353930, 360437, 360532, 374891 (SFD)Y ovsrvrw rcRmn
+ PERMIT NO. - DEPARTMENT OF BUILDING & SAFETY a - •• '. aa, r
353 9 3 COUNTY O_ F RIVERSIDE 3 'FIELD"" `Y •/5)'
Y �!
G
T UCTION
E T
" `NO.`` '" '= . ELECTRICAL FEES
NO. ' PLUMBING FEES
IST FL.
SQ. FT. @
$
UNITS
2ND. FL.
SQ. FT.ea`' r • + ..; +.r a r.
w . } 4r ,r+: ... Y . rY . ,YARD;SkKLR SYSTEM-,
POR.-
SQ. FT. @{
MOBILEHOME SVC.
BAR SINK
GAR.
'
.
SQ. FT. @
r
POWER OUTLET '
ROOF DRAINS
CAR P.
SQ. FT. @�� •
DRAINAGE PIPING;
WALL
SQ FT
` -
<
DRINKING FOUNTAIN
SQ. FT.@
l�f!
URINAL
ESTIMATED CONSTRUCTION VALUATION •
$'
1;
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT, i
'-• FLOOR, DRAIN
MECHANICAL,FE
,;._ _or, SWIM POOL, COMM �� a'�Fx•x..:,.��.
.V�gTER:SOFTENE(�r,� , ;�
��'• -.
VENT SYSTEM FAN
EVAP. 'CO L' _
HOOD �' '
SIGN,
fWASHER .(AU (DISH) _'el
el�
APPLIANCE ••
DRYER
• y -
S
'GARBAGE DISPOSAL
FL)kNACE UNIT'
WALL FLOOR !SUSPENDED
LAUNDRY TRAY -'
A+ i
AIR HANDLING UNIT
a • • ,
CFMw` nr
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM
B.T.U:" i�:•., ', .
�}
. -r.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR
HP-
e`
POLEJEMP/PERM'
.)
,r
HEATING SYSTEM
'FORCED ;, ` GRAVITY
-' "77
AMPERES SERV ENT
SHOWER r
BOILER
B.T.U. _' r
1
SQ. ft. @ t
BATH TUB J
�"-
`;
SQ. FT. - @ t
WATER HEATER
}
i SQ. FT. RESID @1V
SEWAGE DISPOSAL
GAR @' %c w
HOUSE SEWER
GAS PIPING
PERMIT FEE
w ,
s.� .v •,p g� is �.m4--r .N
T • ' PERMIT FEE 'PERMIT -FEE
-
DBL.TQTAL
FEF_S _
MOB.HM. FEE
_MICRO
FEE *' Fy';FE! .
,• Pl. CK. FEE
En.
- � � �•�
• FEE ,"31. Ee kf-'
t
✓ v
PERMIT NO.
35393rt y
MH.Permit Fees
Micro Film Fee Cop '.
Mech. Fee Dbl
Pl. Ck.;Fee f
Construction Fee Dbl
sf4 Dbl
Electrical Fee
SMI Fee, • .� E .,
Plumbing Fee Dbl $
Sp. Insp, Fee ) $
Mileage Fee Is
Witness Fee $
Reinsp. Fee - $
Tocol Fees $
(,r
/
.4 . M.O. EyN.e'•
Receivedby
Trees requiredT
Sewage System
I v� LL
10 ddr Ski
poce ip .- .'
Z 15
coeuvy/ t, -( } vast l'..� n • v e3 %I'I,
$
r
Use of Permit I Pt1rFi90,P' :••� ' _''j �f�{ (� Use/Case No. '
• , .T. �. .• S j,Docks �.- .Lot Size „11 L.
Legal Description S S R G `
(//''•Zone RX' tions •? ,Group, •Type
•
`gig i4� V i,�j `".r'... � �/ /.+ '�' • // • .r � h
Bond Amt. } P,larLfNor } Plan ce.C/ �• FinnallDole '' Inspector Unit
Const. Lender" f+..j . .. r.Branch^yah: "Yv.fr.Sup`Yp�IJ'`P�'�[(}I Permi6Numbers++.,i•�r.!4�•cY r �3;.rt ?s„
Address _ y tJ'- CityC♦ Zip
-,.4. r7 "�.r:ra.'r; ��•.�. .. •w1;rr �:. ,+N'..�,,..
O er/Ag a `y/�. J/`•., Tel. % /'' /� � Zip
Addresp cry Zi
�Chee ,% 5. r }'n . «-.r .. i'+�a•. `.r t4 .a 4 ♦ A,fk . „ .a Y . e ..a. ..+.•..tvu-,i,. �. �s.:.d tr •' i. rr1.x'• . •.,'!.{ �. X54
Controclbr Tel. LicenseM
Address
, '
City-zip
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P THIS YERMIT SHALL BECOME V IF R IS NOT COMMENCED WITHIN 120 DAYS CESSATION OF WORK verified b
Sewer Districtpr d
Form 284-208 (Rev.B/,7B) '•
i
FOR 120 DAYS SHALL ALSO gyp E OID. I • y
,w «vv >I• w. _w� "R ia: a1.T wF;.r'•a, ..a.,+: ^."VT"i. - `.F„C''�;•my;waf•u !tf7• a•;,a•,i 4, %i
I HEREBY, GREE THAT ALL WORK IJ,I CONNE(•_TION WITFJ THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. i
I HEREBY CERTIFY THAT. aI j=;INDIVIl1L(AL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
ACCORDANCE WITH :SECTIOh`'5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. T
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
r
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
3-,7-.Z-79
�/ _/
�`,�-�
33
Ventilation System
-02
Figs 8 Frms
_ �9
�av _/��
34
Plenums 8 Ducts /f .79-
2A
Slab Grade
a.z._79
7
�/
35
Furnace Comport.
3
Steel
-
36
Inlets & Outlets
4
Grout Blocks
37
Combustion Air
5
b
Bond Beams
Roof Deck
pz �%9
Q(j
38
39
Compressor
•� %� /��
Appl. Clearance
7
8
9
10
IDA
Framing — Q
Vents 7 ,�
Garage Fire Wall j7- Z. 7
Fireplace P. L. ❑ v
Fireplace T. 0. E]
- _
40
41
42
43
OFI
Fire Damper
Smoke Detection Device
Commercial Hood
Final ��=7 D
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall WIWI
13 Finish Grade Q�L_7p
7
INSULATION Thick
R
Value
7A Walls (Batts) %
yL/ 7,9
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final p�9 a� -
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater �,/ Z —7
V
22 Water Softener
23 Water Service
24 Gas Test
25
Final
Tank �Qd G Pit l L.Line
REAR OF PROPERTY LINE ^
ELECTRICAL APPROVALS
r
3
I/L
16 J
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
i
29A Grounding Wire
298 Bonding
30 Fixtures
31 Service
32 final A,
J I RCC I INMWIC - �-'
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APPLICATION FOR TREE PLANTING
'l `we), the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if trees are required under River-
side County Ordinance No. 457, the applicant agrees to install said trees prior to final inspection. It is understood that no final inspection
will be given until said requirements have been met or exception has been granted by the County. Now, therefore, it is agreed that the prop-
erty owner shall cause the property lines to be surveyed in the event no survey stakes can be found. Further, it is agreed that the County of
Riverside shall assume no responsibility should trees have to be removed due to lot line errors.
Owner's Name \ \`h1 't \1\' \Na (. R1y\
Mailing Address - City City -C
Job Address d0 vei d
Legal Description � / ��-� / r/.)
Assessor's Map, Book & Page ? 7
Type of Soil�O Is water available AZI Road Dept. Plot Plan No.
Type of existing trees in road right—of—way,
Trees preferred by applicant (1) PC��ifY�'C0.���OC���r,.(2)
Date / / , ' — % Owner's Signature
Building Permit No. —3 1�;_3 ` —50
2. State Zip a �+•�
type Structure
(3) C� \,k>F,
Planning Commission Case No.
ROAD DEPARTMENT APPROVAL
Approved species Washingtonia robusta (Mexican fan palm) Number of trees 1
Spacing of trees Distance from lot lines: Front2' in R/W Side
Additional requirements Per plot plan on reverse.
Date Building and Safety notified 5/79 Signature
REQUEST FOR EXCEPTION
Reason
Request for hearing:
Owner's Signature
YES ❑
(Forward application to Planning Dept. if exception requested)
NO REQUEST FOR HEARING
Planning Dept.
Concur Non -concur F Explanation
Date Signature
Road Dept.
Concur 0
Date
Non -Concur ❑
Date hearing established
Approved Disapproved
Date Building & Safety notified _
C
Signature
REQUEST FOR HEARING AND COMMITTEE DECISION
Date hearing notice mailed to owner
Date Owner notified of decision
Signature
(attach additional page if necessary)
1 .,
�_ _ __ .,.... .�..._.__..�._.r.�.,.�._........._.�..T.�._..,.._........_ . _..
r
ry,
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L
L
s NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY Permit No
COUNTY OF RIVERSIDE
284 199` 9/74
CANARY—FILE, PINK—APPLICANT'
Owner "i'� �k�C. `nc4 t'1'1 Architecttit ti' I' Contractor
-r
Address "1 -''h I `' Address -4 7 t,'K t C,Jrllt'Address—
xx
City �h j i t �fi� City_' G� \� • vy .t l : City_
Phone ' Phone ��L � � � '• , Phone
I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and
W
Z
Paving, and/or Dedication of rightof 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 �'t1 7 SIGNATURE OF OWNER AND/OR AGENT `��\ `� .5.,v�t"�Scty
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
I SPACE NO.
1 USE OF STRUCTURE
JOB ADDRESS AV,�; �
>'
SINGLE FAMILY DUPLEX
LEGAL E CRIPTION OF PROP Y 7'' ��,
APARTMENTS
�' AGRIC.
` 'r{
�•(
O LL�
J
COMMERCIAL INDUSTRIAL ❑ j
14K..
'. 3
Z
COMMUNITY . �� �'.-
* ALTERATIONS ❑
N a
NO. OF SUBMITTED PLANS — _ USE OF PERMIT
CASE NO.
NO. OF PARKING SPACES REQUIRED N0. OF BUILDINGS_NOW EXISTING
z
a
ZONE KA ter
SETBACKS: FRONT ,�SIDE' N J >�' REAR 4-'` ?�—
J m
GRADING PERMIT REQUIRED? YES E:) NO ❑ LOT SIZE v >7- �
SETBACK ORDINANCE ___ OF FEET REQUIRED ON-- ' STREET
DATE �__ 2 SIGNATURE OF LAND USE OFFICIAL�✓ - M �-c n_ W 'T
10
DEDICATION REQUIRED: -YES ❑ NO ❑ NO. OF FEET.—
�
z
CURB AND GUTTER REQUIRED: YES El NO p�'` tF _STREET
W
CAN CURB AND GUTTER FEASIBLY BE INS ALLED? ' YES ❑. NO ❑
HAS
APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOf� D.1VEW AND STREETIMPR
VANACCPTABL
S NO ❑O
DATE � -SIGNATURE OF ROAD DEPT.
=
Sutiuutur_ onn, c Dilor IC
#
W
SEWAGE DISPOSAL
WATER POLLUTION i ✓/ REMARKS
�n FLOOD CONTROL �+
z AIR POLLUTION
SDIV OF HWY
t—
o a — YOUR PROPERTY MAY BE SUBJECT TO
IL
o ''.FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD'?
284 199` 9/74
CANARY—FILE, PINK—APPLICANT'
BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY. FIELD j DST j
360-4 3 7 COUNTY OF RIVERSIDE • �,� I /!I .
CONSTRUCTION
ESTIMATE
NO.
ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
'
2ND. FL.
rPOR.
SQ. F.T.'@
is
UNITS
t
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC:'`
BAR SINK
GAR.
CAR P. 1
.. .. -
WALL.
SQ. FT. @
CommU.ityValuation
r,.y.ryh
/
POWER OUTLET s
ROOF DRAINS
SQ. FT. @ ! 3f
DRAINAGE PIPING
a, r ,.. " '; ' �. •m". r s .•+ {: '� a lox
SQ.. :,x,,
FT. @
DRINKING FOUNTAIN
SQ. FT. @ r
ESTIMATED CONSTRUCTION VALUATION S
-
u . 1
-
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
,,.r
SWIM POOL, PVT.
FLOOR DRAIN
MECHANICAL FEES'
, ,,
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEI r' 'FAN EVAP. COOL" HOOD
; ' ' "
SIGN - t
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Construction Fee Dbl E •
T + 'J .. 1..t
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Electrical Fee -0bl S,
r " '
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER �.
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
%� J
TEMP USE PERMIT SVC , f
WATER CLOSET
COMPRESSOR HP
' ^
POLE,TEMP/PERM ,A
LAVATORY
HEATING SYSTEM - `FORCED GRAVITY
Bond Amt.
AMPERES SERV ENT--
NT •BOILER
Pion No.
BOILERB. T: U.
Final Dote
a SQ. FT. @ , 'C .._';
BATH TUB
w4•'rw4 �x.i i-ar.... �wt'o... t!e
.{..+ s:.._. rf ...se., -4A
li t;-wSQGFTx'6.6.tC" •:?.t.`
WATER HEATER
Const. Lender
•-
,r },• Branch �j
j
SQ. FT. RESID @1'/ c
SEWAGE DISPOSAL
Registr. Fee $
Mileage Fee ' _� $ _
SQ. FT. GAR @ . sG c
HOUSE SEWER
y
GAS PIPING x
PERMIT FEE
•..•
PERMIT FEE r
PERMIT FEE C
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE MECH. FEE PL. CK. FEE
I CONST. FEE ELECT. FEE
SMI FEE
.FEE PLUMB. FEE
- -
' PERMIT NO. ` _.--
,..;:•w-ar:+K:ix.+,ra..
Job -Address
f,- "rr }:,•y-. .. ;, a ". i 7,r �„!'�'� �.�v�•r•..s Space
P
Zi P
Owner fr
360437'
CommU.ityValuation
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f
+R;.•kK;'�.y�e,O�Y. j
=
Date
` .� "�
Dist.
Off.
F.C.C.
'.
-
MH. Permit Fee E
Micro Film Fee 1
Cop E
Use of Permit
r'
-,
•
AJr' J, r
Parcel No..
,,, 'i '7 ,•
Use/Case No.
Ck. By
Mech.•Fee r Dbl E
PI. Cit. Fee f
Set Backs
Lot SizeOAL
-
Construction Fee Dbl E •
Legal Description
I
n �. i�J ` % -.
w6
f�` / r/
F 5 S R
Electrical Fee -0bl S,
Zone Restrictions
Group
Type
SMI Fee
$
%� J
ri 4• L•Phan GC.hecfkert
Plumbing Fee
Dbl E %
Bond Amt.
Pion No.
Final Dote
Inspector
Unit
Sp. Insp. Feer y
Demol. Fee "
5
Const. Lender
•-
,r },• Branch �j
j
Supplimentol Permit Number i /J
/7�0'`
` .•
Registr. Fee $
Mileage Fee ' _� $ _
Address City Zip -.
Witness Fee
•..•
Reinsp. FeeS
F
�.
Ownei/Agent
Tel. `.
Zip
Total Fees' ' �'
y
(JG
Address
'��) - \ i�� - '"'%�
t� G
City( f
Zip
M.O. N:C:
Cash Check
��
�-! ,, K,,
/�j U
Received by, � '•
/ ,R.;,,ti.,y
Contrdcior
.• r .
ti'
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;
Tel
i
LicenseN
d •'1.lx.tl�;i' L�. w
frees required •
Sewage System :
°
Address
4
Zip
T R u P THIS PERMIT SHALL BECOMErVOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer District L FOR 120 DAYS SHALL AW CAU E PERMIT TO BECOME VOID. '
:ad c v++ ►r.w + + i r r '» . r I HEREBY AGREE T E$IL�N WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH'
#" THE LAWS OF RIVER I OLIN AND THE STATE OF CALIFORNIA.
• " y I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
•ACCORDANCE WITH SECTION 55410F THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Form 284-208'(Rev.8/78) IiI
verified by:
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING• APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums 6 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.
43
Final
IDA
Fireplace T.O.
OP'N
NO.
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Batts)
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 L.Line
REAR OF PROPERTY LINE
P/L P/
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A_ Grounding Wire
29B Bonding
30 Fixtures
31, Service
32 Final
STREET NAME
BUILDING PERMIT. T _ FIELD PERMIT NO. «DEPARTMENT OF BUILDING &-SAFETY, COUNTY OF RIVERSIDE , `3.6053:2 ,F7DSTJ
CONSTRUCTIONESTIMATE
r.r.%,+{e 4 3t; :+:.✓ iE"-
N0'.
"' ELECTRICAC FEES
NO. PLUMBING FEES
Sq,r @ $
A`
UNITS
Date - 4
I,ST"FL
•
FTI @
!
-
4i r' -t
YARD SPKLR SYSTEM
"•<'
2ND. FlSQ
TI
y
Parcel No:
MOBILEHOME'SVC ,$
BAR SINK
POR.?.yr• _
a yn
SQ FT. @
S
x
r • f { r L -
t c �•`
SQ FT:.@ a
"�
t,�'
POWER OUTLET,- e , , '
ROOF DRAINS
1 GAR';r v:
SQ: FLr@�s+',
F Ti S
(
S R
'
x�
r { ' r. 7r:t
DRAINAGE PIPING
Group
l,....,* y-.
R:I1, :�^,y+t', t`;,t„k�nriis •: '�': zi'�.r..ILP•L!}9 GFjF'.!`.'DRINKINGFOUNTAIN.-
SMI Fee' '• $: •�+-
•«•"$�.: .;a•'°li:^s�1J•*'-a'r3i
WALL
SQ. FT. @
t✓
:
`' ;;
S
URINAL
.. ' .
r.. Plan Checke
VALUATION'. $
Inspector
i
1''` r 'r
WATER PIPING
ESTIMATED CONSTRUCTION
NOTE: NoE to- be used•as-o' a tax valuation
Regstr.. Fee
M,leage Fee $ ,
SNLIM POOL PVL �: =1.
FLOOR DRAIN
MECHANICAL FEE$'
.',
a, c ;t
SWIM POOL --COMM,',.
WATER SOFTENER
VENT -SYSTEM r FAN '; '~ EVAP: COOL} " ` 3 -'HOOD
.'
.•gT'y` SIGN ^. ' Y �: " ' ' _
WASHER (AUTO)(DISH)
APPLIANCE > '' ` DRYER ;i`
�<
Totdl Fees.. '� t $,<' « =.e
�..
) ' F ! C
vr� .ate
GARBAGE DISPOSAL
FURNACE UNIT - . WAIL'"` ,IELOOR -. SU ENDED
Contractor 5 ,`� i_ J
.q...d `. r' + :.,.ata+ t •, �{5....
, :
F. '
LAUNDRY TRAY
AIR HANDLING UNIT;ICFM
5t .t
Ci, 1'Zip
IDLE�METER `• ',-
KITCHEN.SINK':
ABSORPTION SYSTEM rc; B.T.U.
V..h�+.
TEMP USE PERMIT SVC' `
WATER CLOSET
COMPRESSOR HP '
} t' ' , x
r , .
POLE•TEMP/PERM °
LAVATORY
HEATING,SYSTEM FORCED GRAVITY,
', .•
AMPERES'•SERV ENT, ;< f
SHOWER
BOILER" . ^ �. ; B.T,:U. c.
yy{
ys -
SQ .FT:. @ C.. e:k
BATH TUB
t;x . T �?r.silir+ w �k . dt, �;
t�gk' .rH1'a�i§��i+ w a.;��
tit,.r5g3FT1 @rs �;• r.,
WATER HEATER'
S0. FTI RESID`@ 1 t7. t
SEWAGE DISPOSAL;
f
SQ.GAR;@ ?/ C
HOUSE SEWER' �.
,FT,
'
F
GAS PIPING 3
PERMIT FEE"v
PERMIT FEE
PERMIT FEE
913L
FEES
TOTALMOB.
MICRO FEE MECH: 'FEE PL. CK.,FEE .��
CONST FEE ' -' ELECT. FEE
SMI FEE
FEE, PLUMBr,FEE -
t�� r f
... -
PERMIT 1J6'
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Owner
360532
Community'''
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Valuation
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Date - 4
Dist.
'Off.
F.C.C...
-
__
MH.Permil fee v'; Y
.Micro Film Pee' • Cop $ :
Use of Permit
Parcel No:
U•se/Case No.
Ck. By
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S
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-•' SefBa 's
Lot Size
PI. Ck. Fee ,y $.
<..'',
Construction Fee ;+ Dbl $ •.+ '.
Leg ' al Description r^'_ ti, �� '"
(' !;'? '�ti � • y r �t �'."/�' —�..-
/.,, 4%/i�,C
F Ti S
(
S R
'
Electrical. Fee -� Dbl" E •
Zone Restrictions
Group
Type -
Y,
SMI Fee' '• $: •�+-
•
Plumbing Fee �. Dbl $ . ~•
Bond Amt:• l,t
$
Plan No
- +"f
r.. Plan Checke
Final'Dote - )
Inspector
Unit
Sp. Insp.'Fee $ «
Demol. Fee �'. $
Const 'Lender * ro ;Branch
Suppltmental,Permit �Numb ers /A ,
�5''_ .•
Regstr.. Fee
M,leage Fee $ ,
Address City..Zp`-`
Wiiness'Fee
„•
Retns :Fee $-�"� }
`Owner/Agent ..
