398705 (BLCK)BUILDING PERMIT
PERMIT NO.
" 398705
PERMIT NO.
[398705
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD
DST
I
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
011,
�,,!,�••'
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SO. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN Lr±
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
Dbl S
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.
SO. FT. @ a
BATH TUB
Mileage
Mileage Fee $
SQ. FT. @ a
WATER HEATER
Reinsp. FeeS
S0. FT. RESID @ 1'Ac
SEWAGE DISPOSAL
Tel.
S0. FT. GAR @ t/a
HOUSE SEWER
Total Fees
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTA FEESq1
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
I CONST. FE A ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
" 398705
Job Address
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Space
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Owner
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Dist.
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MH Permit Fee $
Micro Film Fee
Cop S
Use o1 Permit
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Poor/cel No.
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Use/Case
No.
Ck�.�gjj��{r/Q►
Mesh. Fee Dbl S
PI. Ck. Fee S
Set Bocks
Lot Size
Construction Fee Dist S l
legal Description
eJ►t Jt._L- �'} �` . I,� (,•
F S S
/r
R
Electricol Fee Dist S
Zone R tristions
.
GroupType
SMI Fee $.P,\
Plumbing Fee
Dbl S
Bond Amt.
S
Plan No.
PIon Checker
Final Dote -
Inspector
Unit
Sp. Insp. Fee S
Demol. Fee
$
Const. Lender
Branch
Supplime/jnf.11l Permit Numbers
S
r. Fee $
e
Mileage
Mileage Fee $
Address {� �� City ,Zip
�! �'. Y r �'.'` .„,.-�'--..d• yam...'. =:%
s
Witness Fee S
Reinsp. FeeS
Ow er/Age
Tel.
Zip
Total Fees
S r [ ,)
Address
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City ./'�
j r
\� ru♦ 4 1 "C•-�
Zip
�'� Cs
M.O. 0 N.C. Cosh Check ❑%-J
Received- by
.,
Contractor
Tel.
Licensoo
`
Trees required'
Sewoge System
Address
City
Zip
T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: /t
Sewer District 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. CV
/
Y
REBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 484-408 (Rev. I/80) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
NQ.
, _ �OPERA�ION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventil6tion System 'A
F
2
Ftgs & Frms
34
Plenums & Ducts
2A
Slab Grade 1
35
Furnace Comport.
3
Steel
36
Inlets & Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beont
38
Compressor
6
Roo( Deck
1
39
Appl. Clearance e
7
Froming
��
%\jY1
• 40
41
Fire Damper
Smoke Detection Device
8 Vents
9
Garage Fire Wall
42
Commercial Hood
10.—Fireplace:'...
P. L.
t
43
Final
10A
firep— lace T. 0.
a
No ADDITIONAL INFORMATION
'
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_
r
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior lath
12 Internal Loth
12A Drywall
13 Finish Grode X.
INSULATION Thick
V614z
7A Walls (Botts)
12B Ceiling (Botts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
..y �. _ Y.,�_.:...'.: ... -r^_ � �.... �..a.:,.� �--.-.a. _ - _ �. _ _
"
15 Ground Plumb ^ y
16 Water Piping t ' '• ,+'
17 Rough Plumb
18 Vents r t r
.i.
19 a Disposal
'20•. Sewer
21 Water Heater
22 Water Softener a�
23 Water Service
;
24 Gas Test
25 'Final
Tank
Pit L. Line
REAR of PROPeRrr. LINE
3 ' •
j
ELECTRICAL APPROVALS
Pfl
'
`-• - - •,
t
P/
,
'
26 Power Pole
27 - Conduit
28 Service Entrance -.,
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
1
STREET NAME
;µf
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT — P -
Permit No
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
Owner A. "k h Architect G.a_VVA.A—_ —_ Contractor_>��iM-Q —
Addres — m �//��2�- Address___ Address- — —_—
City A V-__ _Q_ Z Z 7 City----
ity_—_—Phone
Phone—S�es—� 2 �• Phone _ Phone—
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 saidpro rty to be occupied until I (we) have
complied with all laws of the Coaunnty of Riverside and the State of California governing said propert .
DATE —'9w_SIGNATURE SIGNATURE OF OWNER AND/OR AGE min
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
I SPACE NO.
_ 1 USE OF STRUCTURE
JOB ADDRESS
� SINGLE FAMILY DUPLEX
}
H
Z W
��(,��'�
LEGAL DES R1PT10N OF PROPERTY 2o�1Y�'�L)��`
� r - APARTMENTS AGRIC.
�'� k'
Q
—�-- COMMERCIAL ❑ INDUSTRIAL n
CO
COMMUNITY ALTERATIONS n
Z
NO. OF SUBMITTED PLANS — USE OF PERMIT
jCASE
NO.
_ t
Z
NO. OF P ING SPACES REQUIRED -- — NO. OF BUILDINGS NOW EXISTING
a o
ZONE SETBACKS: FRONT SIDE REAR
J m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE # OF FEET REQUIRED ON TREET
DATE — SIGNATURE OF LAND USE OFFICIAL --
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET-
H
--z
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
H
oc
Qa
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
W
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
Q
IMPROVEMENT? YES ❑ NO ❑
O
°C
DATE SIGNATURE OF ROAD DEPT. OFFICIAI
Z
SWIMMING POOLS PUBLIC
aW
SEWAGE DISPOSAL
FOOD ESTABLISHMENT
_
WATER POLLUTION REMARKS
to FLOOD CONTROL
f
W AIR POLLUTION
_ DIV OF HWY
h
c a — YOUR PROPERTY MAY BE SUBJECT TO
o.
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD. Id
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
BUILDING PERMIT'
PERMIT No.
-DEPARTMENT. OF BUILDING & SAFETY
3987 O C r COUNTY OF RIVERSIDE
FIELD' OFFICE
nDST
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES If
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ t $
UNITS -
Zip
SQ: FT. '
@. '
YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC.'" 1 �
BAR•SINK
`
SQ. FT. @ POWER OUTLET
ROOF DRAINS }'
SO. FT. @
DRAINAGE PIPING 1 ,
SO. FT. @
,{ • DRINKING FOUNTAIN °
SO. FT. la .. - ..
-URINAL. r -
VALUATION,. $
r WATER PIPING•
NOTE: Not 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
Construction Fee Dbl S.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
-'
,. LAUNDFY TRAY
AIR HANDLING UNIT CFM
IDLE METER -
r.a
KITCHEN•SINK
ABSORPTION SYSTEM B.T.U.
- TEMP USE PERMIT:SVC'
ti WATER CLOSET,
COMPRESSOR - ' HP�
POLE, TEMP/PERM `
LAVATORY
HEATING SYSTEM FORCED, GRAVITY
AMPERES SERV ENT
SHOWER• z
BOILER B.T.U.
SQ.. FT. @ a
BATH TUB /. .
- SQ. FT. @ 'a
WATER HEATER - -
•
S0. FT. RESID',.@la/<a.'
SEWAGE DISPOSAL
S
SO. FT. GAR • @ .344
HOUSE SEWER F
_
"�--•.
GAS PIPING
PERMIT FEE
Mileage Fee S
PERMIT FEE
PERMIT FEE
DBL.
- 'TOT •FEES^q
rO8. HM. FEE
MICRO FE?
MECH. FEE PL CK. FEE
CONST.
,ytfEAEnI,ELECT. FEESMI
FEE
FEE PLUMB..FEE
PERMIT NO.
•
Job Address
Spo<e
Zip
Owne '
Community-
♦
A 4
`/ otion
S
Date
�•' �✓•Y'v .
Dist.
Off.
F.C.
MH- Permit Fee S
Micro Film Fee •
Cop S
Use of Permit
��,
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Porcel :No.
v
�,� I' ,r. Q /
Ole
Use/Cow
/Gose No. s
Ck. B /
{�•�'
Mech. Fee - Obl S
PI. Ck. Fee S
Set Backs
Lot Size
Construction Fee Dbl S.
legal Description
•
+
-'
F
S S '
R
Electrical Fee.. Dbl S
Zone st ct ons - [Group
�
Type ,
SMI Fee S
Plumbing Fee
Dbl S
Bond Amt.
g -
P on No.
'• (
Plpn" Necker.:".
Fina ,Date —.
0.
7 -as
Inspgltor � '_
(_`J(1fIJl�JII`-(oma/U/UY`
� Unit y
Sp. Insp. Fee - S
Demol. Fee
S
Const. lender
_
_ Branch'-
Supplimental Permit Numbers
- ..
••
Reg!str. Fee S
Mileage Fee S
. Address City •
/ r
Zip
Witness Fee g
Reinsp. Fee
S
'O er �-
Tel. Zip
Total Fees
S
• Cb
Address° /^
/J
-
,
}
v •
City - Zip '
.:J �v. t 1\.. S / /X, 6.;7 -
M. C] N.C. Cash Cher:k
Received by
Contractor
r
TeL
Licensee
Trees required
Sewage System
.'
Address
t_.
City- • Zip
T LL P IHIS PtKMN.SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS., CESSATION OF WORK' verified by:
Sewer District 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^
i ' S THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. _
I IJEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS -AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Re,. 1/80).. ' CORDANCE WITH SECTION 5541 rOF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.