368623 (BLCK)BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING a SAFETY FIELD MD;�T36862 3 COUNTY OF RIVERSIDE
CONSTRUCTION
ESTIMATE
NO. . ELECTRICAL FEES
NO. PLUMBING Rr'~S
IST FL.
SQ. FT. @ $
UNITS
!`
• 2ND. FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @
YARD SPKLR SYSTEM
I
SQ. FT. @ MOBILEHOME SVC. BAR SINK
F.C.C.
SQ. FT. @ POWER OUTLET ROOF DRAINS
Micro Film Fee
DRAINAGE PIPING
SQ. FT. @
Use of Permit
""
SQ. FT. @ �'Yi DRINKING FOUNTAIN
/
SQ. FT. @ URINAL
40,
VALUATION $ WATER PIPING'
Ck. By
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
Lot Size
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER'='4
Legal Description
+S
�r<1� G .�
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
R
APPLIANCE DRYER
Group
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR . SU$PENDED
Plumbing, Fee
LAUNDRY TRAY
Bond Amt.
$
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
Final Date
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE,TEMP/PERM
LAVATORY
Const. Lender
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
Address City Zip
.t
Witness Fee $
SQ. FT. @ c
WATER HEATER
Owner/Agent X I`;,.% )'
V
, j
a
�
SQ. FT. RESID @ I'A c
SEWAGE DISPOSAL
i
Zip
S0. FT. GAR @ s/. c
HOUSE SEWER
$
N.C. Cash El Check
Address
f "r
City
GAS PIPING
PERMIT FEE
Received by
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH.. FEE PL. CK. FEE
CONST. FEE F ELECT. FEE
SMI FEE
FEE
PLUMB. FEE
PERMIT. NO.
368623
Job Address
�- -
Space
Zip
-
Owner
Community
Valuation
$
Dote'Dist.�
_
Off.'
F.C.C.
MH.Permit Fee$
Micro Film Fee
Cop $
Use of Permit
""
�f/' • �
Parcel No.
•
40,
rAe/Cose No.
Ck. By
Mech. Fee Dbl $
PI. Ck. Fee $
e'MBack
Lot Size
Construction Fee
Electrical Fee
Dbl $ _
Dbl $
Legal Description
+S
�r<1� G .�
�/1 •y d _Zone
d,^.
F
S S
R
Restrictions
Group
Type
SMI Fee $
Plumbing, Fee
Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Final Date
t
Inspector
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender
Branch
Supiment
I rmit Numbers
10
Registr. Fee $
Mileage Fee $
Address City Zip
.t
Witness Fee $
Reinsp. Fee
$
Owner/Agent X I`;,.% )'
V
, j
a
�
Tel.
i
Zip
Total fees
M.O.
$
N.C. Cash El Check
Address
f "r
City
_
Zip
Received by
Of
Contractor
1
Tel.
•�'`f fit✓
License#
Trees required or
Sewage System
Address
City
Zip
T LL P THIS PERMIT SHALL BECOME VOID IF WORKJS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
Sewer District FOR 120 DAYS SHALL ALSO CAU§ PERMIT TO 'ECOME VOID. F `
I HEREBY AGREE THAT ALL THIS
�LIQLI&f{THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE CO THE ATE OF CALIFORNIA. ///111
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
A °CORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Form 284-208 (Rev.8/78) - -
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE ' INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Bock
33
Ventilation System
2
Ftgs 8 Frms �j- ���
'I h r @
34
Plenums & Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel S •-�—
36
Inlets i3 Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams '7- a-
fah
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.
oPN
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 (Botts)
12C Ceiling (Blown)
M Final e
-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/
t
)
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 .'COUNT -Y OF RIVERSIDE
OFFICE DATE TIME PERMIT NUMBER
` INSPECTION.
REUIJESTED
• ADDRESS SPACE NO. FOR<f
d .
OWNERCOMMUNITY
BUILDING PLUMBING ELECTRICAL MECHANICAL
REMARKS:
. 4
OWNER/CON TRACTOR.TEL.NO
A.M.
P.M.
❑NINON
El TUES
F] WED
QTHUR
i
VIFRI
281•-6! {1175
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE DATE TIME PERMIT NUMBER
INSPECTION
�1--- REQUESTED
ADDRESS I SPACE NO. FOR:
A.M.
�
OWNER COMMUNITY
• . P.M.
BUILDING PLUMBING ELECTRICAL MECHANICAL
WON
aTUES .?
WED
REMARKS: A %�
• �1 �I V / �/ �6U �Ci� �C��I��,�f � TH UR
aFRI
OWNER/CONTRACTOR TEL.NO.
281-6 N/75:
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE
DATE
TIME
(
PERMIT NUMBER
INSPECTION
REQUESTEDFOR:
A.M.
ADDRESS I SPACE N0.
OWNER
COMMUNITY
BUILDING
PLUMBING
ELECTRICAL
MECHANICAt
� TOES
�
•
r
WED
THUR
REMARKS:
+
'
R FRI
i
OWNER/CONTRACTOR TEL.NO.
'
'
26A-41* 11/76
NOTICE: THIS IS NOTrA'`BUILDIAG PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT
Permit No
284 199A 9/74 CANARY—FILE, PINK — APPLICANT
Owner itect —. --_ Contractor—__. .—
A `,r�.� pp�,�ic
ddress
Addres((% _IM ¢r1i:�4ddress___ Address—
ity_--
City _ City-- _ _ City----
City
Phone 1 Phone _ Phone—
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 i. 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 propery to be occupied until I (we) have
complied with all laws of the County of Riverside and the State of California governing said property
i
DATE I-� I 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 Perm t.
I SPACE NO.
USE OF STRUCTURE
JOB ADDRESS SINGLE FAMILY Ej DUPLEX
LEGAL DESCRIPTION OF PROPERTY �—@Qat — APARTMENTS
Z
AGRIC.
W......
— - Lvp sZ3_/jL —�i� 3_c�l� a/
COMMERCIr.I INDUSTRIAL n
j !^
COMMUNITY
ALTERATIONS n
Z
NO. OF SUBMITTED PLANS USE OF PERMIT iQ/�/L/)L�_21L��ii 1— &56 —
jCASE
NO.
-
Z
NO. OF PAR ING SPACES REQUIRED — —_ NO. OF BUILDINGS NOW EXISTING
Q
ZONE �� SETBACKS: FRONT SIDE REAR
J
m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK OR INAN E 9 _— OF FEET REQUIRED ON STREET
DATE S % SIGNATURE OF LAND USE OFFICIAL ole<e
DEDICATION REQUIRED: YES O NO ❑ NO. OF FEET___
W
CURB AND GUTTER REQUIRED: YES. ❑ NO ❑ —STREET
H
oc
a
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
W
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT ;:OR DRIVEWAY AND STREET
! <
IMPROVEMENT? YES ❑ NO ❑
O
°C
DATE SIGNATURE OF ROAD DEPT. OFFICIAL
S
SWIMMING POOLS PUBLIC
WSEWAGE
DISPOSAL
_
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
�n FLOOD CONTROL
H _
W AIR POLLUTION
W
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