360316, 368638, 397695 (SFD)• BUILDING PERMIT `• _ ,. _aF
PERMIT NO.c DEPARTMENT: OF, BUILDING•& SAFETY,. FIELD DST
6 0 31'C�� COUNTY•OF RIVERSIDE
CONSTRUCTION, ESTIMATE
arl r..a,L._..,,,.,.. ,+. •
`Job Address '
NO.
•,�`,Z ELECTRICAUFEES
NO. PLUMBING FEES'
�IST.FIrK {� 3" `
SQ. FT. @ $
L+'dr.
t'
UNITS �� " wt., r x
r p
SQ. FT; @
k' -
:... + ?`.►
r !-ti"t .YARD SPKLR SYSTEM
'' i
2ND. FL
'
SQ. FT., @' �,'►
Community Valuation
E y
,a tr+
'
ist.
MOBILEHOME SVC i
BAR SINK '
FOR. x �/ x
r ` GAR
SQ, FT. @ ag>.
Fee
4, s
r�• i� l�w.•x
POWER OUTLET, -'.4
ROOF DRAINS
•'jCAR P a S
FT: @
+ r'+ f•
DRAINAGE PIPING
t' WALL= J'I r zr, *� x-'"
SQ.' FT. @ `
�i<+,"�',bf'. ,,. C,:a-lG:rC/�,,. f� t
t., : Y, n' dtStSiv'nf7K �_frS'
DRINKING FOUNTAIN
Use/Case No.
i
�} ' +"'b+`.
K
!• 41 A
URINAL
SQ. FT. @
�Z _
PI: Ck. Fee •^ E '
•
- - Set ticks
ESTIMATED CONSTRUCTION VALUATION $
F . - S
G5
Construction Fee Dbl E
s '
WATER PIPING
aNOTE: Not to be used as property tax valuations`
Electrical Fee ' ' Dbl
Zone Restrictions
' ' . _
Group
SWIM POOL, PVT. ,+ ��
FLOOR DRAIN
7 MECHANICAL FEES.
F'•
�,'
SWIM'POOL, COMM ,i
WATER SOFTENER
VENTSYSTEMI•`':'FANr!P'''•EVAP'000L'rf•` "'-.'HOODi
'"•-"'
'":
';{+"SIGN'Tn; ":•`� i"� •?�
WASHER (AUTO)(DISH)
APPLIANCE �' .' `• DRYER ';
i
k
r•�:R
enT t a - 'j.
GARBAGE DISPOSAL
FURNACE,- UNIT WALL"",- FLOOR .` • SUSPENDED
Sp. Insp.Fee
E i -
°;
�_•,•* , ,[�-;: � +,: .`--i
LAUNDRY TRAY
AIR HANDLING UNIT ` •j( CFM
C
M -i`
IDLE METER ' f �.µ+ i '�i
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
i
•� -- -• Branch i . • _
•� .4
+
TEMP USE PERMIT SVC l '
WATER CLOSET
COMPRESSOR `f ` . 'HP - `` ,•_..'+;`,.
- E''
POLE,TEMP/PERM z z Y.
LAVATORY
HEATING SYSTEM FORCED' y "GRAVITY;
Mileage Fee' E' -
Address a - Zip
.Witness Feed.' E
AMPERES SERV ENT .x
SHOWER
BOILERB.T:U.
't'
",'
Tel: ,•4 Zip
SQ:, FT. @ < L
BATH TUB
Ak .M:r:su?x',. d,.:h..- .c+iy.t.««:.5.�:;�•�tti rt
rs.,�..:� _,.>;`�i %,,;.• � .,,,esti
.xr.:,..SQ.`�FT.'"@--„v.�: "'"fi�`s:
WATER HEATER
'
Total Fees 'i
E.
Address - W
0 SQ. FT. RESID @1'/.c i
SEWAGE DISPOSAL
City, '� Zip
M.O r N. C:
Ca"sh Check+
SQ. FT. GAR @ 1% c
HOUSE SEWER
; tk
Received by �•
I� -
Contractor a `�' [•.r " ��
1
+. tz.
Tel'
GAS PIPING
PERMIT, FEE
Frees ieq—.ired. .i�
fxr•
tr
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
.- ,`. .',�' �i
MECH'FEE,--
PL. CK:
FEE
CONST. FEE .` ELECT. FEE ' SMI FEE
- FEE PLUMB. FEE
,
PERMIT NO... - . _.,
arl r..a,L._..,,,.,.. ,+. •
`Job Address '
•' ... . ,+... -.y, • .... r c r .• v r.
„r Y..•, ti Spate Zip r
Owner_
36031
e:�! n
4a
Community Valuation
E y
Date
ist.
Off.
F.C.C.
1MH.Permit
Fee
E
r�• i� l�w.•x
..,.
Micro Film Fee
Cop E
Use of Permit
,•.y..
�i<+,"�',bf'. ,,. C,:a-lG:rC/�,,. f� t
Parcel No.
”
•
Use/Case No.
Ck. By
�} ' +"'b+`.
Mech.fees Dbl E
.t `�
_
�Z _
PI: Ck. Fee •^ E '
•
- - Set ticks
Lot Size
F . - S
S R
Construction Fee Dbl E
Legal Descn ion
-,
'moi N•`;�
0.�.
Electrical Fee ' ' Dbl
Zone Restrictions
' ' . _
Group
Type
SMI Fee
E
l
Plumbing Fee
Dbl E
Bond Amt.
Plan No.
�
PI ticker
`
Final Date
�-' 6 -?9
/
Inspector
\
Unit
Sp. Insp.Fee
E i -
$
.
Demol. Fee
E • ;r- • .
Const. Lender
•� -- -• Branch i . • _
•� .4
l
Suppli al Permit Numbers
Registr.'Fee *
- E''
•City,
Mileage Fee' E' -
Address a - Zip
.Witness Feed.' E
Reinsp. Fee • T
E
Owner/Agent
O/A 9
i A'
^
Tel: ,•4 Zip
Total Fees 'i
E.
Address - W
••- ,��� a
City, '� Zip
M.O r N. C:
Ca"sh Check+
't
•
; tk
Received by �•
I� -
Contractor a `�' [•.r " ��
1
+. tz.
Tel'
Licenseq -
.. M... •.
Frees ieq—.ired. .i�
fxr•
tr
tvtiy'3• .,.�,��•, eg..••,tr
rr
.��{
Sewage System .r"•".. '{'v-^.» ...•,-..
'iXidress ♦_.
.- ,`. .',�' �i
Ciry' Zip
,
4•', • T LL THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: -
Sewer District' FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID-,
ti yu-°' ' I HEREBY;AGREE THAT ALLWORK'IN CONNECTION WITH THIS PERMIT WILL BE DONE 1N ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA:,
y ` a ;
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 28d-208 Rev.B18 �' ' � '••" -
ti _ _ A.,.-
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & Frms
34
Plenums & 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. E]
43
Final
10A
Fireplace T. 0. C]
NO
ADDITIONAL INFORMATION
_
SEWAGE 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 1 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
PSL
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 Final
STREET NAME
BUILDING PERMIT `
PERMIT No. DEPARTMENT OF BUILDING & SAFETY.
3 6.0 3 1-6COUNTY OF RIVERSIDE
FIELD OFFICE
[—DIST/
CONSTRUCTION ESTIMATE
• w
, r•r.+.+ u e «
NO. ELECTRICAL FEES
NO. PLUMBING FEES
-
OY
UNITS
Date
�✓
IST fl., SQ. FT. @ ZA
ist.
Off.
F.C.C.
2ND. FL. SQ. FT: @
Micro Film Fee
}''
YARD SPKLR SYSTEM
POR. % SQ. FT. @ 4944'1
6�
MOBILEHOME SVC. r
BAR SINK
GAR. r SQ. FT. @ T
7 o v
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT. @
R
Electrical Fee Dbl $
DRAINAGE PIPING
- ' r•s-.w `.. `
WALL SQ. FT. @ r
: . " " ' • ` .4 .
DRINKING FOUNTAIN
SQ. FT. @
Dbl $
Bond Amt.
$ •
URINAL
ESTIMATED CONSTRUCTION VALUATION
litr
Inspector
WATER PIPING
NOTE: Not to be used as property tax valuation
4
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
- "'Branch
..
SWIM POOL, COMM
WATER SOFTENER
vEHT Sy"sTErn FAN EVAP,COOL 'HOOD
;Mileage Fee $
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
$
Owner/Agent
GARBAGE DISPOSAL
FURNACE UNIT . WAL'L , FLOOR SUSPENDED
Zip .
r
LAUNDRY TRAY
AIR HANDLING UNIT ' CFM
Address
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
Receivedby
TEMP USE PERMIT SVC _
WATER CLOSET
COMPRESSOR" HP y
.Tel:''
�
K POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED - GRAVITY,
,
AMPERES SERV ENT,
SHOWER
BOILER B.T.•U.-
Zip
SQ. FT. @ c
BATH TUB
..;K..-. ar.M+.,ri a,t"' 1�4'MN.",,4.�'ik A,MA:n.�+""w.
�'�
• r .,. . w "
-
WATER HEATER
SQ. FT. RESID @PAc
SEWAGE DISPOSAL
SQ. FT. GAR @ I/. c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE
PL. CK. FEE _
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO. -
360316
• w
, r•r.+.+ u e «
Job AddressSpace Zip
Owner
-
Communityfy;, ., .y..•. ♦, r .r . w ,.,•�. r? ,� y..r ,Valuation ,.-�",.-
-� Ge 42✓7',/✓r9TL+ - $
., swi
Date
�✓
ist.
Off.
F.C.C.
MH.Permit Fee Is
Micro Film Fee
Cop $
Use of: Permit / . L
' G-r/��N' ' C. />•"e-"���^
r r
r
Legal D
Legescription
- / d' - e�•
4r�r"
Parcel No.
,
Use Case No.
Ck. By
Mech. Fee Dbl S -. -
Pl. Ck. fee $
Construction Fee Dbl $
- Set ricks
Lot Size
Hwy:
F 5 5
R
Electrical Fee Dbl $
Zone Restrictions
Group
Type
SMI Fee $
Plumbing Fee
Dbl $
Bond Amt.
$ •
Pion No.
PI a Check J '
Final Date
V 16r2
Inspector
Unit
S
Sp_Insp. Fee $ -
..
Demo[. Fee
$
Const. Lender -
- "'Branch
..
•Supplimental Permit Numbers
.
Registr. Fee $
;Mileage Fee $
Address City Zip
Witness Fee - $ * -
Reinsp. Fee -
$
Owner/Agent
C
..
Tel: a,
.,,-M
Zip .
Sotol" Fees
M.O.
S,
N: C..n Cosh n Ch ck
Address
Zip
Receivedby
y �'�
Contractor
a ....
�
_
.>~ .... « !w. > . a� r . ., r^ . r .'r,� '.n + w,5��,+ly','
-
.Tel:''
�
LicenseN
,
' w'A; .r„ , .°.: - •w • , r
Trees required •
Sewage System+ r
/li't>°•a� _ � ala :I� 9-/>
Address
�
City
-
Zip
T i LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer District ', t 1 FOR 120 DAYS SHALL CAU PERM T TO BECOME VOID.
I HEREBY AGREE IN N' WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
d. THE LAWS OF RIVERSIDE COU AND THE STATE OF CALIFORNIA.
f:
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
t ACCORDANCE WITH SECTION 5541. -OF THE .BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. -
For'm 284-208 (Rev,&nB)
verified by:
BUILDING PERMIT
PERMIT NO.
368638
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD
/DJSTTT
/
CONSTRUCTION ESTIMATE
NO. -ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. ZI
2ND. FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $ 2
r
UNITS
Dist.
/ s
YARD SPKLR SYSTEM
SQ. FT. @
�1 _
MOBILEHOME SVC. BAR SINK
SQ. FT. @ -
SQ. FT. @ POWER OUTLET ROO- DRAINS
Parcel No. /ry •�
{� --06 "0�
A
DRAINAGE PIPING
SQ. FT. @
Ck. By
A214,0
DRINKING FOUNTAIN
SQ. FT. @
Pl. Ck. Fee y
URINAL
SQ. FT. @
LVII
r /
VALUATION WATER PIPING
Construction Fee Dbl $ w
NOTE: Not to be used as property tax valuation
F % _5—IS/4) S 7 /'�
Q� �••t'•�
SWIM POOL, PVT
Electrical Fee Dbl E
SMI Fee 8 !
