RPL (391813)• DWILvnnv rcttcm11
' PERMIT NO. �� � DEPARTMENT OF BUILDING & SAFETY
3 9181.3 COUNTY OF RIVERSIDE
FIELD MDIT
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
SQ. FT. @ $
UNITS
Community
SQ. FT. @
YARD SPKLR SYSTEM
POR.
GAR.
CAR P.
WALL
4-STIMATED CONSTRUCTION
SQ. FT. @
MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @ DO
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM s
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Dbl $
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
F
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.
Reinsp. Fee
SQ. FT. @ c
WATER HEATER
It Iu r4'=
■
SQ. FT. RESID @lt/.c
SEWAGE DISPOSAL
SQ. FT. GAR @ '/. c
HOUSE SEWER
Address
v
City
GAS PIPING
PERMIT FEE
Received
PERMIT FEE
PERMIT FEE '
DBL.
TOTAL FEES
MOB.HM.FEE
MICRO FEE `.
MECH. PL. CK
CO`tJST.FEE
� CT. E
SMI FEE
7Y
FEE PLUMB. E
F / (jf -0 0
PERMIT NO.
139181731.
Job Address
Space Zip
Owner
Community
Valuation
Date Dist.
Off.
F. C.
MH.Permit Fee $
Micro Film Fee
Cop $
U,J o'f Permi -'
/S
'�i/ �{ (ri q�
ii �r •
Legal Description F
��`' , � / ` � �e.✓�r-�'
Parcel No.
—
Use/Case N .Ck.
By
Mech. Fee Dbl $
Pl. Ck. Fee $
Construction Fee Dbl $ �,..
Electrical Fee Dbl $ 4 � !A.
Set Backs /•
Lot Size
S
5
R
Zone Restrictions
Group
p
T e
SMI Fee $
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Final Date /T/
D l (/
Inspector
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender
Branch
Suppliq,,folermit Numbers
${ jt1•J
Registr.'Fee $
Mileage Fee $
Address €, Zi
pWitness
,
Fee $k
Reinsp. Fee
$
Owner/Agent
It Iu r4'=
■
�{{
,
Zip
Total Fees
is
Address
v
City
Zip
M.O. nN.C. Cash Check
Received
Con t� �1✓.{�
Tel.
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License#
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T Ll P F 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.
r t I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND THE SPATE OF CALIFORNIA.
CSP �r
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO 1W� ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF`fHE STATE OF CALIFORNIA.
Form 284-208 (Re,8/78) as '
verified by:
no OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Bock
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steels
p
�� dy�y,��-
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
Fireplace
P. L,
43
Final
10A
Fireplace
T. 0. 0
P'
AAA
ADDITIONAL INFORTION
1� y ' /' 1 ' L4 `'
.
SYSTEM SIZE & LOCATIONB—i
'
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION
Thick R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
Al
14 Final
PLUMBING APPROVALS
- - -_'
15 Ground Plumb _90
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
FinalSEWAGE
46
Tank Pit L. Line
REAR OF PROPERTY LINE
PSL
L
_P/
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit L4 _ 1 _ g
28 Service Entrance
29 Wiring D
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final - —
v STREET NAME
NOTICE: THIS IS NOT _A BUILDING PERMIT .
APPLICATION:,TO CONSTRUCT
DEPARTMENT -OF BUILDING AND -SAFETY
COUNTY OF RIVERSIDE
DISTRICT r /
Permit No
_2Adrl9_9 9/74 - CANARY — FILE, PIN�ICAN--
Owner TU ���� Architect Contractor
Add res,4 1" Address_ Address- Z O
Cary 4
city City-
.
Y24 -116;
Phone Phone Phone
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 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 -1 (we)' will not occupy said property. -and will. not cause said property to be occu..ied ntil 1 (we) have -
complied with all laws of t County of Riverside and the State of California governing said property.
DATE. _---G? SIGNATURE Of. OWNER AND/OR AGENT
Approval by Signature from the Following Departmenfs Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
SPACE NO.
USE OF STRUCTURE
'��
JOB ADDRESS
1, 1ry SINGLE FAMILY DUPLEX
J�":
Y
-
LEGAL DESCRI TION OF PR ERTY��
!, - APARTMENTS AGRIC.
/�
C
N Q
l
COMMERCIAL INDUSTRIAL rL
COMMUNITY".
C'
Z
ALTERATIONS LJ
NO. OF SUBMITTED'PLANS --- USE OF PERMIT �- __-
a
CASE NO.
NO. OF PARKING SPACES REQUIRED- NO-. BUILDINGS NO .EXISTING _-
,J ?
ZONE�ASETBAC'KS: 'FRONT _ o SIDE. d]�. REAR L�
m
GRADING'PERMIT REQUIRED? `YES `j NO C1LOT SI Za:t g
SETBACKP.0DIN4NCE # ' -- OF FEET REQUIRED ON . / STREET'
DATE SIGNATURE OF LAND USE OFFICIAL"`- -
F
DEDICATION' REQUIRED: YES. Ci. .NO ❑ NO. OF FEET - -'—
z „
CURB AND GUTTER REQUIRED: .YES (i .NO ❑ STREET .
IL
CAN CURB AND GUTTER FEASIBLY BE INSTALLED?;- YES C-), NO ❑ ,
HAS AN ACCEPTABLE. APPLICATION BEEN "MADE .FOR ENCROACHMENT PERMIT FOR DRIVEWAY ,AND STREET
IMPROVEMENT? 'YES ❑ NO O
DATE _ SIGNATURE OF ROAD DEPT. .OFFICIAL
SWIMMING POOLS.PUBLIC
s
SEWAGE DISPOSAL _
FOOD ESTABLISHMENT v
= C
'za ..''WATER POLLUTION J REMARKS
yam
;x •FLOOD CONTROL
'AIR POLLUTION
F. -
DIY OF HWY
YOUR PROPERTY MAY SUBJECT TO.
o a
_
c t _ FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
_2Adrl9_9 9/74 - CANARY — FILE, PIN�ICAN--
PERMIT NO.
3q1 R1 R
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE 7'Tj
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES,,,
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
LL
�
�
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
Community .
SQ. FT. @ YARD SPKLR SYSTEM
Date
”
MOBILEHOME SVC. BAR SINK
SQ. FT. @
F.C.C.
SQ. FT. @ POWER OUTLET ROOF DRAINS
Micro Film Fee
DRAINAGE PIPING
SQ. FL @
UseJ�rf^/Perml
b U A9 4) �.,,
SQ. FT. @ DRINKING FOUNTAIN
Parcel No.
— 54
,r� URINAL
SQ. FT. @ �V
Ck. By
VALUATION $ WATER PIPING
PI. Ck. Fee $
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
Construction Fee
Electrical Fee
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
F S 'IS/,n
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
T e
APPLIANCE DRYER
r
SMI Fee $
GARBAGE DISPOSAL
Dbl $ ('
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
Const. lender, Branch
COMPRESSOR HP
POLE,TEMP/PERM
LAVATORY
Registr. Fee g
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
•Reinsp. Fee
BOILER B.T.U.
SQ. FT. @ t
BATH TUB
Tel. _
Zip
A
SQ. FT. @ c
WATER HEATER
-§
Cash Check
ddress
SQ. FT. RESID @ 1114 c
SEWAGE DISPOSAL
Zip
Received
SQ. FT. GAR @ 'G c
HOUSE SEWER r
Tel.
License#
GAS PIPING
Trees r ue
PERMIT FEE
PERMIT FEE ?
PERMIT FEE
J'1
DBL
TOTAL FEES
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK
CONST. FEE� MCT.fEE„
SASE_ C.
'FEE
PLUMB. FES
r V �
^( 4PERMIT NO.
W 1 8 1 /( M
391813
3
Job Address
�.
Space Zip
Owner
Community .
Valuation
§�
Date
”
Dist. Off.
F.C.C.
MH.Permit Fee $
Micro Film Fee
Cop §
UseJ�rf^/Perml
b U A9 4) �.,,
Parcel No.
— 54
Use/Case N6.
-
Ck. By
Mech. Fee Dbl $
PI. Ck. Fee $
Set Backs
Lot Size
Construction Fee
Electrical Fee
Dbl $„r,e,,.
DO $
Legal D^ascription
�"" / 7 / �,�^" '
/` ' V
F S 'IS/,n
`
Zone Restrictions
Group
T e
r
SMI Fee $
Plumbing Fee
Dbl $ ('
Bond Amt
$
Plan No.
Plan Checker
Final Date
Ins p cto
Unit
Sp. Insp. Fee $
Demol. Fee
is
Const. lender, Branch
Supplimental Permit Numbers
I
• r
-
Registr. Fee g
Mileage Fee $ •
Address City Zip
--
Witness Fee $
•Reinsp. Fee
$
Owner/Agent
Tel. _
Zip
A
Total Fees
M. 0. 0 N.C.
-§
Cash Check
ddress
City
'
Zip
Received
Con t"57
Tel.
License#
Trees r ue
Sawa _ystem -
/'},pSe
Address
d
Ci - ZIP
'
T LL P r , THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer District f 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 INDNIDUAL 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.8/78) 0s ,
verified by: