398970 (AR)BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD
�98970 COUNTY OF RIVERSIDE r T I
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
I ST FL.
2ND. FL.
FOR.
GAR*.
CAR P.
WALL
ESTIMATE[ I
SO. FT. @
141 4� 46 UNITS
Legal Description
SO. FT. Y�RD SPKUR SYSTEM
SO. FT, @ MOBILEHOME SVC. BAR SINK
SO. FT. POWER OUTLET ROOF DRAINS
Pond Amt.
SO. FT. DRAINAGE PIPING
P Ia.
SO. FT. DRINKING FOUNTAIN
SO. FT. URINAL
Fan 7tLe.der
VALUATION $ WATER . PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
77/Agsint
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/PERM
LAVATORY
HEATING. SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. @ c
BATH TUB
SO. FT. @ a
WATER HEATER
SO. FT. RESID @ I 'Act
/4/ SEWAGE DISPOSAL
SO. FT. GAR @ )/.d
HOUSE. SEWER
.
GAS PIPING
PERM IT FEE
PERM! FEE
PERMIT FEE
—d
DBL.
TOTAL FEES
r-( . ! "�'
MOB. �M. FEE
CRO'FEE
ECH. FEE FPL. CK. FEE
'�rl
M -61/
CONST. FEE
00 !C
TE —E SMI FEE
144 .,92,
.�T
FEE
PL'ijA. FEE
9, cey 0
ERMIT NO
39P89 . 7
MH Permit Fee $
Micro Film Fee Cop $
Mech. Fee Dbl S
Pl. Ck. Fee (Z
Z- — �. -9-
.TI—fics. Fee Dbl S
Electrical Fee DbI $
SMI Fee $
Plumbing Fee Dist S
Sp. Insp. Fee $
Dental. Fee $
Registr. Fee $
Mileage Fee $
Witness Fee S
Reinsp. - Fee S
Total Fees $
'M.O. N.�. E] Cash deck E)
Received by
Trees reclu"' jd
Sewage Systa;;�- f
T LL /—p
Sewer. District
Form 284-208 (Rev. 1/90)
Job Address
4- Z -
Z111/1'
4-
Use of PeFmit
Legal Description
Pond Amt.
Plan No.
P Ia.
S —
I
Fan 7tLe.der
Bra
Address
City
77/Agsint
SpaOwner
a
�i
Volvotion Div.
1 Off. F.C.C..
3 1114, . /ii - J, / / I -L�' - /
Parcel No. Case No. Ck. By -
7 7- -J—,ca & v — --)
Set Bac-
L I Sise
F
) _ /_ jlt;�
Fs- 1 E
Zone Restrictions Groep Type
Final Dote �pectc,r nit
1/4-60 If T
Supplimert.1 Permit Number,
Zip
Tel. Zip
.City Zip
lei. Lice.,e#
Address city Zip
C�2 —7/ 2— Iq
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.
THEHEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT'WILL BE DONE IN ACCORDANCE WITH
LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
R�EERTIFY THAT THE INDIVIDU)4L WHO PREPARED THE PLAN . S AND SPECIFICATIONS HAS DONE SO IN
ANCI
ANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE_OF CALIFORNIA.
NO
OPERATION
25
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
Power Pole
27
BUILDING APPROVALS
28
Service Entrance
MECHANICAL APPROVALS
I
2
Set Sock
�tqi. & Frqj,�
Bonding
33
34
Ventilation System
Plenums & Ducts
2A�
�I.b Grade
35
Furnace Comport.
3
-Steel
36
Inlews & Outlets
4
Grout Blocks
37
Combustion Air 14
5
Bond Beams
38
Compressor
6
Roof Deck
39
Appl. Clearance
7
F,aming
40
Fire Damper
8
Vents
41
'Smoke Defection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P.L.
43
Final
10A
Fireplace T. 0.
t
OP'N ADDITIONAL INFORMATION
NO.
11 Exterior Loth
12 Internal Loth
12A Dry.oll
13 Finish Grade
"R"
INSULATION Thick Value
.7A Wells (Botts)
12B Ceiling (Botts)
12C Ceiling (Blown)
14 Finol
PLUMBING APPROVALS
15
16
Water Piping
17
18
Rough Plumb AQ—)
Vents
19
Sewage Disposal
20
21
22
Water Heoter
Water Softener
2.1
Water Service
"
�0, ""
25
Final
26
Power Pole
27
Conduit -1
28
Service Entrance
29
29 A
Wiring
Grounding Wire
29B
Bonding
.30 Fixtures
31 Service
32 Final
ELECTRICAL APPROVALS
SEWAGE SYSTEM SIZE & LOCATION
Tank Pit L. Line
REAR OF PROPERTY LINE
P/L P/I
STREET NAME
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISIRICT ZZ
Perr.-lit No
4 284 199A 9/74 CANARY—FILE, PINK—APPLICANT
Owner j(�d ct-4_07 'P 0 L.1 Architect Cont-actor_f-.
Address 11 -96Address___ Adclress��
City L C >' jrz I-- City_ City_4n� Q L/
Phnnp Phone
I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application ard agree that if Curb and Gu ' tter, and
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Paving, and/or Dedication of right of way is required by the County of Riverside, the Riverside Cour-ty Department of Building and Safety
31:
shall not make a Final Inspection until said requirements have been met. I am also aware that. -no o k is to be done within the County R/W
0
without an encroachment permit.
NOW, therefore, it is agreed that I (we) will not occupy said property and will not cause said prcp V to be occu ied until I (we) have
ty_�complied with all laws of the County of Riverside and the State of California governing said proper
DATE J-7 SIGNATURE OF OWNER AND/Q . RAGENTZ, . . . . . .
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Pw.mit.
AV -49-1 P
USE OF STRUCTURE
JOB ADDRESS SINGLE FAMILY [] DUPLEX
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L GAL DESCRIPTION OF PROPERT
7' APARTMENTS E] AGRIC. El
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- COMMER,C"IAL INDUSTRIAL IL
1
COMMUNITY ALTERATIONS
USE O-LPERMI _2�/
NO. OF SUBMITTED PLANS T
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au <
CASE NO.
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NO. OF P ING PACES REQUIRED NO., 0 F BUI -DINGS NOW EXISTING
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ZONE F TBA(f!<S: FRONT 0.4, S I D E/ -Z/ Z(;�! REAR
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GRADING PERMIT REQUIRED? YES NO LOT SIZE
SETBACK OR INANCE.# __ OF— FEET REQUIRED ON STREET
DAT SIGNATURE OF LAND USE OFFICIA
DEDICATION REQUIRED: YES 0 NO EI NO. OF FEET --
z
CURB AND GUTTER REQUIRED: YES 0 NO F1 —STREET
CAN CURB AND GUTTER FEASIBLY BE INSTALLED ? YES 0 NO
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
IMPROVEMENT? YES El NO El
0
0:
DATE SIGNATURE OF ROAD DEPT. OFFICIAI
SWIMMING POOLS PUBLIC
lo- I.:
- .j
SEWAGE DISPOSAL
FOOD ESTABLISHMENT
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WATER POLLUTION REMARK!
FLOOD CONTROL—
z AIR POLLUTION
Cc &u
lu I
X DIV OF HWY
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YOUR PROPERTY MAY BE SUBJECT TO
ku FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
4 284 199A 9/74 CANARY—FILE, PINK—APPLICANT