189902 (RPL)VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
DEPARTMENT OF BUILDING & SAFETY
• COUNTY OF RIVERSIDE 0
FIELD OFFICE
JOB ADDRESS OWNER
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
1st FI.
2nd FI.
Par.
Gar.
Car P.
W/QII
G�iT �jf
•}
Sq. Ft. @
NO. NO.
GARBAGE DISPOSAL
Sq. Ft. @
Sq. Ft. @
OUTLETS
Sq. Ft. @ POLES
Sq. Ft. @ SIGNS
DRAINAGE PIPING
TRANS. AND/
Sq. Ft. @ OR T. CLK.
DRINKING FOUNTAIN
Sq. Ft. @ lei�a MOTOR H. P. (rte
URINAL
MOTOR H. P.
WATER PIPING
ESTIMATED VALUATION Is
J o(1 MOTOR H. P.
FLOOR DRAIN
!!!
MECHANICAL FEES
MOTOR H. P.
WATER'SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
MOTOR
H. P.
JOB ADDRESS OWNER
WASHER (AUTO) (DISH)
APPLIANCE
FIXTURES
�y
ry/(%
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
OUTLETS
USE OF DATE '
LAUNDRY TRAY
_BUILDING
AIR HANDLING UNIT
SUB -PANEL
KITCHEN SINK
CHECKED BY
GAS PIPE ❑ NATURAM ❑ L.P.G. ❑ OIL
F.C.
UNITS
WATER CLOSET
COMPRESSOR OHP
RANGE AND/OR
OVEN
LAVATORY
J
MECHANICAL FEE $
APPLIANCE VENT
WATER HEATER
SHOWER
ABSORPTION SYSTEM F B.T.U.
SPACE HEATER
-dRPOP
TYPE
BATH TUB
PERMIT
INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
CONSTRUCTION
POLE
WATER HEATER
/
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SERVICE ENTRANCE
SEWAGE DISPOSAL
CONSTRUCTION FEE $'�/
�I
BOILER L._--_ B.T.U.
RESID. 1Q SO.
FT.
t
PERMIT FEE
GARAGE zQ SO.
FT.
GAS PIPING
PLAN CHECKER
PERMIT FEE
CASH
J:1V
PERMIT FEE
INSPECTOR -
4=40
P4 RbTI
r \(
REN. DBL. ITOTALf`�.FFEES HEAT & VENT FEE PLN. CK. FEE lCONST,^�fFEE ELEC. FEE PLUMB. FEE
J
c M A M J J A G'•^'� S O N D
SET BACK
LOT SIZE
USE 4
JOB ADDRESS OWNER
F
USE OF DATE '
iZONE
_BUILDING
PLAN CHECK FEE $
CHECKED BY
COMMUNITYDISTRICT
F.C.
UNITS
VALyU/AT IIOON�� OFFICE
J
MECHANICAL FEE $
-dRPOP
TYPE
LEGAL DESCRIPTION
PERMIT
NUMBER
/
89902
CONSTRUCTION FEE $'�/
/ %� ,�!
ELECTRICAL FEE $
f/
SPEC.INSP.
SUPP. TO PERMIT
PLAN CHECKER
BOND $ 1 BOND
CASH
PLAN FILE #
FINAL DATE
INSPECTOR -
i
PLUMBING FEE $�
a 3 ' 71
�,1,4_ci�.�
. TOTAL FEES
$ c3
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED
j
V
WITHIN 60 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO
CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS
CASH CHECK M.O. I I N.C. I
RECEIVED BY
SEWAGE SYSTEM
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON-
TRACTORS IS ALSO GUARANTEED.
NAME OF CONSTRUCTION
LENDER
OWNER
CONTRACTOR
BRANCH OFFICE
I ] 1
!
ADDRESS
.....J}I
IJ
ADDRESS
ADDRE S • 'I
CITY
STATE
NO LENDER INVOLVED
N FO RMATI ON
(
TEL. NO.
TEL. NO.
LICENSE NO.
284.208 12/68
OEPARTIAENT 00 BUILDING & SAFEW
COUNTY 9f RIVERSIDE
ELXCTMi0A?_ FIE=
POLMA
cwAwIc^L
moyc"I H.P.
so cho
ORAImAGZ PIPING
942TOR" M.P. WAONXX (TI lols")
0
owmainG FOUNTAIN
IAarOR •. 11.91.
URINAL
f,
WATER PIPING
LAUNDRY TRAY
",krix - - - -
I'Leaft GRAIN
z�.l
cwAwIc^L
moyc"I H.P.
a _7•
942TOR" M.P. WAONXX (TI lols")
FIXTURES bouro.AL
CC1.4CIT4I4iALAl'it:06X0 510a00iNO . EDOUTI;ST*
LAUNDRY TRAY
'AIfl.'Mh=LtRQ UNIT
IJUb-PAUEL RITCHCH SIR%
'1311ATURAL ElL.P.G. DOIL
WATER CL03C?
up
'co 16000coopso• Q=_
mAmoc 06m0tolt Ovem 1.Av^ToRT
WATER HEATC04
A"*NpTtcu ovallam B.T.U.
IlIfACIE HICAUR BATH TUD
issejoicapion oameart c 13-icious. 13 caksm.
CONSTRI-CTION "L9 WATER KI!4TXR
-HjjAT;N& 2V2-XI1 13 Oc*ccp 13 CRAViTT
SIRViCt <RANCE SEWAGE QISPO3^L
Rc31o.-If go. CT.
I r rX9
GARAGE if ofi. rY. GA3 PIPING
pellml. FRZ
FEN. 109L. TOTAL FQRA HES a ax? orcel On 3 T. Ve
2-6
I,_
1A
SET INACK J.DT SIZE USE a
I J, JA 0 11 0
joll AOUACSS n> A
F QA JR
ZONE
j:re
z
LDING DATE
-D 40
AEW
PLA14 CCK FEE Z
cmmcnto by
CMT ITY DISTRICT I F.C. IUMITS VALVA ION OFFICE
*ACCNAXfCflk.JEFF_ IL
oR P I YOE
Z.4;
Lg'.;AL 093CR-PTIOR
199' 0
comalnucylom Fitz s
•surp.
AQ
spwc. 11-13P.
TO PcmL.IT
-CLECTPICAL IrIKE
zp�
•
PLAN LYECKl.1
GOND S LONP
CA151-
PLAN FILE R
Irl"AL OATf.
161"ItcTom
PLUMBING FICK 16
TOTAL FEES 6!.40
THIS PERMIT SHALI, BECOME VOID IF WORK IS NOT COMMENCED
20
WITHIN 60 DAYS. CESSATION OF WORK FOR 1DAYS SMALL ALSO
CA$H CHOCK wo. NiC.
CAUSE PERMIT TV BECOME VOID.
I HEREBY AGqf-E THAT ALL WORI' IN CONNECTION WITH THIS
191WAQM SYSTEM
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
IF
-
EMPLOYEES. COMPLI.;
CARRY COMPENSATION INSURANCE UPON -MY fz
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON-
TRACTORS IS ALSO GUARANTEED.
14AH6• AycTIRALsmogg.,
Owlitil CONTRACTOR
• . =Z73CM
A eamnjifs—
-2
14L;', 7J Aiwje
DEPARTMENT OF BUILDING & SAFETY
,t A� iT ., COUNTY OF RIVERSIDE- S
t�ST-Ruc. NE MSTIMATfrt ER.RC'rRiCRI. !71�L'rS
• 6 . .... .. w...
•-�}t}. •%:.L`• `= �(SIL f ►. � ...m-�ew,m�aoP•�as NO. t
SQ. Ft.
-
G,�Oii;�c "` • : r . Zq; Ft. {i 's1GNo - ..
TRANS. A"/
OR T. CLIC. _
. �rAi�.,'� E•`t SII;• i�t'•.Y' _...� _
f1. t .. _
MOTOR,
yN.P.
"-�yLLLj IirlJl n�G�,••IRL�`Y4S�I'1-. .... ,i 'F' .. ��r3.• ,MOTOR N.P.
.�
•MlrCI±IAHIGAE.•la m6TOR
-'..z •V[NI•DK/7LM ,I�riH :��YAP, BOOL :CI H000- MOTOR N.P. '
. :it4PLMMCC�•'::~ - - - - -
FIXTURES ..
