361538 (PLBG)BUILDING PERMIT
PERMIT NO.
361538
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD ,Ds
CONSTRUCTION ESTIMATE
NO. ELECTRICAL. FEES
NO. ,PLUMBING. FEES.... �.�
1ST FL.
2ND. Fl.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @
UNITS
i
YARD SPKLR SYSTEM
SQ. FT. @
SQ. FT. @ MOBILEHOME SVC. BAR SINK
POWER OUTL19i ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN ~Y"
SQ. FT. @
i
SQ. FT. @ URINAL 7
_
VALUATION $ WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
PI. Ck. Fee $
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
l
of r
L De ription ” V�
/ y�Sytir v
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
Group
APPLIANCE DRYER
Plumbing Fee Dbl s ,.r
GARBAGE DISPOSAL
Plan No.
FURNACE UNIT WALL FLOOR SUSPENDED
Fino/jof
7
LAUNDRY TRAY
Unit '
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
Supplimental Permit Numbers
.• r ,
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
Witness Fee $"
COMPRESSOR HP
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
M. 0. Cash Check
BOILER B.T.U.
SQ. FT. @ C
BATH TUB
,
Frees required
SQ. FT. @ C
WATER HEATER
City Zip
SQ. FT. RESID @1 /.0
SEWAGE DISPOSAL
SQ. fT. GAR @ Y c,
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TrAL EE +�o
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
I CONST. FEE
SMI FEE
FEE
L
PERMIT NO.
361538
Job Ad ess f Space
w„.. 4:4".
�'
ip
Owner
Communit O
,r '
Valuation
$ '
DgLej �4/
x((11
I�isy
t `
QST-'
//C-
F.C.C.
MH.Permit Fee $
Micro Film Fee Cop E
Use of Permit +
,'!/�.,T' • t•)
-
Parcel No. Use/Case No.
+/✓� ,re, . � „i,.
Ck^By
��
Mech. Fee Dbl $ -
E
PI. Ck. Fee $
Set Backs
Lot Size
Construction Fee Dbl $
l
of r
L De ription ” V�
/ y�Sytir v
F S ✓ 5 ) R '7
; /
Electrical Fee Dbl $ ..,,i
SMI Fee s
Zone Reslriclion •
Group
Type
Plumbing Fee Dbl s ,.r
Bond Amt.
$
Plan No.
Plan Checker
Fino/jof
7
Insp for
Unit '
Sp. Insp. Fee $
Demol. Fee $
Const. Lender Branch
Supplimental Permit Numbers
.• r ,
Registr. Fee $
Mileage Fee $
Address City Zip
^'
Witness Fee $"
Reinsp. Fee $
Owner/Agent
Tel. Zip
Total Fees E
Address
Ci Zi
�' , P
M. 0. Cash Check
Received bO,r,
Contractor
• - • • .
Tel.
" • "
License#
•. ri' •.- 'w P"i
Frees required
Sewage System
Address
City Zip
T LL P
Sewer District
Form 284-208 (Rev.8/78)
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. 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 -UJ IFORNIA.
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.
verifbd by:
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
INS SECTOR
BUILDING APPROVALS
..MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
- 2
Figs & Frms
34.
Plenums & 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.O. ❑
OP'N
NO. .
ADDITIONAL INFORMATION
-------------------
-
SEWAGE SYSTEM SIZE &LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
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 —g—��
25
Final
Tank Pit L.Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
PSL
P/
`
26 Power Pole
'.27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
"30 Fixtures
31 Service
32 Final
STREET NAME
e
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE DATETIME PERMIT NUMBER
/ , r / INSPECTION
ADDRESS SPACE NO.
'5
2 d V. ,vzr
OWNER COMMUNITY
IT
G
BUILDING PLUMBING ELECTRICAL MECHANICAL
C�
REMARJCS: jgavZ: Z-, i
C
REUUESTED
FOR:
A.M.
P.M.
OWNER/CONTRACTOR TEL.NO.
284-64 1175
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE DATE TIME PERMIT NUMBER
617 a
INSPECTION
ADDRESS f
3;2 -/Jo
OWNER
BUILDING
REMARKS:
PLUMBING
�.�.wz,q
COMMUNITY
ELECTRICAL
OWNER/CONTRACTOR TEL.NO.
SPACE NO.
I
I
MECHANICAL
REQUESTED
FOR:
A. M.
P.m.
�tUN
El TUES
F]WED
THUX
FRI
4BA� Ni75
NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT
APPLICATION TO CONSTRUCT Permit No
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
284 199 9/74 'CANARY—FILE, PINK — APPLICANT
Own e Architect Contractor
CD
nv •
Addre Address Address -
0 ,.
�'�'�
F0
Cit City City_ ---
C) c u�i
Phott Phone Phone
aCDi
mt�D
f (we) the undersigeioed, hereby certrty and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and
n h
11
Paving, andlor Dedication of right of way is required by the County of Riverside, the Riverside County Department of Building and Safety
m m
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
P Nwithout
an encroachment permit.
to 'O
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
o pr
complied with all laws of the County of Riverside and the State of California governing said property
C �11
-
DATE SIGNATURE OF OWNER AND/OR AGENT
a�
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
SPACE NO.
