354029 (BLCK)PERMIT NO.
DEPARTMENT OF BUILDING & SAFETY
�� "FIELD +
DST
3 CJ 4 O 2 Q
COUNTY OF RIVERSIDEF&
CONSTRUCTION'ESTIMATE
"''" '' 'NO. ELECTRICAL FEES
INO. ` PLUMBING FEES
IST FL. SQ. FT. @ $
UNITS
�r' 2ND. FL. SQ. FT. @
a
YARD SPKLR SYSTEM
(11POR. SQ. FT. @
MOBILEHOME SVC.
BAR SINK
p
� GAR. SQ. FT. @
POWER OUTLET
ROOF DRAINS
CAR P. It SQ. FT. @
DRAINAGE PIPING
7`
fWALL I SQ. FT. @ _.
C
DRINKING FOUNTAIN
t SQ. FT. @
URINAL
''' 1
ESTIMATEd CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not4to be used as tax valuation
SWIM POOL, PVT
FLOOR DRAIN
property
,
MECHANICAL,FEES.:
SWIM POOL, COMM µ+r.;..•+», „. t
{ WA,TfRSOFTENER
VENT SYSTEM FAN EVAP. COOL ' HOOD
f SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER -
+ _'
L
i GARBAGE DISPOSAL
FURNACE {t UNIT WALL FLOOR SUSPENDED
i
LAUNDRY TRAY T
Alf, HANDLI► G UNIT CFM
s
IDLE METER
KITCHEN SINK
i
ABSORPTION SYSTEM I' B.T.U.
p
TEMP USE PERMIT SVC' '+
WATER CLOSET
COMPRESSOR HP
POLE,TEMP/PERM '
LAVATORY t
HEATING'SYSTEM FORCED '" ' GRAVITY
AMPERES SERV ENT
SHOWER
BOILER. ! B.T.U.
r SQ. FT: @ C,
BATH TUB . v
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @I1Ac
SEWAGE DISPOSAL
SQ. FT. GAR @ 3% c
f HOUSE SEWER
(
GAS PIPING
PEP AIT FEE
PERMIT FEE x _
PERMIT FEE
D I
TOTAL FEES
MOB.HM.FEE
MICRO FEE r
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
6f0
�.
y..
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
26
27
28
29
29A
29B
30
31
32
Power Pole
Conduit
Service Entrance
Wiring
Grounding Wire
Bonding
Fixtures
Service
Final
ELECTRICAL APPROVALS
SEWAGE SYSTEM SIZE & LOCATION
Tank Pit L.Line
REAR OF PROPERTY LINE
J
P/L P/L
STREET NAME
yT LL P
Sewer D'y rict
L
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 ALUSE RMITJO BECOME VOID. ,
� .. i ' i5 � ,i, .. .. � � ., f ••+1f. . Vl-. r .Rr�♦ar T•♦t,► a � Y'.i •'1 i I r
1 HEREBY AGREE THAT ALL W THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND TqfSTATE OF CALIFORNIA. y
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.
verified by:
Job Address •,• �y - Space
a _
Zip Owner ,
.
PERMITNO.
354029
Community
Valuation
-jj[,o,,,,�,
Dote
Dist.
Off.
F.C.C.
M11.Per4ii Fee E
Micro'Film Fee Cop E
Use of Permits
/ O � �/,�`
orcel No. t -
+
se/Gose o.
Ck. By '
Mech. Ne Dbl E
PL Ck. Fee E
Set Backs -
Lot Size;
Const action Fee Dbl $
Legal Description
�l1 //',��/ �9[y
- •'� ^^ .�.LJ -
EI tlrical Fee Dbl E
Zone Restrictions
Group
Type
SMI Fee E
Plumbing Fee Dbl E
Bond Amt.
E
Plan No. '' .
Plan Checker
Final Date
��
Inspector
�.v dwe
Unit >. -
S1
p. Fee E
Demol. Fee E
Const. Lender r Branch
Supplimental Permit Numbers - x ,
,
!
x ry ra. .•.e. .N'.I!.+. .4 h e• ti rf o`N �. w'vr• r., . -
Registr. Fee E
Mileage Fee 1' E
Address City Zip
^7¢Ys l�� w 1� T't i .1.i 1M .. L.a'w• !Yr" �R�•{.'i. j4.. •.. ..
f
Witness Fee E �• f ♦
Rinsp.Fee
.S
Owner/Agent (j'
yu ....._i + �/ /l N �. .! i I • T
4.. a+t
Tel. Zip
r 1 ! • w cra w /' ;1 . • . y 1lM w�'
Total Fees 1 E G•
Address '" _
City Zip
M.db N.C. Cash Check
Received by
Trees require /r t
Contractor
Tel.
License#
Sewage SystetgA
Address
City Zip
yT LL P
Sewer D'y rict
L
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 ALUSE RMITJO BECOME VOID. ,
� .. i ' i5 � ,i, .. .. � � ., f ••+1f. . Vl-. r .Rr�♦ar T•♦t,► a � Y'.i •'1 i I r
1 HEREBY AGREE THAT ALL W THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND TqfSTATE OF CALIFORNIA. y
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.
verified by:
q
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
` INSPE T[ OR
13
BUILDING APPROVALS
INSULATION Thick R
Value
MECHANICAL APPROVALS '
1
Set Back
_ Z3_ �p
12C
33
Ventilation System
2
Ftgs 8 Frms
_ �3.. 7 ��
_Q
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
_ 7 1 _7q
36
Inlets 8 Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
_ _ _79
av38
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. U
11
Exterior Lath
12
Internal Lath
12A
Drywall
13
Finish Grade
INSULATION Thick R
Value
7A
Walls (Batts)
128
Ceiling (Batts)
12C
1 Ceiling (Blown)
14 I Final
PLUMBING APPROVAL''
Urr, I ADDITIONAL INFORMATION
NO.
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
\� COUNTY OF RIVERSIDE
DISTRICT r
Permit No
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
K15—:ITl_�-1sTEUA" YIEWEtect .—
Owner —. _ Contractor— _
%-7D,�
Address u b A:. Address___ Address— _— --_—
City 4�-_q?�3City — City__ _
Phone_ Phone _ Phone—
W
I (we) the undersigned, lyereby 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 propert�Cpied I ( ) have
complied with all laws offf the County of Riverside and the State of California governing said property.DATE
I
L.—?� 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.
SPACE NO.
USE OF STRUCTURE
JOB ADDRESS ___ L — SINGLE FAMILY [DUPLEX ❑
7 % - 6 O f:3
y
Z H
W
LEGAL DESCRIP ON OF PROPERTY — APARTMENTS AGRIC. E
la�� Ll< Z 3 S v L Q 74'- z i
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N QCOMMUNIT—
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q —'— COMMERCIAL INDUSTRIAL
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1 ��
C
Y '
ALTERATIONS E]O
OF SUBMITTED PLANS USE OF PERMIT 6
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Ln
N0. _
CASE N0. <5
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NO. OF ARKING SPACES REQUIRED N0. OF BUILDINGS NOW EXISTING
a � ZONE/
— ( SETBACKS: FRONT SIDE REAR
J
m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE OF FEET REQUIRED ON STREET
DATEG'' l!f SIGNATURE OF LAND USE OFFICIAL —
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET-
-z
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
H
a
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
W
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
IMPROVEMENT? YES ❑ NO ❑
cc
DATE SIGNATURE OF ROAD DEPT. OFFICIAI
S
SWIMMING POOLS PUBLIC
WSEWAGE
DISPOSAL
FOOD ESTABLISHMENT
_
WATER POLLUTION REMARKS
FLOOD CONTROL
Fes-
POLLUTION
zAIR
S F, DIV OF. HWY
c a — YOUR PROPERTY MAY BE SUBJECT TO
d
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 CANARY—FILE, PINK—APPLICANT