FLOOR DRAIN
Gro
Ju��j
MECHANICAL FEES
Plumbing Fee
SWIM POOL, COMM
t
WATER SOFTENER
Plan No.
��T
VENT SYSTEM FAN EVAP. COOL HOOD
Final Dat
/ n r
SIGN
Sp. Insp. Fee 8
H)
8
APPLIANCE DRYER—
Const. Lender Branch
Supplimental Permit Numbers
-
GARBAGE DISPOSAL
Mileage Fee 8
FURNACE. UNIT WALL ` FLOOR SUSPENDED
Witness Fee 8
Reinsp. Fee
8
LAUNDRY TRAY
Owner/Agent
AIR HANDLING UNIT CFM
Zip
IDLE METER
Total Fees
KITCHEN SINK
r�
ABSORPTION SYSTEM B.T.U.
City
TEMP USE PERMIT SVC
M.O. N.C. Cash Check
WATER CLOSET
!"'
COMPRESSOR �k!_ HP
Ca ntro4t r c s
! i� �� G � r" • .•
POLE,TEMP/PERM
LicenseB
-3
LAVATORY
HEATING SYSTEM FORCED GRAVITY
Address
/13-/90 %c �r� WCL'
AMPERES SERV ENT
r
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB.
SQ. FT. @ c
WATER HEATER
S0. FT. RESID @I'Ac
jr
SEWAGE DISPOSAL
S0. FT. GAR @ : c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
w..
PERMIT FEE
DBL.
TOTAL FEES
MOB.HM.FEE
MICRO FEE
MECH. FEE
PL. CK. FEE
CONST. FEE
ELECT, FEES`
S IF
FEE
�PLLYMB. FEE
f 00
PERMIT NO.
368638
Job Address �'�y
Space
Zi Own
,4
-
Com1mu�niily
f^1/j �•� 1
Valuation
7 Is QS �%
Date
�
Dist.
F.G.C.
MH.Permit Fee 8
Micro Film Fee
Cop 8
Use of Permit
f ,'/j��p/-` �J
Dcok • r �i "' , �� � `•�
Parcel No. /ry •�
{� --06 "0�
A
Use/Case No.
Ck. By
A214,0
Mech. Fee Dbl 8 ,!R
Pl. Ck. Fee y
Set Backs
LVII
Construction Fee Dbl $ w
egal Description
;jVj ////�� ✓
^ �,X Lf1 �i
F % _5—IS/4) S 7 /'�
Q� �••t'•�
R /
5
Electrical Fee Dbl E
SMI Fee 8 !
Zone Rester?, ons /
/4 ' {
Gro
Ju��j
Type
Plumbing Fee
Dbl E
t
Bond Amt.
8
Plan No.
��T
Pla hack`eir ♦ n `
� f // A
Final Dat
/ n r
Unit
Sp. Insp. Fee 8
Demol. Fee
8
Const. Lender Branch
Supplimental Permit Numbers
-
Registr. Fee 8
Mileage Fee 8
Address City Zip
Witness Fee 8
Reinsp. Fee
8
Owner/Agent
Tel.
Zip
Total Fees
8
Address,.•
0 AL
City
Zip
M.O. N.C. Cash Check
Received by
Trees required
!"'
Ca ntro4t r c s
! i� �� G � r" • .•
Tel.
i,6 - / "'�'
LicenseB
-3
Sewage System
/ [
Address
/13-/90 %c �r� WCL'
Ci
/
I (%Et2 •- Zt
�� p
. VG"y-101. P ff XVol
;Pv District
Form 284-208 (Rev.8/78) /
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK -verified by:
FOR 120 DAYS SHALL ALSO CA PER T TO O��ME��VOID.
I HEREBY AGREE THAT 1 lICO ITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AN t� E 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
_ ?--1— 1
33 Ventilation System
2
Ftgs 8 Frms
(— '�
34 Plenums 8 Ducts 0=y(
2A
Slab Grade
-' I —�l
35 Furnace Comport.
3
Steel
36 Inlets 8 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. 0. ® _
oo ADDITIONAL INFORMATION
1J
------------- - - - - -- --
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall _z::L
G
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts) 1 y I I q --M.--75
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
--_ _-_ ___PLUMBING APPROVALS ---------
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal 0 -16 —
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25
Final
/n�,
Tank 0O C) Pit V L. Line
REAR OF PROPERTY LINE
I e"
J
P/L r� P/
!*7
q
I 1
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring /d ^ 4!
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME — SsO Pr7, I%D
ar
LU
z
O
0
4 IL
O U jj
cc
0)--
Z�—
CLL
J Q
� N
m aiS
e6 H
V
z
zr
za
aw
J �
a
mr
Z23 LU�
LL
J Q
m e8
A
APPLICATION- FOR TREE PLANTING
I (we), the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if -.reel are required under River-
side County Ordinance No. 457, the applicant agrees to install said trees prior to final inspection. It is understmod that no fina$,inspection
will be given until said requirements hove been met or exception has been granted by the County: Now, therefore, it is agreed that the prop-
erty owner shall cause the property lines to be surveyed in the event no survey stakes can be found. Further, it is agreed that the County of
Riverside shall assume no responsibility
ysshould trees have to be removed due to lot line errors.
Owner s Name �®�w � � �J� Building Permit CA—
T`f S �O k r�.T2 Cit "W'` ViK-State Zip
Mailing Address � Q Y _
a S^�a C9( CC% �+� f7`O Communit
Job Address _ Y
Legal Description ��� �L 5e- 7 /% ,j f
Assessor's Map, Book & Page 10 2— ' GD Type Structure
Type of Soil Is water available - _Rood. Dept. Plot Plan No.
Type of existing trees in road right—of—w _;"r( ��'42
e
Trees preferred by applicant (1) (2)
Date Owner's Signature �
Planning Commission Case No.
ROAD DEPARTMENT APPROVAL
Del
09
Approved species Washingtonia robusta (Mexican fan palm) Number of trees 2
Spacing of trees Distance from lot lines: Front2' in R/W Side 2' in R/W
Additional requirements Per plot plan on reverse.
Date Building and Safety notified 7/79 Signature eV
/, U
Reason
Request for hearing:
Owner's Signature
YES ❑
(attach additional page if necessary)
(Forward application to Planning Dept. if exception requested)
NO REQUEST FOR HEARING
Planning Dept.
Concur ❑ Non -concur 0 Explanation
Date Signature
Road Dept.
Concur F1 Non -Concur ❑
Date Signature
REQUEST FOR HEARING AND COMMITTEE DECISION
Date hearing established Date hearing notice mailed to owner
Approved 0 Disapproved F-1 Date Owner notified of decision
Date Building & Safety notified Signature i
APPROVAL BY BUILDING INSPECTOR
Final Date Inspector Building Permit No.
Job Address Community
Requirements for tree planting complied with
Remark s
(Detach and forward above information to Road Department Riverside)
284-230, REV. 1/74 rr
' T
l
NOTICE: THIS IS NOT`A'BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT
Permit No
284 199 ,�•=9J4-' - - CANARY—FILE, PINK—APPLICANT -
�i
OwnArchitect Contractor_(.��t1/6/7✓G TD
r
'
Phone %L� Phone Phone
C
cc
284 199 ,�•=9J4-' - - CANARY—FILE, PINK—APPLICANT -
�i
OwnArchitect Contractor_(.��t1/6/7✓G TD
Addres ~'fii_ Address Address—) 90 4ib®z)jy _,-yA
�1
City i2, Z�S1 L /may./ City City_ �/�—! i%fi/Zir1�� y_ &
Tom" —
Phone %L� Phone Phone
C
cc
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
O
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 la sof the County of Riverside and the State of California governing said property.
DATE 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 Permit.
I
c'ch ti,a� x toy JP (SPACE NO.
4s�{S�.
S S i�i+l.. USE OF STRUCTURE
I
>_
JOB ADDRESS
SINGLE FAMILY DUPLEX____,,_ 3- --
% "` 0'6
Z H
LEGAL DESCRIPTION OF PROPERTY
— APARTMENTS AGRIC.
N'^
�y rw i'} COMMERCIAL INDUSTRIAL
p
O Z
COMMUNITY -��
ALTERATIONS
NO. OF SUBMITTED PLANS — _ USE'OF�� PERMIT I' 1J 1 C•C-r f' 17 +r^
a
_
CASE NO.
k7
p z
NO. OF,,PARKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING
j�...
ZONE'TSETBACKS: FRONT �� SIDE �• Z-- ,REAR % C—
m
GRADING PERMIT REQUIRED? YES NO ❑ LOT SIZE _'12t, Vc-
SETBACKr ORDINANCE _— OF FEET REQUIRED ON STREET
DATE SIGNATURE OF LAND USE OFFICIAI
11-03 fF
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF.FEET___
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ y 4:::�;�L�•
H
r '
W
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
IMPROVEMENT? YES q, -,,NO ❑ . 0 Al"I
°L
- �l� _% � SIGNATURE OF ROAD DEPT. OFFICIA i%' -
DATE_
SWIMMING POOLS PUBLIC' C[_le, • 74
WSEWAGE
DISPOSAL
ua
FOOD ESTABL.ISHME T J
"
IY •i
WATER POLLUTION REMARKS
�n FLOOD CONTROL 1 '
zLUTION t i
AIR'POL,L
at W
_- 'DIV OF'HWY - +
YOUR PROPERTY MAY BE SUBJECT TO
FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199 ,�•=9J4-' - - CANARY—FILE, PINK—APPLICANT -
�i
BUILDING PERMIT II
PERMIT G DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST
H6 8 6 3 8 COUNTY OF RIVERSIDE //
CONSTRUCTION ESTIMATE
Job Address
si ft
NO. ELECTRICAL FEES
NO. PLUMBING FEES
j!er-District
Q
UNITS
I HEREBY AGREE THAT ITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH _
THE LAWS OF RIVERSIDE COUNTY AND HE STATE OF CALIFORNIA.
IST FL. / SQ. FT. @ r
..-
MH.Permit Fee
$
�'j �
Micro Film Fee
Mech. Fee
Cop $
Dbl $
Use of Permit
�'j
]�`- 1/�q.
YARD SPKLR SYSTEM
Use/Case No.
2ND. FL. SQ. FT. @
kk. By
lc'e"D'
PI. Ck. Fee
$
��+.
(�co • t r Q• � �
Set Backs
Lot Si
,�W
MOBILEHOME SVC.
C S/ /•� S � /'9 R /3d
i./ �JG./
BAR SINK
POR. SQ. FT. @
Zone Restri ons
Grour�r
Type
Electrical Fee Dbl $ +�
SMI Fee
$
POWER OUTLET
ROOF DRAINS
Plumbing Fee
GAR.4440 SQ. FT. @ ��""
i ..
Plan o. `t/q)
�
Plo ^NeckOer
e /� -
,. `
— �"'X/ 1
Ins ctor
Unit I
Sp. Insp. Fee
f
$
DRAINAGE PIPING
/
CAR P. ISQ. FT. @
Demol. Fee
$
Const. Lender Branch
Supplimental Permit Numbers
Registr. Fee
$
DRINKING FOUNTAIN
WALL SQ. FT. @
Mileage Fee $ Address City Zip
Witness Fee
$
Reinsp. Fee
$
Owner/Agent
URINAL
Zip
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
I
Total Fees
WATER PIPING
NOTE: Not to be used as property tax valuation
+•'•. Zip
SWIM POOL, PVT
N.C. nCash n Chec
FLOOR DRAIN
MECHANICAL FEES
Received by
SWIM POOL, COMM
Contr�fjt`�pr �S it n q
/1�f
WATER SOFTENER '
Liccense#
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
SH)
Sewage System
APPLIANCE `% DRYER
..r
Cit '
Y9 It U Zip
If
GARBAGE DISPOSAL
54'0
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 HIP
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
...
ZS AMPERES SERV ENT
SHOWER
14
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
SQ, FT, @ c
WATER HEATER
SQ. FT. RESID @114C
S
SEWAGE DISPOSAL
S
SQ. FT. GAR @ %c
HOUSE SEWER
GAS PIPING
C3
PERMIT FEE
...rMPL.
PERMIT FEE
..a
PERMIT FEE
DBL.
TOTAL FEES
MOB.HM.FEE
MICRO FEE
MEECCH..FFEEEEl9.
FEE
/CONST. FEE
FFEEJJjfff
/S/,SAIF
FEE
FEE
�ELLEEjC`TTT
I/fP'L�/M/11
PERMIT NO.
Job Address
si ft
Space - Zi Own J �� �'
lusT L
368638
j!er-District
.s6-. 140
I HEREBY AGREE THAT ITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH _
THE LAWS OF RIVERSIDE COUNTY AND HE STATE OF CALIFORNIA.
Com nniity .�j Valuation �yy Dote_ +`] Dist.,
�r! $ ; 7114 e ��v /J //
F.
1,0W
MH.Permit Fee
$
�'j �
Micro Film Fee
Mech. Fee
Cop $
Dbl $
Use of Permit
�'j
]�`- 1/�q.
Porrccceell No.
r/ ! / e q®/
Use/Case No.
kk. By
lc'e"D'
PI. Ck. Fee
$
��+.
(�co • t r Q• � �
Set Backs
Lot Si
,�W
Construction Fee Dbl $ egol Description F
C S/ /•� S � /'9 R /3d
i./ �JG./
Zone Restri ons
Grour�r
Type
Electrical Fee Dbl $ +�
SMI Fee
$
Plumbing Fee
Dbl $
„� Bond Amt.
Plan o. `t/q)
�
Plo ^NeckOer
e /� -
,. `
— �"'X/ 1
Ins ctor
Unit I
Sp. Insp. Fee
$
$
f V
/
Demol. Fee
$
Const. Lender Branch
Supplimental Permit Numbers
Registr. Fee
$
Mileage Fee $ Address City Zip
Witness Fee
$
Reinsp. Fee
$
Owner/Agent
t
Tel. 1
Zip
Total Fees
Is OU 2,21Address
City
+•'•. Zip
M.O. Q
N.C. nCash n Chec
Received by
Contr�fjt`�pr �S it n q
/1�f
Tel. ]/(�/��
780
Liccense#
Trees required
/ /Kr A%) �^
Sewage System
t
Address
/IF — t Dc I rid
e
Cit '
Y9 It U Zip
If
Y14 -7 L P k- X"f f/
THIS PERMIT SHALL BECOME VOID IF WORK IS N01` -COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
FOR 120 DAYS SHALL ALSO PE T TO OME VOID. "
j!er-District
I HEREBY AGREE THAT ITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH _
THE LAWS OF RIVERSIDE COUNTY AND HE 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.B/78) @s
verified by:
p O,CE.S:SIAG:
BUILDING PERMIT
1PERMIT NO.
397695
DEPARTMENT'OF BUILDING .8L SAFETY FIELD DST
COUNTY OF RIVERSIDE l it l
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. Fl.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
SQ. FT. @
YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SO. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used as property tax voluotion
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
Parcel No.
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
Mech. Fee I E s
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
PI. Ck. Fee $
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
egal Description i
J
'�f�"'� 1 �
p
f'„Electricol FeeIbl E
LAUNDRY TRAY
AIR HANDLING UNIT CFM
Type
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
�..�•�
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
Amt.
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
Inspect
AMPERES SERV ENT
SHOVER
BOILER B.T.U.
SQ. FT. @ a
BATH TUB
SQ. FT. @ a
WATER HEATER
Const. lender Branch
Supplimentol Permit Numbers
YY B
fy6�
����.--✓✓✓
S0. FT. RESID @ 1 t/<a
SEWAGE DISPOSAL
Address City Zip
I Witness Fee g
S0. FT. GAR @ t/44
HOUSE SEWER
���...JJJ 111 JJJ
ifF*Reinsp. Fee E
Owner/ Agent _
Tel. Zip
City a Zip
GAS PIPING
PERMIT FEE
Address
M.O. N.C. Cosh Check
PERMIT FEE
PERMIT FEE
DBV
TOTAL FES _
MOB. HM. FEE
MICROFEE
MECH. FE&""
PL. CK. FEE
CONSTF ELECT-F
SMI FEE
FEE PLUMB.{.JFrED
20
PERMIT NO.
"
Job Address Space
MaLx
Zip
Owner,
�
397695
50= 55� C
Community '•
s �'�„•-
Valuation
Dote f
Dist.
�.'�'
lOff.
F.C.C.
Permit Fee
IMH b
t�f
d `
E
J�
Micro Film Fee Cop b
Use of. Permit -
� I •
Parcel No.
Use / Cose No.
Ck.By
.,
rj
'�
Mech. Fee I E s
,. •,��. �. .,,i\..` 'v"'A -�`.
�["'l`i �..�{(j4
PI. Ck. Fee $
Set Backs,
Lo! Size
F S i 7'� S ® R
Li /
t Construction Fee Dbl $ ; �, {
egal Description i
J
'�f�"'� 1 �
p
f'„Electricol FeeIbl E
Zone Restrictions
Group
Type
I`'$MI Fee
E
tii.::. �1_�.cX \�eL..SS�.
�..�•�
!.Plumbing Fee Dbl $ '„d yInd
Amt.
Pion No.
ii
Pion Checker
1_.r,
Finol Dote
Inspect
Unit
Insp. Fee b
;Sp..
f
Demol. Fee $
Const. lender Branch
Supplimentol Permit Numbers
YY B
fy6�
����.--✓✓✓
Registr. Fee g
'Mileage Fee b
Address City Zip
I Witness Fee g
���...JJJ 111 JJJ
ifF*Reinsp. Fee E
Owner/ Agent _
Tel. Zip
City a Zip
i.Total Fees $,� i �}
Address
M.O. N.C. Cosh Check
Received by
Contract. 'Y.Jf'yp1• �• �Jd�
Tel. y.�
License#
s �•-(� •` C ”
:Trees required
Sewoge System
'
,pa, I) �J�f�d•'
Ad
Address
1 " I .,.. - .^•
,,„�%"i ._ � `7 f :c' �' '1
City { Zip
� �•._{.` t `' 1.�;/
\_-/,�,i..'�
.....d ..�_I.
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK c,• rifled by:
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
T . Ll p
Sewer District
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.
REBY, CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS D�SNE SO IN`
V
.Form 284.208 (Re,. 1/80) ��
/
ACCORDANCE_, IMH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
NO.
Fireplace T. 0.
OPERATION
DATE
INSPECTOR
Service Entrance
OPERATION
DATE
INSPECTOR
12A
Drywall
BUILDING APPROVALS
13
Finish Grade
MECHANICAL APPROVALS
1
Set Bock
y
Q`
7A
33
Ventilation System
2
Ftgs & Frms
12C
34
plenums 8 Ducts
2A
Slab Grade
ry15
35
Furnace Comport.
3. •
,. ; tqi;l; , ..
16
36
Inlets & Outlets
4
Grout Blocks
18
37
r=ombustion Air
5
Bond Beams
20
38
Compressor
6
Roof Deck
22
39
Appl. Clearance
7
Framing
24
40
Fire Damper '
8
Vents
41
Smoke Detection Device
9
Garage Fire
Wall
42
c=ommercial Hood
10
Fireplace
P.L. C)
43
Final
TOA
Fireplace T. 0.
IJ
11
Exterior Loth
Service Entrance
12
Internal loth
,
12A
Drywall
Bonding
13
Finish Grade
31
Service
INSULATION
Thick .R
Value
7A
Walls (Botts)
12B
Ceiling (Botts)
12C
Ceili]g (Blown)
14
Final
ry15
PLUMBINC
Ground Plumb
16
Water Piping
17
Rough Plumb
18
Vents
19
Sewage Disposal
20
Sewer
21
Water Heater
22
Water Softener
23
'Aloter Service
24
Gas Test
25
Final
ELECTRICAL APPROVALS
26
Power Pole
27
Conduit
28,
Service Entrance
•� Jk" 29
c
Wiring
29A
Grounding Wire
29B
Bonding
• 30
Fixtures
31
Service
32
Final
nto I ADDITIONAL INFORMATION
i
SEWAGE SYSTEM SIZE & LOCATION
Tank Pit L. Line
I
s t
d
r
Pf l Pi
t
}
STREET NAME