366739 (PLBG)BUILDING PERMIT
PERMIT NO.
366739
5
DEPARTMENT OF BUILDING 8 SAFETY FIELD DST]
COUNTY•OF RIVERSIDE
w Fz
CONSTRUCTION ESTIMATE
NO. ELECTRICAC FEES .. ;,
NOA • ` PLUMBING FEES
Community -.-
IST FL
2ND. FL.
SQ. FT. @
UNITS. -
Off.
F.C.C.
SQ. FT. @
Micro Film Fee Cop $
POR.
SQ. FT. @
MOBILEHOME SVC.
BAR SINK
tMech. Fee Dbl S
GAR.
SQ, F7. @
POWER OUTLET
ROOF DRAINS
Legal Description -
` , /) ' , //
CAR P. SQ. FT. @'
WALL SQ. FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
< .. •: n �^ s• ., •.� '; ,
DRAINAGE PIPING
:'✓..• •.DRINKI NG^'FOU NTAIN!
URINAL
WATER PIPING
} 7 z
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
SMI Fee $
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
Plan Checker ,. `Final
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
Sp. Insp. Fee $
APPLIANCE DRYER
Const. Lender Branch
K. -
GARBAGE DISPOSAL
Registr. Fee $
FURNACE UNIT WALL FLOOR SUSPENDEDv'"
` w;i
.. i CAUNDRY'TRAIr
Reinsp. Fee $
AIR HANDLING UNIT CFM
IDLE METERf
KITCHENISINK' '
Total Fees $ .ti
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC_ :i {
;WATER CLOSET
Received by
Trees required
COMPRESSOR HP
POLE, TEMP/PERM
A ;LAVATORY
Sewage System
T LL P
HEATING SYSTEM FORCED GRAVITY
AMPERES SER'V,tENT
SHOWER
THIS PERMIT SHALL BECOME 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 K IT IS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COA E F LIFORNIA..
BOILER B.T:U.
SQ • FTS 4t 'C
r BATH TUB
SQ F7. @ C
WATER HEATER
SQ. FT. RESIT) @1•Y..0 -'
SEWAGE DISPOSAL
S0. FT. 6AR'@ 3%a
HOUSE SEWER
s
", GAS PIPING. JFEE
PERMIT FEE
PERMIT FEE '
PERMIT FEEPBL.
TOTAL FEES
MOB. HEE
MICRO F
MECH. FEE PL. CK. FEE
CONST. 'FEE- ELE FE rSMIFEE
FEEM.FEE
r• PERMIT NO.
' 36673.9 f
Job Address +' Space
• >
Zip Owner _
>ra a
Community -.-
Valuation
Date -
Dist.
Off.
F.C.C.
�MH.Permit Fee E
Micro Film Fee Cop $
Use of Permit -
:3
F.&Fel,No:. ,. -
' -Use/Case No.
Ck. By
tMech. Fee Dbl S
'PI. Ck. Fee $
Set B.cTc '•
lot Size`
Construction Fee Dbl $
Legal Description -
` , /) ' , //
F., S ;,
S
T
R
Electrical Fee 0bl $
Zone Restrictions -
Group
Type -
SMI Fee $
Plumbing Fee Dbl $
Bond Amt.
$`.7-0
Plan No.
Plan Checker ,. `Final
Dole p
7
Inspector
'Unit
Sp. Insp. Fee $
Demol. Fee $
Const. Lender Branch
K. -
Suppli ermit Nu mbersj
�
•.
/
Registr. Fee $
Mileage Fee $
Address City Zip',
/f •
Witness Fee $
Reinsp. Fee $
Owner/Agent
'Zip
Total Fees $ .ti
Address y ,. - -
„jY
City —4Zip
M.O. 0 N.C. Casho Check ,
Received by
Trees required
Contractor ,. - -
t;•.':'tet,:.'77, 77
T•el .''..N,M,d.L,Scense#
♦.,µ ...+t
Sewage System
T LL P
Address
SCiry>•=' •- Zip
THIS PERMIT SHALL BECOME 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 K IT IS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COA E F LIFORNIA..
