384859 (RPL)PERMIT NO.
384959
PERMIT NO.
Job Address
DEPARTMENT OF BUILDING & SAFETY
Space•Zip
-
DST
38485
COUNTY OF RIVERSIDE
FIELD
,
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
MH.Perm H'Fee S
IST FL. SQ. FT, (q
UNITS
Use of Permit
W. L, r., . �
2ND. FL. SQ. FT. @
f•i
YARD SPKLR SYSTEM
Parcel No./ `
�G'/ - / (� .�' fi
POR. SQ. FT.
MOBILEHOME SVC.
BAR SINK
PI. Ck. Fee =
GAR. SQ. FT. @
POWER OUTLET
ROOF DRAINS
Construction Fee Dbl : L
CAR P. SQ. FT. @
C., 6, •Ol
DRAINAGE PIPING
WALL SQ. FT. @
R�
DRINKING FOUNTAIN
Zone Restric`tiioo�fns
( z. •
SQ. FT. tag
Type
URINAL
SMI Fee. S
-
ESTIMATED CONSTRUCTION VALUATION $
rl ) `
WATER PIPING
Bond Amt.
$
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
Branch
GARBAGE DISPOSAL
j'
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
Regisir. Fee $
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
Reinsp. Fee
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE,TEMP/PERM
LAVATORY
- Zip ,
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
2 Z
BOILER B.T.U.
SQ. FT. Q t
BATH TUB
City
SQ. FT. @ t
j WATER HEATER
�y
Received by
SQ. FT. RESID @ 11/4 C
SEWAGE.DISPOSAL
�•.,.'1•+t,, ••
F ' r i)
SQ. FT. GAR @ 3%t
HOUSE SEWER
Licenseil
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t -
Trees required
GAS PIPING
S
PERMIT FEE
Address
PERMIT
PERMIT FEE
DBL.
TOTAL FEESMOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE El.•€GT: FEE
SMI FEE
FEE' PLU B. FEE
6;5L,
PERMIT NO.
384959
Job Address
Space•Zip
-
�• Owner
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Community
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t
Valuation
9� �
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Date
�lj
Dist.
/
- Off.
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l
F.C:C.
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MH.Perm H'Fee S
Micro Film Fee
Cop E
Use of Permit
W. L, r., . �
- t �„
f•i
-
Parcel No./ `
�G'/ - / (� .�' fi
Use/Cose No.
Ck. By
0ech. Fee Dbl. $
PI. Ck. Fee =
Set Backs
Loi Size
Construction Fee Dbl : L
_;
Legal Description
r:
C., 6, •Ol
F r-� S S
R�
Electrical Fee Dbl $ f -7 G•
Zone Restric`tiioo�fns
Group
Type
SMI Fee. S
Plumbing Fee
Dbl $
O
Bond Amt.
$
Plan No.
Plan Checker
Fi .Dat _0 Ins r
Unit
Sp. Insp. Fee $
Demol.,Fee
$'
Const. Lender
_
Branch
_ pplimental Permit,Numbers
Regisir. Fee $
Mileage Fee E
Address City Zip
Wilness Fee
Reinsp. Fee
$
Owner/Agent
Tel.
- Zip ,
Total Fees
E
2 Z
Address
h� f'
�.t f
City
Zip
M.O. :C: Cash Checkg(t•�
Received by
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GoJ.o-tt,/�' 1,
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Trees required
Sewage System
Address
City n
Zip
T
Sewer District V/
SO
' Form 284-208 (Rev.8/78)
P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
(� I,HEREBY AGREE THAT ALL WORK 1N 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.
verified by:
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Figs & Frms
34 Plenums R Ducts
2A
Slab Grade
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. C]
43
Final
10A
Fireplace T.O.
No
-----
ADDITIONAL INFORMATION
--�- ---------------..�
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
W Final
PLUMBING APPROVALS
. 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
Tank Pit L.Line
P/L
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
L.
-
P/
-
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire _� r �� y�/'�
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT
Permit No
l(
284 199A 9/74 CANARY—FILE, PINK APPLICANT
Owner�_ Architect _ Contractor t�
Adress� 366 �Vli; O__�"Address__ ssCZ
CitC--.>,x wA'a City— City_ ? —
Phone Phone3?'-2'_-
_
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1 (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 be occupied until 1 (we) have
complied with off/the County of Riverside and the State of California governing said property,
aalllllawss
'
DATE- `-1 SIGNATURE OF OWNER AND/OR AGENT
Approval by Signature from the Following Departments Listed Below
Maid Be Obtained Prior to the lisamg of a Coedrrrction Permit.
SPACE NO.
"g 1/ ids` fes-`— USE OF STRUCTURE
JOB ADDRESS — SINGLE FAMILY DUPLEX
'77q �/� ���
GLu
LEGAL DE CRIPTION OF PROPERTY
Ll 4 `� '� �APA"RTMENTS AGRIC. []
J '
COMMERCIAL INDUSTRIALEl
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'^
C
COMMUNITY V��'
—� ALTERATIONS
NO. OF SUBMITTED PLANS USE OF PERMIT
v+ a
CASE NO.
_
p Z
NO. OF AR ING SPACES REQUIRED .— NO. O_ F BUILDINGS NOW EXISTING
Q
,�+
ZONE �� SETBACK'S: FRONT.`? SIDE REAR
J
as
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK' ORDINANCE # OF FEET REQUIRED ON STREET
DATE SIGNATURE OF LAND USE OFFICIAL --
f,
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET—
z
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
H
d
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
W
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
CIMPROVEMENT?
YES ❑ NO ❑
°0
DATE SIGNATURE OF ROAD DEPT. OFFICIAI
SWIMMING POOLS PUBLIC
a W
SEWAGE DISPOSAL
_
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
�n FLOOD CONTROL
09
z AIR POLLUTION
DIV OF HWY
c — YOUR PROPERTY MAY BE SUBJECT TO
d
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 CANARY—FILE, PINK APPLICANT
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BUILDING PERMIT
PERMIT NO:
384859
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST
COUNTY OF RIVERSIDE /
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
I ST AFL; SQ. FT.
UNITS
2ND. FL. SQ. FT. @
'Owner
RC2A ec ,J
YARD SPKLR SYSTEM
POR SCJ: FT @
MOBILEHOME SVC.
BAR SINK -
GAR SQ FT @
POWER OUTLET
ROOF DRAINS.
CARP SQ. FT @
F. C. �y
10 p2 4'
DRAINAGE PIPING
I SD. FT.
Cop $
DRINKING FOUNTAIN
SQ FT @
h
URINAL
ESTIMATED CONSTRUCTION VALUATION
c7
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENrSYSTEM FAN EVAP. COOL .HOOD
.SIGN
WASHER.(AUTO)(DISH)
APPLIANCE DRYER
Zone Restrictions
/2 —. -(
GARBAGEDISPOSAL
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.
SQ. FT., @ c
BATH TUB
Const. Lender
SQ. FT. @ C
WATER HEATER
SupplimentalP,ermit Numbers
SQ., FT. RESID @ 11/4 c
SEWAGE DISPOSAL
Mileage Fee s
SQ, FT. GAR @ 1. c
HOUSE SEWER
Reinsp. Fee
$
:GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTALFEES
MICRO FEE
MECH: FEE. PL CK. .FEE
CONST. FEE' ELECT. FEE
SMI FEE
FEE PLUMB. -FEE
-7 /3
IMOB.HM.FEEI
M:O. .C. El Cash Chck.12
Received by
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Ft
Co
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' PERMIT NO. •
384859
lob Address
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SpareZip
'Owner
RC2A ec ,J
Community (l
'('� `•�t/
.' `
Valuation
.s Q C)o
Dote
1`k— ` '�j '
Dist,
//
Off.
'4
F. C. �y
10 p2 4'
MH.Permh Fee... i
Micro Film Fee
Cop $
Use of Permit
�,.•
.. 1 TV'
h
Parcel No. Use/Case No_
�k/' 'Q l- 49�!%
Ck.BBByy
Meth. Fee D_ bl 3
PI. Ck. Fee
Set Backs I
Lot Size
Construction Fee Dbl S L
Legal Description
C v e—
/T e— F
5 S
P7V
Electrical Fee Dbl S�
Zone Restrictions
/2 —. -(
Group
Type
SMI' Fee $ A
Plumbing fee
Dbl s
G
Bond Amt,
S
Plan No.
Plan Checker
Final Date StIA
Inspector
Unit
Sp.. Indp. Fee E
Demol.:Fee
$
Const. Lender
Branch
SupplimentalP,ermit Numbers
Registr. Fee s.
Mileage Fee s
Address City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel,
Zip
Total Fees
s
,Address
t
N 14
City
Zip
M:O. .C. El Cash Chck.12
Received by
Ft
Co
r ; �'�
! 1
Tel,
C�, 3
L'icensek
- � ✓ to r.
�• L
Trees required
Sewage System
Address
-i 3,a
11 T 5�
City zip-
t v
T LL P
Sewer District
Form 284=208 (Rev:8/78)
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. j
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.