387568 (RPL) PSTFL.
MIT ODEPARTENT OYFBUILDING OF RVERSIDESAFETY IIIIIIIIVIII VIIIIIIII75 ST
IECONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES
SQ. FT. @
UNITS
2ND. fl. SQ. FT. @
YARD SPKLR SYSTEM
POR. SQ. FT. @ MOBILEHOME SVC. BAR SINK
GAR. SQ. FT. @ POWER OUTLET ROOF DRAINS
CAR P. SQ. FT. @
DRAINAGE PIPING
WALL SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @ URINAL
ESTIMATED 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
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 @1'/.t SEWAGE DISPOSAL
SQ.FT.GAR @ 3/4 t HOUSE SEWER
GAS PIPING
PERMIT FEE PERMIT FEE PERMIT FES
DBL. TOTAL FEES, MOB.HM.FEE MICRO FEE MECH.FEE PL.CK.FEE I CONST.FEE ELECT.FEE SMI FEE ( } E PLUMB.FEE
PERMIT NO. Job d ess Space Zip Owner„
3 8 7 5 6 8 Community ( valuation DDate� ~�J Dist. Off F.0
`
MH.Permit Fee f '`�� �L f�,• �/�'• '
'Micro Film fee Cop § Use of Permit } 1 Parcel No. Use/Case o. Ck.By f
Mech.Fee Dbl § � ,) 111 r f n-) , S ", &r ' ^'S'�.�J- �Jr J
PI.Ck-Fee § t�' -I--r- E ..�� Set Backs Lot Size_ ,
Construction Fee Dbl § Legal Description F 2_ S�70 1 5 ,�' R �.�
Electrical Fee Dbl § Zone R strictions Group Type
SMI Fee § ? '•
Plumbing Fee Dbl § Bond Amt. Plan No. Plan Checker Final Date Ins actor nit
Sp.Insp.Fee § § go
Demol.Fee § Const.Lender Branch Supplimental Permit Numbers
. Registr.Fee §
Address Cit Zi
Fee § y p �-
Mileage �� ,�[1
Witness Fee $ 1 _'
:2
Reinsp.Fee § Owner/Agent Tel. f Zip
l I
Total Fees § Address/ `t Ciry Zip
r M. N.C. Cash Ch (j'
TQ
r ntractor Tel. / �/� '`j LicenseN
Received by / 1 t ((/t� ['L !! /+J�
Trees required �...� 'V w / „m!
Sewage System AddressZi City t
j ( t P
• T U THIS PERMIT 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 VOIDl,
f I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
T OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
I 1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208(Rev. 78) @s ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
y B/ I
YA_Vw_ W._-.__- - _? t T.—_.rye..-,r_...__... -d1Y_- �! .- �R� ti-. ...Yom' YY L_. +!._ :+ _•`• __ { w f- _}
NO.. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR
BUILDING APPROVALS MECHANICAL APPROVALS
1 Set Back 33 Ventilation System
2 Ftgs& Frms 34 Plenums&Ducts
2A Slob 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. NO ADDITIONAL INFORMATION
11 Exterior Loth
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
SEWAGE SYSTEM SIZE & LOCATION
25 Final
Tank Pit L.Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire PSL PSL
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST
3875W I COUNTY OF RIVERSIDE /
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES
IST FL. SQ. FT. @ UNITS
2ND. FL. SQ, FT. @ YARD SPKLR SYSTEM
POR. SQ. FT. @ MOBILEHOME SVC. BAR SINK
GAR. SQ. FT. @ POWER OUTLET ROOF DRAINS
CAR P. SQ. FT. @
DRAINAGE PIPING
WALL SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @ URINAL
ESTIMATED 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
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 @1'/.t SEWAGE DISPOSAL
SQ.FT.GAR @ 3/4 c HOUSE SEWER
GAS PIPING
PERMIT FEE PERMIT FEE PERMIT FE
DBL. TOTAL ES MOB.HM.FEE MICRO FEE MECH.FEE PL.CK.FEE CONST.FEE ELECT.FEE SMI FEE E PLUMB.FEE
PERMIT NO. Jo`b Ad"ss Space m' _ Owner
NJ
3 8 7 5 6 8 Community Valuation��/�s��L Date Dist. Off. F.C.C.
MH.Permit Fee $ �� (0 � Z T'S""' $ / � / "' —p
Micro Film Fee Cop $ Use of Permit f/�� f �y Parcel No. �{ Use/Case o. Ck.By c
Mech.Fee Dbl $ 3,') ��� /`�7�- Y S 1"4 CJ 7 ".,J �C)"0'7( AS
Pl.Ck.Fee $ ,•„J �Zt^, rp.✓ Set Backs Lot Size
Legal Description F� S ,) S
Construction Fee Dbl $ V +./
Electrical Fee Dbl $ Zone R1 i�I ictions/ Group Type
SMI Fee $ -'/7\ CJ l
Plumbing Fee Dbl $ Bond Amt. Plan No. Plan Checker Final DateInspe�ct/o�r,//� Unit
Sp.Insp.Fee $ $ C
Demol.Fee $ Const.Lender Branch Supplimental Permit Numbers
Regisir.Fee $ �''`') ��. ///
Mileage Fee $ Address City Zip C („� n '-7
Witness Fee $
Reinsp.Fee $ Owner/Agent f Tel. Zip
Total Fees $ ,' Address ` � /// City Zip
M.2.. N.E.El Cash Chec
Received b ( C ntractor t , Tel. License#
Trees required � y
Sewage System Address '�' ;"�,__ ) Cit A
y LA (!l f 'i r 4Z1p
T LL THIS PERMIT 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
H RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208(Rev.8/78)
�� ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
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'�m,��'r �• 1
NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT
APPLICATION TO CONSTRUCT Permit No
DEPARTMENT OF BUILDING AND SAFETY
,'COUNTY OF RIVERSIDE
Owner �- Architect Contractor' `
Q r c
Address �- r` ` ' Address Address—
City City City_
Phone r Phone Phone—
cc
hone c 1 (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 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.
SPACE NO.
1 USE OF STRUCTURE
JOB ADDRESS — SINGLE FAMILY .0, DUPLEX
>' LEGAL DESCRIPTION OF PROPERTY
Z r APARTMENTS AGRIC.
N Q COMMERCIAL INDUSTRIAL [,
%A COMMUNITY .
GC ALTERATIONS n
Z NO. OF SUBMITTED PLANS — USE OF PERMIT '
4 CASE NO.
�I r
Z NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING --
Q ZONE J SETBACKS: FRONT �— S1DE r / REAR /
J m GRADING PERMIT REQUIRED? YES `] NO ❑ LOT SIZE
SETBACK ORDINANCE # -- OF FEET REQUIRED ON — STREET
DATE —_ , SIGNATURE OF LAND USE OFFICIAL ---
H DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET__—
W CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
H
oc '
a CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
W
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
O IMPROVEMENT? YES [INO El
t
°C DATE _ SIGNATURE OF ROAD DEPT. OFFICIAL
= SWIMMING POOLS PUBLIC
F
Q W SEWAGE DISPOSAL _
W
S FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
�n FLOOD CONTROL ;
W AIR POLLUTION
at
W D- DIV OF HWY
o a — YOUR PROPERTY.MAY BE SUBJECT TO
d
c FLOOD. RIVERSIDE COUNTY ASSUMES
`- NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199 9/74 CANARY—FILE, PINK—APPLICANT
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Appreval of w
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ZiC9 J61� -+ pormit far.or arw.a 'A° not bo cora
1 �No J••tv a �" G_. C. '. ,�i prOVfttOrls of tttFeP val oi,any vlpteH to
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