398344 (RPL)BUILDING PERMIT
PERMIT NO.
PERMIT NO.
Job Address
`
DEPARTMENT OF BUILDING & SAFETY
-
Space
I Zip
Owner
9 8344
COUNTY OF RIVERSIDE
FIELD
rnMvnh
DST
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINrG FEES
1ST FL. SQ. FT..@ $
UNITS
MH Permit Fee $$
Micro Film Fee Cop $
2ND. FL. SQ. FT. @
-
C )
YARD SPKLR SYSTEM
%rce No.
POR. SQ. FT. @
MOBILE HOME SVC.
BAR SINK
Ck. '
GAR. SQ. FT. @
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT. @ '
L gal We iption
DRAINAGE PIPING
"
WALL SO. FT. @ -
S
DRINKING FOUNTAIN
R
��' SQ. FT. @
,IM"ATED
+ �:(,
URINAL
NST CTION VALUATION $
r 1
WATER PIPING
NOTE: Not to be used as property tax valuation
&14,SWIMPOOL, PVT
+ FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
Type
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
Fin
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
Sp. Insp. Fee $ Al
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
Corsi. Lender
HEATING SYSTEM ' FORCED GRAVITY
AMPERES SERV ENT
SHOWER
Permit
BOILER B.T.U.
SQ. FT. @ rt
BATH TUB
Registr. Fee $
Mileage Fee $
SQ. FT. @ a"
WATER HEATER
w
S0. FT. RESID @I t'Ac
SEWAGE DISPOSAL
/
c
S0. FT. GAR @ s/art
HOUSE SEWER
Owner/Agent
•
-
GAS PIPING
sv
PERMIT FEE
PERMIT FEE
-PERMIT FEE
DBI.
TOTAL FEESM
OB. HM. FEE
MICRO'FEE
MECH. FEE Pl. CK: FEE
CONST. FEE
. FEE" SMI FEE
FEE
"P 'FE$.•--
M.O. 0 N.C. ❑ Cosh e
--�•'i7.>f...' J�
% ,••..
rTel.
',
398344-
Job Address
`
-
Space
I Zip
Owner
rnMvnh
% anon
✓t
_
" I,.,�""
'�" �.
•�: 11 'r
MH Permit Fee $$
Micro Film Fee Cop $
se, /mit~
/
-
C )
r
/ �',
%rce No.
7_ 1 74)
Fse/Cosdf"Nit.
Ck. '
Mech. Fee Dbl,
$
PI. Ck. Fee S w-
et Bo s'
Construction Fee Dbl $
L gal We iption
4"4v!:2
F
S
S
R
/
X0.0 e/
^�
Electrical Fee Dbl S
Z eiiriction
Group
Type
SMI Fee
Plumbing Fee Dbl S
A
PI6
Plon Che r
Fin
Ispec
Unit -
Sp. Insp. Fee $ Al
$
Demol. Fee $
Corsi. Lender
Branch
Supplimental
Permit
Numbers
Registr. Fee $
Mileage Fee $
tot
r.UUjn1:U
c
Witness Fee $
Reinsp. Fee S
Owner/Agent
f
Tel.
Zip
_
Total Fees $
Address
/
City
'Zip,
M.O. 0 N.C. ❑ Cosh e
--�•'i7.>f...' J�
% ,••..
rTel.
',
Roceived by
Trees e �
Contractor
` �r^�/+'�,!} rye' s,1�/I'; +'C.• s..Z^
License#
req
/
Sewage System
Ad es /
City
T LL P THIS PERMIT SHALL BECOMOVOID IF WORK IS NOT COMMENgD �GVITArN 120' 'A S.'CESSATIOIG OF WORK verified, by:
Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
•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 INbpVIDUAL WliO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284.208 (Rev. 1/80) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CAUFQRNIA.
Id - ae -go
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
I
2
Set Bock
Ftgs & Frms
S 6 ,. �'�
(��O�C-- •�
33
34.-
Ventilation System
Plenums 8 Ducts 71
2A
Slab Grade
35
Furnace Comport.
3
Steel
- p,
36
37
Inlets & Outlets
Combustion Air
4 Grout Blocks
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 •
Finat ..._ _......_..,_.........
10A
Fireplace T.O.
No
ADDITIONAL INFORMATION
Job G,7 yG
I
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION 'Thick R
Value
7A Walls (Batts)
126 Ceiling (Batts)
12C Ceiling (Blown) r
14 Final S 6
PLUMBING APPROVALS.
-------------
15 Ground Plumb G, LO - pJ
1.6 Water Piping
p
17 Rough Plumb 4 `'Z 6 '0 6
v
18 Vents _
19 Sewage Disposal ,
20 Sewer
21 Water Heater '
22 Water Softener` '
23 Water Service
24 Gas Test , 2
Firibl .
-
Tank Pit L. Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
,._.
P/L P/
�e
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
2�A Grounding Wire
298 Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
`• BUILDING PERMIT
PERMIT NO.
398344
PERMIT NO.
398,344
DEPARTMENT OF'BUILDING & SAFETY
COUNTY OF RIVERSIDE
{
- ..
uafion
$
FIELD OFFICE
DST
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
/
o
NO. PLUMBING FEES
Parcel No.
1ST FL.
• • 2ND. FL.
POR.
GAR.
CAR P.
WALI i
�STI�CONSTKTION
SQ. FT. .@ $
UNITS
Pl. Ck. Fee SSet
Construction Fee Dbl S1.
Electrical Fee Dbl S_astrictions
Bac s lot Size
F - S S R
Group Type
,
Ffel 7p�j�� Inspector Unit
SQ. FT. @ • t - YARD SPKLR SYSTEM
D—ol. Fee S
MOBILEHOME SVC. BAR SINK `
SQ. FT.. @
' -
SO. FT. @' POWER OUTLET - ROOF DRAINS '
Supplimentol Permit Numbers
- -
SO. FT.. @' DRAINAGE PIPING • ^
Mileage Fee g
$Q. FT. @ DRINKING FOUNTAIN
Witness Fee g
A URINAL
Owner/. Agent
VALUATION $ WATER PIPING
NOTE: Not 4o be used as property tax valuation
t �j SWIM POOL, PVT
0
FLOOR DRAIN
MECHANICAL FEES
swim POOL, COMM
Received by
Trees req ve
Sewage System �
WATER SOFTENER
/ (,
•
of
VENT SYSTEM FAN EVAP., COOL HOOD
SIGN
LicehseR
WASHER (AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR , SUSPENDED
'
LAUNDRY TRAY
AIR HANDLING UNIT - CFM
IDLE 'METER -
KITCHEN SINK ,
ABSORPTION SYSTEM B.T.U.
r TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PE.RM
LAVATORY
HEATING SYSTEM. FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
$Q. FT. @ a
BATH TUB
SQ. FT. @ a
WATER HEATER
' t SO. FT. RESID .@ 11/aa
SEWAGE DISPOSAL
S0. FT: GAR @ x/44
HOUSE SEWER
•
GAS PIPING
PERMIT FEE
PERMIT^FEEO
tl)DBL.
PERMIT FEE
TOTAL FEES
MOB. HM. FEE
MICRO FEE
, MECH. FEE PL. CK. FEE
CONST. FEE
59,z I
FEE
SMI FEE
FEE PlU B. FEr-
Uo
PERMIT NO.
398344
.
Job Address -
�-
om ify
-
;
- ..
uafion
$
Space Zip Owner
/�%
��....
IMH Permit Fee S
Micro Film Fee Cop S
'Useff Pomit-
9.1 De ription
and ml.
S
/
o
-
Eh �
Ian Chec er '
Parcel No.
Use/Cosa No.
-
Ck. By
Z2 eJ
Mech. Fee' DbI S
Pl. Ck. Fee SSet
Construction Fee Dbl S1.
Electrical Fee Dbl S_astrictions
Bac s lot Size
F - S S R
Group Type
,
Ffel 7p�j�� Inspector Unit
SMI Fee S'`
Plumbing Fee Dbl $
Sp. Insp. Fee $
D—ol. Fee S
Const. lender
' -
Branch
Supplimentol Permit Numbers
- -
Registr, Fee S
Mileage Fee g
Address • . City . Zip
Witness Fee g
Reinsp. Fee S
Owner/. Agent
Tel_ � Zip ..
Total Fees S
' M.O, C] N.C.0 Cosh ec
Address
City - _ - Zip .
•.
Received by
Trees req ve
Sewage System �
Contractor
Ad ressf
/ (,
•
of
..
Tel..
y -
City -Zip
LicehseR
. T AL P- THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN .120'DAYS. CESSATION OF WORK- 'verified by:
Sewer Disfri6 • FOR 120 DAYS SHALL ALSO CAUSE PERMIT; TO BECOME VOID. r
,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.
15"# EREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284.208 (Rev: -1/80) ACCORDANCE. WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
(Al
9 r- t -i
.> * c
9�a
N)
v
p
M
MEMO==
IN
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
/ COUNTY OF RIVERSIDE
DISTRICT
Permit No
284 199 9/74 CANARY—FILE, PINK—APPLICANT
Owner Architect Contractor A)�¢�.J
/F
Address l ��aJA412 `OAddress Address r �r ��D X a �•- �
City / Cl- ) WEA City— — City
Phone phone Phone/ �r
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 betoc' d until I (we) have
la•
complied with all s oft a 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.
91-- � I SPACE NO. '
��jUSE OF STRUCTURE
JOB ADDRESS I'Q—/__L11_✓ot o�
SINGLE FAMILY DUPLEX
Z t-
LEGAL DESCRIPTION OF PROPERTY /
APARTMENTS AGRIC.
ul
to
N
N
. � COMMERCIAL INDUSTRIAL
CO MM ITY
Cc
ALTERATIONS r� .
Z
NO. OF SUBMITTED PLANS —____ USE OF PERMITLu
'6 Q
CASE NO. 10—
t7
p Z
NO.'OF R`KI G SPACES REQUIRED NO. OF BUILDINGS N W EXISTING _
J�
/j_
ZONW 2 SETBACKS:,' FRONT r�� SIDE 7 REAR
m
- �Z-6
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT'SIZEzi
-
SETBACK 0 DINANCE _— OF FEET REQUIREDON — STREET
DATE SIGNATURE OF LAND USE OFFICIA _
P—
F
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET___'
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ -STREET.
F
-
01
i
. CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO' ❑
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
D
C
IMPROVEMENT? YES ❑ NO ❑
09
DATE SIGNATURE OF ROAD DEPT. OFFICIAL—
x
SWIMMING POOLS PUBLIC
QW
SEWAGE DISPOSAL _
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
�n FLOOD CONTROL `
� W AIR POLLUTION ' t
W DIV OF HWY
o a — YOUR PROPERTY MAY BE SUBJECT Tb
� t
o FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199 9/74 CANARY—FILE, PINK—APPLICANT