403576 (SFD)PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD DST
03576 COUNTY OF RIVERSIDE
AA e'7LrS!?:7.0 IMM .T' n �
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
FOR. t=
GAR. i6
CAR P.
WALL
ESTIMATED CONSTRUCTION
SO. FT. .@ t•s' $
UNITS
403576
50. FT. @'
YARD SPKLR SYSTEM
50. FT. @ il. G MOBILEHOME SVC.
BAR SINK f
SO. FT. @ 15 1119 POWER OUTLET
ROOF DRAINS
SO. FT. @ r
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $
WATER PIPING p
NOTE: Not to be used as property tax valuation
v SWIM POOL, PVT
FLOOR DRAIN r ..
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM 2 FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
r n
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
4 a POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM ! FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ a
BATH TUB
SQ. FT. @ a
WATER HEATER
O. FT. RESID @ 1 t/aa
SEWAGE DISPOSAL r
Sp. Insp. Fee $ �.
SQ. FT. GAR @ Y/a
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES jMOB.HM.FEEj
Branch
MICRO'FEE
MEC' E PL. CK. FEE I
CONST. FEE ELECT'.' E
q.Xni,Ix A n
SMI FEE
FEE PLUMB.'
PERMIT NO.
Job Address
�pg5
�8
Space Zip Owner
403576
T T.•
r31,f
CommunD�
i
� _�
s
w
Valuation ' Pe w Dist. Off.
S It ?G. _
F.C.C.
f 11
MH Permit Fee S
Micro Film Fee Cap b
e' of P mit
1DWLV &
Legal Description
^ -
ATT GARASE
-
arca. se/Case No. Ck.
i cks Lot Size
F S S R
� iM
1Z i
lfy
I�
Mach. Fee Dbl S
PI. Ck. Fee $ .�14%
Construction fee Dbl $
Electrical Fee Dot S
..LVi,
F
(�L�p ry
I
}' p' !� �s /t `i } /� �y
BLK 2R .7UYi.1W, 42
. .� _
Zona astrictions Graup ype V
SMI Fee S r rzr.
1 T
Plumbing Fee Dbl E
Bond Amt.
Plan No.
Plan Checker
Ffficl to
Inspector
Unit
!/ QQ JJ��
2' l 9
Sp. Insp. Fee $ �.
S
O—
Demol. Fee $
Const. Lender
Branch
Supplimentol Permit Number
�J F��
RB04035! 6 f
r. Fee S
RegMileage
Mileage Fea S
Address � City Zip
i
Witness Fee S
Reinsp. Fee $
Owner/Aged
°
Tel.
Zip
Total Fees S 7
Ad ress
ity
Zip
M.O. ❑ N.C. ❑ Cash ❑ Check
S
A
Awm
Received by
ion rector"
"
e Licensed
Trees required 3Gr
Sewage System
Address
City Zip
i T I.I. r `. THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
Sewer District 1 YS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
WAGREE THAT ALL WORK, IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
p THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
v, SV 1 HEREBY CERTIFY THAT THE INDIVIDUAL`JJHO PREPARED THE PLANS AND SPECIFICATI('.7 -:IAS DONE SO IN
Form 284208 (Rev. 1/80) /r C NCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
F:
NO.
OPERATION
DATE
INSVECTOR'
NO. OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
_ 11-
33 Ventilation System
2
Ftgs & Frms
34 Plenums 8 Ducts .�
2A
Slab Grade
v�9 ��/�
` a f/
35 Furnace Comport.
3
Steel
36 Inlets 8 Outlets 2-
4
Grout Blocks
37 Combustion Air
5
Bond Beams
38 Compressor
v
6
Roof Deck
z
39 Appl. Clearance
7
Framing
i
40 Fire Damper
8
9
Vents
Garage Fire Wall
) �l ./!. O
I L J
41 Smoke Detection Device P _
42 Commercial Hood
10
Fireplace P.L.
43 Final
10A
Fireplace T. 0.
°o ADDITIONAL INFORMATION
r
p
/L(i�a/-% e'la�e- �O'O y
t
�-!2. tea' - --
�� K a_ j - /
-INSULATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior lath
_
12 Internal Lath
12A Drywall
ii -1z, U
13 Finish Grade
1 lS=
i Z
INSULATION Thick R
Valve
7A Walls (Batts)
P ! -3- o
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
_._.._-_.-PLUMBING .APPROVALS ____,
15 Ground Plumb
YL_i
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater Z, / �QiC
J7�
22 Water Softener
23 Water Service
24 Gas Test
25
Final
Z�
Tank Pit 4 x 7-6 L. Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/k
y
/ `� P/
111 y.
r•
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring 'C/ ♦
29A Grounding Wirev
29B Bonding
30 Fixtures
31 Service _w
6
32 Final )�
I l r1=
STREET NAME
NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT
APPLICATION TO CONSTRUCT Permit No
DEPARTMENT OF BUILDING AND SAFETY
..... COUNTY OF RIVERSIDE
lx
284 199 9/74
CANARY—FILE, PINK—APPLICANT
Charles Cline voyie
Owner Architect Contractor
Address
City_ City_
Phone2 Phone PhontA-99-3236
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 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 I (we) have
complied with alllawsof the County of Riverside and the State of California governing said property.
6-27-80
DATE SIGNATURE OF OWNER AND/OR AGENT 4
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
51-885 Ave. Cortez I SPACE N0.
to 1 USE OF STRUCTURE
JOB ADDRESS I - SINGLE FAMILY [ 'DUPLEX
>
Z t-
LEGAL DESCRIPTION OF PROPERTY lot 2 bf.9 - APARTMENTS AGRIC.El
H Q
�£V"-`�- #2COMMERCIAL INDUSTRIAL C�
'^
GO
Z
COMMUNITY IA QUINVII,
LTERATIONS CJ
NO. OF SUBMITTED PLANS --_—_ USE OF PERMIT DWELUMGo & A`PT. 1�A1{At�'i
GCASE
NO.
O Z
NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING -
Q
ZONE R"lSETBAC'KS: FRONT 20 5 10
SIDE '51/—,51REAR
J
}/�R/�EAR
5f^loo
Co
GRADING PERMIT REQUIRED? YES `J NO ❑ LOT SIZE
SETBACK ORDINANCE # __— OF FEET REQUIRED ON - - STREET
6 27-80
DATE SIGNATURE OF LAND USE OFFICIAL
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET__
t-
Z
CURB AND GUTTER REQUIRED: YES ElNO [3�UY. �4-- STREET
d
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
W
O
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR,_DRIVEWAY AND STREET
O
C
'
IMPROVEMENT?
? YES ❑ NO ❑
°L
Yy
DATE =_� SIGNATURE OF ROAD DEPT. OFFICIAL
i
_ r - -
W*,
�
SEWAGE DISPOSALjr
N T(
= O
f
14C
WATER LOTION REMARKS
Pn FLOOD CONTROL -
Z AIR POLLUTION
W DIV OF HWY
YOUR PROPERTY MAY BE SUBJECT TO
s
o FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199 9/74
CANARY—FILE, PINK—APPLICANT
BUILDING PERMIT
-_�
PERMIT NO.
PERMIT NO
Job Address-
— — -,
� -�-- �O✓�
DEPARTMENT OF BUILDING & SAFETY
403576
- " "�
t
FIELD OFFICE
Dsr
to Dist. Off. j F.C.C.
4 0 3 5 7 6I
Ra 0403576
-w-of P m t
COUNTY OF RIVERSIDE
ace o. se/Case No. tk. lry
��
CONSTRUCTION EST
A
–
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. @I
$
UNITS
Construction fee Dbl $
2ND. Fl. SO. FT. @
F S S R
'.
w w Zone estriction, Group ype
BL �r Q
Electrical Fee Dbl Sr
YARD SPKLR SYSTEM
POR. SO. FT. @ 4
21
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. @
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT. @
Insp
nit
DRAINAGE PIPING
WALL SO. FT. @
•DRINKING FOUNTAIN
SO. FT. @
URINAL
ESTIMATED CONSTRUCTION VALUATION
$
Supplimental Permit Numbers
RB0 "035 r 6
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
Reinsp. Fee S
Owner/A t
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR
SUSPENDED
Total Fees S .r
LAUNDRY TRAY
AIR HANDLING UNIT
CFM
IDLE METER
KITCHEN SINK CZ rA
ABSORPTION SYSTEM
B.T.U.
TEMP USE PERMIT SVC
~
WATER CLOSETCA a
COMPRESSOR 350 HP
Te . License#
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 n
0. FT. RESID @I t/<a
SEWAGE DISPOSAL
S0. FT. GAR @ 3/.a 44-
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
]MOB. HM. FEE
MICRO FEE
MEC PL. CK. FEE
CONST. FEE ELEC
SMI FEE
FEE PLUMB."
P 3 A
—
24.9 S - al
. 1 A3 X
2 2 j
-_�
PERMIT NO.
Job Address-
— — -,
� -�-- �O✓�
Space rip - Owner
403576
- " "�
t
Commune
TA nnINTA
. Valuation
S
to Dist. Off. j F.C.C.
MH Permit Fee
Micro Film Fee Cop s
-w-of P m t
ace o. se/Case No. tk. lry
��
Fee Dbl S
DWLG & ATT GARAGE
-Socks' ✓
PI, CkS
Pl. Ck. Fee
- Slit lot Size
Construction fee Dbl $
L egal Description
O 'w"
F S S R
'.
w w Zone estriction, Group ype
BL �r Q
Electrical Fee Dbl Sr
SMI Fee S
Plumbing Fee Dbl $
..
Bond Amt.
Plan No.
PIon Checker
F. I we
'41 Lj
Insp
nit
Sp. Insp. Fee S
s
Demol. Fee S
Const. Lender
Branch
Supplimental Permit Numbers
RB0 "035 r 6
Regisir. Fee S
Mileage Fee S'
Address City `Zip
Witness Fee
S
-
Reinsp. Fee S
Owner/A t
Tel. Zip
Total Fees S .r
Ad rens
City Zip
M.O. N.C. Cosh Check
A 11 WA;
SLZ;NG!jGbI
Received by
on roctor
Te . License#
Trees required
Sewage. System
Address
_
City Zip
C
InaO /- r r �1 I
LFormT • LL THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS.CESSATION OF WORK verified by:
District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
IHEREBY 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 HEREB CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
4-208 (Rev. 1/801 ANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.