399086 (SOL)RUILDING PERMIT
PERMIT NO.
3 9 90 861
PERMIT NO, I
3-99086
Job Address
!7
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
.
FIELD OFFICE
DST
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
9oluation
1ST FL.
2ND. FL.
POR.
GAR.
CAR P. rf
WALL
2j
ESTIMATE TRUCTION
SQ. FT. .@ $
UNITS
i
SQ. FT. @ - YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC. BAR SINK
SO. FT. @ POWER OOTLET ROOF DRAINS
SQ. FT. @ DRAINAGE PIPING
,,,y/ f
SQ. FT. @ DRINKING FOUNTAIN
@ 9 URINAL
-Se!'fT.
VALUATION $ Oy` .-• WATER PIPING
arcef No. 'Use/Co 1,115. Ck. By
NOTE' Not to be used as property tax valuation
SWIM POOL, -PVT
FLOOR DRAIN
MECHANICAL FEES
Mech. Fee Dbl S
SWIM POOL, COMM
WATER SOFTENER
VENT SY, EM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
Electrical Fee Obl $
APPLI NCE DRYER
SMI Fee 44 9 S
GARBAGE DISPOSAL
FU CE UNIT WALL FLOOR SUSPENDED
I IQ —
Plumbin a Dbl S
LAUNDRY TRAY
Bo mt.
4.1flANDLING UNIT CFM
Plan No.
IDLE METER
KITCHEN SINK
Inspector
tj,3SORPTION SYSTEM B.T.U.
Sp. Insp. Fee
TEMP USE PERMIT SVC
WATER CLOSET
$
OMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
Demol. Fee S
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
Supplimenfol Permit Numbers
:
SQ. FT. @ a
BATH TUB
Address City Zip
Witness Fee $
Reinsp.. Fee S
SO. FT. @ a
WATER HEATER
Tel. - Zip
SO. FT. RESID @ 1 tka
SEWAGE DISPOSAL
Address
SO. FT. GAR @ 3/4a
HOUSE SEWER
M.N 0 N.C. 0 Cash .C] C ec
GAS PIPING
PERMIT FEE
r '
PERMIT FEE
FEE12
112'ey
DBT.
L�AL FEE
,.i
MOB. HM. FEE
MICRO FEE
MECH. FEE
Pl. CK. FEE
CONST. FEE
F E SMt FEEE
�./
`
*`
�si�V
PERMIT NO.
3 9 90 861
Job Address
!7
:7
- 6 r, I , r- A 62,-,—
Space Zip rner
P 4 6
Community
9oluation
to Disr O. C.C.
MH Permit Fee S
S
,,,y/ f
Micro Film Fee Cop S
Use o Permit
_
arcef No. 'Use/Co 1,115. Ck. By
,7 _ ! no
J
Backs Lot Size
Mech. Fee Dbl S
PI. Ck. Fee S
Construction Fee Dbl S
Lego es
s
F 5 S R
Zone Restrictions Group Type
Electrical Fee Obl $
SMI Fee 44 9 S
I IQ —
Plumbin a Dbl S
Bo mt.
Plan No.
Plan Checker
^of Date
/0—'SD
Inspector
Unit
Sp. Insp. Fee
S
$
Demol. Fee S
Const. Lender
Branch
Supplimenfol Permit Numbers
:
Registc Fee $
Mileage Fee S
Address City Zip
Witness Fee $
Reinsp.. Fee S
Owner/Agent
Tel. - Zip
Total Fees $
Address
City Zip
M.N 0 N.C. 0 Cash .C] C ec
Received by
Con octor
r '
Tel.
License#
Trees required
1�
�
Swage System
_ /{F
Address
City Zip
� � � �,l/7
_
'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.
r .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 HE CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284208 (Rev. 1/80) DANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
t
verified W.
BUILDING PERMIT
PERMIT NO.
99086
DEPARTMENT OF BUILDING & SAFETY
*I COUNTY OF RIVERSIDE
FIELD DST
6 `
' f
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES' -13
IST FL.
3
2ND. FL.
FOR.
GAR.
CAR P.
WALL
IS"T.
ESTIMATED -CONSTRUCTION
SO. FT. .@ $
UNITS
SO. FT. @ YAR PKLR SYSTEM -t
MOBILEHOME SVC. BAR SINK
SO. FT. @ i
SO. FT. @ POWER OUTLET ROOF DRAINS C7
SO. FT. @ DRAINAGE PIPING
SO. FT. @ DRINKING FOUNTAIN
@ r �•� URINAL
VALUATION $ r /) WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN Z>l
rz? MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
.VE14TSYSTEMFAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
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
r POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. @ a
BATH TUB
SO. FT. @ a
WATER HEATER
S0. FT. RESID @ 1'Aa
SEWAGE DISPOSAL
SO. FT. GAR @ 3/a¢
HOUSE SEWER
'
GAS PIPING
PERMIT FEE
PERMIT FEEi
p.
t1 ZEkaFEE
r
DBL.
TOTAL FEES
MOB. HM. FEE
MICRFEE
O
MECH. FEE PL. CK. FEE
CONST. FEE ELE F
el
SMI FEE
EEP� CUMI. PEE
11
15
Ground Plumb R
1 J
26
Power Pole
16
Water Piping
28
Service Entrance
17
Rough Plumb
29A
Grounding Wire
18
n.
Vents -
30
fixtures
19
Sewage Disposal
32
Final
20
Sewer '
21
22
Water Heater
Water 'Softener
o
23
Water Semite
24
Gas Test
25
Final
�� r rid
t
SEWAGE SYSTEM SIZE & LOCATION
REAR OF.PROPERTY LINE
ELECTRICAL APPROVALS
I
P/L P/L
STREET NAME
26
Power Pole
27
Conduit
28
Service Entrance
29
Wiring
29A
Grounding Wire
298
Bonding
30
fixtures
31
Service
32
Final
t
SEWAGE SYSTEM SIZE & LOCATION
REAR OF.PROPERTY LINE
ELECTRICAL APPROVALS
I
P/L P/L
STREET NAME
PERMIT NO.
399086-
Job Address
Space Zip Owner
_
Community
._L
of anon
— DA. 0 Of. 'Z C.C.
MH Permit Fee
Micro Film Fee Cop S
Use of p0mil
f
It L;7
arcel No.
7 .��
4'llse/Cogg A.
Ck. By
Mach. Fee Dbl S
PI. Ck. Fee S
Set Backs
Lo f bice
Construction Fee Dbl S
Le4W d tit ".
4.
F
$
S R
Electrical Fee Dbl g J.001
Zone Restrictions
Group
Type
SMI Fee
Plumbin .ae — Dial $
Bo d Am.
$
Plan No.on
heckar
[1
al Dote
7-,/6,00
Inspector^
/
Unit
Sp. Insp. Fee $ y
Demof. Fee $
Const. Lender
Branch
Supplimentol Permit Numbers
Regist, Fee S
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee $
Owner/Agent
Tel. Zip
Totol Fees $
�""
Address r j: '
i
City Zip
r
M.O ❑ N.C.❑ Cosh ❑
eck
>/
/
/ %♦
Received by
Co actor
�/r - -
Tel./
UcenseR
,r
Trees required .'�^ ♦
( Y
Sewage System
Ms
Address
ti.+
City Zip
141
1
T LL /t �, F t p THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATl'6N C3F WORK varilied
Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
f •I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
e THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
I HE CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev. 1/80) RDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
NO. I OPERATION I DATE
BUILDING APPROVALS
i1
Set Bock
T
2
Ftgs 8 Frms
DATE
2A
Slob Grade
MECHANICAL APPROVALS
3
Steel
Ventilation System
i4
Grout -Blocks
Plenums & Ducts
5
' Bond Beams
-
'6
Roof Deck
Inlets 8 Outlets
7
Framing
Combustion Air _
8
Vents..
Compressor
A
Wall
Appl. Clearance
10
Fireplace P. L.
Fire Domper
10A
Fireplace T. 0.
n
11
Exterior Loth
E 42
12
Internal Loth
12A
Drywall
13
Finish Grade
ADDITIONAL INFORMATION
INSULATION
Thick „R"
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLU
/ - (0 --V
APPROVALS
INSPECTOR NO.
OPERATION
DATE
INSPECTOR
MECHANICAL APPROVALS
33
Ventilation System
34
Plenums & Ducts
35
Furnace Comport.
36
Inlets 8 Outlets
37
Combustion Air _
38
Compressor
{ 39
Appl. Clearance
40
Fire Domper
41
Smoke Detection Device
E 42
Commercial Hood
43
Final
NO.
NO.
ADDITIONAL INFORMATION
NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT / /
APPLICATION TO CONSTRUCT Permit
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
Owne 5 +r N ���a�S Architect —. Contractor__ —
Addres �7 i� �uC �564dress—__ Address'L—:76--�
City, u T I City_---- City_'17 G1
' Phone—.
Phone - 2— Phone
_ __
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 of the County of Riverside and the State of California governing said property.
GENT
DATE __.___— SIGNATURE OF OWNER AND/OR AGENT—
Approval
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
3 I SPACE NO.
USE OF STRUCTURE
pV�_J
LZ�CXIL
ZO
=(.�h%I
.JOB ADDRESS SINGLE FAMILY �' DUPLEX
ol-e
LWAL DE/SCRIPT ! F PROPERRTY�c—! _ 4 loll—el
APARTMENTS AGRIC.
�—��' —�*�J --lf I/ O��
H Q
COMMERCIAL INDUSTRIAL ❑
j '^
COMMUNITY
ALTERATIONS ❑
USE 0_F PERMIT
WQ N0.
OF SUBMITTED PLANS _
CASE NO.
— —_
p Z
NO. OF P IRKING SPACES REQUIRED .— — NO. OF BU DINGS NOW EXISTING
QSON
ETBACKS: FRONT SIDE REAR
J
Co
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE# OF FEET REQUIRED ON STREET
DATE — l7'�W SIGNATURE OF LAND USE OFFICIAL
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET -- —
z
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
t—
cc
�a
CAN CURB AND 'GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
Lu
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
D
C
IMPROVEMENT? YES ❑ NO O
oc
DATE SIGNATURE OF ROAD DEPT. OFFICIAL
Z
SWIMMING POOLS PUBLIC
Q W
SEWAGE DISPOSAL
—
FOOD ESTABLISHMENT
_
WATER POLLUTION REMARKS
FLOOD CONTROL—
f
z AIR POLLUTION
� W
_ DIV OF HWY —
t—
c a _ YOUR PROPERTY MAY BE SUBJECT TO
o.
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 CANARY—FILE, PINK—APPLICANT