RPL (376573)0WILvsnv rZKMII
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FST
376573 COUNTY OF RIVERSIDE FIELD I
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. @ $
UNITS
2ND. FL. SQ. FT. @
Community w r .�
YARD SPKLR SYSTEM
Dote' r
POR. SQ. FT. @
MOBILEHOME SVC.
BAR SINK
MH.Permit Fee $
GAR. SQ. FT. @
POWER OUTLET
ROOF DRAINS
Parcel No.
..�
CAR P. SQ. FT. @
By
DRAINAGE PIPING
Pl. Ck. Fee $
WALL SQ. FT. @
Lot Size
DRINKING FOUNTAIN
t
SQ. FT. @
S R
URINAL
'�
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
Db1 $
NOTE: Noi to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
Type
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
Bond Amt.
E
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
Inspector
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
t
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
Supplimen al P rmit Numbers .
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
rI
•
COMPRESSOR HP
POLE,TEMP/PERM
LAVATORY
Tel. Zip
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
Address
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
/r
SQ. FT. @ c
WATER HEATER
,t
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
6f Cw
Tel.
�.._. (,,�"- ..�
SQ. FT. GAR @ 314 c
HOUSE SEWER
Sewage System
Pd-dress� r
Ci t1Y Zip
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
+^
DBL.
TOTAL FEES
MOB.HM,FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE CT. FEE
SMI FEE
FEE I PLUMB. FEE
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 THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
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Opgljr�'I
ACCORDANCE WITH SECTION 5541 OF5NE GUSlN[SS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Form 284-208 (Rev.
'
A 7—
PERMIT NO.
Job Address fes\ Space Zip Owner
376573
-�
Community w r .�
Valuation
Dote' r
Dist.
Off.
F.C.C.
MH.Permit Fee $
Micro Film Fee
Cop $
s o Pe
// ) y,•
Parcel No.
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Fse/Cofe No. •Ck.
By
Mech. Fee Dbl $
Pl. Ck. Fee $
btics
Lot Size
Construction Fee Dbl E
Legal Description
/! y,,
F S
S R
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Electrical Fee
Db1 $
�'^� /4. SS G/
Zone Restrictions
_
Group
Type
V
SMI Fee $
Plumbing Fee
Dbl $ / /•
Bond Amt.
E
Plan No.
Plan Checker
Final Dote
ell CS
Inspector
Sp. Insp. Fee $
Denial. Fee
$
Const. Lender Branch
Supplimen al P rmit Numbers .
Registr. Fee $
Mileage Fee $
Address - City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel. Zip
Total Fees$
Address
City Zip
/r
M.O. N.C.
Cash Check
/!
Received by�nt'Ioct`i�w'��j
f:/,/
r i .fir F71':
fir• 4•,
Tel.
�.._. (,,�"- ..�
Licensee
Trees requireds 4.-�`"
Sewage System
Pd-dress� r
Ci t1Y Zip
,
THIS PER IT SHALL B OME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by, v
FOR 120 DAYS SHALL LSO CAUSE PERMIT TO BECOME VOID.
T LL P
Sewer District
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 THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
�
Opgljr�'I
ACCORDANCE WITH SECTION 5541 OF5NE GUSlN[SS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Form 284-208 (Rev.
'
• 'Y
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
Slab 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. 0.
NO ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A. Drywall r
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
✓! �7� Q�
25
Final
Tank Pit L.Line
REAR OF PROPERTY LINE
PSL 1 P)
l i
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring . AL 730 mlLCi
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
- ek / r
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�� � eY .ice✓ �'VA ��
FQ 4 s� op
N-;,
F o�'I PG Lsc o o
ONE � PARKING
=DATE
AREA ;
_ ✓_DATE RECORDED LOADING
�f
FRONT
YARD ..HEIGHT BLD(----
%'; OF LOT
SIDE YARD, -.
.T( SETBACK O C•
DATE
APPROVED 6—
LAND USE DIVISION
s._
y .
c
s!
FOLLOW UP
INFORMANT'S NAME ADDRESS
.jYIOLATOR'S NAME ADDRESS
VIOLATION DISTRICT
0
284.210, REV. V71 r
FILE NO
DATE
0
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT
Pr Y C`
Permit No
284 199A 9/74
CANARY—FILE, PINK—APPLICANT
Owner ®A75 Architect-- —. —_—_ Contractor___._ /
Add , &&Address___ A Idress�
____!�l
City City_-- City_
Phone Phone_ _ Phone—. _
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(we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and
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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. 1 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 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.
USE OF STRUCTURE
JOB ADDRESS SINGLE FAMILY DUPLEX El
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LEG L DESCRIPTION OF PROPERTY �_ _ _%
/J — APARTMENTS AGRIC.
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H a
— . COMMERCIAL Ej 'INDUSTRIAL
_
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COMMUNITY
ALTERATIONS n
O
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NO. OF SUBMITTED PLANS USE OF PERMIT
CASE NO.�y�G�� ,.
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NO. OF KIDF SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING —
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ZONE SETBA(fKS: FRONT SIDE e
J m
---REAR
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE _
SETBACK ORDINANCE # __— OF FEET REQUIRED ON — STREET
DATE ( y SIGNATURE OF LAND USE OFFICIA
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET__
F
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CURB AND GUTTER REQUIRED: YES ❑ NO ❑ —STREET
cc
o
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
W
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
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IMPROVEMENT? YES ❑ NO ❑
O
cc
DATE SIGNATURE OF ROAD DEPT. OFFICIAI
a
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SWIMMING POOLS PUBLIC
Q W SEWAGE'DISPOSAL
_
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
to FLOOD CONTROL—
z AIR POLLUTION
W DIV OF HWY
S H
c 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.
X7657 -
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST
COUNTY OF RIVERSIDE
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED. CONSTRUCTION
SQ. FT. @ $
UNITS
Comm^it y
��4.
SQ. FT. @ YARD SPKLR SYSTEM
Valuation
$
SQ. FT. @ MOBILEHOME SVC. BAR SINK ,
Date
® ��
SQ. FT. @ POWER OUTLET ROOF DRAINS
Dist.
SQ. FT. @ DRAINAGE PIPING
F.C.C.
SQ. Fl;. @ DRINKING FOUNTAIN
Micro Film Fee
SQ. FT. @ URINAL
se of Perm'
I��e+9,i�Ne'1..�k
VALUATION $ WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
By
ed
f FLOOR DRAIN
a.
MECHANICAL FEES
1
SWIM POOL, COMM
FZ4 .4a
WATER SOFTENER
Legal Description
�
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
F 5
WASHER (AUTO)(DISH)
R
APPLIANCE DRYER
Zone Resirictions
Group"Type
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Dbl $
I Bond Amt.
$
LAUNDRY TRAY
No..
AIR HANDLING UNIT • CFM
IDLE METER
Ins for
1t
KITCHEN SINK
Unit
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
Demol. Fee
WATER CLOSET
Const. Lender
COMPRESSOR HP
POLE,TEMP/PERM
Supplimentol Permit Numbers
LAVATORY
.
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
Address City Zip
SHOWER
Reinsp. Fee
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
Tel.
SQ. FT. @ c
WATER HEATER
E
_
SQ. FT. RESID @ I'A c
SEWAGE DISPOSAL
Zip
S0. FT. GAR @ 3/4 c
Received by
HOUSE SEWER
Y
b
Tel.
�` A
Licenseq'
GAS PIPING
Trees require
PERMIT FEE
PERMIT FEE
0�
PERMIT FEE
(�
DBL.
TOTAL FEES
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
I CONST. FEE
ELECT. FEE
SMI FEE
FEE
PLUMB. FEE
PERMIT NO.
376573
Job Address
' Space Zip Owner
a
Comm^it y
��4.
Valuation
$
Date
® ��
Dist.
Off.
F.C.C.
MH.Permii Fee Is
Micro Film Fee
Cods
se of Perm'
I��e+9,i�Ne'1..�k
'- -"'
Parcel No.
Use/Case No. Tk.
By
ed
Mech. Fee Dbl E�,��+
PI. Ck. Fee $
Se Backs
Lot Size
Construction Fee Dbl $
Legal Description
�
�r Ge
( ` `�
F 5
s
R
Electrical -Fee Dbl$�
SMI Fee $ DQ
Zone Resirictions
Group"Type
Plumbing Fee
Dbl $
I Bond Amt.
$
Plon
No..
Plan Checker
Final Date
4
0
Ins for
1t
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender
Branch
Supplimentol Permit Numbers
.
Regisir. Fee g
Mileage Fee' $
Address City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel.
Zip ,
Total Fees
E
Address
-
City
Zip
M.O. 0 N.C. Cash Check
Received by
Y
b
Tel.
�` A
Licenseq'
Trees require
Sewage System
ddress
61/
Cit
Zip
T LL P THIS PERN(IT SHALL BFtOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK ve?ified by:
I*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.,
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.
,Form 284-208 (Rev./