Sewer District
r'N.
j IP -1...1THIKCaT tKIIFT IHAI IHt INUIVIUUAL-WHU FKtFA tU IHt FLANS ANU 5FtCIYICAIICJNJ HAS UUNt SU IN .V
ACCORDANCE WITH SECTION 5541 OF.THE BUSINESS AND PROFESSION$'CODE OF THE STA'TF OF`CALIFORNIA:'
Form 284,208 (Rev:8/78) - t,
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Figs 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. E
43
Final
10A
Fireplace T. 0. E]
OP'
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 /_ _.7-D _-2 r/J2v
lY
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
PSL P/
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final _7
STREET NAME
r
NOTICE: THIS IS NOT A BUILDING PERMIT
DISTRICT
APPLICATION TO CONSTRUCT Permit No
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
\kN V%G \O
284 199 9/74
CANARY—FILE, PINK—AP..p-,'^--'
'/ M/ A t
1hitect Contractor
n✓t Nr1,).0 44
Addres-,ns I&tOddress Address -
Cit v 7 N �'� ' 5Cit'b9 City_
_
hone
Phone
W
I (we) the unders fined, hereby certify and nowledge that I (we) have read the application an agree that if Curb and Gutter, and
Z
P ving, and/or Oedicatipn of right of way is required by the County of Riverside, the Riverside Coun Department of Building and 'Safety
3
sh II not make �a Final I�spcction until said requirements have been met. I am also aware that no wor is to be done within the Counto� /W
1
'
O
wi out an en- oachment +
.+r permit. m (
NOW, therefore, it is a reed that I (we ) DYoccupy said and will not cause said erty to be occupied until I (we) have
y g win1property pro
co lied with all laws of tke County of Riverside and the State of California governing said property.
r
�
l
D E �� �%� SIGNATURE OF OWNER AND/OR AGENT
Approval bignature from the Following Departments Liste Below
^-r�.../VusL—Be Obbtained Prior to the Issuing of a Construction P rmit.
I SPA E NO.
// OF STRUCTURE
AlSE
JO ADDRESS `a A/ /'�-,i I - SINGL FAMILY Ej DUPLEX
>
Z t-
LE gb„Q��CRgTlppppF PROPERTY 7 -1l
��v - +R ENTS AGRIC.
W
H Q
'^
a
RCIAL INDUSTRIAL n
/0% Z201
OF
Z
CO MUNITY
_ ALTERATIONS
NO SUBMITTED PLA S --_—_ USE OF PERMIT /d 4 '� __ ❑
4
CA E NO.
PARKING SPACES , LDI NO�EX SAA—V__
a a
) ZO EF /� J ETBACKSIED ONT SBD REA
J
m
G ADING PERMIT REQUIRED? YES LJ NO ❑ L,,O`` IZE
S TBACK OR INANCE b __ OF FEE1`R UIRED ON _ STREET
D TE�!� SIGNATURE OF OFFICIAL ----
F,
EDICATION REQUIRED- YES ❑ NO ❑ NO. OIYE
CURB AND'c4rrE® REQUIRED: YES ❑ NO ❑ STREET
Goj OCrCAN
CURB D UT� FEASIBLY BE INSTALLENO ❑
HAS AN AC PTLE PPLICATION BEEN MADEACHMENTj1CIAI RMIT FOR DRIVEWAY AND STREET:;' '
CIMPROVEMoa?
ES f] NO ❑
DATE SIGNA OF ROAD DEPT. OF-
S
SWIMMING POOLSP 1BlC
H
W
I�
SEWAGE DISPOSAL 1
_
FO
_
WATER POLLUTION REMARKS
�n FLOOD CONTROL
z AIR POLLUTION
W
_ DIV OF HWY
c % — YOUR PROPERTY MAY BE SUBJECT TO
0
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199 9/74
CANARY—FILE, PINK—AP..p-,'^--'
i
e
i
C7
aF
J
1
4�
I
�,