353634 (INST)PERMIT NO. - DEPARTMENT OF+BUILDING & SAFETY FIELD- ' •` WA -
CONSTRUCTION
;
3 5 3 6 3 4 + ' COUNTY OF RIVERSIDE, v.,....r Yfi+.M.';'+d.w •A•�il"rA.v"+f .JOFtY. f -r: -nv w.av*•, •, ..ar!r .-p-R4•h.N.rrvp Sx.•irt:s"y"IM..Si•s,• t. of a.,v
p PERMIT NO.
53634
ESTIMATE
NO.
ELECTRICAL FEES
NO. PLUMBING FEES
Com pity•±,+ /L•t
ST FL.
0
SQ. FT.t @• 4 , _
UNITS
-
Frill
2ND. FL.
Use of .Permit .r ,/ •• - -
t $,,F^ y� (j,
� �r7M4�'I 4q ( p, % �.r�`� .�
IDe
SQ. FT. @ '
Use/Case No.
YARD SPKLR SYSTEM
Mech. Fee Obl E
POR.
Set Backs -
SQ. FT. @
Construction Fee Dbl 5
MOBILEHOME SVC.
BAR SINK
S
GAR.
R
SQ. FT. @ ' 1'!
Zone Re on, '
- J \ /.
POWER OUTLET
ROOF DRAINS
SMI Fee $ _
CAR P.
SQ. FT. @ ' i.
Pion o 4
N5
FI `
Pion Checker +
DRAINAGE PIPING
-
Inspector ,:�
y
WALL
SQ. FT. @
-0emol. Fee b
'
DRINKING FOUNTAIN
Registr. Fee $
Mileage Fee $ � j•;,. ..tr
SQ. FT. @ ' r
Witness Fee E
E
_ URINAL
+'
ESTIMATED CONSTRUCTION VALUATION ' $ = • :
Total Fees $ -
-T.'!.
M.O. Cash Check
d
A,edttjres f"City
. / //%
ZEEf .0 V `YY`�'i: _
i'+ 'i,i Yf'.'.Y+.`•L�, /�:%dy,_i�%"+.A N / •
WATER PIPING
Received b yl �t
NOTE: Not to be used osproper_(y tox,vglugtion�; "ri.wi
-, ,s;yV.�. rt, SWIM POOL, P,VT;Yaxk;e .N+}ir+tr+ ,.u00IK
} F.LOOR DRAIN.. y
Trees required • f'jI/y
Sewage System
MECHANICAL, FEES- ,.. 't'z
City�, - •,/� _ • . Zip
SWIM POOL, COMM a
WATER SOFTENER
VENT SYSTEM
FAN• EVAP.;000L y • HOOD', ji
SIGN
; WASHER (AUTO)(DISH)
APPLIANCE
{ t i _ DRYER' ' �S
�i';
+ ;r
GARBAGE DISPOSAL
FURNACE
UNIT WALL' FLOOR SUSPENDED :7,
r -
! ?d
j LAUNDRY TRAY i
AIR HANDLING UNIT CFM
IDLE METER ,: {'
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.:' s •
f ,
TEMP USE PERMIT SVC tf
i WATER CLOSET .
COMPRESSOR .HP
}
POLE,TEMP/PERM
LAVATORY_
HEATING SYSTEM % FORCED GRAVITY
099
AMPERES SERV, ENT
SHOWER
BOILER
B.T.U. "r. sr _
ti} r
SQ. FT. r...f .Y
BATHTUB `+4",.-.:r .
SQ. FT. @ ' C z
WATER HEATER -
•
SQ. FT. RESID @ 11/4
• SEWAGE DISPOSAL
SQ. FT. GAR Q '/. t
HOUSE SEWER
e; . `� t. ti Yr. •rs "" �+'l
+i, i s iF•� c� 17:x";.+ ;^t,:t . ...,r -: it .rr,•...ii, rr::,i.
e+rtv.....GAS.PIPING,.Y . +_..: •
µ?.:-w
PERMIT FEE
g '
'00
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES •
MOB. HM. FEE
MICRO FEE,>✓
MECH.,E „ PL. CK. FEE
CONST. FEE •ELECT. FEE -
SMI' FEE
FEE PLUMB. FEE
{
S
p PERMIT NO.
53634
•
Job dressr t rr Space
r Po
Ase
`` Z'
JJP
Com pity•±,+ /L•t
VoluotionDa%te
2.
Di t.
F.C.
MH,PON
irmit Fee
Micro)Film Fee - Cop $
Use of .Permit .r ,/ •• - -
t $,,F^ y� (j,
� �r7M4�'I 4q ( p, % �.r�`� .�
IDe
Parcel No. ;' _ ^"
Use/Case No.
Ck. By
Mech. Fee Obl E
PI. .Fee y
Set Backs -
Lot Size-
y ` •.• y .
F
Construction Fee Dbl 5
L cripiion / f ri ,•.�• < / % ,k
y1 r•" �� / ,)��rt/4h- t• / •s - -
•�+_�;,/ _' • er C� V ��.c ♦Y pL, +G`.
y
F _
S
S `
R
Elettricol Fee Dbl 5
Zone Re on, '
- J \ /.
Group
Type + +
'' +
SMI Fee $ _
Plumbing Fee Dbl E
and �t. T
A +•
,b , �.d a
Pion o 4
N5
FI `
Pion Checker +
Final Dai
_
-
Inspector ,:�
y
L •
Unit •�
if r4 sA
Sp.Ilnsp. Fee E
-0emol. Fee b
Cojs lende{r ' �, Branch `
Supplimentol Permit Numbers
tiLwa..�;,adi...r�i'�'., 77L�'is4�;\..►w.4.�.r:.+1.•;.,.•n..P+.r.Sq i tr«
Registr. Fee $
Mileage Fee $ � j•;,. ..tr
Addross+tir,_+'p"" �:lrir.Ciryda'�:!k'1t Zip ...+rh,
A��.�: 4i . -
Witness Fee E
Reinsp. Fee $
Owner/Agent
Tel. Zip
Total Fees $ -
-T.'!.
M.O. Cash Check
d
A,edttjres f"City
. / //%
ZEEf .0 V `YY`�'i: _
i'+ 'i,i Yf'.'.Y+.`•L�, /�:%dy,_i�%"+.A N / •
Zip rpt
+.�`t'wlitf i.:{ii ti.r"1M`..Y:'}f'r��'11.�r^,~rt°�{rs�ry`i;AS,�. l'�k.s.
,+, .� i♦
Received b yl �t
Co r cion•/'� t j�� •p
6/'Of�! I$7. d..3 C...
Tel. `1 'Y��) Z L �•{' ff
,may (/((`I/ '✓.�.1 LJ G14
Licennsee##
FJP
Trees required • f'jI/y
Sewage System
Address
City�, - •,/� _ • . Zip
-e Its
T LL P - ,�q
rK TRfj PERM1T SRALL 0EC9ME VOID IF, W IS NOT COMMENCED. WITHINa120.Df�YS. CFStSATJQf� QF�VI/ORKy verified by:'
,C,,.,,•,' .
Sewer District ) FOIA 120 DAYS SM�iLL p�IWIN
I TO BECOME VOID. +'
HEREBY AGREE THAT AlCONNECTION WITH THIS PERMIT WlllBE DONE IN'ACCORDANCE WITH
JHE LAWS OF RtVERSIDE'COND THE STATE OF CALIFORNIA. s
r I HEREBY CERTIFY THAT THE INDIVh3UtIl WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
I/ fl"ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Form 284-208 (Rev.B/78) # .a F F, , ,r , , _; i, t,• # ,
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums & Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets 8 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
M
Smoke Detec•ion Device
9
10
Garage Fire Wall
Fireplace P. L. ❑
42
43
Commercial Hood
Final
10A
Fireplace T.O. ❑
No
ADDITIONAL I FORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 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
REAR OF PROPERTY LINE
4
`
P; L Wj
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
a•
• STREET NAME
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT `` r
Permit No
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
Own '�� Architect----.------ Contractor- C '-zz —
Addres J 3 Address___ Address
City ne City__——
e, n
Phone Phone
I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and
W
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 all law of the County of Riverside and the State of California governing said property.
%
DATE SIGNATURE OF OWNER AND/OR
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
�laaS-3 1SPACE N0.
USE OF STRUCTURE
JOB ADDRESS S 3-- v Y_ L�L1/tS7 C7
- _ SINGLE FAMILY DUPLEX
>_
ION DESCRI TION F PROPERTY
Z
S� � APARTMENTS AGRIC.
'��
N Q
COMMERCIAL E] INDUSTRIAL
�
'^
COMMUNITY ALTERATIONS ❑
�U
O Z
NO. OF SUBMITTED PLANS — USE OF PERMIT
jCASE
NO.��
C Z
NO. OF REQUIRED — NO. OF BUILDINGS NOW EXISTING
Z -j
,PAARKING/SPACES
ZONE /9 SETBACKS: FRONT SIDE REAR
J m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE # -- OF FEET REQUIRED ON STREET
DATEg2 `j SIGNATURE OF LAND USE OFFICIA — _ —
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET__—
H
W
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
cccc
a
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
Q
IMPROVEMENT? YES ❑ NO ❑
O
°C
DATE — SIGNATURE OF ROAD DEPT. OFFICIAI
=
SWIMMING POOLS PUBLIC
QW
SEWAGE DISPOSAL
_
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
to FLOOD CONTROL
f
W AIR POLLUTION
DIV OF HWY
cW
a YOUR PROPERTY MAY BE SUBJECT TO
—
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 CANARY—FILE, PINK—APPLICANT