387227 (BLCK)BUILDING PERMIT
h
PERMIT NO.
1 387227
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
�JrJ
ESTIMATED CONSTRUCTION
SQ. FT. @
UNITS
PERMIT NO.
SQ. FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
BAR SINK
POWER OUTLET
SQ. FT. @
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
FT @
URINAL
Q
VALUATION �
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN r
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
Dist.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HIP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
i
SQ. FT. @- c
WATER HEATER
49
S0. FT. RESID @1'/.c
SEWAGE DISPOSAL
S0. FT. GAR @ %c
HOUSE SEWER
Cop $
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE, PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
Sewage System Address City Zip
5 T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verifjwd by:
LI.Sewertrict %(,FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
S ' 0 `y �� 1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITHTHE 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.208 (Rev.B/78) ,•
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PERMIT NO.
Job Address
Space
Zip Owner
3 7227
Commu icy
Date
Dist.
Off.
F.C.C.
IValuation
S
'• MH.Permit Fee
$
i
E
49
14
Micro Film Fee
i
Cop $
se of Permit 1
Parcel No.
Use/Gose o.
Ck. By
J
y 6, 0'6,yc�:
Mech. Fee
Dbl $,/V
'.• Pl. Ck. Fee
$
Set Backs
Lot Size
Construction Fee
Dbl $
Legal Description
F S
S
R
t Electrical Fee
Dbl $
Zone Restrictions Group
Type
I SMI Fee
Plumbing Fee
Dbl E
Bond Amt.
Plan No.
Plan Checker
t Finol,Dgt . %�. _ Unit
Sp. Insp. Fee$
$
T,3p�tor
_
,1 Demol. Fee
$
Const. Lender
Branch
Supplimental Permit Numbers'
Registr. Fee
$
I Mileage Fee
$
Address „_.�
+ City Zip
tw
t Witness Fee
E
i
Reinsp. Fee
$
Owner%A•gentu•
l
j
Tel.
- Zip
,-
'
otol Fees
$
Address
City
Zip
M-0.0 i
Cash Check
O _
s Received by
Contractor
Tel. i'
,t.
Licenseq
• Trees required
'
Sewage System Address City Zip
5 T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verifjwd by:
LI.Sewertrict %(,FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
S ' 0 `y �� 1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITHTHE 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.208 (Rev.B/78) ,•
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NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Firms
34
Plenums & 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. E]
43
Final
IDA
Fireplace T. 0.
OP'N
NO.
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Botts)
12B Ceiling (Botts)
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
Final
Tank Pit I-Aine
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 PERMIT DISTRICT
APPLICATION TO CONSTRUCT Permit N
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
284 199A 9/74 - CANARY—FILE, PINK—APPLICANT
v
Owner Architect —. --_ Contractgrt_S?V _
Address ___ Address___ Address-
y�
aA 'y1 Iz
City — City_— _ _ City. CL_
Phone Phone _ Phone—S�_��0.—_._
I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and
cl:
W
• 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 of the County of Riverside and the State of California governing said property.
DATE _—.___— SIGNATURE OF OWNER AND/OR AGENT
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
�{ I SPACE NO.
USE OF STRUCTURE
-�`s� � �
JOB ADDRESS J SINGLE FAMILY DUPLEX
H
LEGAL DESCRIPTION OF PROPERTY APARTMENTS AGRIC. El
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0 to UA
N N
�-7� �1jL/�_ �y �`
� ""� - `�' - 1�COMMERCIAL INDUSTRIAL
COMMUNITY. ALTERATIONS n
CG
Z
NO. OF SUBMITTED PLANS — USE OF PERMIT
Lu H Q
CASE NO.
—_6.
p Z
NO. OF PARKING SPACES REQUIRED NO. OF BUILDIN OW EXISTING
Z
o
ZON SETBA6K5: FRONT SIDE REAR
J
m
GRA ING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE OF FEET REQUIRED ON 42 STREET
DATE ==% SIGNATURE OF LAND USE OFFICIA —
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET - —
z
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
olt-
d
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? .YES ❑ NO ❑
W
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
C
IMPROVEMENT? YES ElNO ❑
°L
DATE SIGNATURE OF ROAD DEPT. OFFICIAL—
x
SWIMMING POOLS PUBLIC
QW
SEWAGE DISPOSAL
—
FOOD ESTABLISHMENT
_
WATER POLLUTION REMARKS
FLOOD CONTROL—
H
z AIR POLLUTION
W :2 DIV OF HWY
�o
a — YOUR PROPERTY MAY BE SUBJECT TO
FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 - CANARY—FILE, PINK—APPLICANT
BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE MDSQnryCOUNTY OF RIVERSIDE
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
FOR.
GAR.
CAR P.
WALL Zzz;SQ.
f..�00
ESTIMATED CONSTRUCTION
SQ. FT. @
UNITS
SQ. FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
BAR SINK
POWER OUTLET
SQ. FT. @
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
FT. @
DRINKING FOUNTAIN
Q. FT. @
URINAL
VALUATION Is
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
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Electrical Fee Dbl E
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
Demol. Fee
SQ. FT. @ c
WATER HEATER
Branch
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
Regisir. Fee E
SQ. FT. GAR @ 1/. c
HOUSE SEWER
Witness Fee E
Reinsp. Fee
E
GAS PIPING
PERMIT FEE
Tel.
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
/per
MOB. HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEECONST.
FEE ELECT. FEE
'D�_
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
,1387227
Job Address
_
Space
Zip
>
y
Owner
C
omm ity
r
Voluation
E
Dote
/
Dist.
Off.
F.C.C.
MH.Permit fee E
Micro Film Fee
Cop E
Use of Permit(j /
�y/
/l����
Parcel No. 7
/ ?Lr O�,
Use/Case No.
Ck. By
Mech. Fee Dbl E
PI. Ck. Fee E
Set Backs
Lot Size
Construction Fee Dbl E
Legal Description Sc
444 41 " -1,l.a v4 ../
S
R
Electrical Fee Dbl E
Zone Restrictions
A —
Group
Type
SMI Fee E
Plumbing Fee
Dbl E
Bond Amt.
E
Plan No.
Plan Checker
Final r�(`
✓
Insp o
Unit
+
Sp. Insp. Fee E
Demol. Fee
E
Const. Lender
Branch
Supplimentol Permit Numbers
'
Regisir. Fee E
Mileage Fee E
Address City Zip
�% /� r' • ��
Witness Fee E
Reinsp. Fee
E
Ow /A ent
r
Tel.
Zip
Total Fees
E XIV
Address
City `
Zip
M.O. N.C. Cash Check
Received by
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 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.
1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev.8/78) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.