Tel Zip
-
Totdl Fees.. '� t $,<' « =.e
Address i • "
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Gty,', S_ Zip '
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`.Ccsh '. Check"'R'
Received -by +.�
Contractor 5 ,`� i_ J
.q...d `. r' + :.,.ata+ t •, �{5....
Tel.` j, .License#
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Trewie,`ju'ired "'1 .'.. ,� r6-,' - F is „�X k
Sewoge.$ystem i
Address '�• "` . '�
Ci, 1'Zip
`pyo
V..h�+.
+�`�` Y•
t \�! -
T t. LL w "P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED'WITHIN 120 DAYS. CESSATION OF WORK verified by:
Sgwer Distract - .FOR 120 DAY$ SHALL ALSO CAUSEYPERMIT TO BECOME -VOID -t`4
District
�' �tACCORDANCE
I HEREBY%AGREE THAT, t IpIJ I THIS PERMIT WILL BE -DONE IN ACCORDANCE WITH '
°., ',~ THE LAWS OF RIVERSIDE AND E; STA CALIFORNIA` N.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED. THE PLANS AND, SPECIFICATIONS HAS DONE SO IN
µ
WITH SECTION 5541 ;OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA
Form 284208 (Rev 8/76)
u
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NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilot.on System
2
Ftgs 8 Frms
34
P.lenuM 8 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.
43
Final
IDA
Fireplace T.O.
P'
-
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath :Z4 7
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A• Walls (Batts)
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 Hedter
22 Water Softener.
23 Water Service
24 Gas Test
25
Final
Tank Pit L.Line
REAR OF PROPERTY LINE
P/L P/L, �• i `
STREET NAME
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29Wiring
..
29A Grounding Wire_
29B Bonding
--30 Fixtures 7
31• Service
32 '41ndl
�,., -
BUILDING PERMIT
PERMIT NO. DEPARTMENT OP BUILDING & SAFETY MISIT
3 7 4 8 91 COUNTY OF RIVERSIDE FIELD
__
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
GAR.
SQ. FT. @
UNITS
SQ. FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
BAR SINK
POWER OUTLET
SQ. FT. @
ROOF DRAINS
CAR P.
WALL
SQ. FT. @
-�i
Community
r I „1'T' =:e
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @ @
ESTIMATED CONSTRUCTION VALUATION $
URINAL
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
Use/Case No.
✓'y
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
Type
SQ. FT. RESID @11/,c
SEWAGE DISPOSAL
SQ. FT. GAR @ '/. c
HOUSE SEWER
Zone
Group
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
PERMIT NNO.
Job Address
Space
Zip
Own�'`epr�,
13748911
!"a i a.._. M•`i r f: r
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C
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Community
r I „1'T' =:e
Valuation
$
%"r-
Do^t7e
/ h
Dist.
r Off.
F.C.C.
MH.Permit Fee $
Micro Film Fee
Cop $
Use of Permit
.�-• r ((
i 1 j , (76. C-7 (
Parcel No.
- 7_ - �.I �, 3..�
Use/Case No.
✓'y
Ck. By
'.T.� e -
Mech. Fee Dbl $
Set
Set Backs -
lot Size
&fee
$
lt•
Construction Fee Dbl $
Legal Description
_
t : ) I �"+"
F S S
R
Restrictions
Type
Electrical Fee
$
`-�' J J
Zone
Group
SMI Fee
$
-
✓ y JL.,
Plumbing Fee
$
Bond Amt.
Plan No.
Plan Checker
Final D to
Inspector
Unit
[Db
Sp. Insp. Fee
$
$
•0it"
-
Demol. Fee
$
Const. Lender Branch
Supplimentol Permit Number;
Fee
$
-
r^ -•.T
r''"`� +�
Mileage
Mileage Fee $
e
Address City Zip
Witness Fee
$
Reinsp. Fee
$
t) a;
ia%)
Owner/Agent
Tel.
Zip
II
Total Fees
Is
`
Address r •; "��
City
Zip
M.O. CI
N.C. E1 Cash n Check
Received by
....T-^ , .••�•
4
Contractor
Tel.
License#
Trees required
Sewage System
Address
_.
City
Zi P
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 ATE OF CALIFORNIA. 1
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.
Form 284-208,(Rev.8/78) s
t 1 1
,
NO.
OPERATION / DATE
INSPECI�t '
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Bock
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums 8 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.
43
Final
10A
Fireplace
T.O. ❑
No ADDITIONAL INFORMATION
-19
, �.426.1
w^
�� 1 •/I��
/`•L
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Batts)
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 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