368876 (GRES)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 CAUS PERMI O BECOME VOID.
4
I HEREBY AGREE THAT ALL I C�dl`V'4M1g0THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COU A.4D TH TATE 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.
Form 284-208 (Rev.8/78) r
verified by:
PERMIT NO.
13688761
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD
L
osr
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FE et-
IST FL.
2ND. FL.
POR. /^y
GAR. `-'
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @
UNITS
Dotte
ccI
SQ. FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
BAR SINK
SQ. FT. @ y POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN r
'
SQ. FT. @
URINAL
VALUATION T4
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
SMI Fee E
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
�j .Suli� - /'yj J �j,
LAUNDRY TRAY
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
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ C
BATH TUB
Address City Zip
_
SQ. FT. @ c
WATER HEATER
§
SQ. FT. RESID @I'Ac
SEWAGE DISPOSAL
Tel.
/
Zip
Total Fees
§
%,
Address
k "' �+
Ga -Ji(. ✓Ycp'i•{��
City r+
4 7 . I�•"!;;,P
Zip
M.O. N.C. Cash •hec
Received by
-`�
Contractor
Tel.
License#
Trees required
Sewage System
Address
City Zip
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 CAUS PERMI O BECOME VOID.
4
I HEREBY AGREE THAT ALL I C�dl`V'4M1g0THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COU A.4D TH TATE 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.
Form 284-208 (Rev.8/78) r
verified by:
r
NO.
OPERATION DATE
�IIVSPECTC3R
NO.
OPERATION,
! i
DATE INSPECTOR
'
BUILDING APPROVALS
'MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & Frms
���_
34
Plenums 8 Ducts
2A
Slab Grade
���-
�j
35
Furnace Comport. t
-Steel
36
Inlets 8 Outlets r
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
/,4- 7_-YL2_P_
)Vad-
39
Appl. Clearance r
7
Framing0
1 ��
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood ;
10
Fireplace
P. L. 0
43
Final
10A'
Fireplace
T. 0. '
No
- - -
ADDITIONAL INFORMATION
+ t
}
- - - - - - -� - - -- -- - - - -• - - - - - - - - "
r
4
,
I ^
_
SEWAGE SYSTEM SIZE & LOCATION
• 11- Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
j• Value
7A Walls (Botts)
-I 2B Ceiling (Batts)-
-12G- Ceiling (Blown) .S.
14, Final Z Z5'�Gi• /bid
PLUMBING 'APPROVALS
- - - - - - - - -
�.
• 15 Ground Plumb
16, Water Piping i
-17 -Rough Plumb
.18 Vents _
19 Sewage Disposal
„ 20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25.
Final
t`
Tank I ! Pit L.Line
PSL
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
r
-
i
. P/
t
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring �%'?✓7' % 11Fit
29A Grounding Wire t.
29B Bonding
'30" Fixtures
31 Service
32 Final 7 L� Z=GI/���;;F�
. r
M
STREET NAME
•
sr
�
1
NOTICE: THIS IS NOTA BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
4a
DISTRICT
�.
Permit No
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
Owne 19"SeL Architect*_^f Contractors osk'ny
Addresx- 01 NP -404 f _'�.3 a y / w L Address_ 30 ✓6vir'►l �nl
City P9 4;L4-1N7"__City—Pt��'L__ Ciry_��4�w►�!
Phone.7-VI-0 Z Z1 Z _ Phonerd0
cc
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 andafety
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 Co ty 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 prope o be o d unti I e e
complied with all laws of the County of Riverside and the State of California governing said property.
DATE` -j— 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.
' ISPACE N0.
,q::2—V_
-� _ 1 USE OF STRUCTURE
1z_
JOB ADDRESS / J �`5
�9NGLE FAMILY DUPLEX
/_-�411`0 a
LEG DESCRIPTION OF PROPERTY �z
t -_L-
UJI
0
- APARTMENTS AGRIC.
c—_�
U.N Q
COMMERCIAL INDUSTRIAL [�
COMMUNITY ALTERATIONS n
C
Z
NO. OF SUBMITTED PLANS — USE OF PERMIT —
us a
CASE NO.
p Z
0
NO. OF PARKING SPACES REQUIR _ N0. OF BUILDINGS NOW EXISTING —
s
Q
ZONE��SETBACKS: FRONT SID F� REAR
J M
GRADING PERMIT REQUIRED? YES ❑ NO ElLOT SIZE
SETBACINANCE # OF FEET REQUIREDy.ON —�TREET
DATE SIGNATURE OF LAND USE OFFICIA _t
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET—
W
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
cct-
d
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
W
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
IMPROVEMENT? YES ❑ NO ❑
°C
DATE SIGNATURE OF ROAD DEPT. OFFICIAI
S
SWIMMING POOLS PUBLIC
I,.:
Q
SEWAGE DISPOSAL
FOOD ESTABLISHMENT
_ut
WATER POLLUTION REMARKS
H FLOOD CONTROL
Z AIR POLLUTION
� W
W :E DIV OF HWY
S f. _
c a — YOUR PROPERTY MAY BE SUBJECT TO
a
Lu FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
BUILDING PERMIT —
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
Dsr
368876 COUNTY OF RIVERSIDE' I►J
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
$
UNITS
c.
IST FL. SQ. FT. @
Valuation
$ / .,� b�
Date �/
y/7'/�
Dist.
//
2ND. FL. SQ. FT. @
F.C.C.
el.;l•
MH. Permit Fee S
YARD SPKLR SYSTEM
POR.`41 SQ. FT. @
MOBILEHOME SVC.
Use of Permit �j�., /�,,, -
'440 ���''�'`V C5'q,�f► 4_Z Ci1J�
BAR SINK
GAR. SQ. FT. @
POWER OUTLET
Mach. Fee - Dbl $
ROOF DRAINS
CAR P. SQ. FT. @
Lot Size
DRAINAGE PIPING
WALL SQ. FT. @
Legal Description
jI4/_ ,ri s -�/y
F` 5
DRINKING FOUNTAIN
SQ. FT. @
Zone.Restrictions
O� `
Group
URINAL
ESTIMATED CONSTRUCTION VALUATION $
SMI Fee $
Plumbing Fee
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
Plan No.
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
/ r.,Unit/
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
$
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Supplimentol Permit Numbers
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Mileage Fee $
Address City Zip
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
Zip
WATER CLOSET
COMPRESSOR HP
POLE,TEMP/PERM
1#j0
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
Zip
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
Tel.
SQ. FT. @ c
WATER HEATER
iewoge System
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
City Zip
�SO. FT. GAR @ '/. c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
Q (3
PERMIT FEE
DBL.
TOTAL FEES,
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
I CONST. FEE
. FE6CS O
SMI FEL
FEE PLUMB. FEE
PERMIT NO.
368876
Job Address
-3• t��
Space Zip
Owner,
/.Aw el_
c.
Community
'061�X
Valuation
$ / .,� b�
Date �/
y/7'/�
Dist.
//
Off.
—2:-
F.C.C.
el.;l•
MH. Permit Fee S
Micro Film Fee
Cop $
Use of Permit �j�., /�,,, -
'440 ���''�'`V C5'q,�f► 4_Z Ci1J�
Parcel No. •�
347 d6 Ill' 4)-71
Use/Case No.
Ck. By
Mach. Fee - Dbl $
PI. Ck. FeeS
Set Backs
Lot Size
Construction Fee Dbl $
Legal Description
jI4/_ ,ri s -�/y
F` 5
5 /AP R
Electrical Fee Dbl $
Zone.Restrictions
O� `
Group
Typ/
SMI Fee $
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Final Dattel
p�, –p C
Inspector
/ r.,Unit/
Sp. Insp. Fee =
Dental. Fee
$
Const. Lender Branch
Supplimentol Permit Numbers
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee S
Reinsp. Fee
$
Owner/A�t" y+ ,�,4
Tel.
Zip
Total Fees
$
1#j0
Address
' �N 4r�1'
city
41 e. , /IJ
Zip
M.O. 0 N.C. 0 Cash hec
Received by
Contractor
Tel.
License#
Trees required
iewoge System
Address
City Zip
T LL P THIS PERMIT SHALL BECOME VOID IF WORIGIS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer District FOR 120 DAYS SHALL ALSO CAU PER O BE MSE VOID. t
I HEREBY AGREE THAT ALLC CTwLTH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND T STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev.8/78) @s ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by: