398778 (BLCK)BUILDING PERMIT
PERMIT NO.
98778
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE FIELD MSTJ
CONSTRUCTION ESTIMATE
Job Address
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. Fl.
FOR.
GAR.
CAR P.
WAIL
J
ESTIMATED CONSTRUCTION
SO. FT. .@ $
Owner
UNITS
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SO. FT. @ POWER OUTLET
ROOF DRAINS
SO. FT. @
DRAINAGE PIPING
SQ. FT. �@ i f%�_.
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION
WATER PIPING
NOTE: Not to be used as property tax valuation
By
SWIM POOL, PVT
_ FLOOR DRAIN
MECHANICAL FEES
Lot Size
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
"-
'tel
C
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Electrical Fee Dbl $
Zone Restrictions
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
SMI Fee $
LAUNDRY TRAY
AIR HANDLING UNIT CFM
PI o. '
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
Dental. Fee $
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
S pPlimantal Permit Numbers
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
Mileage Fee $
SO. FT. @ a
BATH TUB
Reinsp. Fee $
O f r/AgeriJ
SQ. FT. @ 4
WATER HEATER t
Tel.
S0. FT. RESID @ 1 t/<a
SEWAGE DISPOSAL
Total Fees $
Address
50. FT. GAR @ 3/.a
HOUSE SEWER
City
Zip
GAS PIPING
PERMIT FEE
I
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEESMOB.
HM. FEE
MICROFEE
. MECH. FEE
Pl. CK. FEE
- CONST. FEE, ELECT. FEE -.. SMI FEE
s FEE PLUMB. FEE
PERMIT NO.
398778
s
Job Address
%' �
j/ -
IVa
Space
Zip
Owner
•�
Community
,
en
aeo.:
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to
`Dli. {r
Off.
MH Permit Fee $
Micro Film Fee Cop S
P .1
Use of mt�-
t
., is
Parcel'
1
ro -..
a. 4'
f
Use/Case N .'k.
By
Mach. Fee Dial $
PI. Ck. Fee S
Set ks
Lot Size
_'I.�
Construction Fee Dbl S
leg t Description
I
"-
'tel
C
' c-�
,
-�j ! t10
F S S
R
Electrical Fee Dbl $
Zone Restrictions
Group
Type
SMI Fee $
Plumbing Fee Dbl $
Bon Aint.�
S
PI o. '
TIOA Ch`hc: r
Final to
Insp
Unit
Sp. Insp. Fee $
Dental. Fee $
Const. Lender
,
Branch
S pPlimantal Permit Numbers
Registr. Fee $
Mileage Fee $
Address , City -Zip
t A^
Witness Fee $
Reinsp. Fee $
O f r/AgeriJ
Tel.
Zip
Total Fees $
Address
�'�/
-
City
Zip
Received y
Contractor
I
t t
Tel. ^'
v
LicensaR
Trees require
Sewage System` %
Address
City
Zip
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 CAUSE PERMIT TO BECOME VOID.
•1 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.
rS'���ICliER£�Y�CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Ll� 21801182('
842118 (Rev. 1/80) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
la -SD
verified by:
rr _
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Bock
33
Ventilation System
cy ,
2
Ftgs 8 Frms
/ n
V.r� V a
34
Plenums 8 Ducts -
2A
3
4
5
'Slob Grade
Steel
Grout Blocks
Bond Beams
J
/_C�QO
/v�
/ c� Q
35 Furnace Comport.
36 1 Inlets 8 Outlets
37 Combustion Air
38
39
Compressor
Appl. Clearonce
6 Roof Deck
7
Framing
40
Fire Damper
8
Vents
41
Smoke Detection Device '
9.
Garage Fire Wall
42
Commercial Hood
10
Fireplace PA,
�
43
Final
10A
Fireplace T,o.
