387230 (BLCK)BUILNrnv rcrcm19
PERMITNo. DEPARTMENT OF BUILDING & SAFETY [;DST]
387 2 3 0 COUNTY OF RIVERSIDE FIELD
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
SQ, FT. @ $
UNITS
M
Mech. Fee
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
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
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
fMileage Fee
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
S0. FT. RESID @I,/. c
SEWAGE DISPOSAL
SQ. FT. GAR @ 3/. c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEE
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
M.O. Ll N.0 I Gosh I I Check
Received by
Trees requir
(Sewage System
I T LL P
Sewer District
bio 3-a& SD�y'�y
I!Form 284-208 (Re,8e 8) Zj/
_. -_ -
1 . Space
Job Address•«/_
PERMIT NO.
387230
f MH. Permit Fee
$
Micro Film Fee
Cop $
M
Mech. Fee
Dbl $
't PL Ck. Fee
$
Construction Fee
Dbl $
I
Electrical Fee
Dbl $
SMI Fee
$
l�Plumbing Fee
Dbl $ '
' Sp. Insp. Fee
$
�'Demol. Fee
$
Regisir. Fee
$
fMileage Fee
$
fWitness Fee
$
Reinsp. Fee
$
.'Tocol Fees-
$
M.O. Ll N.0 I Gosh I I Check
Received by
Trees requir
(Sewage System
I T LL P
Sewer District
bio 3-a& SD�y'�y
I!Form 284-208 (Re,8e 8) Zj/
_. -_ -
1 . Space
Job Address•«/_
Com 'Aity
Voluation
Date
Dist.
Off.
lam+"
F.C.C. ,-
Use of PermW
Parcel No.
Use/Case No.
Ck. By
Set Back's Lot Size ' ' -
F . S S R
Zone Restrictions _ Group Type
AZ. J
'Legal Description
sc
Bond Amt.
$
Plan No. -+
Plan Checker
FinoI Date
Inspector
Unit . --
s M
Const. Lender - _ Branch
•rt
Supplimento Permit Numbers
Addre/ss'r`ity f f/^�• Zip
Own>e Agent
Tell.. �"j r� �j• Zip ^
Address City / Zip
Contractor Tel. License#
Address City 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 WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN W
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 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
71
Framing �_
40
Fire Damper
8
Vents
U
41
Smoke Detection Device
9
Garage Fire Wall
42 Commercial Hood
10
Fireplace P. L. [
43
Final
IDA
Fireplace T. 0.
FI
ADDITIONAL INFORMATION
r
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
ELECTRICAL APPROVALS
PSL
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures '
31 Service
32 Final
STREET NAME
DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE
OFFICE DATE TIME PERMIT NUMBER
-z- Z/-/ 'el I //" I I INSPECTION
ADDRESS
a/ -
OWNER
BUILDING
REMARKS:
PLUMBING
SPACE NO
q -7
COMMUNITY
ELECTRICAL MECHANICAt
OWN ER/CON TRACTOR TEL.NO
REQUESTED
FOR:
A.M.
P.M.
TUIE$
0 WED
FlTHUR
F� FRI
28446 11/75
NOTICE: THIS IS NOT A BUILDING PERMIT
I.
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT jl
Permit
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
Owner ArchitectContractc
CJ�L�6—
Address — ---- Address--- Address-
City_ City_J�.G% (}LL,(ri ✓�(.�
City e�
Phone Phone _ Phone—SZ—_ 30Q--_.-
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
Pa ing, 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.
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 __.--_-- 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.
✓ I USE OF STRUCTURE
_
_ c` _
JOB ADDRESS 1 _.�n' ��._ /__`_(LE FAMILY DUPLEX
r
LEGAL DESCRIPTION OF PROPERTY 72�
Z F
o
- APARTMENTS AGRIC.
Q
COMMERCIAL INDUSTRIAL
G
COMMUNITY . ALTERATIONS ❑
C
Z
NO. OF SUBMITTED PLANS — USE OF PERMIT
Q
CASE NO.
0 Z
NO. OF PA KING SPACES REQUIRED __ NO. OF BUILDINGS NOW EXISTING
Q
ZONEETBA(fKS: FRONT SIDE REAR
J m
GRADING PERMIT REQUIRED? YES Fr] NO ❑ LOT SIZE
SETBACK ORDINANCE # OF FEET REQUIRED ON STREET
DATESIGNATURE OF LAND USE OFFICIAL -
I /
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET—
F
z
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
cc
a
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
of
DATE SIGNATURE OF ROAD DEPT. OFFICIAL—
x
SWIMMING POOLS PUBLIC
J W
SEWAGE DISPOSAL
_
FOOD ESTABLISHMENT _
WATER POLLUTION REMARKS
H FLOOD CONTROL—
z AIR POLLUTION
_DIV OF HWY
t-
YOUR PROPERTY MAY BE SUBJECT TO
_
O
6
c' FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 CANARY—FILE, PINK—APPLICANT