361537 (BLCK)BUILDING PERMIT _
PERMIT -NO. DEPARTMENT OF BUILDING & SAFETY FIELD Fr
ST361'537 COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO, ELECTRICAL FEES
NO. PLUMBING FEE
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @
UNITES "
Valuation
f
SQ- FT. @ L
YARD SPKLR SYSTEM
SQ.'FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT. @ ' POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
g., .
SQ. FT. @ ` '
DRINKING FOUNTAIN - _
SQ. FT. @
URINAL
VALUATION i
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
Pion Checker
. . ,. . ..
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Unit
11 --
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
Received y Y
SQ. FT. @ c
WATER HEATER
LicenseM
SQ. FT. RESID @1'hc
SEWAGE DISPOSAL
Address
SQ. FT. GAR @ s/. c
HOUSE SEWER
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK 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
Ar,CORDANCE WITH SECTION 5541 OF THE BLJSINFSS AND PROFESSIONS CODE OF THF STATE OF CALIFORNIA_
Sewer District
GAS PIPING
PERMIT FEE
PERMIT FEET
PERMIT FEE
DBL.
TOTAL FEES
MOB.HM.FEE
MICRO FEE
MF,L. PL. FEE
j%CONST. FEE ELECT. FEE
SMI FEE
/ FEE PLUMB. FEE
M
PERMIT NO.
361537
Job Address d Space
Zip
Owner
Commu
Valuation
f
Dote 'j
Dist. Off
F.C.C.
MH.Permit Fee f
Micro Film Fee Cop f
Use ofPermit - /
'V
��
Parcel No.
Use/Case No.
Ck. t}y },
Mech. Fee Dbl f
PI. Ck. Fee f
Set Backs
lot Size
Construction Fee Dbl f
Legal Description F
ti
CJt
I / % , )/ !tJ>�
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S R
Electrical Fee Dbl f
Zone Restri ns
f�P
If��."
rou
Group
P
Type
YP
SMI Fee f
Plumbing Fee Dint f
and Amt.
f
Ion No.
Pion Checker
. . ,. . ..
Final Date
G
�• a�� '� 1
Inspector
Unit
11 --
Sp. Insp. Fee f
Demol. Fee f
Const. lender Branch
Suppli ermit Numbers
Regisir. Fee f
Mileage Fee f
Address City Zip
- - -
Witness Fee f
Reinsp. Fee f
Owner/Agent ✓ y .. r!„
Tel. Zip
Total Fees f r
Address •
City Zip
M. 0. 0 N.C. Cash Check
Received y Y
Contractor _
_
Tel.
LicenseM
Trees required
Sewage System
T LL P
Address
City Zip
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK 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
Ar,CORDANCE WITH SECTION 5541 OF THE BLJSINFSS AND PROFESSIONS CODE OF THF STATE OF CALIFORNIA_
Sewer District
(Form 284-208 (Rev.B/78)
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE t INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
r
2
Ftgs 8 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 S-ZS=i`7 �i�(rriv` cN"
40
Fire Damper
8 ..
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L. E]
A3
Final
10A
Fireplace T.O.
OP N ADDITIONAL INFORMATION
NO.
f aL\�^„u�•
r ()
-.-----__-•-- - ___---• _
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
1.3 Finish Grade
INSULATION Thick R
Value,
7A Walls (Batts)
12B Ceiling (Batts)
QC , , Ceiling (Blown)
14• Final '5-7Z5—) ')
-PLUMB.ING-APP-ROVALS_.________.-----
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
PSL
•,
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/
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 PERMI'
APPLICATION TO C044STRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT
Permit No
284 199A 9/7440CANARY—FILE, PINK—APPLICANT
Own Architect —. _ Contractor—__ _
Addres`% -- - Address--- Address — -- ----
City Cty_— City___ _
Phone _ Phone_
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 11
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 of the County of Riverside and the State of California governing said property.
