CPWU (398977)BLJILOING PERMIT
PERMIT NO:
398977
PERMIT NO.
1398977
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
Community ,t
a :
Ur—s1 t f
t(a.j., ;,� c - i
FIELD
Dote
-�
DST
1
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
MH Permit Fee $
NO. PLUMBING FEES"'
1ST FL.
2ND. FL.
POR.'
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
�
'
Mech. FeeDbl S
P1. Ck. Fee S
SO. FT. @ YARD SPKLR SYSTEM
Lot Size
.
SO. FT. @ MOBILEHOME SVC. BAR SINK
Legal Description `
L /
�,�.;. i f t•..�^,. ( �.+' ..fJ �� i/ i o :t/ 3
f.�4Y
SO. FT. @ POWER OUTLET ROOF DRAINS
S $
SQ. FT. @ DRAINAGE PIPING
Electrical Fee Del $ /
SQ. FT. @ - DRINKING FOUNTAIN
Group
T
SO. FT. @ URINAL
SMI Fee $
VALUATION $ WATER PIPING
Bond Amt.
$
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
Final Do_te._ , _
1r' _ Q
`/.�.*ZS ��'1
FLOOR DRAIN
Unit
1
MECHANICAL FEES
SWIM POOL, COMM
Const. Lender Bronch
WATER SOFTENER
Regior. Fee $
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
Witness Fee $
WASHER (AUTO)(DISH) .
OwAAJA,enl
APPLIANCE DRYER
Total Fees S , {.
GARBAGE DISPOSAL
City. + 1q 'f} Zip
FURNACE UNIT WALL FLOOR SUSPENDED
C;.
L/
LAUNDRY TRAY
Licenset7
AIR HANDLING UNIT CFM
IDLE•METER
Address -
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
SQ. FT. @ a
WATER HEATER
SO. FT. RESID @I t%a
SEWAGE DISPOSAL
SO. FT. GAR @ 3/<a
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE.
A0-111,
PERMIT FEE
DBL.
TOT I. FF1ES ,)
I fi"
MOB. HM. FEE
MICRO'FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT.
SMI FEE
FEE
P/LLUMM!F�
PERMIT NO:
398977
Job Address - l Space
f—'',1 �j i,
.S •I� — J j.J f. vl . "I 117:7 /1
Zip '
v�
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Owner
�.
Community ,t
a :
Ur—s1 t f
t(a.j., ;,� c - i
Valuation
S
Dote
-�
Dist.
Off.
F.C.C.
MH Permit Fee $
Micro Film Fee Cop $
Use of PermitI\
—'
.A
^
, '�_.��- JG � �'�/,�^yr L.
Po;s(e1 No. ^j ¢•'�
33-jJOCk�
Use%Case No.
�
'
Mech. FeeDbl S
P1. Ck. Fee S
Set Backs
Lot Size
.
Construction Fee Dbl S
Legal Description `
L /
�,�.;. i f t•..�^,. ( �.+' ..fJ �� i/ i o :t/ 3
f.�4Y
F
S $
R
Electrical Fee Del $ /
Zone Restrict' s
Group
T
Type
SMI Fee $
Plumbing Fee Dbl $ I 1
iG •7
Bond Amt.
$
Plan No.
Plan Checker
Final Do_te._ , _
1r' _ Q
`/.�.*ZS ��'1
Inspector ��
� r':
Unit
1
Sp. Insp. Fee s
Demo). Fee S
Const. Lender Bronch
Supplimentol Permit Numbers
/ .
f
Regior. Fee $
Mileage
Mileage Fee g
Address City Zip
Witness Fee $
Reinsp. Fee g
OwAAJA,enl
T.I. Zip
Total Fees S , {.
Address /I f�f
1�iJ l�• 9 ,.>.. 2
City. + 1q 'f} Zip
M.O. ❑ N.C. bash Check.
Receivad by "�:_,/� 1
Contractor
Tel.
Licenset7
Trees required
Sewage System
Address -
City Zip
T LL THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
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.
HEREBY CERTIFY THAT THEINDIVIDUALWHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-7a8 (Rev.' 1/80) CCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by:
OPERATION DATE
BUILDING APPROVALS
1
Set Back
INSPECTOR NO.
2
Ftgs & Frms
Service Entrance
MECHANICAL APPROVALS
33
Ventilation System
3
Steel
t 35
4
Grout Blocks
Inlets 8 Outlets
5
Bond Beams
38
6
Roof Deck
Appl. Clearance
7
Fraying
41
8
Vents
Commercial Hood
9
Garage Fire Wall
OP'N
NO.
10
Fireplace P. L.
L._1
10A
Fireplace T. 0.
0
' 11
Exterior Loth
12
' Internal Lath
12A
Drywall
13
1 finish Grade
INSULATION Thick
R
Value
INSPECTOR NO.
