426455 (BLCK)BUILDING PERMI. "
1PERMIT NO. DEPARTMENT OF BUILDING & SAFETY DST
426455 COUNTY OF RIVERSIDE FIELD /0
CONSTRUCTION ESTIMATE
_—
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR. '
GAR.
CAR P.
WALL !
lile-ESTIMATED CONST UCTION
SQ. FT. @
Owner
4_:� -// ,
UNITS
,
Community
4n
SQ. FT. @
YARD SPKLR SYSTEM '
MOBILEHOME SVC.
SQ. FT. @
BAR SINK
POWER OUTLET
SQ. FT. @
ROOF DRAINS t
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @ t TT
DRINKING FOUNTAIN
SQ. FT. @ r1
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
No.
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
Sa Bocks
SWIM POOL, COMM
WATER SOFTENER
'VENT SYSTEM FAN EVAP. COOL HOOD
Legal Description•}
�%
1.0
SIGN
WASHER (AUTO)(DISH) 1-0
APPLIANCE ' DRYER
R
Electrical Fee Dbl $
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR' SUSPENDED
Type{
1
SMI Fee• $1,�,/�
LAUNDRY TRAY
AIR HANDLING UNIT CFM
Bond Amt.
$
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
Final Date • ,,,,/J
✓ /
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
Const. Lender
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ C
BATH TUB
Address City Zip
Witness Fee $
SQ. FT. @ C
WATER HEATER
Owner/Agent
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
Zip
SQ. FT. GAR @ s/. c
HOUSE SEWER
Address—+
A �A
.•
City
AJ�
GAS PIPING
PERMIT FEE
M.O. El N.0 0 Cash / -Check
PERMIT FEE
PERMIT FEE
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.�v-
426455
_—
Job Address �v�'
-�G, :
V
'
SpacesZip
-
Owner
4_:� -// ,
—� —
,
Community
4n
Valuation
Dote
Dist.
Off.
F.C.C.
MH.Permit Fee $021
Micro Film Fee
Copi$
Use of Perm
�/
• }
t�
Parcel No. -
'! /
�• �ry t „�r
Use/Case
No.
Ck. By
�
Mach. Fee Dbl $ H'n
PI. Ck. Fee $
Sa Bocks
Lot Size
•4
Construction Fee DbI $ 7 rte'
Legal Description•}
�%
1.0
�'1Zone
scf) "� Kg s
F S
S
R
Electrical Fee Dbl $
Restrictions
Group
Type{
1
SMI Fee• $1,�,/�
Plumbing Fee
Dbl Is
Bond Amt.
$
Plan No.
Pion Checker
Final Date • ,,,,/J
✓ /
In ctor
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender
Branch
Supplimental Permit Numbers
I/
Registr. Fee. $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel.
-4j 41,7
Zip
$
Address—+
A �A
.•
City
AJ�
Zip
M.O. El N.0 0 Cash / -Check
Received by A"
as �,
Contractor'
Tel.
LicenseX
,'
Trees required
Sewage System
Address
City Zip
+
T- LL P
Sewer District
Form 284-208 (Rev.8/78) @s
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WO verifi ''by:
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
l
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
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.
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
34
Ventilation System
Plenums & Ducts
2 Ftgs 8 Frms
2A
Slab Grade
35
Furnace Comport.
3
Steel _
36
Inlets & Outlets
4
Grout Blocks /
37
Combustion Air •�
5
Bond Beams — Z (
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.
NO
ADDITIONAL INFORMATION
'
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
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
i
P/
i
26 Power Pole
27' Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
NOT',CE: THIS IS NOT A BUILDING PERMIT DISTRICT'
APPLICATION TO CONSTRUCT Permit No
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
Owner i C AKKC11 Architect —_ --- Contractor--__ —
AddressS'391 CU610—_—_ Address___ Address ---
City L-,,- Q VCity-- City_—_— —
Phone Phone
I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree. tFat if Curb and Gutter, and
W
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. V 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 t= occupied until I (we) have
complied with all lawsofthe County of Riverside and the State of California governing said property.
DATE —�� 1-------- 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.
I SPACE NO.
1 USE OF STRUCTURE
•,t U I
JOB ADDRESS ✓� -_�u _
SINGLE FAMILY Q, DUPLEX
LE AL DESCRIPT O OF PROPERTY—�..L7� J �l 6
f
O
— APARTMENTS AGRIC.
30—
'�--'—
N Q
COMMERCIAL INDUSTRIAL El
COMMUNITY . t I—i
ALTERATIONS LJ
C G
Z
NO. OF SUBMITTED PLANS — USE OF PERMIT _
r
CASE NO.
_>-4
Z
NO. OF PARKING SPACES REQUIRED _— NO. OF BUILDINGS NOW EXISTING —
Q
ZONEETBACKS: FRONT SIDE REAR
J Co
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK RDINANCE # OF FEET REQUIRED ON STREET
DATE- ' �i SIGNATURE OF LAND USE OFFICI
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET -- —
z
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
d
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
W
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
Q
IMPROVEMENT? YES ❑ NO ❑
O
°L
DATE SIGNATURE OF ROAD DEPT. OFFICIAI
I
SWIMMING POOLS PUBLIC
H
W
'
SEWAGE DISPOSAL
_
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS*
H>� FLOOD CONTROL
F-'
W AIR POLLUTION
_ t- DIV OF HWY
ce YOUR PROPERTY MAY BE SUBJECT TO
c
a —
a
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 CANARY—FILE, PINK—APPLICANT