The URL can be used to link to this page

BLCK (369221)BUILDING PERMIT PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD j 7�, 369221 COUNTY OF RIVERSIDE 1 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINI,G FEES ' IST FL. SQ. FT. @ $ UNITS Zip 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. @ Micro Film Fee DRAINAGE PIPING WALL SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ Mech. Fee Dbl $ URINAL ESTIMATED CONSTRUCTION VALUATION, $ Lot Size 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 Type GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Dbl $ 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 Address City, Zip SQ. FT. RESID @I /.c SEWAGE DISPOSAL $ _ SQ. FT. GAR @ 3%c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES, MOB. HM.FEE MICRO FEE MECH. FEE PL. CK. FEE FEEEE,�j ELECT. FEE SMI FEE FEE PLUMB. FEE Received by C rac r �. • " FCONST. Tel. �„ r/ LicenseX r •evzz PERMIT NO. 369221 Job Address Space Zip Owner Community Valuation $ •'� `'j Date Dist. F.C.C. MH -Permit Fee $ Micro Film Fee Cop $ Use of P rmit ��`� [/ .l% arce No. se/Case No. Ck. By ... X .� _e5� 4? 4 Mech. Fee Dbl $ PI. Ck. Fee $ Se ocks Lot Size 'e ' Construction Fee Dbl $ ,e Legal Description Z F 5 S R Electrical Fee Dbl $ Zone Restrictions Group Type SMI Fee $ Plumbing Fee Dbl $ Bond Amt. E Pion No. Plan Checker Fin�`al Dat'eh �f� Inspector Unit Sp. Insp. Fee E Demol. Fee $ Const. Lender Branch Supplimental Permit Numbers _�,•/( Regisir. Fee $ Mileage Fee $ Address City, Zip Witness Fee $ Reinsp. Fee $ _ Owner/Agent Tel. Zip r Total Fees $ Address f'r'. 4.—^•'�� City Zip " M.O. 171 N.C. Cosh Check Received by C rac r �. • " Tel. �„ r/ LicenseX r •evzz Trees required Sewage System Address r c " ~� - Cit y , ZIP w T U. v P Sewer District Form 284 208 (Rev.8/78) I3� y,. ♦. , .. _ .- _ — .. . HIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITH 120EDAYS. CESSATION OF WORK 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. verified by: NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs & Frms k 34 Plenums & Ducts 2A Slab Grade 35 Furnace Comport. 3 Steel 7 _ O _)c-) 7"� 36 Inlets & Outlets 4 Grout Blocks 37 Combustion Air 5 Bond Beams 7. orZ �V�Oreoele,,,,w38 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 IDA Fireplace T. 0. NO ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Botts) 12B Ceiling (Botts) 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 25 Final Tank Pit L.Line REAR OF PROPERTY LINE PSL P/ S ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE • r DISTRICT Permit No 4 284 199A 9/74 CANARY—FILE, PINK—APPLICANT �tr 1 OwneArchitect— —. _—� Contract J I Addres E �� —_ Address___ Address_ —_—___,�� _�— rCity�� J� City-- City 41 (!�_LY_ -' Phone .16 Sl 9.? 2e/ Phone _ PhoneCL��_�!�� tY 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 I (we) will not occupy said property and will not cause said property to be occupied until I (we) have complied with all laws oftheCounty of Riverside and the State of California governing said property. DATE�_(-� __ SIGNATURE OF OWNER AND/OR AGENT Ei%/E Approval by Signature from the Following Departments Listed Below Must Be Obtained Prior to the Issuing of a Construction Permit. g Z9- I SPACE NO. USE OF STRUCTURE JOB � vL /X OW > ADDRESS—/J _ DESCRIPTION PR PERTY �7 OOy SINGLE FAMILY � DUPLEX El Z W LEGAL OF �O�/ _ -_ . APARTMENTS �' AGRIC. �OT .. el Q ---'– COMMERCIAL INDUSTRIAL n CC COMMUNITY ALTERATIONS n x led &Aep—ew Z NO. OF SUBMITTED PLANS USE OF PERMIT _ A Q CASE NO. Z NO. OF PJ�RK�2IjNG SPACES REQUIRED _— —_ NO. OF BUILDINGS NOW EXISTING – Q ZONE _L�SETBACfKS: FRONT �– SIDE REAR J Co GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBAC# OF FEET REQUIRED ON STREET ^ORDINAN/C�E DATE 5�7' SIGNATURE OF LAND USE OFFICIAL – DEDICATION REQUIRED: YES O NO ❑ NO. OF FEET -- — I— z CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET i H a CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET Q IMPROVEMENT? YES ❑ NO ❑ O °C DATE SIGNATURE OF ROAD DEPT. OFFICIAI _ SWIMMING POOLS PUBLIC QW SEWAGE DISPOSAL _ FOOD ESTABLISHMENT WATER POLLUTION REMARKS FLOOD CONTROL— F z AIR POLLUTION _ DIV OF HWY c a — -YOUR PROPERTY MAY BE SUBJECT TO LU 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 & SAFETY FIELD OFFICE 36922 1 COUNTY OF RIVERSIDE 77, CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. @ $ UNITS Owner 2ND. FL. POR. SQ. FT. @ ' .01 YARD SPKLR SYSTEM SQ. FT. @ MOBILEHOME SVC. BAR SINK GAR. SQ, FT, @ POWER OUTLET ROCSF DRAINS CAR P. WALL SQ. FT. @ Parcel No. se/Case No. DRAINAGE PIPING SQ, FT. @ 7,S Z DRINKING FOUNTAIN SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION' $ Lot Size URINAL 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 Type GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Plumbing Fee LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HIP POLE,TEMP/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. @ c BATH TUB Supplimental Permit Numbers / SQ. FT. @ c WATER HEATER Mileage Fee $ SQ. FT. RESID @114c SEWAGE DISPOSAL Reinsp. Fee SQ. FT. GAR @ zG c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEE,S�q,� Vv ...r• MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE I CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 369221 Job Address re.. Space �'�� Zip Owner r.- Commu ity ' .01 ValuationDa/te Dist. $ iC..r Y/rti� s F.C.C. MH.Permit Fee $ Micro Film Fee Cop $ Use of Permit �" "' L/,�/� �% Parcel No. se/Case No. Ck. By, Mech. Fee Dbl $ PL Ck. Fee $ Set Backs Lot Size Construction Fee Dbl $ Legal Description � � � ... � F S S R Electrical Fee Dbl $ Zone Restri ions Group Type SMI Fee $ Plumbing Fee Dbl $ Bond Amt. $ Plan No. Plan Checker Final Date /% . 1?, Inspector Unit Sp. Insp. Fee $ Denial. Fee $ Const. Lender Branch Supplimental Permit Numbers / .' Registr. Fee $ Mileage Fee $ Address City Zip Witness Fee $• Reinsp. Fee $ Owner/Agent Tel. - Zip Total Fees $ dress ✓ City Zip C. - Cash CheckReceived b ract I � - Tel. License# Trees required' Sewage System r dress- - Cit Zip T U. p•- 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. t I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN 'r~ ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. y.Form 284-206 (Rev.8/78) P s verified by:' v