369254 (BLCK)BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY
369254 COUNTY OF RIVERSIDE
FIELD DST
M//
CONSTRUCTION. ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
GAR.'
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. ` Q P
UNITS
`
@
SQ. FT.
YARD SPKLR SYSTEM
@
MOBILEHOME SVC.
FT.
BAR SINK
SQ. @
POWER OUTLET
FT.
ROOF DRAINS
SQ. @
FT.
DRAINAGE PIPING
SQ. @
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
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
COMPRESSOR HP
POLE, TEMP/PEJ@c
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SER
SHOWER
BOILER B.T.U.
SQ.
BATH TUB
SQ.
WATER HEATER
SO. FT. RE
SEWAGE DISPOSAL
SO. FT. GAR @ '/. c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE ri j
DBL.
jTOTAL FLEES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
F ELECT. FEE
SMI FEE
/� )F ,: PLUMB: FEE
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
26
27
28
29
29A
29B
30
31
32
Power Pole
Conduit
Service Entrance
Wiring
Grounding Wire
Bonding
Fixtures
Service
Final
SEWAGE SYSTEM SIZE & LOCATION
Tank Pit L.Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L P/L
STREET NAME
1PERMIT NO.
369254-1.fve
Job Add ess
Space
�-
Zip
-i�d
Owner
Commu ity -i 'f��,Jj
`
Valuation
$
Date /
• .Dis
F.G.C.
MH.Permit Fee $
Micro Film Fee
Cop $
Use of Permit
`` -/
.J (� G •
llV!!
Parcel
_
-
No. %�-
—) ? ��••'"
Use/Case No.
Ck. By,.ry
.I.JJC
Mech. Fee Dbl $ '•
PI. Ck. Fee $
Set BacksP"oup
Lot Size
Construction Fee $
legal Descriptio T /
rTElectrical
- 4/
/� �) '�' � F
Zone
5 S
Fee $
Restrictyons,
✓ ....r
Type
SMI Fee $
rDb
Plumbing Fee
$
Bond Amt.
$
Plan No.
Plan Checker
I
Final Date Q
Inspector
Unit
Sp. Insp. Fee $
Demol. Fee_
$
Const. Lender
Branch
Supplime r Permit Numbers
Regisir. Fee $
Mileage Fee $
Address
City - Zip
Witness Fee $
�Reirisp. Fe
$
Ow r/41ge'��
r -
_
Tel. - Zip
J
U
Total Fees „—
$ f
pddrCe., � y,�r" �y
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,✓ �' �J Y.�'� A
Cit /j (�/ ` Zi
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M.O. N.:C. '"� h -Check
Received by
Wit,.(.-,...,•
Contractor
-
Tel.
License#
,Trees required A
Sewage System'
Address - _
City Zip
'
T U. 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 PERMMWILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
49 1 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.B/75
NO.
OPERATION DATE
INSPECTOR NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Bock
33
Ventilation System
2
Ftgs & Frms
34
Plenums 8 Ducts
2A
Slab Grade c,,
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
11
12
12A
13
Fireplace T. 0. C]
Exterior Lath
Internal loth
Drywall
Finish Grade
No
ADDITIONAL INFORMATION
INSULATION. I Thick I Value
7A Walls (Botts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final �_ �� 6 I/
PLUMBING APPROVALS I d.S-1, .1 v
q
NOTICE: 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
� Architect— —_ _—_ Contractor _44�
Owner—,tB+�
� A
Address/_� /`►fit Address___— Address_.—_—_— ---__
City/_A1=4_ City-- - - City,
PhoneS6 .Sid Phone _ Phone—
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 1 (we) will not occupy said property and will not cause said property to be occupied until I (we) have
complied with all laws of the County of Riverside and the State of California governing said property. .
DATE S2'o�� ��7—_— SIGNATURE OF OWNER AND/OR AGET—
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
'LZ I SPACE NO.
Q- 1 USE OF STRUCTURE
e
JOB ADDRESS 5_4-_(,J_Ot
GLE FAMILY DUPLEX
l' 0`�Tz_
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Lu
L GAL ES PTION O ROPERTZ - APARTMENTS � AGRIC.
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t--+�t V __ COMMERCIAL INDUSTRIAL
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COMMUNITY
ALTERATIONS [�
NO. OF SUBMITTED PLANS — USE OF PERMIT
CASE NO.
p Z
NO. OF P KIN SPACES REQUIRED .——C�OO(jF BUILDINGS NOW EXISTING -
Q
ZONE SETBACKS: FRONT SIDE. REA
J
CO
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE 6
SETBACK RDINANCE -- OF FEET REQUIRED ON — TREET
DATE�SIGNATURE OF LAND USE OFFICIAL
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET—
F
.•.
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
H
cc
a
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES, ❑ NO ❑
W
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
O
IMPROVEMENT? YES ❑ NO ❑
cc
DATE SIGNATURE OF ROAD DEPT. OFFICIAL
S
SWIMMING POOLS PUBLIC
t -I..:
SEWAGE DISPOSAL
Q
FOOD ESTABLISHMENT
_
WATER POLLUTION REMARKS
H FLOOD CONTROL
= AIR POLLUTION
� W
2 � DIV OF HWY
c a — YOUR PROPERTY MAY BE SUBJECT TO
o.
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74
CANARY—FILE, PINK—APPLICANT
BUILDING PERMIT FIELD OFFICE
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY �ST
369254 COUNTY OF RIVERSIDE
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
SQ. FT, @ $
UNITS
Commu ity (/�J� / j
"� �/ 1
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
WALL
SQ. FT. @
Use of Permit
{f (j {,r-
DRINKING FOUNTAIN
Parcel No.
SQ FT @
Ck. B F
URINAL
ESTIMATED CONSTRUCTION VALUATION $
Set Backs
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
Group
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
SMI Fee $
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
Supplimental Permit Numbers
SQ. FT. @ c
WATER HEATER
Registr. Fee $
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
Witness Fee $
SQ. FT. GAR @ 3% c
HOUSE SEWER
Ow r/
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE%
DBL.
TTOO'TTAL FEU
l./ "�►
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
1.16 �F ,PLUMB. FEE
PERMIT NO.
369254
Job Add Ser/L/aC
S �i�go
� �s4 � C�ce
-
Z1-eZ� Owner
�
/ nleC/
Commu ity (/�J� / j
"� �/ 1
Valuation
$
Date
�/�
/�
/
Di /
7
OF
F.C.C.
MH.Permit Fee- S
Micro Film Fee
Cop $
Use of Permit
{f (j {,r-
4
Parcel No.
Use/Cole No.
Ck. B F
Mech. Fee Dbl $
PI. Ck. Fee $
Set Backs
Lot Size
Construction Fee Db1 $
Legal De/striptio�
`
R / /
V G••
F 5
5
R
Electrical Fee Dbl $
Zone RestricI'/
j/
Group
Type
SMI Fee $
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Fi I Date
� 2
I spector
U it
Sp. Insp. Fee S
Dental. Fee
$
Const. Lender
Branch
Supplimental Permit Numbers
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
$
Ow r/
Tel.
--fir
"/
Zip
O
Total Fees
$
ddre L 'rO
/
A
City
Zi P
M.O. N,E Check
Received by
q�
Contractor
Tel.
License#
frees required
Sewage System
V
✓d
Address
City
Zip
T LL P
Sewer District
Form 284-208 (Rev .8/78) /@s
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.
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.