387423 (AR)PERMIT NO.
387423
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE Flill
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
Job Address T
i�
NO. PLUMBING FEES
IST FL.
2ND. FL.
- POR.
GAR.
CAR P.
WALL
$
SQ. FT. @/
SQ. FT. @
UNITS
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
Useof Permit
!''�`��`'1,.'�n
.. tnA
1 .1 i t �..�
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
Mech. Fee Dbl $
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
Construction Fee Dbl $ `,
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
5
WASHER (AUTO)(DISH)
APPLIANCE DRYER 1
Electrical Fee Dbl $
Zone Restrictions
•-
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR. SUSPENDED
SMI Fee $
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
Plan No.
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
Final Dote -N
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
Sp. Insp. Fee $
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
Broich
SHOWER
BOILER B.T.U.
SQ. FT. @ c
Registr. Fee $
BATH TUB
Address City Zip
SQ. FT. @ c
Reinsp: Fee
WATER HEATER
Owner/Agent
SQ. FT. RESID @l /.c
Ila
SEWAGE DISPOSAL
Zip
SQ. FT. GAR @ '/. c
lotol Fees
HOUSE SEWER
Addressr
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City
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GAS PIPING
PERMIT FEE
_
PERMIT FEE
PERMIT FEE Ad OO
DBL.
TOTAL FEES_
MOB. HM. FEE
MICRO FEE
H. FEE PL. CK. FEE_
d9 �,,,
CONST. FEE EL
�
. �F[EE
`7r..-
SMI FEE
S
FEE PL MB. FEE
ov
PERMIT NO.
387423
Job Address T
i�
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Space
�.
Zip
O er
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Community
(,
Valuation
O I -I
Date
Dist.
1
Off.
F.C.C.
MH.Permit Fee s
Micro Film Fee
Cops
Useof Permit
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Parcel No.
/
se/Case No.
Ck. By
Mech. Fee Dbl $
Pl. Ck. Fee
Set Backs
Lot Size
Ori
Construction Fee Dbl $ `,
Legal Description ,
C. jV /4. l,-} i� �' �3
�%,., c••f A T
F •.,
5
S •6 `�,.
tJ+
R n
G/
Electrical Fee Dbl $
Zone Restrictions
•-
Group
TypeV
SMI Fee $
Plumbing Fee
Dbl $ --719
Bond Amt.
$
Plan No.
Plan Checker
~
Final Dote -N
Insp dor
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender
Broich
Supplimental Permit Numbers .
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee $ '
Reinsp: Fee
$
Owner/Agent
Tel.
Zip
lotol Fees
$
Addressr
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City
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M.O.\D N.C. 0 C.,hn Check,
f bceived by
��
ctar
wl '",.
Tel.
y
LicenseN
Trees required •
Sewage System
V
Add ss
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9
C. Zip
r
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Sewer District
p?orm 284-208 (Rev.8/78) P s
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 f
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.
`•. f IIUILUI114110 YCKMII r
PERMIT NO. DEPARTMENT OF BUILDING &SAFETY
38742.3
Sq COUNTY OF RIVERSIDE
FIELD M11
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
Job Address Space Zip
NO. PLUMBING FEES
IST FL.
SQ. FT. @ $
UNITS
r'►-�-� 4 --nom
219D. FL.
f POR.
~; GAR.
SQ. FT. @
YARD SPKLR SYSTEM
1
SQ. FT. @ MOBILEHOME SVC. BAR SINK
SQ. FT. @ POWER OUTLET ROOF DRAINS
' CAR P.
SQ. FT. @
'
Dist.
Off.
DRAINAGE PIPING
MH.Permit Fee
WALL
SQ. FT. @'
�
d
$ � � a �
J''r
DRINKING FOUNTAIN
'
SQ. FT. @
ESTIMATED. CONSTRUCTION VALUATION S
Micro Film Fee
Cop $
URINAL
WATER PIPING
Parcel No.
NOTE: Not to be used as property tax valuation
Ck. By
SWIM POOL, PVT
Dbl $
FLOOR DRAIN
��''22,,
x.31 .Q .,� �llb"'' ( �. ". y 4,k�-5011
MECHANICAL FEES
fse/Case
�/�
SWIM POOL, COMM
PI. Ck. Fee
WATER SOFTENER
+
VENT SYSTEM FAN EVAP. COOL HOOD
U 0
SIGN
Construction Fee
WASHER (AUTO)(DISH)
yr
APPLIANCE DRYER
F S f S j^
R 4.a
GARBAGE DISPOSAL
Electrical Fee
FURNACE UNIT WALL FLOOR SUSPENDED
tw
C,y�}
Zone Restrict 'ons
LAUNDRY TRAY
'AL:.490
Type
AIR HANDLING UNIT CFM
$
IDLE METER
11
� 1 •:L.. Q i
KITCHEN SINK
"
ABSORPTION SYSTEM B.T.U.
Plumbing Fee
TEMP USE PERMIT SVC
WATER CLOSET
tPl.. Na.
COMPRESSOR HP
Final Dat
POLE,TEMP/PERM
nit
LAVATORY
P r`
HEATING SYSTEM FORCED GRAVITY
8
AMPERES SERV ENT
f SHOWER
BOILER B.T.U.
Demol. Fee
SQ. FT. @ c
BATH TUB
Suppli mVA Permit Numbers
SQ. FT. @ c
$
WATER HEATER
SQ. FT. RESID @I'/,,:
$
SEWAGE DISPOSAL
Address City Zip
SQ. FT. GAR @ '/. c
$
HOUSE SEWER
Reinsp. Fee
$
GAS PIPING
Owner/Agent
PERMIT FEE
Zip
PERMIT FEE
PERMIT FEE
�C)
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
AMR FEE
IrPL. CK. FEE
CONST. FEE E
. FEE
SMI FEE
/
FEE PL
B. FEE
UE,
PERMIT NO.
Job Address Space Zip
Owner
r'►-�-� 4 --nom
37423
I
1
Community
Valuation
Date
Dist.
Off.
F.C.C.
MH.Permit Fee
Is
�
d
$ � � a �
J''r
It
'
Micro Film Fee
Cop $
Use of Permit '
Parcel No.
No.
Ck. By
Mech. Fee
Dbl $
��''22,,
x.31 .Q .,� �llb"'' ( �. ". y 4,k�-5011
r,., �.
fse/Case
�/�
PI. Ck. Fee
$
+
,,,t _ R. ,� ,,.
Set Backs
Lot Size
Construction Fee
Dbl $
yr
Lega escription
F S f S j^
R 4.a
Electrical Fee
Dbl $ .
tw
C,y�}
Zone Restrict 'ons
Group
'AL:.490
Type
SMI Fee
$
r j.;,�
11
� 1 •:L.. Q i
Plumbing Fee
Dbl $
Bond Amt.
tPl.. Na.
Pan Checker
Final Dat
Inspector
nit
Sp. Insp. Fee
$
8
L Q
Demol. Fee
$
Const. Lender Branch
Suppli mVA Permit Numbers
Registr. Fee
$
Mileage Fee:.
$
Address City Zip
Witness Fee'
$
Reinsp. Fee
$
Owner/Agent
Tel.
Zip
ZipXI
Total Fees
FT
Address
City
' M -O`.
N.C. Cash
Checf
i
;/i Ja.�P �' , •--•• +_-..%•
,
•Received by
actor tit ✓ ~-
Tel.
Trees required
•/' -7
Sewage System
Addr ss - �'"
t
Ci Zip
\
' T
LL
P
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.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THELAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. M.
-
c
,a
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev.B/78) p s
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
Ftgs 8 Frms
/ D
u
34
Plenums 8 Ducts
2A
Slab Grade
vt
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 —% �6 ! �.ysJTr
10A
Fireplace
T.O. E]
No ADDITIONAL INFORMATION
f _
6
"-' - ' _ -` ' " • — - _ _ , .
-
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath Z ^/O" J00
12 Internal Lath
12A Drywall '2- �- >� -7—
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb - — O -
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
_ /stL.
�� ?�
•
Tank Pit L.Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
PSL
-
¢f�
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final 3 _/46
STREET NAME
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4 ! ! /!'�='-�``li Z�jP P/RKI G i I ..R�Tb� Bet�QBC�.+re'
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pECpRDED `ice ^,�xNT B1.G t
� `y'i 'YARD � '�o�o , 'OF ! t .
`YIARD . `~� :SE18%
d�ly�
APPRpVEDE'D�V�SEp}1 ;
-AND
coUTr OF RIVE
DEPARTMENT OF
I I NG. & SqkFETY i i - 77-. pis �oT.��,eo:.c.q Q�rwT�9. e7
VED
kppDA
ra I of these' lans shall not be tdnstrued to ba i' 1 • 1" ' 1
L p�Ymit for, or an approval of; any violation of,an or ; i J I i !`
�I I prgv,signs;of the state or c nn,}}yy hh�� Y
glans m+tsl,pe keoit on the loot uhtllrcomoleti� �� ,
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11
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT
Permit No
t .' � .-�ST•Sl/ tel'
284 199 9/74 1V CANARY—FILE, PINK—APPLICANT
Owner ht� JOIJArchitect Contr r/i/ ,v � /
Address Address Address Ad �Jr��Aiv.11-��X��e
City a?zA C�A7City_ City�''.//rY1
Phone Phone Phone z 66 dy
01
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
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 laws of 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 SPACE NO.
/ I USE OF STRUCTURE
k5 erc o
4`
JOB ADDRESS v ,I-/—_ 1
SINGLE FAMILY DUPLEX
Z H
LE L ESC IP IONJQE3PR0 ERTY 77 7 — Via— �� q RTMENTS AGRIC. ❑
W
0.4
.7 sem,_ 3i�
Yf -'"COMMERCIAL INDUSTRIAL n
GC'
COMMUNITY ! ,'L/ALTERATIONS ❑
Z
NO. OF SUBMITTED'PLANS — USE OF PE MIT
CASE NO.
p Z
0
J
N0. OF P KING SPA CES REQUIRED _ N0. OF BUILDINGS NOW XISTIttFG or
ZON ETBA.C'KS: FRONT ( SIDE (/MV) -{t�—EAR
M
GRADING PERMIT REQUIRED? YES EJ NO ❑ LOT SIZ
SETBACK ORDINANCE _— OF FEET REQUIRED ON STREET
DATESIGNATURE OF LAND USE OF FI CIA
F
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET -- —
z
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
oc
i
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
W
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
D
C
IMPROVEMENT? YES ❑ NO ❑
°C
DATE _ SIGNATURE OF ROAD DEPT. OFFICIAL
S
SWIMMING POOLS PUBLIC
-~+ d
SEWAGE DISPOSAL n Cl/J(di' 8�
FOOD ESTABLISHMENT l�/,Ap
_
WATER POLLUTION _ REMARKS
-
�n FLOOD CONTROL A—
z AIR POLLUTION
_ HDIV OF HWY f
at — _ YOUR PROPERTY MAY BE SUBJECT TO
d
o FLOOD. RIVERSIDE COUNTY ASSUMES
'a NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199 9/74 1V CANARY—FILE, PINK—APPLICANT