[]
°o ADDITIONAL INFORMATION
t
__= t..- ---<-------` - -- --'�^- _z._..4—_�.-----
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal loth
12A Drywall
1.3 '•: Hfini}h`'grade
INSULATION Thick
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 FinalZ�� �g/� �, i i ,.OJ¢•v
PLUMBING lPPR6VALS
- -------------�.�-��_
-
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
r
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L
,
!it P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
9
NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT
APPLICATION TO CONSTRUCT Permit No
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
Owner '07 Architect— —. _—_. Contractor_x_�vkn Aff(W=Iu
Addres , rC�1���,« Address--- Addres _ ���L a
City Ld/�— City--- City- 00 -CA e- ((e
Phone--�� Phone _ Phone—� O — 0 _X_ —
CC
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
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
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 prop/edBelow
DATE — _. r!— SIGNATURE OF OWNER AND/OR AGEN
Approval by Signature from the Following Departments Li
Must Be Obtained Prior to the Issuing of a Construction Permit.
I SPA E NO.
�% I . USE OF STRUCTURE
JOB ADDRESS �(/ SINGLE FAMILY DUPLEX
LE L DESCRIPTION
Q �ORT �! A
PARTMENTS ARIC.
WF L]
COMMERCIAL
INDUSTRIAL
C`^ COMMUNITY
aTE RATIONS n
z NO. OF SUBMITTED PLANS — USE OF PERMIT
W a
CASE NO. I
l7
p z N0. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING
Q ZON ETBACKS: FRONT SIDE REAR
J
M
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE b OF FEET REQUIRED ON STREET
DATESIGNATURE OF LAND USE OFFICIAL_ -_
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET
CURB AND GUTTER REQUIRED: YES ❑ NO ❑
TREET
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
IMPROVEMENT? YES ❑ NO ❑
DATE _ SIGNATURE OF ROAD DEPT. OFFICIAI
SWIMMING POOLS PUBLIC
SEWAGE DISPOSAL
FOOD ESTABLISHMENT _
WATER POLLUTION
FLOOD CONTROL—
AIR POLLUTION —
DIV OF HWY
REMARKS
YOUR PROPERTY MAY BE SUBJECT TO
FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLO
284 199A 9/74 CANARY—FILE, PINK—APPLIC
BUILDING PERMIT
PERMIT NO.
.398778
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST
COUNTY OF RIVERSIDE F1 /
' CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. Fl.
POR.
GAR.
'CAR P.
WALL
ESTIMATED CONSTRUCTION
SO. FT...@ $
UNITS
Zip
S
SO. FT. @
YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC.
BAR SINK
SO. FT. @ POWER OUTLET
ROOF DRAINS
SO. FT, @
DRAINAGE PIPING
SO. FT. @
DRINKING FOUNTAIN
SO. FT. @
URINAL
VALUATION $
WATERPIPING
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
Bond Aml.
S
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
on ec er Final 15.te
/ L?v ��
I
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.
SO. FT. @ a
BATH TUB
Reinsp. Fee
SO. FT. @ a
WATER HEATER
S0. FT. RESID @I Ik
SEWAGE DISPOSAL
S0. FT. GAR @ 1/4a
HOUSE SEWER
Total Fees
.O. E)
$
.C.p Casheck0
Address
GAS PIPING
PERMIT FEE
City
PERMIT FEE
PERMIT FEE
DBI.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE *ELECT. FEE
Q
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
3987 7 8
Job Address
'Community
I
O n.
Space
Zip
S
Owner
C
F.b.ti.f,"
„e./
Dote
G •”
Dist.
!.
F. ..
MH Permit Fee S
Mcro Film Fee
Cop S
Use of Permi
('�•
Leg Description
' Parcel No.
_
Back
- "' E F S S
1 Zone Restri 'ons
L
Use/Case N& k. By
Lot Size
R
Group Type
Mech. Fee Dbl S
PI. Ck. Fee S
Construction Fee Dbl S
Electrical Fee Dbl s
SMI Fee S
Plumbing Fee
Dbl s
Bond Aml.
S
pleyn No.
on ec er Final 15.te
/ L?v ��
I
Insp ctor
Iq
I
Unit
Sp. Insp. Fee S
Dental. Fee
S
Const. lender
Branch
Supplimental Permit Number(,
Regisir. Fee $
Mileage Fee $
Address City • Zip
Witness Fee S
Reinsp. Fee
S
Ow tAg 'f
Tel.
r
Zip
Total Fees
.O. E)
$
.C.p Casheck0
Address
•
J
City
ZIP
„s
Received y
Trees require
Contractor
'
Tel.
License#
Sewage System
Address
City
Zip
+ -
I
I T U. p THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer District 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. ;
CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284.208 (Rev. 1/80) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by: