366879 (RPL)BUILDING PERMIT
PERMIT NO.
366879
DEPARTMENT OF BUILDING & SAFETY ; 'FIELD.,,, -
"• "�t � DST
COUNTY. OF, RIVERSIDE /
PERMIT NO.
-6 -87.
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES' : i ''
NO:. PLUMBING FEES i'
ISTFL.
2ND. FL.
FOR.
GAR.
CARP.
;WALL
%�
- 6..-�%.�L,} •t
ESTIMATED CONSTRUCTION
$Q. FT. @
UNITS
;
YARD SPKLR SYSTEM
SQ. FT. @
J•.a.
MOBILEHOME'SVC. BAR SINK
SQ. FT. @
Community + ', s't ' t" • Valu�attiion,. +:/a}fir .
t /• "� $ I ;+vi, s✓+.. �
SQ. FT. @ POWER OUTLET ROOF DRAINS .
ist'/
SQ. FT. @ DRAINAGE PIPING
/F:�C..'C.,
SQ. FT. @�. ":'S ,DRINKING FOUNTAIN:,,
Micro Film Fee Cop $
Y'• t
SQ. FT. @ • �1A►ts .utyi,-4.4<';.•r3,s _URINAL i. .: •Sr..1,'.
..a�.�
VALUATION $ ' " ' WATER PIPING '
PI. Ck. Fee $
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT dv -r FLOOR DRAIN
Electrical Fee Dbl $
Zone Restnctions : ti ^ • z! "•
MECHANICAL FEES
SWIMPOOL, COMM
WATER SOFTENER
SMI Fee $
VENT SYSTEM
FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
Plumbing Fee Dbl $
APPLIANCE
DRYER
Plan Checker i
x
GARBAGE DISPOSAL z
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
e
Mileage Fee $
COMPRESSOR HP
POLE, TEMP/PERM .
LAVATORY
Witness Fee $ •-
HEATING SYSTEM FORCED GRAVITY. «
AMPERES SERV ENT.
SHOWER
Owner/Agent.k•....:r::w"-+t
BOILER
B.T.U.
SQ FTr�@P'w�F V�Ji r.�. ',y °`
Y BATfi TUB"y :";"`°`
r•, j,.,
Total Fees $
Add� � � � . • �
Address
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SQ .FT.; @ L??t . ' •, ik .
WATER HEATER
Received by
ContractorF I '"`" - /,/: ` `•
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S0. FT. RE$Ip @I lc' a k' .. z
SEWAGE DISPOSAL
Sewage System
• �
Address•,- 3 .p}
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( 'r'✓ '�i's`-�'` f' � ��.`,.. ypy a-�M. t�•}
SQ. FT. GAR @'' s/. C ir"rr ,. f'i
HOUSESEWER
i
'GAS PIPING
PERMIT FEE
. ^+ - ,.
_
PERMIT FEE ; , a '��„
1E PERMIT FEE =.
1�u
DBL.
TOTAL FEES /f
MOB. HM. FEE
MICRO FEE 4, '4 -. MECH. FEE
'PL. CK.'FEE'F
CONST FEE rq+.EL CT. FEE
g7
SMI FEE'
s FEE
PLUMBr FEE +
PERMIT NO.
-6 -87.
Job Addiess L' S ' ce
r r Pa
Zi `�
P r
-
Owner.'
fC,.}�
36
--tee
J
Community + ', s't ' t" • Valu�attiion,. +:/a}fir .
t /• "� $ I ;+vi, s✓+.. �
Date `�+
J'.�
ist'/
/F:�C..'C.,
MH.P.,mit Fee E
Micro Film Fee Cop $
f Permit -. �., 'el
Use oL1r
; t
11 / . + ,
pl
/",tY't
Parc - /Case NoBy, .�.
-_- No •�- F� U . t i• Ck: -
::67 - ^
Set Backs: + Lot Size
f..•t •. ;:� . ` R ,� _ t. ..' •+
Mech. Fee Dbl E
PI. Ck. Fee $
Construction Fee Dbl $ (?
Legal Description .�r� / / ,.,rr..
��r,�i ti{t "i"L..'..,/��'�•
Electrical Fee Dbl $
Zone Restnctions : ti ^ • z! "•
Group c
,
Type'
SMI Fee $
3,�. +�
•�
Plumbing Fee Dbl $
Bond Amt.
Plan No.
Plan Checker i
x
Final/Date Ins tory
Sp. Insp. Fee $
$y,
.!
Demol. Fee $
Const. Lender Branch. - �;dW
n-
iupphmentol Permit Numbers
Registr. Fee $
ot
t.
e
Mileage Fee $
Ad s '' )i , „- 1?''
i •� ' ..., . .
✓ * .
Witness Fee $ •-
- �, ,
- i _ ` = i.
Retnsp. Fee $
Owner/Agent.k•....:r::w"-+t
Total Fees $
Add� � � � . • �
Address
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a �`'
�Ciry - � Zip
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M.O. N.C. Cash Check
Received by
ContractorF I '"`" - /,/: ` `•
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.TeP. r
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License#
Trees required��L'(',
Sewage System
• �
Address•,- 3 .p}
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�7Y ~ I
T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer District FOR 120 DAYS SHALL ALSO 9APSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT�AN
N &.WffH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
ry THE'LAWS OF RIVERSIDE C NTE STATE OF CALIFORNIA.' t -
I-4 -Po L` / 1 HEREBYrCERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
A CORDANCE WITH SECTICN 5541 OF'THE BUSINESS AND PROFESSIONS CODE*OF THE STATE OF CALIFORNIA.
Form 284-208 (Rev.8/78)
verifieJ by: t -
r +
NO.
OPERATION DATE
INSPECTOR ,
O. OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33 Ventilation System
2
Ftgs & Frms S
L—
34 Plenums & Ducts
2A
Slab Grade
35 Furnace Comport.
3
Steel l,. (LI. -)G9
T
36 Inlets & 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
S•(C�•?' {7`ASVr— PtPtIJ 60 Ltr-g1
S
awroued � )TAk LC.LA, -4,0a C .-
-4,r 0 u `�`'r�/ f,����
��" V� '^ Ctl,3GV�)
C�0� r`tiT� �QU' QA �J
1 • I`( -q0
_ - - --- - - - - -- _____---__.--
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
-----P_LILAMINS-APPROVA_LS_ -
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
R'O
30 Fixtures
31 Service
32 Final
STREET NAME
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NOTICE: THIS IS NOT' A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT
Permrt No
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
OwnerA_U/R/ Architect- A �E'�__4//%. /t7S_ Contractor
p�/,Q
Address Addressl7�'3 �OQ� �'�S Addres
/`
City '��'/7�A� City�d�,y ,?///PddE City-
Phone—
W
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 as 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 y' ----- SIGNATURE OF OWNER AND/OR AGE
Approval by Signature from the Following Departments List Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
nrA®
III
*11 t.0 M "'?z I SPACE NO.
US OF STRUCTURE
�7—"fj—+f� /A e ' I
}
JOB ADDRESS r _
LEGAL ESCRIPTI N F PROPE TY -Z�- APARTMENTS SINGLE FAMILY DUPLEX ❑
I�
Z W
Cv AGRIC.
�� �� /✓ �_ ❑ ❑
Q
—�--� COMMERCIAL ❑ INDUSTRIAL
%A
et
COMMUNITY
ALTERATIQNS
L[) I/7 �OC
Z
NO. OF SUBMITTED PLANS USE OF PERMIT
'A
CASE NO. F
--
p Z
Z�
N0. OF ARKING SPACES REQUIRED _ � NO. OFSBDELD�; S NOW STING;
/ ✓ // S
ZONE � ( tETBAC�Ks: FRONT
� �
J
m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE -4 OF FEET REQUIRED ON — STREET
DATE S / — SIGNATURE
OF LAND USE OFFICl/
t-
EET—
DEDICATION REQUIRED: • YES ❑ NO ❑ NO. OF FEET--
z
z
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
H
a
W
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
O
IMPROVEMENT? YES ❑ NO ❑
O
°C
DATE SIGNATURE OF ROAD DEPT. OFFICIAI
=
SWIMMING POOLS PUBLIC
QW
SEWAGE DISPOSAL
FOOD ESTABLISHMENT
_
WATER POLLUTION REMARKS
to FLOOD CONTROL
t-
W AIR POLLUTION
_ � DIV OF HWY
c a — YOUR PROPERTY MAY BE SUBJECT TO
a
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT `OF FLOOD.
284 199A 9/74 CANARY—FILE, PINK—APPLICANT