354062 (BLCK)6lJILDING PERMIT " I
PERMIT NO. ,DEPARTMENT OF BUILDING & SAFETY FIELD
3 5 4'0 6 Z '' t
-COUNTY ' COUNTY OF RIVERSIDE - D�
! /
CONSTRUCTION ESTIMATE.
NO. ELECTRICAL FEES
NO. PLUMBING F ES .. .
IST FL.
2ND. FL.
POR.
GAR.
SQ. FT' @I.• aJa M., $- ,: <ti .:e.exS... d.'wa....• UNITS it ..,Mn.:. ...a.. r»•{f. .r„�..�.;
YARD SPKLR SYSTEM
SQ. FT. @
SQ. FT...@.r. , :. y .ia . °+� f;w,,.-.,"' . r MOBILEHOME SVC:'" w•r » - v.., n,- y ,+++ BAR -SINK -
POWER OUTLET ROOF DRAINS,
SQ. FT.;@
CAR P.
` WALLIts $
1 %
SQ. FT. @
Valuation
E ,/�~.'� '✓
DateDist.
w iL` i !
DRAINAGE PIPING
,• -
SQ. FT.
DRINKING
DRINKING FOUNTAIN
SQ. FT @
URINAL
ESTIMATED CONSTRUCTION VALUATION $
Micro Film Fee Cop E
Use of Permits
rjarC.%✓C Y; �
WATER PIPING
NOTE: Not to be used as property tax, valuotion
Ck. By
"I'-
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
Construction Fee Dbl E t�
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL , HOOD -
q� . r ,a✓rr Y
SIGN
WASHER (AUTO)(DISH)
APPLIANCE f ;' DRYER %s '2 ^�
*` « .. Tr `
f GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED `
Bond Amt. z'
E
^L
j LAUNDRY TRAY .
AIR HANDLING UNIT CFM
Insp
IDLE METER r
3 KITCHEN SINK
ABSORPTION SYSTEM B.T.U. . `'
!
TEMP USE PERMIT SVC
; WATER CLOSET
COMPRESSOR HP s :
k
POLE,TEMP/PERM ' M
LAVATORY.
HEATING SYSTEM FORCED :GRAVITY
Tell - Zip -
...�+..� !`ry.• + r•,t.+t•r.di+ '+ r, zip :s
~-
AMPERES SERV ENT
t SHOWER
BOILER B.T.U. f
kSQ.
FT. @c
BATH TUB
• r
M.O. N.C. Cash Chec
1 SQ. FT.',@ r` -c, r r
WATER,HEATER ._411 , M•
Tel •�' +License#
,.
SQ. FT. RESID,@I 1Ac
SEWAGE DISPOSAL
r
- •� F
SQ. FT. GAR @ 3/. c
HOUSE SEWER
City �' Z[ip
3
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GAS PIPING
PERMIT FEE d
YY 77
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB.HM.FEE
'-'MICRO FEE '•
MECHi. FEE
IPL? CK. FEE
CONST. -FEE -.,L1, FEE, r•
sf..,x. r•FE PLUMB. FEE'
T LL P
Sewer District
e Form 284-208 (Rev.8/78) l%
J THIS PE�MIT SHALL BECOME VOID I WORK
I�S�NO
FOR '9;20 DAYS SHALL " E:P Rpa1TjQ RECO
I HEREBY AGREE �i�,ifECp
qll WO 'rN CONNECTION
THE LAtWS:OF RIVERSIDE COU D THE STATE O
� •w•.w.0 re+ r -e ..,»E
'I HEREBY, CERTIFY THAT THE INDIVI�{1Pt_ WHO Pk
ACCORDANCE WITH SECTION 5,� I Of THS BUSINESS
T COM! ENCED WITHIN 120 DAYS. CESSATION'F W RK verified by:
ME VOID ��•' 1 1
WITH THIS PERMIT WILL BE DONE IN ACCORDANCE ITH
F�ALIFO,�NIA:<+F;y+v46.*atW� bciAlnM,�a:.a�vr}v.R.r}t..rg4 *;►,• ti
PARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
PERMIT NO.
354052
-Job Address - Space
77- ��-�� ; �,� �'�;r,,:,��,
Zip
'�
Owner
Community
^�� r `.LAJ yi"a .
Valuation
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DateDist.
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7O-ff.
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F.G.C.
.
...
MH.Permit Fee E +
Micro Film Fee Cop E
Use of Permits
rjarC.%✓C Y; �
Parcel No.
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"
Use/Case' No.
Ck. By
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Mech. Fee Dbl E
Pl. Ck. Fee E
Set Backs Lot Ize
F - 5 S
'
Construction Fee Dbl E t�
Legal Description
r,
Electrical Fee Dbl E
q� . r ,a✓rr Y
Zone Restrictions Group Type '' ,
SMI Fee E
Plumbing Fee Dbl E
Bond Amt. z'
E
Plan No.
Plan Checker
Fin at �R
Insp
Unit L
Sp. Insp. FeeE --
Demol. Fee E
Const. Lender �.. Branch
. f^�-r , •.+»�'. • ♦.[J
..
Supplemental Permit Numbers
K.1 .. .. _ .•.�M^ti•..'!�rw'W ♦•,ll,.i .�f�A.j'♦ F..
- `s•
- A
Registr. Fee E
Mileage FeeE
Address City "' Zip =�
+ ,{ :
Witness Fee E
Reins Fee
p' E v
Owner/Agent- i r•-, .i.,.,� !i
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�
Tell - Zip -
...�+..� !`ry.• + r•,t.+t•r.di+ '+ r, zip :s
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ti�
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Total Fees E / l/-` 'rJ
Address . • S 6, r.. • ; ,�...�. �r`.f. w
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y tl i%:y,ib� �L`7J i"►''1 /� �..I'%;�
.City ..; ..rc.wr .` f K .• ..,; Zip , t
!
.Y,�'.I�..,i,`�
M.O. N.C. Cash Chec
Received by�j
Contract jy r 7�`r �r
Tel •�' +License#
Trees required
f
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r
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Sewage System -
Address
Vr Y' k
City �' Z[ip
3
/,.
r
YY 77
�1
T LL P
Sewer District
e Form 284-208 (Rev.8/78) l%
J THIS PE�MIT SHALL BECOME VOID I WORK
I�S�NO
FOR '9;20 DAYS SHALL " E:P Rpa1TjQ RECO
I HEREBY AGREE �i�,ifECp
qll WO 'rN CONNECTION
THE LAtWS:OF RIVERSIDE COU D THE STATE O
� •w•.w.0 re+ r -e ..,»E
'I HEREBY, CERTIFY THAT THE INDIVI�{1Pt_ WHO Pk
ACCORDANCE WITH SECTION 5,� I Of THS BUSINESS
T COM! ENCED WITHIN 120 DAYS. CESSATION'F W RK verified by:
ME VOID ��•' 1 1
WITH THIS PERMIT WILL BE DONE IN ACCORDANCE ITH
F�ALIFO,�NIA:<+F;y+v46.*atW� bciAlnM,�a:.a�vr}v.R.r}t..rg4 *;►,• ti
PARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
NO.
OPERATION DATE
INSPECTOR
NO. OPERATION
DATE v 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. E
43 Final
IDA
Fireplace T. 0. C]
OP' ADDITIONAL INFORMATION
�OVTiN� / E J -re e-4. 131-06,6= Gva��
e, u;- v -e-p.
�✓!Qr
29 dQ,
_ y
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior lath
12 Internal Loth
12A Drywall
13 Finish,Grade
INSULATION Thick
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
ELECTRICAL APPROVALS
PSL
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding'
30 Fixtures
31 Service
32 Final
STREET NAME
NOTICE: THIS IS NOT BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
i
DISTRICT
Permit No
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
Owner, ,l% UUTG Architect ,0_ if _ Contractor__. _
SV `Te
Addres & n Address--- Address — —
City c�S C�/?r City_` City -
Phone Phone _ Phone—
I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and
ce
W
Z
Paving, and/or Dedication of right of way is required by the County of Riverside, the Riverside County Department of Building and Safety
31:
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 property to be occupied ntil I (we) have
complied with a 111 laws of theCounty of Riverside and the State of California governing said propert
DATE �d�l %— SIGNATURE OF OWNER AND/OR —
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
SPACE NO.
USE OF STRUCTURE
,p
��SL__. 4L ��—NINGLE
JOB ADDRESS /—L
FAMIL DUPLEX El
>_
Z W
LEGAD CRIPTION OF PR P TY -.Z3
C� G�ARTMENTS AGRIC.
0 Lu
std�!c�iG '-- COMMERCIAL INDUSTRIAL �J
COMMUNITY ' ALTERATIONS
CG
Z
LJ
NO. OF SUBMITTED PLANS USE OF PERMIT
Lu Q
CASE NO.
_
G Z
NO. OZP' ING SPACES REQUIRED . NO. OF BUILDINGS NOW EXISTING
Q
ZONE ETBAeKS: FRONT SIDE REAR
J
m
t
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE'
SETBAC ORDINA CE OF FEET REQUIRED ON STREET
/
DAT E 1 SIGNATURE OF LAND USE OFFICIAL
C� /
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET__
F
W
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
cc
oe
4
W
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
Q
IMPROVEMENT? YES ❑ NO ❑
O
°C
DATE SIGNATURE OF ROAD DEPT. OFFICIAI
Z
SWIMMING POOLS PUBLIC
QW
SEWAGE DISPOSAL
= O
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
vt FLOOD CONTROL
H
Z AIR POLLUTION
� W
_ � DIV OF HWY
c a — YOUR PROPERTY MAY BE SUBJECT TO
o.
Lu FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
BUILDING PERMIT
�ERMIT NO. It - Ei / 1 TMENT OF BUILDING & SAFETY _ . FIELD OFFIiCE Osr
3,,5 4 0 6 2 'COUNTY OF RIVERSIDE' `
CONSTRUCTION ESTIM, TE f 1
NO. ELECTRICAL FEESTNO*�
PLUMBING.FEES
t
IST FP•
UNITS
SQ. FT', @: r.r-..
Community
., ••/N'C'I +2
2ND.�FL.
SQ: FT. @ -
Dist.
YARD SPKLR SYSTEM
F.C.C'
SVC'rBAR'SINK'".�*'—
•..
'Use of � Permit �%+•(�jte7-:• ��� � r..,c.
POR.SQ.
FT.@MOBILEHOME
Ck. ByMicro
'S
r
Mech. Fe jDbl E
.
GAR.
! �,.
SQ. FT. @
POWER OUTLET
ROOF DRAINS
J'
CAR P. f SQ. FT. @/ /r
FP
S S R
DRAINAGE PIPING t
WA SQ. FT. ��•'' �' "' �"
Group
DRINKING FOUNTAIN
l'
J SQ. FT/tfi
PlumbinJ Fee Dbl E t
URINAL
QQ
ES 1MAIED CONSTRUCTION VALLIATIO � ' tP �" , n'
Plan Checker
WATER PIPING
N'(tiTE Not to be used as property tawiValuationl`!
SWIM POOL, PVT
FLOOR DRAIN
/MECHANICAL FEES ,K
SWIM POOL, COMM
WATER SOFTENER
VENT SYST/M FAN EVAP..0001. - •H�OD -
SIGN
WASHER(AUTO)(DISH)
• e... -►..t`:-+,.. . ^'4y 1"::U• v.;r..-r. ..�..h.,,_... ..� .,I, .... _ .
APPLIANCE - DRY�R I, + •
_
''
GARBAGE DISPOSAL"
FURNACE UNIT WALL FLOOR SUSP NDE( ;t•x, ~
Tel. wti..,.••.•.�.).-�• �� v ,... Z.ip
LAUNDRY TRAY
AIR HANDLING UNIT FMf
IDLE METER +
KITCHEN SINK
ABS q RPTION SYSTEM T.U. r'' ;•
TEMP USE PERMIT SVC
ti WATER CLOSET.
CONt1PRESSOR f HP _ y T
POLE,TEMP/PERM
LAVATORY
HEArTING!SYSTEM .e" FORCED ,GRAVITY•
AMPERES SERV ENT
SHOWER
BOILER B. T. U. (j
SQ. FT. @ c
BATH TUB
1t .i f�J y% =ff j .• ti ,,}.a ,r.•. ,k'
r
SQ. FT: @+'c ., r•�•r..
WATER HEATER---`-'
r:
4,
SQ. FT. RESID @11/,c
SEWAGE DISPOSAL
SQ. FT. GAR @ sG c
HOUSE SEWER
f +ij
GAS PIPING
PERMIT FEE k At �.,
PERMIT FEE
PERMIT FEE
DBL. j
SIAL FE��ESS.
M,Ccib WAA.FEE
-MECH. =EE '
PC CK: FEE
I CONST.'FEE' ' "ELECT -.FEE "' ""' SMI FEE' '
FEE PLUMB.,FEE
PERMIT
5A'A62
r
I •
4
- Job Address ,t Space
77- �, �. /����
Zip
r��
Owner
„�,� J,4 ,'. .
Community
., ••/N'C'I +2
Voluafi`on
E
Date
Dist.
Off.
F.C.C'
MH Ferrni4e E + .j�' +
FiAFe CopE f'
'Use of � Permit �%+•(�jte7-:• ��� � r..,c.
arcel No. /
-7 7sZ
Use/Case No.
Ck. ByMicro
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r
Mech. Fe jDbl E
.
Ck. F�e;. E
LotPi. Size
,•
Const71r'F Dbl E V1Legallripion
I F cr
t.l.• Gi - `�
FP
S S R
Electrics Fee f Dbl E
Zone Restrictions
-� •
Group
Type
SMI Fee E .
PlumbinJ Fee Dbl E t
Bond,Am�
E C '�•
I'plorii%No �
.t fix.
Plan Checker
fin tf �
I>
/.�
Inppyctor •.
I ��
Unit
Sp. Insp: Feb E
Demol. Feet E I
Cot Lender, +� Branch-
.�n ."t. f•{'.=.... -s-_. t t a • -
Supplimental Permit Numbers "•
. '� . •.. ......, .. _..: �. r.•,..e. 4 .,
f
Regisfr.4F E
Mileage Fee ) E
Addre s - Cit f Zi
F 1' ; Y P
( 6
Wit/)�ess Fee t E k
Reihsp. fee $
O�wnei/.gent •.r.. r
Tel. wti..,.••.•.�.).-�• �� v ,... Z.ip
[oral Fees ��. E 4
Address rl ' - ,. .. -
7.3 "5;• �/ ^'- �..•
.City - -.. •.. ,.. ., ,, ..•. ._. a Zip,
, /-•[/!/% �Gc �
% M.O. N.C. Cash Ej, Chep�ff
Received by i)
Contracto
(%�
Tel.
License#
Trees required -
Sewage Systetm T`
Address 'i
City Zip
P LL P Y. THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
Sewer Distric} f FOR 120 DAYS SHAL E PE� OME VOID.
` f I HEREBY AGREE* T ALL W K IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
4 , THE LAWS OF RIVERSIDE IOU . •AND THE STATE OF CALIFORNIA., +,� ,� ,� .. r«... ,_•r;•F .� , �,
J LA _ _
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
ACCPRDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Form 284-208 (?e,8/78;. �I, r {• _ _