413102MALIAN(' YtKMII
PERMIT NO.
13102
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD
DST
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
NO.
PLUMBING FEES
1ST FL
SO FT .@
$
"Dist. ~ l
.OIL.
��
/ `
J.
F.C.C.
,
UNITS
$
Micro Film Fee
Cop
$
2ND. FL.
SO. FT @
C
Parcel No.
I Use/Gose o. .
C . By
.••
Mech. Fee
Dbl
$
YARD SPKLR SYSTEM '
E
POR.
SO. FT. @
lot Size
S
MOBILEHOME SVC.
R
Construction Fee
BAR SINK
$
GAR.
SO. FT. @
Dbl
$
POWER OUTLET
Group
Type
SMI Fee
ROOF DRAINS
$
CAR P.
50. FT. @
$
Bond Amt.
)
P N
Plan Crecker
F.nall tote �d' s/ '
/d — /�� o
Inspector �" ��C2
DRAINAGE PIPING
Sp. Insp. Fen
WALL
50. FT. @•DRINKING
Demo!. fee
$ —
Const. Lender Branch
Supplimental Permit N bers
- •' Z ,i /? / + /
Registr. Fee
FOUNTAIN
$
Mileage Fee
SO. FT. @ .
$
Address City Zip
Witness Fee
$
URINAL
$
ESTIMATED CONSTRUCTION VALUATION
$•
Tel. Zip
/.' �4,l' r, i ' .
...^ ' -
Total Fees
WATER PIPING
.. t�Address
.. .. ^' • `' ,< 'S_ '/''
f2• P' :""
.1" ^: rA....
NOTE: Not to be used as property tax valuation
KO. D N.C.O Cash Q Cheik r lyy-..-.Iy�
SWIM POOL, PVT
�
Contractor
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MECHANICAL FEES
Sewage System
SWIM POOL, COMM
IE
City Zip
y
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN r
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.
SO. FT. @ a
- `
BATH TUB
50. FT. @ a
'
WATER HEATER
S0. FT. RESID @ 1 t/<a
SEWAGE DISPOSAL
s,
S0. FT. GAR @ 3/aa
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. FEE
LL
Sewer District
t'
Form 284.208 -(Rev. 1/80)
3�.I)-•Il-3b
THIS PERM T SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
.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.
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: ,
Job Address - Space
Q1 ,
C~ — 74.--(15 _
Zip Owner
--7—.Di-,e,;_, --,y- , =J;,,911 /'
PERMIT NO.
41310 2
,)4.:/.,-....-..-
Community��"
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4,
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0
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"Dist. ~ l
.OIL.
��
/ `
J.
F.C.C.
,
MH Permit Fee
$
Micro Film Fee
Cop
$
Use of Permit"'
-^
r /!/
C
Parcel No.
I Use/Gose o. .
C . By
.••
Mech. Fee
Dbl
$
PI. Ck. Fee
E
,(
✓ `set s8ocks•" r 'U
lot Size
S
S
R
Construction Fee
Dbl
$
LegalrcDescription / ''../F
•••, /••• t , r:.s5„, k �• S=' .. %
J
<� + Z; n ,
/ ^`°'
Electrical Fee
Dbl
$
Zone Restrictions
�C' - _
Group
Type
SMI Fee
$
Plumbing Fee
Dbl
$
Bond Amt.
)
P N
Plan Crecker
F.nall tote �d' s/ '
/d — /�� o
Inspector �" ��C2
Unit
Sp. Insp. Fen
$ ••":7.. r�
c C1
Demo!. fee
$ —
Const. Lender Branch
Supplimental Permit N bers
- •' Z ,i /? / + /
Registr. Fee
$
Mileage Fee
$
Address City Zip
Witness Fee
$
Reinsp. Fee
$
Owner/ Agent x
! • /s: :/ P •_� i_"�. 1.••' A� . � �. '
Tel. Zip
/.' �4,l' r, i ' .
...^ ' -
Total Fees
$ ,•''7 ,rV
.. t�Address
.. .. ^' • `' ,< 'S_ '/''
f2• P' :""
.1" ^: rA....
•„
City' s� Zip
•
} •-s•- moi•`•
1. 1�/S, I A-' ..s' / 1..%,/j .� �� •.ery,
KO. D N.C.O Cash Q Cheik r lyy-..-.Iy�
Received by r _
�
Contractor
Jf
Tel. —r 'r / L 4LicenseR-_
•',,
r
II VIII III VIII ILII 79
1111111111111
Trees required
Sewage System
Address
IE
City Zip
y
LL
Sewer District
t'
Form 284.208 -(Rev. 1/80)
3�.I)-•Il-3b
THIS PERM T SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
.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.
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: ,
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 frms
34
Plenums & Ducts
2A
Slob 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
Fireploce P.L. U
43
Final
1.1/41' D
*--"W
10A
Fireplace T.O. •
°o
ADDITIONAL INFORMATION
•
r
SEWAGE SYSTEM SIZE &LOCATION
11
Exterior loth
12
Internal Lath
12A
Drywall
13
Finish Grade
INSULATION
Thick
R
Volue
7A
Walls (Batts)
128
Ceiling (Batts)
1
12C
Ceiling (Blown)
i
/1:://—
J/— 6kikip14
Final
PLUMBING
APPROVALS
15
Ground Plumb
16
Woter 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
/2` //` g
Tank Pit L. line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L
P/
26
Power Pole
27
Conduit
28
Service Entrance
29
Wiring
29A
Grounding Wire
29B
Bonding
30
Fixtures
31
Service
32
Final
— i� DEQ
is'�'fes
!
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L.
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT
1"
• ,
Permit No
OWNER
.._
OwnerC)V`\ Architect Contractor_—..__-- ____
Address 'O :Y.`1`J Address Address
City 1 CO• IZI,1.1_�1\\-e-
"l a".>S3
3S$ a
City City
Phone SCA-
Phone Phone
1 (we) the undersigned,
Paving, and/or Dedication
shall not make a Final Inspection
without an encroachment
NOW, therefore, it
complied %%with all laws ofof
DATE !� v
hereby certify and acknowledge that I (we) have read the
of right of way is required by the County of Riverside, the
until said requirements have been met. 1 am also aware
permit.
is agreed that I (we) will not occupy said property and will not
the County of Riverside and the State of California governing
0 SIGNATURE OF OWNER AND/OR
Approval by Signature from the Following Departments
Must Be Obtained Prior to the Issuing of a Construction
application and agree that if Curb and Gutter, and
Riverside County Department of Building and Safety
that no work is to be done within the County R/W
cause said property to be occupied until 1 (we) have
said property. ��` �,,�
AGEN1V""� -
Listed Below
Permit.
LAND USE DIVISION
BUILDING AND SAFETY
1--27C , 'SPACE NO.
5_r ^1 "1�,`ara1
JOB ADDRESS J� l
USE OF STRUCTURE
SINGLE FAMIL DUPLEX
APARTMENTS AGRIC.El
COMMERCIAL INDUSTRIAL n
4
LEGAL DESCRIPTION OF PROPERTY
-��
COMMUNITY mix�-l7 .
NO. OF SUBMITTED PLANS ---
CASE NO.
,,rr��
779-- �n�- fJ
Se ,PAD-2-
ve 17�G- cp #
/
I ♦' '
..�
USE . F P MIT ��_ r •
?/
' 'L-/ -a ..4111" ' LTE •A IONS n
/_ . _ I4 ---Ge 4 �O
NO. OF PARKING SPACES REQUIRED
1 ETBACKS: FRONT
ZON
--69--74-- �„I,
NO. OF BUILDINGS 's EX STING
_
SIDE REAR
_
GRADING PERMIT REQUIRED?
SETBACK ORDINANCE
DATE
YES
#
❑ NO ❑ LOT SIZE
OF FEET REQUIRED ON STREET
SIGNATURE OF LAND USE OFFICIAL
ROAD DEPARTMENT •
DEDICATION REQUIRED: YES 0
CURB AND GUTTER REQUIRED:
CAN CURB AND GUTTER FEASIBLY
HAS AN ACCEPTABLE APPLICATION
IMPROVEMENT? YES 0 NO 0
DATE
NO 0 NO. OF FEET
YES 0 NO 0
BE INSTALLED? YES 0 NO
BEEN MADE FOR ENCROACHMENT
.
SIGNATURE OF ROAD DEPT.
STREET
0
PERMIT FOR DRIVEWAY AND STREET
OFFICIAI
Z
QW SEWAGE
ui = 0
SWIMMING POOLS PUBLIC
DISPOSAL
FOOD ESTABLISHMENT
in
1 -
Z
1DIV
WX I-
o .
0
WATER POLLUTION
FLOOD CONTROL
REMARKS
AIR POLLUTION
OF HWY
YOUR
PROPERTY MAY BE SUBJECT TO
RIVERSIDE COUNTY ASSUMES
RESPONSIBILITY IN EVENT OF FLOOD.
FLOOD.
NO
284 199A 9/74
CANARY — FILE, PINK — APPLICANT
BUILDING PERMIT
PERMIT NO.
413102
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD OFFICE
DST
/1
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
NO.
PLUMBING FEES
1ST FL.
SQ FT .Cay
$
Dist.
1,
OIL.
..
UNITS
MH Permit Fee
,
5
Micro Film Fee
Cop
2ND. FL.
SQ. FT @
Use of �Peer/rnrit / y.�
56" � C /VL � ‘ pC: ( ! i O.%J
l' i id 41,.. 1
/
Parcel No. �1
/ 74/ r, 2 "/2/?
Use/Cole No.
Ck. By
4}' S
Mech. Fee
Dbl
S
YARD SPUR SYSTEM
PI. Ck. Fee
POR.
SO. FT. @
Set Bocks C
Lot Size
F
MOBILEHOME SVC,
S
R
BAR SINK
Dbl
S
GAR.
SO. FT. @
Electricol Fee
Dbl
5
POWER OUTLET
Zone Restrictions/
/e - /
Group
Type
ROOF DRAINS
S
CAR P.
SQ. FT. @
Dbl
S
Bond Amt.
Non No. -
Plan Checker
Finol Dote/
4 /! — Vc��/)
DRAINAGE PIPING
Unit
Sp. Insp. Fee
WALL
SQ. FT. @
00
Demol. Fee
$
Const. Lender Bronch
Supplimental Permit Numbers
_
—3a '7
DRINKING FOUNTAIN
5
SQ. FT. @
$
Address City Zip
Witness Fee
5
URINAL
Reinsp. Fee
ESTIMATED CONSTRUCTION VALUATION
$
Owner/ Agent X , r r i
Tel Zip
s 1 .r
WATER PIPING
Total Fees
$ s el
NOTE: Not to be used os property tax valuation
✓ /3 0r` 7A -r.
y
SWIM POOL, PVT
M.O. ❑ N.C.❑ Cash ❑ Check�L ]•..
Received by `
Contractor
FLOOR DRAIN
.?<-?
licenseR
Trees required
MECHANICAL FEES
Address
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. @ a
BATH TUB
SQ. FT. @ a
WATER HEATER
' SO. FT. RESID @ 1 Vie
SEWAGE DISPOSAL
S0. FT. GAR @ t/aa
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 FEEr,.
FEE
PLUMB. FEE
LL
Sewer District
Form 284.208 (Rev. 1/80)
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.
.1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
HE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
CCCCEi EY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
LTH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by:
Job Address Spoce
A---/-/— 7"1-- ,;;<<>F-� y (24
Zip
`'`' r
Owner
•{ Miriefi lw ri,
PERMIT NO.
41310 2
L
Community ,,a`
/ 4 f filo 1 /I/ 1, ��
al alion Dotes
S 1,c2-," r V)
Dist.
1,
OIL.
..
F.C.C.
MH Permit Fee
,
5
Micro Film Fee
Cop
5
Use of �Peer/rnrit / y.�
56" � C /VL � ‘ pC: ( ! i O.%J
l' i id 41,.. 1
/
Parcel No. �1
/ 74/ r, 2 "/2/?
Use/Cole No.
Ck. By
4}' S
Mech. Fee
Dbl
S
PI. Ck. Fee
$
Set Bocks C
Lot Size
F
5
S
R
Construction Fee
Dbl
S
legal`Description
// { �s
{..,7 / ,/./.3..x (: )- ?.,$ 4i
CC77'' SC (/ ?t'S�_ �Y 4, .,,...sit
Electricol Fee
Dbl
5
Zone Restrictions/
/e - /
Group
Type
SMI Fee
S
Plumbing Fee
Dbl
S
Bond Amt.
Non No. -
Plan Checker
Finol Dote/
4 /! — Vc��/)
Inspector
?earl:,
Unit
Sp. Insp. Fee
S ....?4,,l
00
Demol. Fee
$
Const. Lender Bronch
Supplimental Permit Numbers
_
—3a '7
Regist, Fee
5
Mileage Fee
$
Address City Zip
Witness Fee
5
Reinsp. Fee
$
Owner/ Agent X , r r i
Tel Zip
s 1 .r
Total Fees
$ s el
0OAddress
✓ /3 0r` 7A -r.
y
City /'�% � �^ Zip
�^.. r"),,, ,Ayr / �y.,v f
M.O. ❑ N.C.❑ Cash ❑ Check�L ]•..
Received by `
Contractor
Tel. �� ' ✓,t
.?<-?
licenseR
Trees required
Sewage System
Address
City Zip
LL
Sewer District
Form 284.208 (Rev. 1/80)
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.
.1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
HE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
CCCCEi EY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
LTH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by: