398858 (RER)BUILDING PERMIT
PERMIT NO,
1398858
CONSTRUCTION ESTIMATE
NO. ELECTRICAL'FEES
NO. PLUMBING
FEES
1ST FL.
2ND. FL.
FOR.
GAR.
CAR P.
WALL
f/ _
ESTIMA CONSTRUCTION
SO. FT. .@ $
UNITS
PERMIT NO.
398858
MH Permit Fee $
Micro Film Fee Cop S
SQ. FT. @ - YARD SPKLR SYSTEM
Use of Permi
Le ripiion
�..
SO. FT. @ MOBILEHOME SVC. BAR SINK
-
4111A -
SQ. FT. @ POWER OUTLET ROOF DRAINS
SO. FT. @ - DRAINAGE PIPING
Mech. Fee Dbk S
SQ: FT. @ DRINKING FOUNTAIN
Set Backs
SO. FT. @ O URINAL
VALUATION $ ey WATER PIPING -
S
NOTE: Not to be used os property tax valuation
SWIM POOL, PVT
Electrical Fee Dbl S
FLOOR DRAIN
p
MECHANICAL FEES
SWIM POOL, COMM
SMI Fee 5
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
Finala
/
APPLIANCE DRYER
Unit
GARBAGE DISPOSAL
Demol. Fee S
FURNACE UNIT WALL FLOOR' SUSPENDED
Const. Lender
LAUNDRY TRAY .
Supplimentol Permit Numbers
AIR HANDLING UNIT CFM
IDLE METER
Mileage Fee S
KITCHEN SINK
Witness Fee S
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
Zip
BOILER B.T.U.
SQ. FT,
@ c
BATH TUB
NO
Tel. !
e
SQ. FT:
@ c
WATER HEATER
Sewage System
S0, FT. RESID
@ 1 t/ac
SEWAGE DISPOSAL
City Zip
Of _
50. FT. GAR
@ 3/.c
HOUSE SEWER
'
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
Ll nn
DBL.
TOTAL FEES
OU
MOB. HM. FEEMICRO
FEE
MECH. FEE - PL. CK. FEE
.%
CONST. FEE
-
T. FEE SMI FEE
FEE
Pl MB. EE
QB
r
It
Job Address
Community
Valuot
S
Space Zip Ow
Date7—if. Off.%
I F.C.C.
PERMIT NO.
398858
MH Permit Fee $
Micro Film Fee Cop S
Use of Permi
Le ripiion
�..
-
4111A -
Parcel ..Use/Cosa
4— f z&
Ck. By
Mech. Fee Dbk S
Pi. Ck. Fee E
Construction Fee Dbl 5-77
Set Backs
lot Size
F
S
S
R
Electrical Fee Dbl S
Zoa lt fiction? -"'Gro
l..
p
Type
SMI Fee 5
Plumbing Fee Dbl S
13,tnZrnt.
S
Plan No. t
rn cker -
Finala
/
Inspector
Unit
Sp. Insp. Fee S
Demol. Fee S
Const. Lender
Branch
Supplimentol Permit Numbers
Registr. Fee $
Mileage Fee S
Address - City Zip
Witness Fee S
Reinsp. Fee $
Owner/Agent
Tel.
Zip
Total Fees 5
` M.D. N. Cash heckRecei
;Ajdres
City �
Zip
d by
ntrocto
`
Tel. !
e
Licenself
r
t
Trees ieqN ed
Sewage System
Address
_Q
City Zip
Of _
1
0
T LL v P THIS PERMIT SHALL BECOME 761D IF W6RK_IS NOT COMMENCED WITHIN T10 DAYS. CESS7l(I6N C3F WORK ` . .hed by.
LFe'�.4-208
District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
Y
- .l HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH r
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. r
F
BY CERTIFY THAT. THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN )
(Rev. -1/80) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
l
BUILDING PERMIT _
PERMIT NO. DEPARTMENT OF BUILDING t& SAFETY
9 8 8 5 8 COUNTY OF RIVERSIDE FIELD osT
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL -
�n.• •"
ESTIMATED•�CONSTUETI ON
SQ. FT. .@ $
AE UNITS 11
Y7
Job Address
Community
1j {
r
SQ. FT. @ YARD SPKLR SYSTEM
4
SQ. FT. @ MOBILEHOME SVC. BAR SINK
Space Zw
ip O
I, to r . ark,
••^!1. "' r
SQ. FT. @ POWER OUTLET ROOF DRAINS
MN Permit Fee
SO. FT. @ DRAINAGE PIPING
' DRINKING FOUNTAIN
SO. FT. @'
w
....«1
�
SO. FT. @ I G ,'i� URINAL
r;
Yet
VALUATION WATER PIPING
o.
� ; ) T
NOTE: Not to be used as property tax voluotion %
Ck. By
ie v
SWIM POOL, PVT
FLOOR DRAIN
Socks
F 5 S R
MECHANICAL FEES
`�
-•w..r
SWIM POOL, COMM
WATER SOFTENER
/
VENT SYSTEM FAN EVAP. COOL HOOD
��..,,
SIGN
WASHER (AUTO)(DISH)
Zbnmb Restriction
J
s./
APPLIANCE DRYER
Type
GARBAGE DISPOSAL
.4
FURNACE UNIT WALL FLOOR SUSPENDED
Band •A7et..
S
Plan Na.
LAUNDRY TRAY
Ptaft ecker '^
AIR HANDLING UNIT CFM
Fin Dot spe<r r Unit
IDLE METER
KITCHEN SINK
Demol. Fee S
ABSORPTION SYSTEM B.T.U.
Const. Lender
TEMP USE PERMIT SVC
WATER CLOSET
Branch
COMPRESSOR Hp
Supplimentol Permit Numbers
POLE, TEMP/PERM
LAVATORY
Milaoga Fee S
HEATING SYSTEM FORCED GRAVITY
Witness Fee S
AMPERES SERV ENT
SHOWER
Owner/Agent
i
BOILER B.T.U.
I
SO. FT. @ a
BATH TUB
Tel.
"
SO. FT. @ a
WATER HEATER
S0. FT. RESID @ 1144
SEWAGE DISPOSAL
SO. FT. GAR @ Y44
HOUSE SEWER
'
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
t
DBL.
TOTAL FEES
MOB. HM. FEEMICRO'FEE
MECH. FEE
PL. CK. FEE
CONST. FEE EILCT.
4ri
EE' SMI FEE
z•y
FEE
Pl ,M/B. FEE
1
+
PERMIT'NO.
398858
Job Address
Community
1j {
r
-
4
Sa ua'
Space Zw
ip O
I, to r . ark,
••^!1. "' r
F.C.C.
MN Permit Fee
Micro Fit. Fee Cop $
Use of PermwF.
+
p'!A
w
....«1
�
T r�r
r;
Yet
'Parcel
o.
� ; ) T
Use/Casco
Ck. By
ie v
Mach. Fee Dist S
PI. Ck. Fee 7 1.p
Socks
F 5 S R
Lot Siam
`�
-•w..r
Construction Fee Dist E y`r
le oL,Desc'rip ibtC- '-t„
/
✓
��..,,
Electrical Fee Dbl $ f"
Zbnmb Restriction
J
s./
Gro p
r
Type
SMI Fee $
Plumbing Fee Dbl 5
,/i ,ft�l
1✓
Band •A7et..
S
Plan Na.
Ptaft ecker '^
Fin Dot spe<r r Unit
Sp. Insp. Fee S
Demol. Fee S
Const. Lender
Branch
Supplimentol Permit Numbers
k
Registr, Fee b
Milaoga Fee S
Address City Zip
Witness Fee S
Reinsp. Fee $
Owner/Agent
i
I
Tel.
Zip
Total Fees Address % r City Zip
M.O. 0 N.Cr� Cash Check�i , r% _ •, 1f
Recet ed by nrractoV Tel. Licensee
Trees 414 tqred r \ '�•-- 1 �r , ^
Sewage System n./ Ad reis T ''` s ti.~� fir,.,City ° Zip
T I.I. P THIS PERMIT SHALL BECOME VOID IF ORK•IS NOT COMMENCED WITHIN'120 DA S. CESS ION 6F WORK verilied by:
Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. sl
y /J •1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH TWS PERMIT WILL BE DONE IN ACCORDANCE WITH I
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
BY CERTIFY THAT THE INC. s:iDUAL WYIO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284.208 (Re -1/80) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTCiR
BUILDING APPROVALS
MECHANICAL- APPROVALS
I
Set Back
33
Ventilation System }
2
Ftgs & Frms -
/ i 19b
/
34
Plenums B,.Ducis .�
2A
Slob Grade
f Com(
35
Furnace "Comport.
3
Steel
36
Inlets 6 Outlets t
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor -
6
Roof Deck
-11 gD
39
Appl. Clearance
7
Framing
IIQo
/ V
40
Fire Damper ,
8
Vents
41
Smoke Detection Device r
9
Garage Fire Wall
42
Commercial .Hood
10
Fireplace P.L.
❑
43
Final
IQA
Fireplace T.O,
[�
°o
_.-..�--•---
; k�✓ 4DDITIONAL INFORMATION
,
t .
_
- -- - -�_ -,- < - _.. _ z�.-._.-��.--_.�_..�.. .-. _ _ `- - - - _
'
i
! 1
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION. Thick R
Value
�„
7A Walls (Botts) �f/� II g ��• OV —_
12B Ceiling (Batts)
12C Ceiling (Blown) -
.1'4':' !Fin'641
PLUMBING APPROVALS _
- - - --- - -� -�
= - _Ground
.<a- j-�.�.�.�._
5 Plumb -
16 Water Piping
17 Rough Plumb Qr_/ E
18 Vents I
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
r
ELECTRICAL APPROVALS
I t
f
'
F
P/L P/L
t 1
.. i
I;
K ip
26 Power Pole
27 Conduit
)8 Service Entrance
29 Wiring
U (J
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service,
32 Final
STREET NAME
I
NOTICE: THIS IS NOT A BOILDING-PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
Owner -M ilk t' -M f_0 L -T>~
Address L49 157 ICIO N F_Le A'
City LAQ U f t -1-A,
Phone
Architect'EATPICK Su-F_Et+%
Address 2q - 21 6
CityAl..NA D,NA
Phone 3�}�o —0516.
DISTRICT
Permit No
Contractor4' "-f ROTNIag
Address 7 3 " 5 '5� FL pl SFO
City_PA-1-Y1 DFSFhi _
Phone_AC5&1z_-a17
W
1 (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
O without an encroachment permit. t
NOW, therefore, it is agreed that I (we) will not occupy said property and will not cause said prope y b occupied until I (we) have
complied with all laws of they County of Riverside and the State of California governing said property.
DATE fG ct- Q''� SIGNATURE OF OWNER AND/OR GEN
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
JOB ADDRESS '—�
LEGAL DESCRIPTION OF HOPE
(�I SPACE NO
iLig L.d A ICICI_ .
COMMUNITY - '
NO. OF SUBMITTED PLANS USE OF PERMIT
CASE NO.
NO. OF PARKING SPACES REQUIRED �2;NO. OF BUILDIIN'GSS OW-XISTING
ZONE AO— / ETBACKS: FRONT SIDE �+ - REAR ��l)
GRADING
PER IT REQUIRED? YES 0 NO ❑ LOT SIZE
SETBACK ORDINtANNCEE # __— OF FEET REQUIRED ON — STREET
DATE SIGNATURE OF LAND USE OFFICIAL
USE OF STRUCTURE
SWIMMING POOLS PUBLIC
SEWAGE DISPOSAL
SINGLE FAMILY DUPLEX
❑
'APARTMENTS AGRIC.
ItGMAERCIAL INDUSTRIAL
REMARKS
ALTERATIONS
n
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET___
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
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. OFFICIAL—
=
aW
= C
SWIMMING POOLS PUBLIC
SEWAGE DISPOSAL
FOOD ESTABLISHMENT y
WATER,POLLUTION "
REMARKS
�n
FLOOD -,CONTROL
W
AIR POLLUTION
W
DIV OF HWY.
I-
0 a
—
YOUR PROPERTY MAY BE SUBJECT TO
o
FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD'.
284 199 9/74 - CANARY—FILE, PINK—APPLICANT