DATE 3'- 9 SIGNATURE OF OWNER AND/OR AGENF?4�_ X -
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
JOB ADDRESS SINGLE FAMILY DUPLEX El
Z f
LEGAL DESCRIPTI OF PROPERTY _%1�t=2� PARTMENTS AGRIC. I—I
LI
W71-
/O
-"
Q
—�•-COMMERCIAL ❑ INDUSTRIAL
j G
COMMUNITY ALTERATIONS n
Z
NO. OF SUBMITTED PLANS USE OF
L"
`PERMIT /J
CASE NO.
Z
NO. OF PA KIN SPACES REQUIRED NO. OF B ILDINGS NOW EXISTING - U
Q
ZONE SETBACKS: FRONT SIDE REAR —
J m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE # OF FEET REQUIRED ON STREET
DATE - SIGNATURE OF LAND USE OFFICIAL
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET -- —
z
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
F
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 C1NO ❑
°C
DATE SIGNATURE OF ROAD DEPT. OFFICIAI
=
SWIMMING POOLS PUBLIC
Q W
SEWAGE DISPOSAL
FOOD ESTABLISHMENT
_
WATER POLLUTION REMARKS
FLOOD CONTROL—
H
z AIR POLLUTION
� W
_DIV OF HWY
H
c a YOUR PROPERTY MAY BE SUBJECT TO
a
a FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/7440CANARY—FILE, PINK—APPLICANT
BUILDING PERMIT
PERMIT NO.
361537
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD OFFICE
MT
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @
UNITS 'n
SQ' FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @ F r ,
DRINKIOG FOUNTAN ....•._ .,
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
/
,-
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
R
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
Sp. Insp. Fee E
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @ I t/. c
SEWAGE DISPOSAL
Supplimentol Permit Numbers
.,,
. SQ. FT. GAR @ 'r. c
HOUSE SEWER
Registr. Fee E
Mileage Fee E
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
G'd
MOB.
MICRO FEE
f(jY PL. FEE CONST. FEE ELECT. FEE
SMI FEE
/� v�E PLUMB. FEE
r
PERMIT NO.
361537
Job Address
Space
Zip
Owner
Commu
-.
Saluotion
Date � �
��
Off / �
F.C.C.
MH Permit Fee E
Micro Film Fee
Cop E
Use ofPermit
�C t/�� //
'(J�(�/
/'� `�+^`�
Parcel No.
_'� 3- �2/^ Q
Use/Case No.
�
Ck.
Mech. Fee Dbl E
PI. Ck. Fee E
Set Backs
Lot Size
Construction Fee Dbl E
Legal Description
/
,-
^ A
' ` G
�.! • 11II c
0i/1 �o
F S
R
Electrical Fee Dbl E
one Restr' ns /
Group
Type
SMI fee E
Plumbing Fee
Dbl E
and Amt.
E
Pla n No.
_
Plan Checker
FinalDate
S / -
Inspec
.r
r
Unit
Sp. Insp. Fee E
Demol. Fee
E
Const. Lender
Branch
Supplimentol Permit Numbers
.,,
_ w •
Registr. Fee E
Mileage Fee E
Address City Zip
�*: ,r-+,.•,'- wv c t •++ . ,^r
,Witness Fee E
Reinsp, Fee
Owner/Agent-�
Tel.
Zip
Total Fees
E
ho
'Address
/1/5 /•Er�=l
City ,�.�—
y
Zip
M.O. N.C. J Cash` Check
Received
,(�•+�.
1
Contractor
Tel.
License#
Trees required
Sewage System
t
Address
City
Zip
_
I ,
`% T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
C Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO%ECOME 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 INDIVIDUALt WHO PREPARED THE PLANS AND SPECIFICATIONS HAS'.DONE SO IN
Form 284-208 (Rev.8/78j
A ORDANCE WITH SECTION 5541 OF THE,BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verlfild by: