375513 (AR)BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY DST
C C COUNTY OF RIVERSIDE FIELD
J J ,
CONSTRUCTION ESTIMyATEQ
NO. ELECTRICAL FEES
NO. PLUMBING FEES
C'~~
IST FL.
SQ. F� t s! P
4 C^ is 9 4 int UNITS
2ND. FL.
FOR.
�
SQ. FT. @
�
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. @
CAR P. SQ. FT. @
WALL SQ. FT. "@
SQ. FT. @
ESTIMATED.CONSTRUCTION VALUATION $
POWER OUTLET
Cl
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL "r
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
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
SQ. FT"@ C
WATER HEATER
�- ` --SQ. FT. RESID @I 14c
�e. �.
SEWAGE DISPOSAL
SQ. FT. GAR @ 3/4 C
X
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
F s�
PERMIT FEE
DBL.
TOTAL FEES
0
MOB. HM. FEE
MICRO FEEMECH.
FEE PL. CK. FEE'
/ da
_--
CONST. FEE
�� Ua
ELECT.'FEE ✓
.� �AfcYj
SMI FEE -
p �._•
FEE PLUMB. FEE
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
ELECTRICAL APPROVALS
26
Power Pole
27
Conduit
28
Service Entrance
29
Wiring —
29A
Grounding Wire
29B
Bonding
30
Fixtures
31
Service
32
Final
SEWAGE SYSTEM SIZE & LOCATION
Tank Pit L.Line
REAR OF PROPERTY LINE
P/L P/L
STREET NAME
PERMIT NO.
Job Address ' A. Space Zip Owner
375513
4& -- .� ,
J1
Community r r Valuation -II,0C-g-.
Date Disi�
_ $
Off.-
F.C.C.
i
MH.Permit Fee E
Micro Film Fee
Cop $
Use of Permit ",.
/ /
Parcel No. Use/Case No. Ck.
vllyP
By
Mech. Fee
Dbl S��
�!- C" /
^''�
Set Backs of
e
PI. Ck. Fee $t
Construction Fee
Dbl $
Legal Description
F S S R
!f
Electrical Fee
Dbl $
Zona Restrictions Group
Type
'
SMI Fee
$
��
Plumbing Fee
Dbl $
--j
Bond Amt. Plan No. Plan Checker Final Dat
$ —/
Const. Lender Branch Supplimentol Permit Numbers "
Unit
Sp. Insp. Fee $
Dental. Fee $
Registr. Fee
$
Address City Zip
Mileage Fee $
Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel.
Zip
Total Fees$
Addres / /y/q�,
1
City
Zip
M.O.
Cash n heck
f c .a'•,�J / j ' -„�� �_
Received by
Contractor ..-�
Tel.
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license#
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Trees required
Sewage System
�r�
t�
Address City.00
,/r
Zip
T
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THIS PERMIT SHALL ECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
verified by:
Sewer District
ct,Y
0 3 )7 gOC
I�
/
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITHI
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
-
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
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Form 284-208 (Rev.8/78)
p s
INSULATION Thick
R
Value
7A Walls (Botts)
12B Ceiling (Batts)
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATEINSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS •
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
_
34
Plenums 8 Ducts
2A
Slab Grade
S 1
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
�? `� -7,
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L. ®
Z--1
43
Final
IDA
11
12
12A
13
Fireplace T.O.
Exterior Lath
Internal Lath
Drywall
Finish Grade
7? h &?j
OP'
ADDITIONAL INFORMATION
INSULATION Thick
R
Value
7A Walls (Botts)
12B Ceiling (Batts)
/
12C Ceiling (Blown)
-J-,2-5'-29
14 Final
PLUMBING APPROVALS
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
284 199 9/74
CANARY—FILE, PINK—APPLICANT
Owner��{F (r� Y.nr11J tom` Architect Contractors
DISTRICT
Addres 1V 9 - d 6 - 7U S -GI 41' Address Address_ � l
Permit No
284 199 9/74
CANARY—FILE, PINK—APPLICANT
Owner��{F (r� Y.nr11J tom` Architect Contractors
Addres 1V 9 - d 6 - 7U S -GI 41' Address Address_ � l
7 t�
City rX /1 City City_ /-Z'
�
Phone �-�-� Phone Phone
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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. l
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.
J
/
DATE SIGNATURE OF OWNER AND/OR AGENTr�
V
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
I SPACE•NO.
r� USE OF STRUCTURE
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- _j '_• `' IC_/ !
JOB ADDRESS
f w - SINGLE FAMILY DUPLEX
I
LEGAVDE701. TION-Crr.POPERT,Y-
APARTMENTS AGRIC. El
'^
COMMERCIAL INDUSTRIAL
s•ICOMMUNITY -/ �I��>// rf/ ii T C//rc/; ❑ ❑
j
ZN0.
ALTERATIONS'
OF SVMITTED'PLANS"'USE OF PERMIT
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� j t. �! !a.� / _ y,,r ..�_�,♦1 N1l nl� /t !
�, NO.
CdSE
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NO. OF PAR NG SP CES REQUIRED NO. OF BUILDINGS NOW EXISTING
��ETBACKS: -.''1
Q
ZONE FRONT° �!T 7` SIDE % `4REAR
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M
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE �� ! `� �J%✓7
t1'
SETBACK ORDINA CE4-^—'OF FEET REQUIRED ON f - ` •S'TJREfT
/ DATE `j r� SIGNATURE OF LAND USE OFFICIAL�___
9
-DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET.__.
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ —STREET
W
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ 4
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY -AND-STREET
CIMPROVEMENT?
YES ElNO ❑
°L
DATE __ SIGNATURE OF ROAD DEPT. OFFICIAL
=
SWIMMING POOLS PUBLIC +
QW
StWAGE DISPOSAL _
_
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS.
�n FLOOD CONTROL
ul AIR POLLUTION
W
DIV OF HWY
I.-
0 a — YOUR PROPERTY MAY BE SUBJECT TO
d
o FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
,
284 199 9/74
CANARY—FILE, PINK—APPLICANT
m
r
ti
NUILUimv rmirmi
PERMIT NO.
375513
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE mli,
COUNTY OF RIVERSIDE
CONSTRUCTION
ESTIMATE
NO.
ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. <
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. F ae—' G" $
UU
UNITS
Micro Film Fee
COP $
tt
SQ. FT. @ '
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $ V
WATER PIPING
NOTE: Not to be used as property tax valuation
Group
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
Bond Amt.
$
SWIM POOL, COMM
Plan No.
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
Final Da
SIGN
Unit
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Demol. Fee
$
Const. Lender
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Supplimental Permit Numbers
/
LAUNDRY TRAY
AIR HANDLING UNIT CFM
Mileage Fee $
IDLE METER
Witness Fee $
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
Owner/Agent
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
Addre
11 a
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
Zip
SQ. FT. @ c
BATH TUB
L��f
SQ. FT. @ c
Tel.
f
r elQ
,34_7
WATER HEATER
sa
r
—SQ. FT. RESID @1'/.c
t
SEWAGE DISPOSAL
96Z,9
a SQ. FT. GAR @ '/ c
City Zip
Ad" ;LZ"y
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
r
PERMIT FEE
DBL.
TOTAL FEES_
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
'� '
kCONST. FEE
p°
E Xa. WE
��'�►�
SMI FEEFEE
S""
PLUMB. FEE
PERMIT NO.
375513
Job Address
Community
w
Space Zip Owner
r
Valuation U � Data Dist.
$
Off.
�.
F.C.C.
MH.Permit Fee $
Micro Film Fee
COP $
Use of Permit
'
Parcel No. lUse/Cose No.
Set Backs Lot 3rze
F 1 S 1,6 S R IA5
Ck.
By
Meth. Fee Dbl $
PI. Ck. Fee $ [,
Construction Fee
Electrical Fee
SMI Fee
Dbl $
Dbl $
$
Legal Description
Zone Restrictions
Group
Type
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Final Da
I for
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender
Branch
Supplimental Permit Numbers
/
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel.
Zip
Total Fees
M.O. El
Is & logn
n—C.shnChec
Addre
11 a
City
Zip
Received by
Controc or
41 P
L��f
Tel.
f
r elQ
,34_7
licenseN
sa
Trees required
Sewage System
Address
96Z,9
City Zip
Ad" ;LZ"y
T LL P
Sewer District
Form 284-208 (Rev.8/78) P s
THIS PERMIT SHALL 9ECOME 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
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.