413721 (SPIN)CUILUI14v rtKMll
PERMIT NO.
413721
,,DEPARTMENT OF :BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD
' CONSTRUCTION ESTIMATE i
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.V
2ND. FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
-- ---
'
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SO. FT. @ POWER OUTLET
ROOF DRAINS
SO. FT. @
DRAINAGE PIPING
SO. FT. @
DRINKING FOUNTAIN '
SQ. FT. @
URINALS ' "}
VALUATION $
WATER PIPING
NOTE: Not to be used as property tass,voluotion
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENEV?,--
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTA)(DISH)
APPLIANCE DRYER
1
�C'v �!�
GARBAGE DISPOSAL'
FURNACE UNIT WALL FLOOR SUSPENDED
Group
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 r
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENTv
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
SO. FT. @ 1 a
WATER HEATER
•
S0. FT. RESID @ 1 t/<a
SEWAGE DISPOSAL
'
- S0. FT. GAR @ 3/<c
HOUSE SEWER
Reinsp. Fee
§
GAS PIPING
PERMIT FEE
Zip
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
mlCRO'FEE ,. MECH. FEE
PL. CK., FEE
CONST. FEE ELECT. FEE
SMI FEElJec
EEE PLUMB. FEE
----
PERMIT NO.
-413721
---
-
Job --Addre--ss __--- ---- �----------
'+
_ v ---
.\
- Spore
-- ---
'
Community
Valuation
Dote
Dist.
OI.
F.C.C.
MH Permit Fee
Micro Film Fee
Cop $ ,
Use of Permit a�c/FJ-
.+./� r
t //�J/`� '/�j ��j
'. "T-- 10,;; "voJ el� I .- ow, �` i![.r�U.¢G
Parcel No.
Use/Gose No.
Ck. By
Mach. Fee Dist $
PI. Ck. Fee $
t Set Backs
S S R
Lot Size
'
N
-
Construction Fee Dbl S
Legal Description
jam//)
��+Ll� r•••�
1
�C'v �!�
Electrical Fee Dial $-
Zone Res rictions
�r.. /+
Group
Type
�
-
SMI Fee � $ �
Plumbing Fee
Dial $
Bond Amt.
Plan No.
Plan Checker
Final Dote
InspectorDO r
Unit
Sp. Insp. Fee S
Demol. Fee
S
Const. Lender
Branch
SupplimentaI Is mit Numbers
� r
Regior. Fee $
Mileage Fee S
Address City Zip
-
Witness Fee $
Reinsp. Fee
§
Qvrne ge .. �F - w '-
Tel.
Zip
Total Fees
$
C.%"%Address
••'�"J'+•:..,.,,,,•_ '+, l/ �r- �^-�
_ / f' �. 4* C.a�/7' S 4 C../
City - 'J ¢ �J -
�- ���.'$. l i I /i s
Zip
M.O. ❑ N.C. ❑ ,Cash heck �❑
Received by
Contractor
Tel.
,
UcenseR
Trees require
Sewage System
Address
I
City Zip
T LL p
Sewer District '
Y
i •
Form -284-208 (Rev. 1/80)
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verilied by:
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
1 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.
NO.
OPERATION
DATE
INSPECTOR NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets & Outlet>
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 Deice
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L.
43
Final
10A
Fireplace T. 0.
[]
°o
ADDITIONAL INFORMATION
11
Exterior loth
12
Internal Lath
12A
Drywall
13
Finish Grade
INSULATION
Thick R
Value
'
7A
Walls (Batts)
12B
Ceiling (Batts)
12C
Ceiling (Blown)
14
1 Final
'PLUMBING -APPROVALS-. _
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 ' Vents '
19 I Sewage Disposal
J
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25 Final
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding I
30
Fixtures
31
^_ervice
32
Final
SEWAGE SYSTEM SIZE & LOCATION
REAR OF PROPERTY LINE
P/L P/i
STREET NAME
NOTICE: THIS IS NOT A BUILDING PERMIT/
DISTRICT
APPLICATION TO CONSTRUCT Permit No
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
284 199 9/74 CANARY—FILE, PINK—APPLICANT
Owner N Architect / Contractor :6/Y1
i
Z3 /T G��if,7�� 7
Address_) (/ Addres Address -
City a(r (y/lh��/ City City_
Phone Phone
01
I
I (we) the undersigned, hereby certify and acknowledge that 1 (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 nqf 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 e) have
complied with all the County of Riverside and the State of California governing said rpropef
,la�ws�of
DATE X�,.[—ie:�Z SIGNATURE OF OWNER AND/OR
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Constr oei_Perrwe .-
SPACE NO.
USE OF STRUCTURE
JOB ADDRESS / •! / jEC�` 1� ;a% SINGLE FAMILY [] DUPLEX
Z W
LEGAL DESCRIPTION*OF PROPERTY - _ - r
- APARTMENTS AGRIC.
�.-
N N
_
� COMMERCIAL _ Q INDUSTRIAL [�
C
COMMUNITY. ALTERATIONS ❑
C
Z
NO.,OF SUBMITTED'PLANS- USE PERMIT •% -
CASE NO.
p z
NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING r
Q 10
/��� ZONE � SETBACKS: FRONT /eo SIDE REAR
J m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE a _— OF FEET REQUIRED ON STREET
,
SIGNATURE OF LAND USE OFFICIAL _-_
DATE/—. -
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET--—
F
z
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
t -
a
W
CAN CURB AND, GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
HAS AN ACCEPTABLE. APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
IMPROVEMENT? YES ❑ NO ❑
t1
00
DATE _ SIGNATURE OF ROAD DEPT. OFFICIAL
Z
SWIMMING POOLS PUBLIC
or I.:
It
SEWAGE DISPOSAL
FOOD ESTABLISHMENT E
_
WATER POLLUTION REMARKS
�n FLOOD CONTROL
W AIR POLLUTION
ME
= H DIV OF HWY
o a — YOUR PROPERTY MAY BE SUBJECT TO
0
o _ FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199 9/74 CANARY—FILE, PINK—APPLICANT
''_
REQUEST FOR CERTIFICATION
Date
County of Riverside
TO: Local governing authority
SUBJECT: Request for certification of acceptability of property under applicable
local building code(s).
