375529 (RPL)BUILDING PERMIT
PERMIT NO. -
PERMIT NO.
Job Address
DEPARTMENT OF BUILDING & SAFETY
Space Zip Owner
1.375529
DST
3 7 5 5 2 9
COUNTY OF RIVERSIDEF/'
FIELD
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. @
UNITS
Cop E
se P rmit " Parcel No. Use Cos o. Ck. By
Set Backs Lot Size
Legal Description F S 5 R
_ ,IcV / n 9 Zo^ estriction Group Type
�01
2ND. FL. SQ. FT. @
PI. Ck. Fee $
YARD SPKLR SYSTEM
Electrical Fee Dbl E
POR. SQ. FT. @
MOBILEHOME SVC.
BAR SINK
G!R `
GAR. SQ. FT. @
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT. @
DRAINAGE PIPING
Dbl E
WALL SQ. FT. @
Plan No.
DRINKING FOUNTAIN
Plan Checker
SQ. FT. @
Insp QRT�/p
URINAL
Sp. Insp. Fee
IMATED CONSTRUCTION VALUATION
$
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
Branch
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
Address City Zip
APPLIANCE DRYER
Reinsp. Fee
GARBAGE DISPOSAL
Owner/Agent
fes"\
FURNACE UNIT WALL FLOOR SUSPENDED
Tel. Zip
LAUNDRY TRAY
Total Fees
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
City Zip
'
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
r e .,•
COMPRESSOR HP
POLE,TEMP/PERM
LAVATORY
'
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
t<
SV
SQ. FT. @ c
WATER HEATER
r+
ddress
SQ. FT. RESID @I /.c
SEWAGE DISPOSAL
f �.
SQ. FT. GAR @ 3/4 c
HOUSE SEWER
,
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE
PLUMB. EE
PERMIT NO. -
Job Address
Space Zip Owner
1.375529
�44
-
Community
Valuation
Ls -
16—we Dist. OH. F.C.C.
MH.Permit Fee E
Micro Film Fee
Cop E
se P rmit " Parcel No. Use Cos o. Ck. By
Set Backs Lot Size
Legal Description F S 5 R
_ ,IcV / n 9 Zo^ estriction Group Type
�01
Meth. Fee Dbl E
PI. Ck. Fee $
Construction Fee Dbl E
Electrical Fee Dbl E
G!R `
SMI Fee
$
Plumbing Fee
Dbl E
1 Bond Amt.
Plan No.
Plan Checker
Final Dae
Insp QRT�/p
Unit
Sp. Insp. Fee
$
$
Denial. Fee
$
Const. Lender
Branch
Supplimental Permit Numbers ,
Regisir. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent
fes"\
Tel. Zip
Total Fees
$
Address° '
City Zip
'
M.O.
N.C. M Cc*Nn C
�'t
r e .,•
Received byontroctor
v
'
Tel
License#
Trees requiredLl-
7
`V
SV
Sewage System
t-''
ddress
City • Zip
s
k'
,
T LL P
Sewer District
Form 284-208 (Rev.8/78) P
I—
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
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
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
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.
verified by:
i'
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
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
l0A"
Fireplace T. 0. E
oo
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 _ � �i
Tank Pit L.Line
REAR OF PROPERTY LINE
P/L P)
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
PAGE DATE
COMPLAINT FILE NO.
PERMIT N0,
NATURE OF COMPLAINT
SCHOOL
INFORMANT DISTRICT ZONE
ADDRESS CITY PHONE
VIOLATOR'S NAME ADDRESS
COMMUNITY
REMARKS:
RECEIVED
t
ZONE
L ',;:.�7 --
—Lt-�—REAR YARD
—lap AREA PARKING
DATE RECORDED —1 ADING
CP FRONT YARD EIG. T LDG.
EIG T LD
G.
�)T
--0%,6 OF COV'r'
'>IDE YARD T c o v, �rj,,
S T < 0
�ATE SETBA - ORD.
APPROVED By.
�AND USE DIVISION
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT — //
Permit
Owner Rxy Architect _. —_—_ Contractor—L.�—C> N S 40ti Q
(,00
Address Address__-- Address_ #rzNr'-S-f-
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C; ry—els f fl c/ 3� % Cry-- C ty---�� D���—p —
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Z f 3 — a6 Phone _ Phone—� /— 9a �
Phone q—
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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
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 1 (we) will not occupy said property and will not cause said property to be occupied until I (we) have
complied withall laws of theCounty of Riverside and the State of California governing said property
DATE SIGNATURE OF OWNER AND/OR AGENT O'��
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
22. 1 SPACE NO.
1 USE OF STRUCTURE
Av
JOB ADDRESS' SINGLE FAMILY DUPLEX
L�GAL/DIP 10 PRQF�$T APARTMENTS `U
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W
O u
AGRIC.
fv'� `..
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- ----
N N
COMMERCIAL Ej INDUSTRIAL
COMMUNITY ALTERATIONS
CC
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NO. OF SUBMITTED PLANS USE OF PERMIT
tCASE
NO.
C Z
NO. OF P ING SPACES REQUIRED �,, — NO. OF BUILDINGS O E TING
I
a
ZONE SETBACKS: FRONT fy SIDE l;U Rte{)
J
m
f5D (� (/
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBAC DI N OF FEET REQUIRED ON jq aSR EET
DATE SIGNATURE OF LAND USE OFFICIAL XL
F
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET
rZ.r
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
i
a
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
W
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
CIMPROVEMENT?
YES ElNO ❑
°C
DATE SIGNATURE OF ROAD DEPT. OFFICIAL
S
SWIMMING POOLS PUBLIC
J
W
SEWAGE DISPOSAL
_
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
vt FLOOD CONTROL
H
Z AIR POLLUTION
� W
= F DIV OF HWY
c a — YOUR PROPERTY MAY BE SUBJECT TO
o.
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
DUBLUIMU VtKMII
PERMIT NO.
1.375, 1 -
-�I
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST
COUNTY OF RIVERSIDE F, I
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES "
IST FL. SQ. FT. @
UNITS
2ND. FL. SQ. FT. @
YARD SPKLR SYSTEM
FOR. SQ. FT. @
MOBILEHOME SVC.
BAR SINK
MH.Permit Fee$
GAR. SQ. FT. @
POWER OUTLET
ROOF DRAINS
Mech. Fee Dbl $
CAR P. SQ. FT. @
Construction Fee Dbl $
DRAINAGE PIPING
SMI Fee $ -"
LL SQ. FT. @
Dbl $Bond
DRINKING FOUNTAIN
Plan No.
SQ. FT. @
4I
Firyz) Drate
URINAL
Unit
IMATED CONSTRUCTION VALUATION $21-
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
fWATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
$
GARBAGE DISPOSAL
Supplimental Permit Numbers
"
FURNACE UNIT WALL FLOOR SUSPENDED
Regisir. Fee $
LAUNDRY TRAY r
Address City Zip
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
Owner/Agent -
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET y
Total Fees
COMPRESSOR HP
POLE,TEMP/PERM
LAVATORY
Zip
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER i
BOILER B.T.U.
SQ. FT. @ t
BATH TUB
ontractor
Tel.
SQ. FT. @ c
WATER HEATER
OW f7-10,,/ �
S0. FT. RESID @1'/.c
SEWAGE DISPOSAL
r
�fj1
SQ..FT. GAR @ '/. C
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMITT--FEE
DBL.
TOTAL FEES
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
"PPLIU-1 FEE
�"
PERMIT NO.
Job Address Space Zip Owner
3755299
-
Community Valuation. Date Dist.
01 .- `�% ��44
Off. F.C.C.
Z
MH.Permit Fee$
Micro Film Fee
Cop $
se oP rmit - - - Parcel No. Use/Cose too. Ck. By
Set Backs of Size
Legal Description - FS S R
Zorie Restrictions Group Type
Mech. Fee Dbl $
PI. Ck. Fee $
Construction Fee Dbl $
Electrical Fee Dbl $
SMI Fee $ -"
Plumbing Fee
Dbl $Bond
Amt.
Plan No.
Plan Checker
Firyz) Drate
Inspr
Unit
Sp. Insp. Fee
`
E
$•
Demol. Fee
$
Const. Lender •- Branch
Supplimental Permit Numbers
"
Regisir. Fee $
Mileage Fee - $
Address City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent -
Tel.
Zip ,
t
Total Fees
$
Addre( }�q� t
City -
Zip
M.O. 0 N.C.
Cosh'M Cga
F•.ro(� G' `•ry~
Received by
ontractor
Tel.
Licenseq
frees required
OW f7-10,,/ �
• - ^0(�
Sewage System
�fj1
Address s
City Zip
4
T LL P
Sewer District "�•..,,.,ti�
Form 284-208 (Rev.8/78) P
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
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
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
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.