?I
USE OF STRUCTURE
�j'
���/�������jj
JOB ADDRESS �a �d � tt��
/ ..rYo� fl SINGLE FAMILY DUPLEX El
>'
Z
LEGA DES RIPT ON 0 PROPERTY'
'1�ATMENTS �] AGRIC. [l
/C��UC+��
u~ip
C. Q
, a �}
r COMMERCIAL INDUSTRIAL n
CG
COMMUNITY ALTERATIONS n
Z
NO. OF SUBMITTED PLANS E OF IT _
NO. �� R
jCASE
p Z
NO. OF P KI G SPACES REQUIRED N0. OF BUILDINGS NO EXISTING —
Q
ZONE, iETBACKS: FRONT SIDE ^� REAR
J
m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE i`t OLe- OF FEET REQUIRED ON STREET
DATE SIGNATURE OF LAND USE OFFICIAL ----
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET-_
W
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ s STREET
i
t-
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
W
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
OIMPROVEMENT?
YES ❑ NO ❑
cc
DATE _ SIGNATURE OF ROAD DEPT. OFFICIAL
Z
SWIMMING POOLS PUBLIC
W
SEWAGE DISPOSAL
_
_
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
�rr _FLOOD CONTROL
i
W AIR POLLUTION
Is
_ H DIV OF HWY -
c a — YOUR PROPERTY MAY BE SUBJECT TO
o FLOOD., RIVERSIDE COUNTY ASSUMES
- NO RESPONSIBILITY IN EVENT OF FLOOD.
4
284 199 9/74 'CANARY—FILE, PINK — APPLICANT
BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING t& SAFETY FIELD OFFICE
7[7� 361538 COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO.. .. -ELECTRICAL FEES.
NO. ,PLUMBING FEES.
IST FL. SQ. FT. @
UNITS
Owner
2ND. FL. SQ. FT. @
Valuation
E
YARD SPKLR SYSTEM
Da �9
FOR. SQ. FT. @
MOBILEHOME SVC.
BAR SINK
MH Permit Fee E
Micro Film Fee
POWER OUTLET
ROOF DRAINS
'7
GAR. SQ. FT. @
C y
Mech. Fee Dbl E
PI. Ck. Fee §
CAR P. SQ. FT. @
r
DRAINAGE PIPING
Construction Fee Dbl E
L al Des iptionG / �, 111111e,, t
1 ���1'urAi�J.[''J-(�
/"v'
k. .�. .. .. y.... .. ;,ta •.
s DRINKING FOUNTAIN '
-
WALL SQ. FT. @
on
Zone Restrict: _ `
/
Group
Type
SQ FT @
Plumbing Fee
URINAL
Bond Amt.
E
ESTIMATED CONSTRUCTION VALUATION $
Plan Checker
WATER PIPING
NOTE: Not to be used os property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
Dental. Fee
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
Supplimental Permit Numbers
-
VENT SYSTEM FAN EVAP. COOL, HOOD
SIGN
WASHER (AUTO)(DISH)
Address City Zip
-
APPLIANCE DRYER
Reinsp. Fee/
GARBAGE DISPOSAL
Owner/Agent
FURNACE UNIT WALL FLOOR SUSPENDED
Tel Zip
LAUNDRY TRAY
Total Fees
AIR HANDLING UNIT rCFM
IDLE METER
KITCHEN SINK
M.O. Cash e Check
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE,TEMP/PERM
LAVATORY
Sewage System
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
City Zip
BOILER B.T.U.
SQ. FT. @ t
BATH TUB
SQ. FT. @ c
WATER HEATER
4�^
SO. FT. RESID @1'/.c
SEWAGE DISPOSAL
SQ. FT. GAR @ '/.2
HOUSE SEWER
GAS PIPING
PERMIT FEE „r
PERMIT FEE
PERMIT FEE
DBL.
TOTAL E
MOB. HM. FEE
MICRO FEE
MECH. FEE Pl. CK. FEE
I CONST. FEE / EST.
SMI FEE
FEE
ptlyvl
PERMIT N
36150'38
t
r
Job AdclJCss „w, /1 /� 1
��+./)G—�[J Cys (0
Space Zip
Owner
Communis
Valuation
E
Da �9
/ [
F.C.C.
MH Permit Fee E
Micro Film Fee
Cop § �r
Use of Per
'7
Parcel No. Use/Case No.
' 7 • -7
C y
Mech. Fee Dbl E
PI. Ck. Fee §
Set Backs
Lot Size
Construction Fee Dbl E
L al Des iptionG / �, 111111e,, t
1 ���1'urAi�J.[''J-(�
/"v'
F
5 S
S R /71
Electrical Fee Dbl E r
on
Zone Restrict: _ `
/
Group
Type
SMI Fee §�
Plumbing Fee
Dbl E t j
Bond Amt.
E
Plan No. ^
r
Plan Checker
I ector
Unit
-
Sp. Insp. Fee §
Dental. Fee
E
Const. Lender Branch
Supplimental Permit Numbers
-
Registr. Fee §
Mileage Fee §
Address City Zip
-
Witness Fee E
Reinsp. Fee/
E
Owner/Agent
Tel Zip
Total Fees
§
Address
j
M.O. Cash e Check
b
W40014014�
Contractor
Tel.
License#
Trees required
Sewage System
Address
City Zip
T LL 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.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev.8/78j ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by: