385049 (AR)IL I P 1
PERMIT NO.
385�4q
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD
CONSTRUCTION
ESTIMATE
$
NO.
ELECTRICAL FEES
Mech. Fee
NO. PLUMBING FEES `
IST FL.
2ND. FL.
FOR.
GAR.
CAR P.
WAIL
ESTIMATED CONSTRUCTION
SQ. FT. @ i
Tr,`�
Dbl =
UNITS
Dbl f
SMI Fee
$
YARD SPKLR SYSTEM
SQ. FT. @
Dbl $
MOBILEHOME SVC. BAR SINK
SQ. FT. @
a
POWER OUTLET ROOF DRAINS
SQ. FT. @
$
DRAINAGE PIPING
SQ. FT. @
..�
DRINKING FOUNTAIN
SQ. FT. @
$
URINAL
SQ. FT. @
$
VALUATION $ I ,� r { ` ✓ 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 AN EVAP. COOL HOOD`
SIGN
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.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESS& 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
SQ. FT. RESID @1'/.c
y
SEWAGE DISPOSAL
SO. FT. GAR @ s/. c
HOUSE SEWER
GAS PIPING
PERMIT FEE
/"j y
PERMIT FEE -;
PERMIT FEE
t l
DBL.
TOTAL FEES
MOB. HM.
MICRO FEE
MECH. FE
....
PL. CK. FEE
,,,
CONST. FEE ELECT. FEE
SMI FEE
FEE
PLU B. FEE
PERMIT NO.
385049
MH Permit Fee
$
Micro Film Fee
Cop $
Mech. Fee
Dbl $
PI. Ck. Fee
$
Construction Fee
Dbl =
Electrical Fee
Dbl f
SMI Fee
$
Plumbing Fee
Dbl $
Sp. Insp. Fee
a
Dental. Fee
$
Registr. Fee
$
' Mileage Fee
$
Witness Fee
$
Reinso. Fee
s
Total Fees
M.O.
Received by
Trees required
Sewage System
T LL P
Sewer District
Form 284-208 (Rev.8/78)
Job Address
Community J Valuatit
Use of Permit
4e lGr/ / / U % TO
K) (--",, 0(1-• l .
Legal Description
Bond Amt. Plan No. Plan Checker
$
Const. Lender Branch
Address City Zip
Owner/Agent
Spode Zip41: 1 Owner
`/ -� Date
7 ,-
Parcel No. f Us
t! ? 2 c.
Set Backs
F SS 7/ R'
Zone Restrictions Group
Final Date J� Inspector,,L
dr )
Supplimental Permitu ers
Tel.
Dist.
No.
Lot Size , , 2
Type
Unit
By
Zip
Addres City Zip
I
Contractor Tel. License#
r7 rs�.vcc-�t/�
Address Ciry
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
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONN .�
�r CCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFO At
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOV
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
-� -a
33
Ventilation System
2
Ftgs 8 Frms
'k -D
34
Plenums & Ducts
2A
Slab Graded
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
O
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace
P. L.
43
Final
10A
Fireplace
T.O.
NON
-
ADDITIONAL INFORMATION
- - - - -• - - - - - - '- - - - - - -- - - - - - -
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Loth '
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Botts)
12C Ceiling (Blown)
7�
14 Final •�4�'8U
PLUMBING APPROVALS
15 _ _Ground Plumb- - - /
16 Water Piping
17 Rough Plumb Z� I �_87o
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 4 Gas Test
25
Final
Tank Pit L.Line
P/L
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
'Pj
_
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
�f.
STREET NAME
.t
NOT:CE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT
Permit No
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
Owner M li QU i 1/1VT Architect— __ _ Contractor_
Address �^--�Address_Address- 4S --' -
� I
Cty 1� City--- _ City_
Phone Phone _ Phone_:24�3 "3
a
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
shall not make a Final Inspection until said requirements have been met. 1 am also aware that no work is to be done within the County R/W
Q
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 occupi 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 AGEN X
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
7 :5'-_ ISPACE NO.
,I,/Q USE OF STRUCTURE
JOB ADDRESS—/ � 1JL� G�/�/1'±/�ID
_
SINGLE FAMILY DUPLEX
LF�GAL DESCRIPTION OF PROPERTY�1'5 /_
Z F
APARTMENTS AGRIC.
�r� C i✓ f'al%
Q •
_1
COMMERCIAL INDUSTRIAL
CC
COMMUNITY *-- ALTERATIONS Ej
NO. OF SUBMITTED PLANS USE OF PERMIT
Z
W Q
t7
-
CASE NO.
/
a Z
N0. OF PARKING SPACES REQUIRED -- OF BUILDINGSS N EXISTING
Q
'NO.
ZONE. FRONT rp-A SIDE J REAR AV
J
m
—SETBACKS:
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE 2
SETBACK R INANCE # OF FEET REQUIRED ON _ STREET
DATE =� SIGNATURE OF LAND USE OFFICIAL
DEDICATION REQUIRED: YES ❑ NO ❑ .'NO. OF FEET
w
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ -STREET
C9
a
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
Lu
a
HAS AN. ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
a
d0
IMPROVEMENT? YES ❑ NO ❑
°C
DATE SIGNATURE OF ROAD DEPT. OFFICIAL
I
SWIMMING POOLS PUBLIC
H
SEWAGE DISPOSAL3�4,12f- oftok.
WW
FOOD ESTABLISHMENT
_
WATER POLLUTION REMARKS
vt FLOOD CONTROL—
t-
at W AIR POLLUTION
uj = F DIV OF HWY
c a — YOUR PROPERTY MAY BE SUBJECT TO
Lu FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
BUILDING PERMIT
PERMIT NO.
385049
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE r S
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
Sp a
-T
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @
r ^
UNITS
Date
�
SQ. FT. @ YARD SPKLR SYSTEM
f
MOBILEHOME SVC. BAR SINK
SQ. FT. @
MH.Permit Fee $
POWER OUTLET ROOF DRAINS
SQ. FT. @
Cop $
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
Parcel No.
l
SQ. FT. @ URINAL
Use/Case No.
VALUATION $ WATER PIPING
Bfy�
S.�•P s
NOTE: Not to be used as property tax valuation
PI. Ck. Fee$
SWIM POOL, PVT
FLOOR DRAIN
/
MECHANICAL FEES
Dbl $
Dbl $
SWIM POOL, COMM
WATER SOFTENER
Legal Description /
//•) ,/ �'
VG. ��j L �'r d
VENT SYSTEM FAN EVAP. COOL HOOD
4-1
SIGN
WASHER (AUTO)(DISH)
Group
APPLIANCE DRYER
SMI Fee $
Plumbing Fee
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Bond Amt.
$
Plan No.
LAUNDRY TRAY
Final Date
6 —'/ _
AIR HANDLING UNIT CFM
Unit
IDLE METER
KITCHEN SINK
$
ABSORPTION SYSTEM B, T. U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
Registr. Fee Is
POLE, TEMP/PERM
LAVATORY
Witness Fee $
HEATING SYSTEM FORCED GRAVITY
$
AMPERES SERV ENT
SHOWER
Owner/Agent
F
Addre r/'�+ / r
�`Y 'P
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
M.O.N.C. Cash Chec
Received by
SQ. FT. @ c
WATER HEATER
Contractor !
z—•,r)
Tel.
s�j
G SQ. FT. RESID @1'/.c Sk
SEWAGE DISPOSAL
Sewage System
SQ. FT. GAR @ 3/. c
HOUSE SEWER
Cit
GAS PIPING
PERMIT FEE
PERMIT FEE "Z Jejo
PERMIT FEE
DBL.
TOTAL FEES
�f oz.
MOB.HM.FEE
MICRO FEE
MECH, FEE,
PL. CK. FEE
CONST. FEE E .FEE
SMI FEE
fit/
FEE PLUMB. FEE
S
PERMIT NO.
385049
Job Address .y
i� z 5" �� r-���.,�
Sp a
-T
Zip
12-2
Owner ,
�..,�....
Com unn Ilyyy //�/%
/"" • vt 1-d O I6-1 � �
Valuation %
$� D �i� !
Date
�
Dist.
//
f
F.C.C.
MH.Permit Fee $
Micro Film Fee
Cop $
Use of Permit /
- �� G / / G
��J
Parcel No.
l
Use/Case No.
ICk.
Bfy�
S.�•P s
Mech. Fee Dbl E `�f
PI. Ck. Fee$
Set Backs
Lot Size
/
Construction fee
Electrical Fee
Dbl $
Dbl $
'""r C
Z
Legal Description /
//•) ,/ �'
VG. ��j L �'r d
F Q, S S
R
Zone /Restrictions
Group
Type
SMI Fee $
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
Plan Checker
1
Final Date
6 —'/ _
Inspector
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender Branch
Supplimental Permit Numbers
'
Registr. Fee Is
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent
F
Addre r/'�+ / r
�`Y 'P
Tel. `
City
Zip
Zip
Total Fees $ G- %z
M.O.N.C. Cash Chec
Received by
.�
Contractor !
z—•,r)
Tel.
s�j
License#
1 2US
Trees required
Sewage System
Address 00,
Cit
T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
"Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
(:A
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
Form 264-208 (Rev.B/78) t, CORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by: