
ALTERATIONS
_
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NO- OF SUBMITTED PLANS USE OF PERMIT
Q
CASE NO.
C3
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NO, OF PARKING SPACES REQUIRED = NO. OF BUILDINGS N W EX�STING
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ZONE SETBACKS: FRONTSIDE REAR
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GRADING PERMIT REQUIRED? YES -7 NO ❑ LOT SIZE
SETBACK ORDINANCE OF FEET REQUIRED ON STREET
DATE SIGNATURE OF LAND USE OFFICIAL
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET
W
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
i
t-
d
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
W
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
IMPROVEMENT? YES ❑ NO ❑
O
°L
DATE_ SIGNATURE OF ROAD DEPT. OFFICIAL —
=
SWIMMING POOLS PUBLIC
WSEWAGE
DISPOSAL
= O
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS _
�n FLOOD CONTROL
W AIR POLLUTION
W
DIV OF HWY
o a YOUR PROPERTY MAY BE SUBJECT TO
_
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199 9/74 CANARY —FILE, PINK —APPLICANT
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