392052 (MECH)BUILDING PERMIT
PERMIT NO,
392052
DEPARTMENT OF BUILDING t& SAFETY FIELD j;
COUNTY OF RIVERSIDE '
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @-$
Valuation
Is
UNITS
Cyst."
/ I
v
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT, @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
R
SWIM POOL, PVT
Zone Re ri tionst
y
FLOOR DRAIN
MECHANICAL FEES
SMI Fee $
SWIM POOL, COMM
Bond Amt.
$
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
Final Dote
L�
SIGN
Unit
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Const. Lender Branch
SupplimentaI it Numbers
Regisir. Fee E
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Witness Fee $
a
Owner/Age
Pj
LAUNDRY TRAY
AIR HANDLING UNIT CFM
Total Fees $ -
IDLE METER
City -%
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
Contractor -
TEMP USE PERMIT SVC
License#
WATER CLOSET
COMPRESSOR HP
Address
POLE,TEMP/PERM
h
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ t
BATH TUB
SQ. FT. @ c
WATER HEATER
S0. FT. RESID @1-/.c
SEWAGE DISPOSAL
SQ. FT. GAR @ '/. c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTgI jdE MOB. HM. FEE
(i�
MICRO FEE
&Elco�@E
..�
PL. CK. FEE
CONST. FEE
� F F
FST,,
s
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
1392052
Job Address -/ I- —y►�� ! , pace
Owner j
Community /�
Ok-A' r N� M..'
Valuation
Is
D /_
!/ Z.%
Cyst."
/ I
F.C.C.
MH.Permit Fee E
Micro Film Fee OF $
Mech. Fee _Lb I_ E
Use of Permit
)j /�
�F �r �~ (
Par I
��
Use/Case No.
Ck. By
PI. Ck. Fee E
Set Backs
Lot Size
t
Construction Fee Dbl S
Legal Description
+ ? (�( L' , Y.` f 3 �C
!1 r� v •�j'
F
S
S
R
Electrical Fee Dbl $ j _3
Zone Re ri tionst
y
Group
Type
SMI Fee $
Plumbing Fee Dbl E
Bond Amt.
$
Plan No.
Plan Checker
Final Dote
L�
Inspector
Unit
Sp. Insp. Fee $
Demol. Fee E
Const. Lender Branch
SupplimentaI it Numbers
Regisir. Fee E
Mileage Fee $
Adlclre � ��`--r--City Zip
/ l._..`+ArR,�" '� V'-� `p"'E"f'•_
Witness Fee $
Reinsp. Fee $
Owner/Age
Pj
Tel. �j (^ Zip
r✓V is
Total Fees $ -
Address % %�,,,, 1
/
j
City -%
M.O. . N. - Cash - CheckEl
Received by , y�
Contractor -
Tel.
License#
Trees required
Sewage System
T LL P
Address
City Zip
h
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: i
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 RIVFRSIDF C0l1NTY AND THF STATF OF rAl IFORNIA
Sewer District
N ..
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
ACCORDANCE WITH SECTION 5.541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
0s
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 & 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.
PI
_
ADDITIONAL INFORMATION
r
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
FinalSEWAGE
Tank Pit L.Line
P/L
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 1Final 137 z3 --T5
STREET NAME
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE DATE TIME PERMIT NUMBER
/ INSPECTION
ADDRESS 1 SPACE NO.
(� bl-Llmlzll
REQUESTED
FOR:
a A.M.
OWNER
COMMUNITY
e
P.M.
BUILDING
PLUMBING
ELECTRICAL
MECHANICAL
Ip'Orl
TUES
WED
REMARKS:
QTHUR
ICA FPf
,
OWNER/CONTRACTOR TEL.NO.
48�-8� tl/75
BUILDING PERMIT
PERMIT NO.
1392052 1
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE rTTI-1 I
COUNTY OF RIVERSIDE I if I
CONSTRUCTION
ESTIMATE
Job Acd,e:5y'_
NO. ELECTRICAL FEES
NO. PLUMBING FEES
I ST FL.
2ND. FL.
SQ. FT. @ $
CC)
UNITS
Valuation
1$
SQ, FT. @
YARD SPKLR SYSTEM
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @
F.C.C.
MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SO. FT. @
URINAL
VALUATION
WATER PIPING
NOTE: Not to be used as property tax voluation
Legal Description
�o T ?
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
R
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
Type
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Bond Amt.
$
Plan No.
1 'I
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
I to
Unit
LAUNDRY TRAY
AIR HANDLING UNIT CFM
$
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B. T. U.
Supplimental Permit Numbers
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
Witness Fee $
POLEJEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B. T. U.
ts /91
SO. FT. @
BATH TUB
City
SQ. FT.'@ t;
WATER HEATER
Contractor
SO. FT. RESID @I V. c
SEWAGE DISPOSAL
Tel.
License#
SQ. FT. GAR @ 1/, c
HOUSE SEWER
Address
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DEL.
T7�VLJ_LMO8.HM.FEE
MICRO FEE
MECW
PL. CK. FEE
I CONST. FEE 10
E
SM
FEE PLUMB. FEE
PERMIT NO.
139 1
Job Acd,e:5y'_
Space
(-0 A
Community
\ A
CC)
N—t 4—
Valuation
1$
Dc;t&j*-'
4r_ /4
Dist.
F.C.C.
MH.Permit Fee $
Micro Film Fee
Cop $
Use of Permit
c6w C t-
A C-
Parcel No
.�,e/Cose
No.
Ck. By
Mech. Fee _LbI $
Pl. Ck. Fee $
Set Bocks
Lot Sit,e
Construction Fee DbI $
Legal Description
�o T ?
q-1
F IS IS-
R
Electrical Fee DbI
Zone Resorlition
Ir -s( I
Group
Type
SMI Fee 1$
Plumbing Fee
DbI 1$
Bond Amt.
$
Plan No.
1 'I
Plan Checker
1
—
Final Dote
��
I to
Unit
Sp. Insp. Fee 1$
Demol. Fee
$
Consi. Lender
Branch
Supplimental Permit Numbers
Regis:r. Fee $
Mileage Fee $
A ress City Zip
C.",
Witness Fee $
Reinsp. Fee
$
Owner/Aab%j
- "� .
Tel Zip
I
Total Fees
ts /91
Add s
City
M.O.P N. p- Cos�� Check 0
ReceNed by \Ij
Contractor
Tel.
License#
Trees required
Sewage System
Address
Cit Zip
T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK �erifiecl by:
.Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK N CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
Ih
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
' HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Re�.8/78) @ r-�ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
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 Architect Contractor
Addres- �Ad d r, Add,e,,_t;
City— City-- City
Phone Phone Phone -
cc
Lu
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 is to be done within the County R/W
0
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.
.1,5;g d
D ATE SIGNATURE OF OWNER AND/O*R AGENT
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
I SPACE NO.
11-1 -, A. USE OF STRUCTURE
JOB ADDRESS )/7_�I .1
1 L E FAMILY DUPLEX
LEG DESCRIPTION OF PROPERTY
z t-
16
�� z :;;, APARTMENTS AGRIC. El
4
4A
COMMERCI AL INDUSTRIAL
5:
COMMUNITY ;;;CT.1 N)LAERATIONS
-
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NO. OF SUBMITTED PLANS USE OF PERMIT Z�gj //e
us 4
&M
� I
CASE NO.
z
NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING
Z a
_/
ZONE/_� SETBAeKS: FRONT SIDE —REAR
GRADING PERMIT REQUIRED? YES 0 NO 0 LOT SIZE
SETBACK,QRDINANCE # --- OF— FEET REQUIRED ON 'STREET
DATE 1=6) SIGNATURE LAND USE
OF OFFICI
DEDICATION REQUIRED: YES El NO El NO. OF FEET ---
CURB AND GUTTER REQUIRED: YES El NO [I --STREET
cc
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES 0 NO 0
ul
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
IMPROVEMENT? YES 0 NO 0
cc
DATE SIGNATURE OF ROAD DEPT. OFFICIAI
SWIMMING POOLS PUBLIC
uj
SEWAGE DISPOSAL
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
4A FLOOD CONTROL—
z AIR POLLUTION
U,
X f- DIV OF HWY
t-
0 YOUR PROPERTY MAY BE SUBJECT TO
FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 CANARY—FILE, PINK—APPLICANT