OPERATION
DATE
Service Entrance
MECHANICAL APPROVALS
33
Ventilation System
34
Plenums 8 Ducts
t 35
Furnace Comport.
36
Inlets 8 Outlets
37
Combustion Air
38
Compressor
39
Appl. Clearance
.. 40
Fire Damper
41
Smoke Detection Device
42
Commercial Hood
43
Final
OP'N
NO.
ADDITIONAL INFORMATION
INSULATION Thick
R
Value
7A Walls (Batts)
PLUMBING APPROVALS
12BCeiling (Batts)
Service Entrance
12C Ceiling (Blown)
Fixtures
14, I' Final
L,
27
PLUMBING APPROVALS
15 Ground Plumb
Service Entrance
16 Water Piping
Fixtures
17 Rough Plumb
Service
Final
1 Q_V f
18 Vents
19 Sewage Disposal
20 Sewer
'$1'� "VJaier'Weater
22 Water. Softener
23 Water Service
24 Gas Test
25 Final
Q
ELECTRICAL APPROVALS
" 26 .
Power Pole
27
Conduit
28
Service Entrance
29
Wiring
29A
Grounding Wire I
29B
Bonding -
30
Fixtures
31
32
Service
Final
1 Q_V f
N
SEWAGE SYSTEM SIZE & LOCATION
Tank Pit L. Line
REAR OF PROPERTY LINE
1
INSPECTOR
P/L P/1
STREET NAME
NOTICE: THIS IS NOT A BUILDING PERMIT.
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT
Permit No
3
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
"��1
Owner Architect— —. --_ Contractor_C _
2
Add res k�JJ t71� Address___ Address_ --
City_" U arra, • City-- city,__-- -- —
Phone �7% Phone _ Phone—
I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and
cc
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 'propert be occupied until 1 (we) have
• Of
complied with11 lawns oftheCounty of Riverside and the State of California governing said property.
DATE9 SIGNATURE OF OWNER,AND/OR,AGENT r
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
9 LzS� �SLLP CE NO.
'7 '7S %} �/! /✓�—��. USE OF STRUCTURE
2
JOB ADDRESS_—_
SINGLE FAMILY DUPLEX ❑
>
Z II-
LEGAL DESCRIPTIONOF PROPERTY _._/_� C. 1
r 7 COT/L . 417 XrV L4 # 417— ❑ APARTMENTS AGRILJ
Q
---'- COMMERCIAL ❑ INDUSTRIAL ❑
CG
COMMUNITY
ALTERATIONS CJ
Z.
NO. OF SUBMITTED PLANS USE OF PERMIT
tn
CASE N O
.���.-.
p Z
NO. OF/Pe/eIRKING SPACES REQUIRED _ NO. OF, BUILDINGS NOW EXISTING
Q
ZONE ' `' `TSETBACfKS: FRONT SIDE REAR,
J m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBAC ORDINANCE # -- OF FEET REQUIRED ON _STREET
1-7—
DATE _
SIGNATURE OF LAND USE OFFICIALGo
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET__.
F
W
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
X
t-
ce
a
CAN CURB AND GUTTER, FEASIBLY BE INSTALLED? YES ❑ NO ❑"
HAS AN ACCEPTABLE APPLICATION BEEN MADE ,FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
p
,
C
IMPROVEMENT? YES [-INO ❑
cc
DATE SIGNATURE OF ROAD DEPT. OFFICIAL
_
SWIMMING POOLS PUBLIC
t-
.j CL
SEWAGE DISPOSAL
W
FOOD ESTABLISHMENT _
_
WATER POLLUTION REMARKS
H FLOOD CONTROL
f
Z AIR POLLUTION
pj W
_ DIV OF HWY
0 a _ YOUR PROPERTY MAY BE SUBJECT TO
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
BUILDING PERMIT • '
PERMIT NO. .DEPARTMENT. OF BUILDING, BL.SAFETY' .
F
9 8,9 7 T COUNTY, OF `RIVERSIDE
O J
FIELD OFFICE 71�DST
..�-�••�,...,,•,�_ �.... .. a•r• - - -•. •Y•i.-. Y... ^'.R+i --+rJ' -: �ti'y'-+�.._ ".+.+�•w�•. r.. - .+..+•rte.,. wT+"w -e
PERMIT'NO.
398977
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING .FEES
"Space
z'
' 1 ST FL,
2ND. FL.
POR:
GAR. 'SO.
CAR P.
WALL ,SO:
_
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
community ,.
- • �?
SQ. FT, i@ 't YARD SPKLR SYSTEM
SQ. FT.,@MOBILEHOME .SVC. - BAR SINK
01.
T
FT.. @ POWER OUTLET ' ROOF' DRAINS .
MH Permit Fee ` $
SQ. FT:, @ DRAINAGE PIPING
Cop 'S "
FT: @ - < - DRINKING FOUNTAIN
SO. FT.' @ -` '• - URINAL
Ck. B -
VALUATION.., '$ - WATER PIPING
PI. Ck, Fee .S ''IY\^
.
NOTE: ' Natto be:
used'as property tax valuation
SWIM POOL, PVT - -
FLOOR ORAIN ` • -. '
Legal Description ,'``
jf�� 'dam '
7
MECHANICAL 'FEES
SWIM `POOL,'COMM
WATER SOFTENER'
Electricol. Fee DistS -y/..
VENT SYSTEM
FAN EVAP. COOL HOOD
^: SIGN
WASHER (AUTO)(DISH)
Plumbing rFee
APPLIANCE
DRYER
• " -
-GARBAGE DISPOSAL
'
I FURNACE UNIT
1
WALL ' FLOOR SUSPENDEDLAUNDRY;TRAY
Unit -
Sp. lnsp.`Fee S, .
Demal. Fee r••
AIR HANDLING UNIT'
CFM
LE METER •
KITCHEWS114
..
L
ABSORPTION SYSTEM
` .B.T.U.
TEMP USE PERMIT SVC
WATER.CLOSET.
Reinsp. Foe
COMPRESSOR
HP
'POLE, TEMP/PERM
- .LAVATORY
Zip
r
' HEATING SYSTEM
FORCED GRAVITY
r 'AMPER-ES .SERV ENT
„SHOWER '.
City �V� •` x
�J-'
.+BOILER
B.T.U. -
SQ. FT. @ a �. „•
' BATH TUB
- - • •
Tel. -
:License# -
SQ. FT.. @ a
WATER HEATER
'
,v •u
-
,. SO;. FT. RESID- @ I I/ '
SEWAGE`' DISPOSAL
SD. FT.'GAR,• .4a
HOUSE SEWER
-
-•
• -'�'
GAS PIPING
PERMIT FEE _
4
PERMIT FEE (,�
PERMIT FEE e
DBL.
UTOT,L Ffi6s•..+�
MOB. HM. FEE
F
_ ' MICRO FEE
y
MECH. •FEE PL. CK. FEE
i
p,CONST. FEE EL FEE
SMI FEE
FEE Pl MB -FEC,,
..�-�••�,...,,•,�_ �.... .. a•r• - - -•. •Y•i.-. Y... ^'.R+i --+rJ' -: �ti'y'-+�.._ ".+.+�•w�•. r.. - .+..+•rte.,. wT+"w -e
PERMIT'NO.
398977
Job Address -
-
, . =A
i i
"Space
z'
Zip
�a3
Owner
,f
community ,.
- • �?
Voluotion
S
Dote Dist.
{ ,r
01.
T
F.C.C.
MH Permit Fee ` $
Micro Film Fee
Cop 'S "
Use of Permit •
-\,,.J. M.��..!('.•.
-
-
Parcel No. + ... • n} .Use/Cosa No.
,•V7
Ck. B -
Mach. Fee .. Dbl S
PI. Ck, Fee .S ''IY\^
.
Sot Bock, s
Lot Size
`
Construction Fee � Dbl S '
Legal Description ,'``
jf�� 'dam '
7
F
5
Electricol. Fee DistS -y/..
Zone Restrictions s
Group
Type
SMI Fee S
Plumbing rFee
Dbl.. $_ 19
Bond Amt
'g'
Plan No.
Plon Checker
Final Date r : •
Inspector
Unit -
Sp. lnsp.`Fee S, .
Demal. Fee r••
s'
Consi. .tender Branch.
.,t
-
Supplimentol Permit Numbers
rr
-
.. _ •
..
L
Registr' Fee•. [ g •
Mileage Feb •'S
Address ., City Zip
' ' •4 .
Witness Fee :'i: S .l,
Reinsp. Foe
$
OC er/Agent _
n•
d-`•+
Tel.
Zip
r
Tocol feel S
- M.O. Q':N.C.� ash Q Check
Address
j�-�
.. .J .1 1 iJ
(''� .y
.•r."'••••.f�,++.
City �V� •` x
�J-'
Zip
Received It
Contractor ..
- - • •
Tel. -
:License# -
Trees -required '
Sewage System'
Address '
- • •
City Zip
TLL - - THIS PERMIT SHALL BECOME VOID IF WORK ISNOT COMMENCED WITHIN,120 DAYS. CESSATION OF WORK • vedfiedby:
Sever Dist h FOR 120 DAYS SHALL ALSO CAUSE.PERMIT TO BECOME VOID.
L"
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH )
r 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 y
CORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS. CODE 'OF THE STATE OF CALIFORNIA.
I Form 284-208' (Rev. 1/80p,