�^V
REFERENCE: Location of dwelling: ' ` �y el/` asCa
Community:
I. hereby request an inspection of the above located dwelling for a determination of the
following, as well as a Certification of Acceptability (or Nonacceptability as the situation
warrants):
❑ 1., Compliance with local building code(s) applicable to the existing dwelling,
❑ 2. Compliance with applicable local code(s) on room addition.
❑ 3: Compliance with.applicable local codes) on garage conversion.
El 4. Compliance with applicable local code(s) on sewago disposal system.-
i� 5. Compliance with applicable'local code(s)o�t other special constrycoon.
(describe l / d 011'e~OQ . S JP6 bsu QE
Signed: /�E i7_�/_rM 4
(Owner/Agent) n
Address: a o
Zip:..
284-49 8/7$*` ":
CERTIFICATE OF ACCEPTABI'LITY/NONACCEP.TABILITY
Owner: IIOWMDI W. MMSON �ian�f�xR 14* iA81
Date of Inspection
-Location of Dwelling: r?��% A ybgAitS 294=0 -- 1 21
Building Permit No.
Iia Quint
Community:
I certify that as.a part of my official duties as building inspector, I have on the date indicated, '
inspected the above'located dwelling as requested, and.have noted the following violation(s) of
the applicable building-code(s):
❑ None. There is no violation of the applicable building code(s).
Reinspection/
New Permit
❑ The following nonacceptable conditions exist:
Required
❑ Sanitary inadequacy: .
❑ Structural, hazard: "
❑ Hazardous wiring:
❑ Hazardous plumbing: r .
❑ Faulty weather protection: '
❑ Fire hazard:
❑ Faulty materials of construction:
❑ Additional details are noted on reverse side of this form.
Remarks:
❑ Conforms to other applicable ordinances.
❑ I further certify that a record is available indicating proper completion:•:,,.,.
(Building Permit:No.) (Completion Date)
❑ The building permit completion record is not available. Records indicate age of this structure
has.led to destruction of the completion record.
XJ There.is no record available of the construction involved- However, the construction appears
to meet code.
Signed: �
(Typed or Printed Name of
Building Inspector)"
Incuo County of. Riverside JaA't5. 1981
City Date of Certificate
131UILUINU YEKMII ,
PERMIT NO, DEPARTMENT OF BUILDING & SAFETY
4 1 3 7 2 1 COUNTY OF RIVERSIDE FIELD OFFICE �/
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES,
NO. PLUMBING FEES
1ST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
Valuation
S
SO. Fd. @
YARD SPKLR SYSTEM
SQ. FT. @ r MOBILEHOME SVC.
BAR SINK
SO. FT. @ POWER OUTLET
ROOF DRAINS
SO. FT: @
DRAINAGE PIPING
SO. FT. @
DRINKING FOUNTAIN
SO. FT. @ -
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN r"
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN s EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH) -�
APPLIANCE DRYER
Address City Zip
GARBAGE DISPOSAL yr
FURNACE UNIT WALL FLOOR SUSPENDED
Owne / g ''
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK s
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. @ a
BATH TUB
SQ. FT. @ a
WATER HEATER
SO. FT. RESID @ 11/4e
SEWAGE DISPOSAL
SO. FT. GAR @ 3/4a
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
T�OTAAL FEES
MOB. HM. FEE
MICRO -FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
.` EEE PLUMB. fEE
PERMIT NO.
4137 21
Job Address /J //� �'^ Space
�e ? 5 4 Q
Zip �j .�
� Gc�
Owne/rf� /)�J ' f //�/'
111- '9h �OA I '
Community .
0
� C4 / A' �/�
Valuation
S
Dote
/ " f, f
Dist.
/ /
Of . I
F.C.C.
MH Permit Fee S '
Micro Film Fee Cop S
Use of Permit:*.Ie �/� / �^p l � • Parcel No, Use/Case No. Ck. B
AllSet Backs Lot Size
Legal Description S J S <^ R `/1 ��/7
,/ / Zona Restrictions •J Group VV Typa
1y �% / / / �L!' ^! O\ �V ^�'�� e—
Mech. Fee Dbl S
PI. Ck. Fee S
Construction Fee Dbl S
Electrical Fee Dbl SS..�/++/�•s
SMI Fee S
Plumbing Fee Dbl S
Bond Amt.
$
S,
Plan No.
Plan Checker Final Dote
/
Inspector
Unit
Sp. Insp. Fee 5
Denial. Fee S
Const. Lender Branch
Supplimentol Permit Numbers
Regist, Fee $
Mileage Fee S
Address City Zip
Witness Fee S
Reinsp. Fee S
Owne / g ''
Tel. Zip
Total Fees S
.•Address """�--_,,,•./� Q
/ 7 ."35 . I' '� //7 5
City Zip
M.O. N.C. � Cosh heck
Recei.ed byO�V �r
Contractor
Tel.
licenseR
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 verified by:
Sewer District 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.
REBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS•HAS DONE SO IN
1 Form 284.208 (Rev. 1/80) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.