PLBG (359890)ovsauInv rcam1I
PERMIT NO.
3598 9 0
PERMIT NO.DEPARTMENT
3598 9 0
Job Address Space
9
OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD
DST
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
AH.Permit Fee E
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
'
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
Use/Cose No.
Ck. By
SQ. FT. @ YARD SPKLR SYSTEM
'I. Ck. Fee $
SQ. FT. '(9 MOBILEHOME SVC. _ „ BAR SINK
I Lot Size
SQ. FT. @ POWER OUTLET ROOF DRAINS
Legal Description
4+IV !. •J�
G M {I C
131-
SQ. FT. @ ' DRAINAGE PIPING
S
SQ. FT. @ DRINKING FOUNTAIN
Zone Restrictions
SQ. FT. @ URINAL
Type
VALUATION $ WATER PIPING
'lumbing Fee Dbl E ZZ
NOTE:, Not to,be used ps proporty Tax valuation
SWIM POOL, PVT N4
FLOOR DRAIN
Final Date
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
e
VEVT SYSTEM FAN -EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
Nitness Fee $
APPLIANCE DRYER
Owner/Agent
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
.Address
��, � `�.r �
s1"
LAUNDRY TRAY
eceived by i
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
•ees required�
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
3'Q
SQ. FT. RESID @1'/,c
SEWAGE DISPOSAL
SQ. FT. GAR @ s/. c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE QL'>
00
PERMIT FEE
C'''am
DBL.
TOTAL FEES
MOB. HM. FEE
.
_ JNICRO FEE
MECH._FEE - ,.PL..CK. FEE
CONST. FEE _ EL T. FEE
_ OCA
SMI FEE
FEE PLU B. FE -EE
�C!
PERMIT NO.
3598 9 0
Job Address Space
9
Zip
Owner
Community
f j��'
Valuation Date
is
Dist.
Off
F.C.C.
AH.Permit Fee E
Aicro Film Fee Cop $
Use of Perrftit
CL( �J �,�,(� ,� f
Parcel No.
4-.7
Use/Cose No.
Ck. By
Aech. Fee Dbl E
'I. Ck. Fee $
Set Backs
I Lot Size
:onstruction Fee Dbl $
Legal Description
4+IV !. •J�
G M {I C
131-
F S
S
tectrical Fee Dbl EAC
Zone Restrictions
Group
Type
.MI Fee E
'lumbing Fee Dbl E ZZ
PBond Amt.
$
Pion No.
Pion Checker
Final Date
I spector
Unit
gyp. Insp. Fee E
temol. Fee $
Const. Lendert Bra c 1
r hiJ
,tit �J Zt�
�s:� u
Supplimental Permit Numbe '
,
!egisir. Fee $
Aileage Fee EAddres's
Nitness Fee $
!einsp. Fee E
Owner/Agent
Tel. Zip
otaF fees '
' M-0.0 N.C. Cash Check
.Address
��, � `�.r �
s1"
City r Zip
eceived by i
_Gin'f r& for
Tel.
�� /
License#
r
•ees required�
swage System
..
Address !.
_... fay% /
City ,y Zip
! '� 7
� T r - LL P .,
ewer District
arm 284-208 (Rev.8/78)
THIS PERMIT'SHALL BECOME 161!' IF WORK IS NOT COMMENCED WPTHIN 120 DAYS. CESSATION OF WORK
FOR 120 DAYS SHALL ALSO USE PERMIT TO BECOME VOID.
I HEREBY AGREE TH Cl�1AfCWITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY ND 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 ay:
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
r --
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
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.O. C3
No
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE 8 LOCATION
11 Exterior Loth
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final /QQ�d
PLUMBING APPROVALS
15 Ground Plumb (1—&-79
16 Water Piping
17 Rough Plumb ({ 7 Q Q�
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test 7
25
Final
-�° �
y ^
Tank Pit L.Line
a—
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L ;P/
26 P6wer Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final--
NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT
APPLICATION TO CONSTRUCT
Permit No
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
ard
Owner Architect _. _ ContractorAV_ e i,,e/e«4" .
Address S kW#Vr"ress_-- Address% y '�
_—CJS'
City_ City-- City
/�GG
Phone Phone PhonesJ^�213_
_
C
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 rof� the County of Riverside and the State of California governing said property.
DATE—_J ll —/--- SIGNATURE OF OWNER AND/OR AGENCP4A_—'—i;��
Approval by Signature from the Following Departments Listed BeloM/
Must Be Obtained Prior to the Issuing of a Construction Permit.
'L-- S > I SPACE NO.
S2- 7,?*�U,r,�rair /I%/N11l22a USE OF STRUCTURE
?1
JOB ADDRESS _
3� s _ O SINGLE FAMILY DUPLEX
5 -
Z H
LEGAL D SCRIPTION OF pPRO� ERT. �GQ — APARTMENTS E] AGRIC.
/ 4 �EY
Q
COMMERCIAL INDUSTRIAL
JjNt�1�
'^
_>
C
COMMUNITY
ALTERATIONS n
Q
Z
NO. OF SUBMITTED PLANS USE OF PERMIT
9KLu
a
CASE NO. /= GElic v
� c3
[G
p Z
NO. OF ARKI7G SPACES REQUIRED .— NO. OF BUILDINGS EXISTING
J
r 2
ZONE SETBACKDE -REAR
S: FRONT S SIDE 7J
m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE OF FEET REQUIRED ON STREET
DATE 3 SIGNATURE OF LAND USE OFFICIAL
F
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET-
-z
CURB AND GUTTER REQUIRED: YES O NO ❑ STREET
t-
oe _
IL
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
W
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
IMPROVEMENT? YES ❑ NO O
°C
DATE — SIGNATURE OF ROAD DEPT. OFFICIAI
S
SWIMMING POOLS PUBLIC
QW
SEWAGE DISPOSAL
FOOD ESTABLISHMENT
= G
WATER POLLUTION REMARKS
to FLOOD CONTROL—
z AIR POLLUTION
� W
_ DIV OF HWY
c a _ YOUR PROPERTY MAY BE SUBJECT TO
a
c FLOOD. RIVERSIDE COUNTY ASSUMES
t•
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
ard