398053 (PLBG)BUILDING PERMIT —
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD DIT
139,,8053 COUNTY OF RIVERSIDE l
PERMIT NO.
" 3980 5 3
CONSTRUCTION ESTIMATE
' NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
FOR.
GAR.
CAR P.
= WALL
'-- TIMATED CONSTRUCTION
SO. FT. @ $
UNITS
'
c s�
Community
SO. FT. @ YARD SPKLR SYSTEM
. 111S
SQ. FT. @ MOBILEHOME SVC. BAR SINK
SQ. FT. @ POWER OUTLET ROOF DRAINS
Dist.
SO. FT. @ DRAINAGE PIPING
F.C.C.
SO. FT. @ DRINKING FOUNTAIN
Micro Film Fee
SO. FT. @ URINAL ..
F
VALUATION $ WATER PIPING
Use/Case
`
';';NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
PI. Ck. Fee $
Set Backs
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER,
Legal Description
1r��1
1
VENT SYSTEM
FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
Zone Restri
APPLIANCE
DRYER
'SMI Foe - $/'�
GARBAGE DISPOSAL
y .o
FURNACE UNIT
WALL FLOOR SUSPENDED
Plan Checker
LAUNDRY TRAY
r'
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 `
Witness Fee $
HEATING SYSTEM
FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER
B.T.U.
SO. FT. @ a
BATH TUB
<
/
l.+'" «✓t,r''��I�,QYN
City r
�,.i ' av /-'�...
SO. FT. @ o
WATER HEATER
s, n rte.
~�
Contractor
S0. FT. RESID @I t%a
I1 SEWAGE DISPOSAL
j c�
Licensall
Trees squired
S0. FT. GAR @ s/aa
HOUSE SEWER
City'
-
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
,L /)
DBL.
TOTAL FEES
r G'
MOB. HM. FEE
MICRO'FEE
MECH. FEE Pl. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE
PlU B. FEE
.(I
PERMIT NO.
" 3980 5 3
"
lob Address -
6 �-
�� �
Space
1 6�10,� �
Zip
`9.2.�
Owner
,
'
c s�
Community
L,y i A-0
. 111S
I.v.lu9 tion
Dote r
/ •d°'• --
Dist.
Off.
F.C.C.
MH Permit Fee $�:
Micro Film Fee
Cop $
Use of Permit
(�'''j3'
t " r A -- I� 1—, 1 `
Cs
Parcel No.
/�,•� f/ Off.
Use/Case
`
No.
Mach. Fee Dbl g
PI. Ck. Fee $
Set Backs
Lot Size
Construction Fee Dbl S
Legal Description
1r��1
1
f1L� �,.f V� ` I
1 k..vc.
F S S R
Electrical Fee -Dbl $
Zone Restri
Group
Type
'SMI Foe - $/'�
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Final Dote
OWtI,r
Inspector
Unit
Sp. Insp. Fee $
Dental. Fee
$
Const. Lender
Branch
Supp/limit Numbers
Regisir. Fee $Mileoge
Fee $
Address rCity Zip
Witness Fee $
Reinsp. Fee
$
wner/ gent
Tal.
Zip
Total Fees $ ?
M.O. N.C. C:]Cash ec
Address _.
a� (.�...
<
/
l.+'" «✓t,r''��I�,QYN
City r
�,.i ' av /-'�...
Zip
'a ✓`+�...✓
Received by
s, n rte.
~�
Contractor
Tel.
Licensall
Trees squired
Sewage System'! ,%
Address
City'
Zip
'rte LL Cp / I THIS PERMIT SHALL BECOME VOID IF WORK ISNOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
ewer District • # s., 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
Y THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
EBY CERTIFY.THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284.208 (Ret. 1/80) -( ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
is f _� aF. ..f• +A` ,. _1:, . ;.. '+'. .r,'t :? .,,.,d: ."`t" r _ _ r_ .>, N A -t
.erilied by: h
NO.
OPERATION I
} DATE
INSPECTOR
NO.
OPERATION r
DATE
"Y NSPE AOR
BUILDING,�APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & Frms
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets 8 Outlets
4
Grout Blocks
-
37
Combustion] Air^ i
5
Bond Beams
38
Compressor } f
6
Roof Deck
39
Appl. Clearance
7
Framing
-
40
Fire. Damper
8
Vents
41
Smoke Detection Device
^:9. •
Garagi Fire Wall
42
Commercial Hood
10
Fireplace P. L.
43
Final
IDA
Fireplace T. 0.
°o
ADDITIONAL INFORMATION
,
s
- 1
,
l
,
U S
'
SEWAGE SYSTEM SIZE & LOCATION,'
,I1 Exterior Lath '
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION
Thick R
Value
7A Walls (Batts)
128 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 7�
•
Tank�VVV Pit t0%� L. line t '
`•' ,.
ELECTRICAL APPROVALS
REAR OF PROPERTY LINE
a /
-7
P/Ly ,
-
.
P/
26 • Power Pole `
27 Conduit
`t 28 Service Entrance
,424 Wiring
�'",49A-. C .Grounding Wire
..
....Bonding
t ,
- 0 Fixtures
31 ! Service'
32 final
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE DATE TIME � '� .-ERMI,T NUMBER
�Zjq
INSPECTIOKI
ADDRESS ofleff^^ I SPACE NO. FOR: REULI-ljESTED
A.M.
OWNER
COMMUkfTy
P.A.
BUILDING PLUMBING ELECTRICAL MECHANICAL
MON
a TUES
Wim`
REMARKS:
THUR
FRI
OWNER/CONTRACTOR TEL.NO.
- -- ---- 281-" 11,75
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY -
COUNTY OF RIVERSIDE
t
DISTRICT /
Permit No
284 109 9/74 CANARY—FILE, PINK — APPLICANT
Ownerry��pZ O ��Of7�� Sla�/Architect Contractor
Address 5 Z 1( Address Address_'
City//�y City_ City_
Phone 5 i��eZ 2 Z Phone Phone
or
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 County Riverside and the State of California governing said property.
/ooff _
A
DATE SIGNATURE OF OWNER AND/OR
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
I SPACE NO.
C" 1 USE OF STRUCTURE
�y
JOB ADDRESS ' 7�-' eqo - SINGLE FAMILY � DUPLEX
Y
I-
LEGAL DESCRIPT ON OF PROPERTY 3
_ ! APARTMENTS [� AGRIC.
. ,cr
Cz
N N
'' / ('i07MMERCIAL [ .INDUSTRIAL
GC
Z
COMMUNITY ALTERATIONS LJ
NO. OF SUBMITTED PLANS ---_ USE OF PERMITus _
a
LASE NO. �+
C7
p z
NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING -_
a
ZONE /SETBACKS: FRONT SIDE REAR
.I
m
GRADING PERMIT REQUIRED? ,. YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE b _— OF- FEET REQUIRED ON &f2- STREET
DATE f? u�J SIGNATURE OF LAND USE OFFICIAL
C5 '�
F;
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET__—.
iCURB
AND GUTTER REQUIRED: YES ❑ NO ❑ '. _ —STREET
i
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
'
W
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
D
,
IMPROVEMENT? YES ❑ NO ❑
°C
DATE SIGNATURE OF ROAD DEPT. OFFICIAL
W
SEWAGE DISPOSAL #146o-;67_ r. 71Ldz,
Q
_ WATER POLLUTION REMARKS
�n FLOOD CONTROL—
z AIR POLLUTION
W
DIV OF HWY
o .4 _ YOUR PROPERTY MAY BE SUBJECT TO
d
c FLOOD., RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN.EVENT OF FLOOD.
284 109 9/74 CANARY—FILE, PINK — APPLICANT
BUILDING PERMIT
`
'PERMIT NO.
(� p 0 G
J O J
"� s • ,
,..
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD OFFICE
DST
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL -p•
2ND. FL.
FOR.
GAR. '`
CAR P.
-WALL r
.50.
ESTIMATED, CONSTRUCTION
SO. FT. @ $
UNITS
ist,
SO. FT. @
YARD SPKLR SYSTEM
SO. FT. @ - MOBILEHOME SVC. -
BAR SINK '
50. FT. @ POWER OUTLET
ROOF DRAINS '
SO. FT. .@
DRAINAGE PIPING
SO. FT. @
- DRINKING FOUNTAIN
-
F.T. @
URINAL
VALUATION $ -
WATER PIPING
NQTEi" . N[ot 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
GARBAGE DISPOSAL
FURNACE UNIT' WALL FLOOR SUSPENDED
Group
LAUNDRY TRAY
AIR. HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET t ?
COMPRESSOR HP
POLE, TEMP/PERM.
LAVATORY
HEATING SYSTEM FORCED GRAVITY -
AMPERES SERV ENT
SHOWER.
BOILER B.T.U.
SO. FT. @ a
BATH TUB
Supplimentol Permit Numbers
s
'
SO. FT. @ • a
WATER HEATER
„
S0. FT. RESID. @ 1 14a
SEWAGE DISPOSAL
Reinsp. Fee g
50. FT. GAR @ Y4
HOUSE SEWER
Tel.
Zip
GAS PIPING
PERMIT FEE
.•
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEEMICRO'FEE
MECH. FEE - PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLU . FEE
__i
PERMIT NO.
03930.53
I -
lob Address
-
Space
Zip Owner
.z� s
..
Community
t
Valuation
$
Date
ist,
Of..
F.C. .
MH Permit Fee $ -
Micro Film. Fee Cop $.
Use of Permit
Parcel No. -
Use/Cose
No.
Ck. By
Mach.�Fee Dbl S12
PI. Ck. Fee. $
Set Bocks
Lot Site
Construction Fee. Obl ` $
leg I De ription
{
r� �' ` I
'/'�
tt . 1
-- „'C
F
S _
S
. R
Electrical Fee Dbl S
Zone Rest' c' s l/p
1
Group
Type
SMI Fee ' g
Plumbing Feet Dbl $
Bond Amt.
S
Plan o.
.;Plan Checker
Final Date L�Ins
0
Factor
_
Unit'
. .
Sp.-Insp. Fee .. $
Demol. Fee +' • $ '
Const. Lender
Branch
-
Supplimentol Permit Numbers
s
'
"
Registr..Fee $
Mileoge Fee $
Address r City Zip
ice. •�'
Witness Fee S,
Reinsp. Fee g
wrier/ ent
Tel.
Zip
Total Fees $
',M:O. ❑ N:C.❑ Cash e
Address
�
+58
.•
�'�'
City" Zip
! ,� �.��,.
A
Received by. •
Trees required
Contractor
Tel. -
License#
Sewage System "'
A. n U. -
Address.
_
w -
City
Zip
V jk�/ Ll "A VP/ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
Sewer Distct s FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. t
r r
1 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 CALIFORNIA.
~ s5?,f._jWPREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284208 (Rev: I/80) CORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.