384871 (ELEC)PERMIT NO. DEPARTMENT OF BUILDING & SAFETY MU
3848711 COUNTY OF RIVERSIDE FIELD
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES'
IST FL. _,
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ `p
UNITS
H
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
POWER OUTLET
SQ. FT. @
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION
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
Legal Description
{ L
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GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
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
Dental. Fee
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @I1Ac
SEWAGE DISPOSAL
supph t I P mit Numbers
I
SQ. FT. GAR @ s/. c
HOUSE SEWER
Mileage Fee $
Address City Zip
GAS PIPING
PERMIT FEE
PERMIT FEE �*7r
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
Incr. fEE
SMI FEE
FEE PLUMB. EE
PERMIT NO.
384871
Job Address
I-
i
Space
Zip Owner
-
Community
' �„r�,,r (,mss,,,"_
Valuation
$
Dote
_%
Dist.
Off. F.C.C.
MH Permit Fee i
Micro Film Fee
Cop $
Use Off P rmit
Q
X,(,..•s....�G"
"`CCC rr, �,.yp�,s -773-
Parcel No. Vf�
�-/—L
Use/Case
o.
Ck. By
Mech. Fee Dbl $
PI. Ck. Fee =
Set Backs
Lot Size
Construction Fee Dbl $
Legal Description
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F S S R
Electrical Fee S
SMI Fee Is
Zone Restrictions
Gro p
Type
Plumbing Fee
1 $ "
Bond Amt.
S
Plan No.
Plan Checker
Final Dote``� �Y
' �v "' 0e�0
Inspector
Unit
SpI`Insp. Fee $
Dental. Fee
$
Const. Lender
Branch
supph t I P mit Numbers
I
Regisir. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel.
Zip
Total Fees
$
Address
City
Zip
M.O. N.C. Cash El Che
Received by
�y `Contractor
Tel.
1 (�
License#
Trees required
Sewage System
Arddress
n
City `
Zip
T,_ —L: P
Sewer District
Form 284-208 (Rev.8/7A]�Zle
THIS PERMIT SHALL BiCO41 VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
FOR 120 DAYS SHALL ALSOLfAUSE 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.
NSA• ,
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1 --Set•Bo.,k
33
Ventilation System
2
Ftgs & Frms
34 Plenums 8 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.
NON
--
ADDITIONAL INFORMATION
_. - - - - -- - -- - - - -- - - -
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Botts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb -- -- - _ - --- -
16 Water Piping
17 Rough Plumb `o r Q f
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Goy Test
25
Final
Tank Pit L.Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring _ o
29A Grounding Wire
29B .,Bonding
30 Fixtures
31 Service
32. Final
STREET NAME
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE DATE TIMMEE' PERMIT NUMBER
INSPECTION
ADDRESS I SPACE NO. FORUESTED
I
OWNER
BUILDING 11 PLUMBING
REMARKS:
COMMUNITY
G , Q�
ELECTRICAL MECHANICAL
D -4qCVZZj
OWNER/CONTRACTOR TEL.NO
A.M.
P.M.
M'ON
TUES
WED
TH UR
FRI
r
28«► tl/FS
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
i 1 � �
Owner • Architect— _. _ Contractor'DP _ .0F
Address___ Address_1l1§!L5K'1
city city _ City__1_2V1 NG
Phone_ ��7
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 I (we) will not occupy said property and will notcauses property to a occupied until I (we) have
complied with allslaws o the County of Riverside and the State of California governing said pope
h_I—_—
DATE `8 SIGNATURE OF OWNER AND/OR AGEN
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
LA QVINj* (SPACE NO.
`/ 1 USE OF STRUCTURE
15"2= 'A`rE 1
JOB
ADDRESS _�6NAZA
P %3 SINGLE FAMILY DUPLEX
LEGAL DESCRIPTION OF PROPERTY W'111 1+ QF Wal-
Zuj
Al APARTMENTS AGRIC.
y1� UNLIT
r0 Q
in
/9 COMMERCIAL INDUSTRIAL n
LA �JrVINI'fA
5:
G
Z
COMMUNITY
ALTERATIONS
V`INC
NO. OF SUBMITTED PLANS y USE OF PERMIT UIZZI 457 fpk —
jCASE
N0. -- - L
Y
G Z
NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NO EXIS ING
Q
ZONE1S-1
J m
SETBACKS: FRONTi SIDE REI R
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE X 100
SETBAC RDINANCE N — OF FEET REQUIRED ON STREET
DATE SIGNATURE OF LAND USE OFFICIA
DEDICATION REQUIRED - AS ❑ NO ❑ NO. OF FEET
W
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
cc
a
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
W
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
D
C
IMPROVEMENT? YES ❑ NO C3
°C
DATE _ SIGNATURE OF ROAD DEPT. OFFICIAL
=
SWIMMING POOLS PUBLIC
JW
SEWAGE DISPOSALuj
—
FOOD ESTABLISHMENT
_
WATER POLLUTION REMARKS
FLOOD CONTROL—
H
z AIR POLLUTION
Z DIV OF HWY
c a — YOUR PROPERTY MAY BE SUBJECT TO
CL -
Lu , FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
'284 199A 9/74 CANARY—FILE, PINK—APPLICANT
41 Rev. 6/77
BUILDING PERMIT —
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE ( DST
3
8,4871 COUNTY OF RIVERSIDE I Ir
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
•
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
Com unity
YARD SPKLR SYSTEM
SQ. FT. @
Valuation
%., s
SQ. FT. @ MOBILEHOME SVC. BAR SINK
Date
POWER OUTLET ROOF DRAINS
5Q. FT. @
Dist.
DRAINAGE PIPING
SQ. FT. @
F.C.C. -
DRINKING FOUNTAIN
5Q. FT. @
Micro Film Fee
SQ. FT. @ URINAL
Use o^f P r it� � ��
(/w LV* �.hW*�^�/�" Gc""''` '
v
VALUATION $ WATER PIPING
Use/Case No.
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
Lot Size
R
,? Type
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
Electrical Fee s
SMI Fee $
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
Plan No.
APPLIANCE DRYER
Plan Checker
GARBAGE DISPOSAL
Insp r
FURNACE UNIT WALL FLOOR SUSPENDED
Unit
LAUNDRY TRAY
Demo). Fee
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
Branch
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
Registr. Fee $
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
Reinsp. Fee
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
Total Fees
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @1'/4c
SEWAGE DISPOSAL
Zip
M.O. 0 N.C. 0 CashEj Chec
SQ. FT. GAR @ '/4 c
HOUSE SEWER
Contractor
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
Sewage System
DBL.
TOTAL FE^,, I MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
I CONST. FEE LEC �EE
SMI FEE
FEE PL MB. FEES
PERMIT NO.
1384871
Job Address
� �
Space
Zip Owner
Com unity
.
Valuation
%., s
,rte
..//
Date
Dist.
Off.
F.C.C. -
MH Permit Fee $
Micro Film Fee
Cop E
Use o^f P r it� � ��
(/w LV* �.hW*�^�/�" Gc""''` '
v
P+o�rcee. N¢o. /� /'
/ / 7— V 6t-oo
Use/Case No.
Ck. By
Mech. Fee Dbl $
PI. Ck. Fee $
Set Backs
F S S
Zone Restrictions Group
'e"'
Lot Size
R
,? Type
Construction Fee Dbl E
Legal Description
/
Electrical Fee s
SMI Fee $
Plumbing Fee
Sp. Insp. Fee
Airl s 4,
$
Bond Amt.
$
Plan No.
Plan Checker
Final Date
Insp r
Unit
Demo). Fee
$ -
Const. Lender
Branch
Supplimental Permit Numbers
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel.
Zip
Total Fees
$ (C
Address
City
Zip
M.O. 0 N.C. 0 CashEj Chec
Received by
Contractor
Tel.
License#
Trees required
Sewage System
A dress
Cc
Cit Y �
Zip
i
'
T LL p THIS PERMIT SHALL BECOAOVOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS, CESSATION OF WORK verified by:
Sewer District FOR 4120 DAYS SHALL ALSO CCAAUSE PERMIT TO BECOME VOID. e
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.B/78 p s ��
•,r ,; pp
oil
Of
'mob—/t✓ 1� � $�p`!?y p�
EDIT (VA&A014ce. • f ft,.1 ED fo,2)
I'Lriu SPA.
c. �4-p.
T5 iNynnPl
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APPROtN
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