{: ., .FIjR'p1►CCQ VIIIYI311tALV�'1'LOOR�bUSPtl1OCD
OY'1'LLTb '
PLN. CK. FLE
SUt-PAHCL
- D ISATURAL D LL,P.OG.. COIL ` .
-
.t,-%COMPRLDSOR ( - �Rp
..
Aarte ulQ/or'rsrn
APPLIANCC.TLNT
WATER BCATCA
AOSOR►Tl :N,8TS7LN O.T.U.
3PACC MCA ICR -
' 'INCINERATOR DOML/TIC CJ /HOV9. 17 COMM.
,1
•'t
CONSTRUCTION POLL
! .NLATINQ.DY07LM U VM:C[O D ORAV'TY
SEgViCt CNT•NAI.CT
' ••029L" B.T.U.
VLOIO. It Ga. TT.
' :PTRMIT r8C�
r•
GARAGE IS VO. rr.
• 1 - 1
P?IIn11T rtK
PLUMBING (7EF,S_
DN{iii.Il D rocleiAlN
JRIHAL �-
nA7L► !•SPIIIQ •
FLOON �RAiM
FATQR' DOPTCNCR
WASNQK (AUTO) • tDIDN)
cAa9AItE DlrPosAc
LAUNDIIr TRAY
KITCNLN SINK _r
WATER CLOUCT
LAVATORY -•'�..r,
SNOW iR
BATA TUR
WATCR NCATCII
"DCWACt OISPA3AL
. . I J
CA& PIPING I -
• ' I ' PCA -IT PCL J �)
TOTAL FEE:
`CASH• CNRCK
-RCC 61VC0 OY
THIS PERMIT SHALL BECOME VOID IF WORAMT COMMENCED
WITHIN 60 DAYS. CESSATION OF WORK FOR 120 DAYS :HALL ALSO
CAUSE PERMIT TO B[r'OME VOID,
I HEREBY AGREE THAI ALL WORK IN CONNECTION WITH TH-S
PERMIT WILL. BE DONE 1N ACCORDANCE WITH THE LAWS OF RIVO-
SIDE COUNTY AND THE STATE OF -CALIFORNIA. t ALSO AGREE TO
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCC WITH LAWS OF THE STATE OF CALIFORVIA COVERING CON-
TRACTORS IS ALSO GUARANTEED.
R[H.
ORL. TOTAL ILC[
NFAT 6 VDIT FEE
PLN. CK. FLE
COHb/. CCC
[LTC. FCC PLUMS. PCC
O,
J
SLY SACK LOT 31ZC
U=[ R
J00 A,I08CS3 OWNER
'•
1 l
20NC
OATC
US yr suma1HGT^rI
PLAN C'4 LK FEES
'3
�
i•'
�L gid.
MHGMAliiCAL FBB L
CNLCKC) BY
!moi �_�
`,�� ��/
CO/M)UNITY .�/ stSTal07 F.:. VIII" VALUATION OIFIL[
"> •. } J l�__ f/ 1. '•• +�` �.
�...��
w P• Yrs
Le—q,— L-.aCRV7IOK PEfiM1T UUMSS^R
:C0i4$TfgtICT10N VICE
SPLC. wbP.
- ! 11UPP. TO NCRMIT
ELEC-iRICAL FEES
t= t l
or
l / '.
- -
PLAN C14LCKCR
SOHO f BOND
CASH
PLAN rILC 'b rIHAL *Art IN3PLt TOR
,PLUMBING PSL' S
TOTAL FEE:
`CASH• CNRCK
-RCC 61VC0 OY
THIS PERMIT SHALL BECOME VOID IF WORAMT COMMENCED
WITHIN 60 DAYS. CESSATION OF WORK FOR 120 DAYS :HALL ALSO
CAUSE PERMIT TO B[r'OME VOID,
I HEREBY AGREE THAI ALL WORK IN CONNECTION WITH TH-S
PERMIT WILL. BE DONE 1N ACCORDANCE WITH THE LAWS OF RIVO-
SIDE COUNTY AND THE STATE OF -CALIFORNIA. t ALSO AGREE TO
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCC WITH LAWS OF THE STATE OF CALIFORVIA COVERING CON-
TRACTORS IS ALSO GUARANTEED.
G*%�Ot<8fti�TiON- CATS " tNSPECTOf? NQ. OPERwTfON" OATS TOR:
lidmLpltw, 'APePROVA' - MUCHANICAL APPROVALS
i13t%'=,`•So4 @acts �j _ %1 t• j 33 Vcnt&*iu+ 44MA 1 —
-J-12V, :Ft* 3 Fans �j ; 'i/ 34
Plenums Et Ducts
35 F4moeo Comprirt.
:y '`il 1,kis & Outlets ,<
y`•K� F _ip,,,� ��Q�,-�r�+,.+.... ". �+•... ` , �.��' • _• —� _ _�. w+�--tom. �..--sem
�r�;i.~ �,$aitmilry�:_ '1 ' ~; �-- • •• :39:•.,,:.ipp•� I:'C(sa ••'t:e' .�_- _ - _.,�
���`•'; �17 its '� :.:-'�. _ .. _ - - d0'. : �tt::�Ban+pei - -
fsu . Giisre Fira.11►QIF 4i Smofi-e p kdfloebsvtcs
repIQ ' P/L 'T/O 44 CoiecneriSol tlo6d
11:` i rr1*fi+esla{ lath. /3
'Tdte• mol Lstia'•: ko PROGRESS CHECKS
.l3" Eztecicr de-
'
PLUMBING APPROVALS `-
15 Ground Plurno
lb Water Piping _
17 Rough Plumb
19 Sewage disposal" -- --------•-
2iT Sewer
;31 Water Heater i
37 Water S-4teror
23 'hater Service
2S Gas'Tast
25 Final
k I _=
2
ELECTRICAL APPROVALS
Sano Pit L um i
. 26 frmerLQ'
'27, •••Conduit. j L jSEWER DISPOSAL LOCATION `
:, Se{vice Entrance.
'29 Wiring f
30 .. ' Filatures•
1 CR
X31 Spry{Ce _ A R t
.Pinel`—'—
_ it
T"
~ - s l .1 •. � tet••' - �•� _ %`• - •^�•••S- l
r t
y'
'. _'�-'1l•..t_ �Y�:.:•�i��_�•. ._ w �_. n .1�� ._ .... �. _..•! _ .. _ -. ♦ - A_ •_ ._-lY�•' •' .. .1� .. �:f �-, �]`i. - _ .. ..�}_• ._..-.�'4.ifrid•!•r.:.fi �:l•ii�i?<taifi•%ltf •����M��
3 ` .Y�, �S ham, � M•J• W w'y. - _ � l • �•
� s-
ill
'.
illaSt-• � 1
i ,r,: ;,; ; ;• :NOLICIE: 'r!b[S I5'T�iq%A`.�filt4lDiFt� �'RAAt37 DIst.OfNc-
AppuL ;knom To.. 5:'lklJt7'' P6rmit No
��--; •, � -- - - -- -.:r-.- .. nsp�lt�EtP��:� 8141 • iiiG•'At{D'SA�� —. .._._,_.... _' ..
,� .. - � � - _ . t7C�til+i'CY Int+• �bYl��ag. .
1-{: -;.� ;:/-.:i - '• '•.• ,.A"iteLf _ •COntrxtl>t �_. `.
=� r' } ._ ,JAI
J'--•'• Ji {•1K/ii�.' 'ter _ I�U{/rQSS • _-+
?�,�? L �- , ;f�-1 • . '_4:
{n `i J• :j[�I��'�,�ii .,: iGw. - ��-• •. ,�: -.. •..'.i : _''T- :'1 : :'1?'' 't y _
e)-liid.ai6e:?aG;>ad, t!aiebY•ceitify� end aEiii�owlaEye=tDet 1'(wol�Iwe�teaG.tha epplkatiotr 'in"d aorw,.Met if Curb &W Gu ter, ar-A
o _+Bey:raQu, byS: 13ui1duq end •Safi)!
L Z -y PivinC,"a++d or Oetlicsltori ;iif d' fit'of fi iiQd the;�ourit� of 'ttiveieldn: •tt►a.'Riverslds rrots�ty-D�witrra�t of
-'P-Ahall ridt maba:a fi+vt,l�iKieyUcn'rintll se�:idpultaenenM have b4rlei•:rnct• •1_im a3io'-aware that ro work u fo be dens arltidn rha Can1Y R/W.
drlte,m,y=ritisirioeeini+aTt carroh� -
", 3i:i:: fVOw,.therriforr, It. It aprgii".,64 1-oio-.iv-0-:ctrirry:iidd nnd-m4prat cause aelil love oaupivdpidis I -(wet hale:
all lqm at• ow Corir tY of Riroial6o end_Iha.Stelb ; Ci+lllloinlo_goygmu ia!d pro • 1 s
v I; S GN,�TIJRi OF OSNER A. i_d
R AGE T
• '=:, '" a o v• ' • �Ay wwM bp-ralfresh -fik ro;uk riaq-, vejafraarrb- Lfsled •5^!ow
s�. ;����•�;;•, � _ •ti�.rut•81r lilitde�ad•Priav io ttsd'Esavbe9;of s f,:oe:ltit�lew'laelk. .
_4p 114,
USE OF STRUCTURE
LOCA:{ICN OF 108"€ /
- .'--'•� ' SINGLE FAMILY 2f DUPLEX [j
L%QA . Drs RIP 'ON OF Pt(OPERTY �C3fl�_ ' APARTMENTS AGRIt. cl
f I c �� COMMERCIAL ❑ INDUSTRIAL13
y '!r COMMUNITY � /�" j"""'i ALTERATIONS - 0
a Z NO. OF SUBMITTED PLANS — TYPE OF CONSTRUCTIONas
----
• t7 CASE NO.
Z
NO. OF PA NG SPACES REQUIRED __.."O. OF BUILDINGS NOW�ISTING — ---
f
Z z61Ai! ._3.' - :—.SETBACKS FRONT_ SIDE 2 REAR r
r.c
sus : GRADING PERMIT REQUIRED YES ❑ NO ❑
SETBACK ORDINAN E N OF FEET REQUIRED ON 9e -- ST ET
GATE- • SIGNATURE OF LAND USE.OFFICIA_
DEDICATION RE'QUIREC: YES ❑ NO ❑ NO. OF FEET
w CURB ANDvUi'i"ER REQUIRED: YES ❑ NO ❑
X
- THE ABOVE CONSTRUCTION? EYES,;❑ NO ❑
C,4N CURB AND GUTTER FEASIBLY RE INSTALLED? YES ❑ NO [!
R . RAS AN' ACCEPTrAISLE APPLICATION BEEN MADE FOR ENC_ ROACHMEkT PERMIT FOR DRIVEWAY AND SHEET
IMPROYFldlENT? Y ❑ NO ❑
r•.
DATE SIGNATURE OF =ROAD DEPT. OFFICIAL
!" SkIIIAMJKG POOLS PUBLIC
"SEWAGE Dlsp? Al_ r
'- y. A ' •• FOOD ,E$TAB! lSNM£N'(`: - l :i `�' - .
-
wAr_
POLLUTION = :,'• REMi1R10 - - — ---
P(it:LUTIDhi -,
J=�79V4E if�PY �;� si•' I••' .�•. _
,=V' A_ may.+YYi T� �;�tt /���� t f ��1�•� _ J�,'l _. .i, •�[�/�(/� �.y ��(.l at�
�=fi•�.!:L
�7ij!r >7i 4h'_,5 ~ •Iir::dE)3s+. i. M-,`�- _fY .1' � �- n �.l'-�-n �r'y;�{.`. "_.A�HG�ib�.I.;1.`��:�i�T-- �M►1.t.y�=x� r; �.•_.
.v _c'��i-�J ;+Y. - _ _ i�1_ `'. ���:•��� M�.x1 ::^. ..-%.'1 �:131,`•:`.`•7!�ea fN l'i'S ^i:h� .ih<"„S:�' e. :n�:.F�9 S��2 J; •'1•.�,,,t :�.:•:i
a,T.:• Q..�S'�nw�.�f•�'": 1C^rn'.d�r1_r.Jr:y:.oci�Rr�-.-..�x.r.•,i: .- ..-.. :. ,. ....-.-.. ran...,�_.......:-•:.-,.-. �...3�.5`.'«�'-`;��ii��:._r'i!`.7��5.'��'£�_it�S•5.---f�--=-