BLCK (391575)BUILDING PERMIT
PERMIT NO.
391575
PERMIT NO.
Job Address
of
Community
0*=
DEPARTMENT OF BUILDING & SAFETY
Space Zi Owner
P P
,.�
Date
DST
r
3.9157-5
Cop $
COUNTY OF RIVERSIDE
FIELD
,~
No.
Ck. By
j
Mech. Fee Dbl $
PI. Ck. Fee $
Set Backs
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
'
SQ, FT, @
UNITS
Electrical Fee Dbl $
! n IST FL.
FT. @
YARD SPKLR SYSTEM
'2ND.`FL:SQ.
SQ. @
MOBILEHOME SVC.
BAR SINK
POR r�
!^ GAR ' SQ, FT, @
POWER OUTLET
ROOF DRAINS
's�-bCARP. SQ. FT. @
DRAINAGE PIPING
WALLSQ. FT. @
fir+•
DRINKING FOUNTAIN
SQ. FT. @
Branch
URINAL
ESTIMATED CONSTRUCTION VALUATION $
Register. Fee $
WATER PIPING
t , 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
$`
GARBAGE DISPOSAL
FURNACE.',;' UNIT WALL FLOOR SUSPENDED
Cit
04v'"
(_,) F
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. @ t
BATH TUB
I
SQ. FT. @ . c
WATER HEATER
SQ. FT. RESID @11/4c
SEWAGE DISPOSAL
'
SQ. FT. GAR @ 'G c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL
MOB. HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
i–
I
I
.
Ile
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PERMIT NO.
391575
-
Job Address
of
Community
0*=
r _. r. m.
Valuation
old/ Z��a=
Space Zi Owner
P P
,.�
Date
Dist. Off. F.C.C.
7-
MH.Permit Fee $4
Micro Film Fee
Cop $
Use of ermit
Parcel No.
Use/Case
No.
Ck. By
j
Mech. Fee Dbl $
PI. Ck. Fee $
Set Backs
Lot Size r
Construction Fee Dbl $
Legal Description
�"'
'
FS
5 R
Electrical Fee Dbl $
Zone RestrictionsGroup
� "` � �.
Type
SMI Fee $
Plumbing Fee
Dbl $
Bond Amt.
$
Plan
No.
Plan Checker
Final Date
'3� ��
nspector
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender
Branch
Supplimental Permit umbers
a
Register. Fee $
Mileage Fee $
Address . City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agente'
,,.�'`'1
TeL`,,,,•
fir �y[r, ••o.ti
/
Zip
Total Fees
$`
Address
/' l /Lj
�.«^"r V
Cit
04v'"
(_,) F
Zip
M.O. 0 N.C. Cash Check
Received by
Contractor
,=
Tel.
License@
r
Trees required
Sewage System
i
Address
Cit Y Zip
.
T L P
'Sewer District \
1 e n
form 284-208 (Re,8/78) 7 - —
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORKF verified by:
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 f�
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS'AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. W
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms z
/ _ ��l
34
Plenums & Ducts r
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. C]
43
Final
IDA
Fireplace T.O.
FI
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick 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
25
Finan
Tank Pit L.Line 1
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
PA
L
i
J
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
-OFFICE DATE TIME _ PERMIT NUMBER
INSPECTION
REQUESTED
ADDRESS �j� L�� 'e' I SPACE N0. FOR:
OWNER COMMUNITY
D P.M.
BUILDING PLUMBING ELECTRICAL MECHANICAL ❑I
!� �ruE5
WED
REMARKS:
THUR
C"T FRI
✓VW
OWNER/CONTRACTOR TEL.NO. 28� was
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE DATE TIME PERMIT NUMBER
7 2 3 o INSPECTION
REQUESTED
ADDRESS I SPACE NO. FOR:
I
:ELECTRICAL
A.M.
OWNER COMMUNITY
0.P.m.
BUILDING PLUMBING MECHANICAL
^n S.
REMARKS: Q THUR
FRI
OWNE /CONTRACTOR TEL.NO. 28446 t1/75,
` J ;
NOT:CE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT
Permit No
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
47 c_ c r R
Owner - '2 -i - UC-%TH #-`-y<rchitect —. _ Contractor - -_
��
Address /, f),QqLAeG'P--,!!!2?,2eAddress--- Address—A%
City 2/d uiii/7h l9 aW City-- _ City_--�_,�%�—
Phone -3 G "F" Phone _ Phone—
C
W
I (we) the undersigned, herebycertify 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. 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 property to be occupied until I (we). have
complied with all laws of theCounty of Riverside and the State of California governing said property.
DATE -a-,='-- SIGNATURE OF OWNER AND/OR AGENT__±� /
t Approval by Signature from the Following Departments Listed Below
Must Be Prior to the Issuing of a Construction Permit.
.Obtained
.Z I SPACE N0.
USE OF STRUCTURE
%�' �_�`S �vG._ I
JOB ADDRESS - SINGLE FAMILY DUPLEX
t
LEGAL' DESCRIPTION�OE PROPERTY r7
- APARTMENTS
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AGRIC. �]
U.
`^
����-•• /�'�'��. COMMERCIAL � INDUSTRIAL EJ
j GALTERATIONS
COMMUNITY •_!'!!
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C Z
NO. OF SUBMITTED PLANS - USE OF PERMIT ! L —�
Lu
CASE NO. !/.,:c /
'�-
O Z
NO.OF PARKING SPACES REQUIRED -— NO. OF BUILDINGS NOW EXISTING
-j
Q
ZONF'� SETBACKS: FRONT SIDE REAR
J
m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBAQORDINAN_CE # OF FEET REQUIRED ON 4STREET
DATE SIGNATURE OF LAND USE OFFICIALS/!
1
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET-
F-
-z
CURB' AND GUTTER REQUIRED: YES ❑ NO ❑ -STREET
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
S
SWIMMING POOLS PUBLIC
QW
SEWAGE DISPOSAL
Lu
_
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
us FLOOD CONTROL
F
W AIR POLLUTION
C Q '' 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. W- DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE MIST
3-915 7 5 COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
GAR.
c. CAR P.
WALL
SQ. FT. @ $
UNITS
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @ '7:Y ?
DRINKING FOUNTAIN
SQ. FT. @
URINAL
ESTIMATED. CONSTRUCTION VALUATION $
Ck. By
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
Group
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Plumbing Fee
LAUNDRY TRAY I
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK )
ABSORPTION SYSTEM B.T.U.
TEMP USE'PERMIT SVC
WATER CLOSET 4,
COMPRESSOR HP
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
Mileage Fee $
SQ. FT. @ c
WATER HEATER
Reinsp. Fee
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
SQ. FT. GAR @ %c
HOUSE SEWER
Total Fees
M.O. N.C.
$L14
Cash Checkff
GAS.PIPING
PERMIT FEE
/ //y1 -
PERMIT FEE ''
PERMIT FEE
DBL.
TOTALS
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEY ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
13 9575
Job Address
Space Zip
Owner
"
Community
Valuation
t $v
Dote ,y^ 1 7
O o
Dist.
Off.
F.C.C.
MH.Permit Fee $
Micro Film Fee
Cop $
Use offPermi/t /
4/ /Z.•..% • 'E:' �."'r�..Q�I
s � ,
�,
Parcel No. [�
Opp
Use/Case No.
Ck. By
Mech. Fee Dbl $
Pl. Ck. Fee $
Set Backs
Lot Size
"
Construction Fee
Electrical Fee
Dbl $
Dbl $
Lego
fI Description
y ,�/. L'�"
'� :�,��r'
F S 5 - R
Zone Restrictions
Group
Type
SMI Fee
Plumbing Fee
Dbl $
Bond Amt.
$
Pion
No.
Plan Checker
Final Data
�--
Inspector /'
Unit
$p. Insp. Fee $
Dental. Fee
$
Const. Lender
Branch
Supplimental Permit Numbers
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
'-
Reinsp. Fee
$ \
'caner/Agent /
Telll o r
Zip
Total Fees
M.O. N.C.
$L14
Cash Checkff
I Address 1011,City
/ //y1 -
Zip
Received by
Contractor
-
Tel.
License#
!9 x."76
09
Trees require
Sewage System
t
Address
Fit,.Zip
•,
T P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by'',,`
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
f I -HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND.SPECIFICATIONS HAS DONE 5O IN
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS COPE. OF THE STATE OF CALIFORNIA.
'Form 284-218 (Rev.8/78) s - '