387453 (ELEC)BUILDING PERMIT
PERMIT NO.
387458
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE MDICOUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
Job A dress
NO. PLUMBING FEES
IST FL. SQ. FT. @ $
UNITS
Zip
Owner
2ND. FL. SQ. FT. @
Community
1.1 tAr-» �F f
YARD SPKLR SYSTEM
POR. SQ. FT. @
MOBILEHOME SVC.
Dist.
BAR SINK
GAR. SQ. FT, @
POWER OUTLET
Micro Film Fee
ROOF DRAINS
CAR P. SQ. FT. @
^
t 4
Parcel No.
DRAINAGE PIPING
WALL SQ. FT. @
Ck. By
Mech. Fee Dbl E
DRINKING FOUNTAIN
SQ. FT. @
Lot Size
Construction Fee Dbl E
URINAL
ESTIMATED CONSTRUCTION VALUATION $
F
S
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
Zone rictions
,
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
Plumbing Fee
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
Plan Checker
WASHER (AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Demon. Fee
E
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
Address City Zip
/ /
WATER CLOSET
COMPRESSOR HP
POLE,TEMP/PERM
O er/A Rt
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
Zip
SHOWER
BOILER B.T.U.
SQ. FT. @ c
-dress
BATH TUB
City
SQ. FT. @ c
Zip
WATER HEATER
Receive
trees required
SQ. FT. RESID @1'/.c
ntr r
SEWAGE DISPOSAL
LicenseX
S0. FT. GAR @ '/. c
HOUSE SEWER
,( (.
Cit /�f
y Y , \ �Q. ".. Zip
GAS PIPING
PERMIT FEE
PERMIT FEE
finPERMIT
FEE
DBL.
TOTAL Fg'$
1��
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE
FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
387453
Job A dress
Space
Zip
Owner
1!/
Community
1.1 tAr-» �F f
Valuation
E
Date
s
Dist.
Off.
F.C.C.
MH Permit Fee S
Micro Film Fee
Cop E
Use of Permit `
^
t 4
Parcel No.
Use/Case
No.
Ck. By
Mech. Fee Dbl E
PI. Ck. Fee E
Set Books
Lot Size
Construction Fee Dbl E
Legal De criptic�
I j
(
`+""
1J \ E_
F
S
S
R
Electrical Fee Dbl E
SMI Fee E
Zone rictions
,
Group
Type
Plumbing Fee
Dbl E
Bond Amt.
E
Plan No.
Plan Checker
Final Dote/
Ins ctor
Unit
Sp. Insp. Fee E
Demon. Fee
E
Const. Lander
Branch
Supplimental Permit Numbers
Regisu. Fee E
Mileage Fee E
Address City Zip
/ /
Witness Fee E
Reinsp. Fee
E
O er/A Rt
-
Tel.
Zip
Total Fees
E
-dress
City
Zip
M.O. N.C. C.sho Ch ck
Receive
trees required
ntr r
Tel.
LicenseX
Sewage System
Address J
1
,( (.
Cit /�f
y Y , \ �Q. ".. Zip
Wl
I Sewer District
r 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.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Form 284-208 (Rev.8/78) #1
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY IT387453 COUNTY OF RIVERSIDE FIELD [�DS
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
Job A ress
NO. PLUMBING FEES
Space
UNITS
Owner '
r
IST FL. SQ. FT. @
MH.Permif Fee $
Micro Film Fee Cop $
Mech. Fee Dbl $
2ND. FL. SQ. FT. @
Construction Fee Dbl $
Electrical Fee Dbl $
SMI Fee
YARD SPKLR SYSTEM
Dbl $
MOBILEHOME SVC.
Bond Amt.
$
BAR SINK
POR. SQ. FT. @
Final ate t linsp
YJJ O
for
Unit
Sp. Insp. Fee $
POWER OUTLET
$
ROOF DRAINS
GAR. SQ. FT. @
Branch
Suppliglepo Permit Numbers
CAR P. SQ. FT. @
Mileage Fee $
Address e 4 City Zip
.rte fl
DRAINAGE PIPING
WALL SQ. FT. @
-
DRINKING FOUNTAIN
SQ. FT. @
Tel.
Zip
URINAL
ESTIMATED CONSTRUCTION VALUATION $
$
N.C. Cash Check- %
gess
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
Receive
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
Tel.
�
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
`
Clfy ''�J 5 Zip
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
SQ. FT. RESID @1'/.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
FE
SMI FEE
FEE PLUMB. FEE
.
I
PERMIT NO.
38743ann
11
Job A ress
n A, LILL A )A'�
Space
Zip
1:1,3 1
Owner '
r
ate Dist. Off. F.C.C.
Community Voluotio -r)'
'A $ � ,a
Use of Permit , Parcel No. �L Use/Cos; No. Ck. By
�' .' Set Backs if Lot Size
Legal Descripti F S S R
'
✓ / - Zone frictions Group Type
Sit-! ( r
MH.Permif Fee $
Micro Film Fee Cop $
Mech. Fee Dbl $
PI. Ck. Fee $
Construction Fee Dbl $
Electrical Fee Dbl $
SMI Fee
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Final ate t linsp
YJJ O
for
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender
Branch
Suppliglepo Permit Numbers
Regisfr. Fee $
Mileage Fee $
Address e 4 City Zip
.rte fl
Witness Fee $
Reinsp. Fee
$
O,,wrier/Agari�
Tel.
Zip
Total Fees
M.O.
$
N.C. Cash Check- %
gess
City
Zip
Receive
��
��
ntr c or ,w
��"'
Tel.
�
LicenseX
1 /
Trees required ✓
Sewage System
jLr 'J"o—
Address
`
Clfy ''�J 5 Zip
T U. r P f
Sewer District
Form 284-208 (Rev.8/78) 40s
THIS PERMIT SHALL B COME 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.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO'PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
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 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. C]
43
Final
IDA
Fireplace T.O. ❑
No
ADDITIONAL INFORMATION
fI/
/v U
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Loth
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
PSL P/
`n
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
NOTICE: TiIIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT
Permit No
.. ��/D A /i n// Al
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
Owne chitect __. Contras __ _ .
Ad dr _ ess___ AddressZ�S
City _ rtY-- City- —
Phone Phone _ Phone- _
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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 o ithin ounty R/
O
without an encroachment permit.
NOW, therefore, it is agreed that I (we) will not occupy said property and will not cause said p erty ccupied it have
complied with all laws of the County of Riverside and the State of California governing said prope y.
DATE _._—__ SIGNATURE OF OWNER AND/OR AGEN —
Approval by Signature from the Following Departme fisted Below
Must Be Obtained Prior to the Issuing of a Con;f ction Permit.
I SPACE NO.
USE OF STRUCTURE
JOB ADDRESS ! �o_ _. ❑
SINGLE FAMILY DUPLEX
Z
LEG�,L DESCRIPTION F PROPERTY �j / APARTMENTS AGRIC.
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J COMMERCIAL PS INDUSTRIAL []
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COMMUNITY .iQ
NO. OF SUBMITTED PLANS US"FPERMIT
Lu4A
CASE NO. EJC
p Z
NO. OF PARKING SPACES REQUIRED — NO. OF BUILDINGS NOW EXISTING
Q0
ZONE/Z!�SETBACKS: FRONT SIDE REAR
J
m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE bOF FEET REQUIRED ON REET
DATE ��_V SIGNATURE OF LAND USE OFFICIAL
t
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET—
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CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
t-
oe
a
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
W
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
O
IMPROVEMENT? YES ❑ NO ❑
°C
DATE SIGNATURE OF ROAD DEPT. OFFICIAL
S
SWIMMING POOLS PUBLIC
Q W
SEWAGE DISPOSAL
—
FOOD ESTABLISHMENT
_
WATER POLLUTION REMARKS
FLOOD CONTROL—
F
z AIR POLLUTION
Lu _ t- DIV OF HWY
c a — YOUR PROPERTY MAY BE SUBJECT TO
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 CANARY—FILE, PINK—APPLICANT