387452 (ELEC)BUILDING PERMIT '
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD DST
387452
COUNTY'OF RIVERSIDE I I l l
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FESS
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
'WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
Zip
SQ. FT. @
YARD SPKLR SYSTEM
SQ FT @ MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OLTLET
ROOF DRAINS
SQ. FT. @'
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Lot Size:
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
S S R
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET r
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
SQ. FT. @ c
WATER HEATER
Demol. Fee
SQ. FT. RESID @I'/, c
SEWAGE DISPOSAL
Const. Lender Branch
'+
•' + ^.r d
•�
SC. FT. GAR @ 1/. c
HOUSE SEWER
Registr. Fee E
Mileage Fee §
AddZip
ress J .i` ff
GAS PIPING
PERMIT FEE
$ -
PERMIT FEE
PERMIT FEE
DBL.
TAL S.)
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
FOONST. FEE ELECT. FEf
SMI FEE
FEE PLUMB. FEE
PERMIT NO.�
1387452
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Job AddressSpace
-
Zip
Owner
Y.A
Community
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Valuation
$
Daft r. • �
Di�t.
F.C.C.
MH.Permit Fee E
Micro Film Fee
Cop $
Use
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\ Q
Parc I No. l
Use /Case
No.
Ck.
P
Mech. Fee Dbl $
PI. Ck. Fee §
Set Backs
Lot Size:
Construction Fee Dbl E
Legal Description f
{{ee
A, •'~
S S R
Electrical Fee Dbl $
Zone R tri ions
Group
Type
SMI Fee $
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
-
fonChecker
Final Dat
L� ro
Ins p o
Unit
Sp. Insp. Fee §
Demol. Fee
$
Const. Lender Branch
'+
•' + ^.r d
•�
SupPlim n Permit Numbers
14
Registr. Fee E
Mileage Fee §
AddZip
ress J .i` ff
Witness Fee $!
Reinsp. Fee
$ -
Ownet/
fA�JpprJ�J� I�
Tel.
Zip
Total Fees
� M.O.
$
C. [I C.shO Check
AF/
Address
.City
Zip
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Sewage System("
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Sewer District
Form 284-208 (Rev.8/78) P s
IL, - r - — .4 -
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
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
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.
verified by: 61
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTl)R
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 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.
43
Final
IDA
Fireplace
T. 0.
FI
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 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
P/L
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/
i
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 A BUILDING PERMIT / 1
DISTRICT
APPLICATION TO CONSTRUCT Permit No
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE / z� ////'/
284 199A 9/74 •�� ~� CANARY—FILE, PINK—APPLICANT
Owner �-� Architect_ __ _ Contracto�(� v G
_
Addres�
Addr dress___
• Cit _ City_— City—
Phone Phone Phone—NM/4
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I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and
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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 n wit 'n the y /W
O
without an encroachment permit.
NOW, therefore, it is agreed that I (we) will not occupy said property and will not cause said prop y to d u ve
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 ' ted Below
Must Be Obtained Prior to the Issuing of a Constru ion Permit.
I SPACE NO.
��1��//_ USE OF STRUCTURE
rn�L2�
JOB
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ADDRESS _(� _ SINGLE FAMILY [] DUPLEX
LEGAL E C TI N 0 PROPERTY ..;
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COMMERCIAL / INDUSTRIAL
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COM NITY .
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SUBMITTED PLANS USE F PERMIT—d-
N0. OF —
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,/�LT�RATIONS
CASE NO. __, l_--_/_.�//
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NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING
Q o
Z0NE—SETBACKS: FRONT SIDE REAR
J m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE OF FEET REQUIRED ON — TREET
DATE/ -1;2 _0"— SIGNATURE OF LAND USE OFFICIA _ -
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET—_ _
t
W
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
f -
o
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
W
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT F IVE EET
IMPROVEMENT? YES ❑ ' NO ❑
0
o�
DATE _ SIGNATURE OF ROAD DEPT. OFFI
=
SWIMMING POOLS PUBLIC
WSEWAGE
DISPOSAL
_
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
AA FLOOD CONTROL
I-
W AIR POLLUTION
_ DIV OF HWY
t -
c YOUR PROPERTY MAY BE SUBJECT TO
cc —
e c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 •�� ~� CANARY—FILE, PINK—APPLICANT
BUILDING PERMIT
PERMIT NO.
'387452
PERMIT NO.
387452
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
Zip
FIELD OFFICE
DST
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
Dal
e � go
!}�
NO. PLUMBING FEES
IST FL.
2
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
Micro Film Fee
Copl$
SQ: FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT, @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
Type
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
Bond Amt.
$
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
Ins pec r _
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Demol. Fee
$
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED,
Registr. Fee $
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
Reinsp. Fee
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
Zip
WATER CLOSET
COMPRESSOR HP
POLE,TEMP/PERM
ddress
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ <
Trees required
BATH TUB
^
�Cjllr/I{ir
SQ. FT. @ t
y
Cit ,p J�
WATER HEATER
SQ. FT. RESID @1'/.t
SEWAGE DISPOSAL
SQ. FT. GAR @ 3/. c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.O
TAL iIES�
1 � rl✓
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE
ELECT. F
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
'387452
Job Address
-ot �M
Space
Zip
Owner �y
---ry
Community ['
p
\A\ � 1
Valuation
$
Dal
e � go
!}�
Di t.
F.C.C.
MH.Permit Fee $
Micro Film Fee
Copl$
Use of Permit
,0( :✓" +"�+•+'Y" `.
.
Parcel No7-3-30:
/ ~ 3.,30.��1" (;
Use/Case No.
Ck. B
'
Mach. Fee Dill $
PI. Ck. Fee $
Set Backs
Lot Size
.'
Construction Fee Dbl E
Legal Description
\ '�i! V ks'T
` �(! 1 ry
1
F S
S R
Electrical Fee Dbl $
Zone R to ions
�'
Group
Type
SMI Fee
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Final Date /�
- L —gj"
Ins pec r _
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lenderf��. Branch
/,- `
Supplimentol Permit Numbers
�. ._
Registr. Fee $
Mileage Fee $
Address i Zip y
Witness Fee $
Reinsp. Fee
$
O ner/ V.
Tel.
Zip
Total Fees
M.O.
$
Cash Check
ddress
City
Zip
ReceivellkQSJ ill,,M
C tr c o' �,
��
Tel_341e r S��./ „
fti�.•'.rw.�/`).,_
LicenseN
Trees required
Sewage System
^
�Cjllr/I{ir
Addre
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y
Cit ,p J�
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 '
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
y l; ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Form 284.268 (Rev.808) 05