369330 (BLCK)0WILv11 v rmmn
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELDAIM
369330 COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
SQ, FT, @ $
UNITS
Date •-�
/w7 / f %G
2ND. FL.
SQ. FT. @
F.C.C.
YARD SPKLR SYSTEM
FOR.
GAR.
SQ. FT.
MOBILEHOME SVC.
BAR SINK
SO. FT, @ POWER OUTLET
ROOF DRAINS
CAR P.
WALL JTSQ.Y
SQ. FT. @
Construction Fee Dbl E s�}
DRAINAGE PIPING '
FT. @ ' aim
DRINKING FOUNTAIN
SQ. FT. @
URINAL
ESTIMATED CONSTRUCTION VALUATION $
SMI Fee E
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
Registr. Fee §
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Witness Fee E
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 r
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
S0. FT. GAR @ '/. 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
4
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
369330
Job Address Space Zip
-Z-V-jU? A— 4:. �,J was
Owner
ku.-14 ,�a,�,
Community
,�/'
^l G'�r1s•``1�Y'�
Valuation
valuation
Is r�""�
Date •-�
/w7 / f %G
Dist.
� j
Off„.„
01
F.C.C.
MH.Permit Fee E
Micro Film Fee Cop E
Use of Permit .. /
Parcel No.
�7/
Use/Case No. �Ck,ByMech.
Fee Dbl E^6✓V!`-LL✓
Pl. Ck. Fee E
Set Backs
Lot Size
Construction Fee Dbl E s�}
Legal Description
I t
F S S R
Electrical Fee Dbl E
Zone Restrictions
Group
Type
SMI Fee E
Plumbing Fee Dbl E
Bond Amt.
E
Plan No.
Plan Checker
Final DoteInspecto
91-7-7-1
r
Unit
Sp. Insp. Fee E
Demol. Fee E
Const. Lender Branch
Supplimentol Permit Numbers
Of
Registr. Fee §
Fee §
Address � City Zip
Witness Fee E
Reinsp. Fee §
Owner/Agent
Tel. Zip
Total Fees § S t4V
Address
City Zip
M.O. El N.C. 0 Cash Chege
Received by 14 al'1111A—.
Contractor ew: �'
/ ' I C. �`�%It"L� c. �I"�•�%
Tel.
-.2-J L16 -4t
License#
s•�'rJI;!•v'� ••
Trees required
Sewage System
Address
City Zip
T U. p
t Sewer District
Lw "
A Foam 284-208 (Rev.8/78) .
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verifiedty:
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 t..
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.
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS^
1
Set Back
33
Ventilation System
2
Ftgs & Frms
7- / 7.�
/ /
34
Plenums & Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
—/ 7"2�'
36
Inlets & Outlets
4
Grout Blocks!
Qli
37
Combustion Air
5
Bond Beams
.3/� % % Q4.
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
IDA
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 '
REAR OF PROPERTY LINE
PSL P)I
I
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
NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT
APPLICATION TO CONSTRUCT Permit No
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
284 199A 9/74' CANARY—FILE, PINK—APPLICANT
Owner Ae-.td�C'e"*�Architect —_ --_ Contractor_
O�"7Address____ Address—
Addres �� �' �O
City 1 119 City_— City__ ✓1���y
—
Phone� �2Z' — F/ 3 3 Phone _ Phone—
K
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 tti Co. ty of Riverside, the Riverside County Department of Building and Safety
3
shall not make a Final Inspection until said requirements hav een met. I am also aware that no work is to be done within the County R/W
O
without an encroachment V
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 with all laws of the County of Riverside and the State of California governing said property.
DATE - -------- SIGNATURE OF OWNER AND/OR AGENT
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
�pZ�3 I SPACE N0.
_ USE OF STRUCTURE
U r��
JOB ADDRESS ✓ r SINGLE FAMILY { DUPLEX
}
o/
LEG SCR�TI%ONaF PROPERTY �* APARTM ENTS /Q—` AGRIC.
Z
El
— —'COMMERCIAL'
0 Q
INDUSTRIAL n
'^
COMMUNITY
ALTERATIONS n
�
Z
NO. OF SUBMITTED PLANS USE OF PERMIT
Q
CASE NO. /�--
tD
Z
NO. OF PARKING SPACES REQUIRED _—�—_ NO. OF BUILDINGS NOW EXISTING —
Q �
ZON -- ETBA6KS: FRONT SIDE REAR
J
m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBAC RDINANCEEf OF FEET REQUIRED ON TREET
DATE2—L--1 SIGNATURE OF LAND USE OFFICIA _ _
!
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET --
z
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
ot:
a
W
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
HAS AN ACCEPTABLE APPLICATION BEEN .MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
Q
IMPROVEMENT? YES ❑ NO ❑
O
o�
DATE — SIGNATURE OF ROAD DEPT. OFFICIAI
S
SWIMMING POOLS PUBLIC
QW
SEWAGE DISPOSAL
_
FOOD .ESTABLISHMENT
WATER POLLUTION REMARKS
ut FLOOD CONTROL—
z AIR POLLUTION
oc :
= DIV OF HWY
c a — YOUR PROPERTY MAY BE SUBJECT T0.
o.
c FLOOD. RIVERSIDE COUNTY ASSUMES
_ NO RESPONSIBILITY IN.EVENT OF FLOOD.
284 199A 9/74' CANARY—FILE, PINK—APPLICANT
BUILDING PERMIT
1369330]
PERMIT NO.
Job Address
-sy -
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
NtLU Urr)ct
I.,
DST
F//
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
F.C.C.
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. 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
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Dbl E
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Plan No.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLETEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
Witness Fee §
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @IVAi:
SEWAGE DISPOSAL
Tel.
SQ. FT. GAR @ 1% c
HOUSE SEWER
Total Fees
§
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. FEE
I
PERMIT NO.
3693 3 0
Job Address
-sy -
104*4�2;'Pj
Space Zip
d�.x-3
Owner
ku,1,i��
M�,�, i's
Community
1Y,q r 4a,11-1194§
Valuation
Date
W -7— '
Dist.
//
O�
F.C.C.
MH.Permit Fee E
Micro Film Fee
Cop E
Use of Permit
� �G -7f
% C?4 A'6
Parcel No. ,ry /
77� tJ�-�!✓� /i
se/Case No.
k. By
w7
Mach. Fee Dbl E
Pl. Ck. Fee §
Set Backs
I Lot Size
Construction Fee Dbl E
legal Description
3
40 4Z;lt�dq 5e�
F S S R
Electrical Fee Dbl E
Zane Restrictions
A-1
Group
Type
SMI Fee §
Plumbing Fee
Dbl E
Bond Amt.
§
Plan No.
FnChecker
F' Date
Inspector
Unit
Sp. Insp. Fee §
Demo!. Fee
E
Const. Lender
Branch
Supplimentol Permit Numbers
Registr. Fee §
Mileage Fee §
Address City Zip
Witness Fee §
Reinsp. Fee
§
Owner/Agent
Tel.
Zip
Total Fees
§
Address
City
Zip
M.O. N.C. Cash Che -
Received by
Contractor �✓
f,�L-1'%C.Fc/���C7/N®��"
Tel.
�6.7�-
License#
Trees required
Sewage System
Address
City Zip
'
T LL P
i Sewer District
Form 284.208 (Rev.8/78) @5
THIS PERMIT SHALL BECOME VOID IF WORK- IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK veriftedby:
FOR 120 DAYS SHAH 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.