398938 (BLCK)BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD DST
9 8 9 3 8 COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
NO. PLUMBING FEES El
1ST FL.
2ND. FL.
FOR.
GAR.
CAR P.
WALL !
ESTIMATED CONSTRUCTION
SO. FT. .@ $
r t
UNITS
SQ. FT. @
YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC.
BAR SINK
SO. FT. @ POWER OUTLET
ROOF DRAINS h,
SO. FT. @
DRAINAGE PIPING
SO. FT. @'I %yi
DRINKING FOUNTAIN
SO. FT. @ I
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
legal Description
•
F 5
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
G oup
Type
SWIM POOL, COMM
WATER SOFTENER e
VENT SYSTEM FAN EVAP. COOL HOOD
Pon No.
Panecker
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Sp. Insp. Fee $
Demol. Fee $
Const. lender Branch
GARBAGE DISPOSAL
FURNACE UNIT WAIL FLOOR SUSPENDED
Registr. Fee
LAUNDRY TRAY
AIR HANDLING UNIT CFM
Mileage Fee S
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
} t 11. � •f ,i ,+•: r+ tt . .',t rr_
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
Address -
"� .� `et L
City ' Zip /
A j f r `•''c`�I.
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
Tel. �� ''f t
License#
SO. FT. @ a
BATH TUB
,
y r
Trees required
SO. FT. @ a
WATER HEATER
City Zip
T LL - P
S0. FT. RESID @ 1 r/a¢ a
SEWAGE DISPOSAL
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 -DAYS. CESSATION OF WORK verified by: c
FOR 120 DAYS SHALL ALSO.CAUSE PERMIT TO BECOME VOID.
Sewer District _
S0. FT. GAR @ s/4¢
HOUSE SEWER
THE LAWS OF RIVERSIDE COUNTY -AND THE STATE OF CALIFORNIA. T.
GAS PIPING
PERMIT FEE
Form 284208 fRev. 1/80)
ANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEESMOB.
HM. FEE
MICRO'FEE ,
MECH. FEE PL. CK.sFEE
CONST. FEE ELECT. FEE
ICU
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
Job Address Space Zip Owner
•0"'
39$938
r t
Community 'Jol a i C. Dat Diir.Off. F.C.C.
f $ ,2 ry f ... f
MH Permit Fee $
Micro Film Fee Cop $
Use of Permit` *s `� ' Rs "•rte /�
v„ 1 i�..:+ kj +1. L-
�. `( 4' :.i •-,
P rcel - o. (
r
..
Use Case No.
Ck. By
r
Mech. Fee Dbl $
PI. Ck. Fee $
Set Backs
11 lot Size '
Construction Fee- Dbl E /!
legal Description
•
F 5
S R
Electrical Fee Dbl $ �'
Zone Restrictions
G oup
Type
SMI Fee $
Plumbing Fee Dbl b
Bond Amt.
$.��
Pon No.
Panecker
, nal Dote
Inspect
Unit ,
8
Sp. Insp. Fee $
Demol. Fee $
Const. lender Branch
Supplimentol Permit Numbers
Registr. Fee
$
Mileage Fee S
Address City Zip
Witness Fee
$
} t 11. � •f ,i ,+•: r+ tt . .',t rr_
Reinsp. Fee S
Ow gent`s �- ` y"%r'"''- "J`J
Tel. Zip
Total Fees $ ra. '
'
Address -
"� .� `et L
City ' Zip /
A j f r `•''c`�I.
M.O. 0 N.C.E] Cash Check
Received by ��r„Y
Contra or '� -
Tel. �� ''f t
License#
J'1
,
y r
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: c
FOR 120 DAYS SHALL ALSO.CAUSE PERMIT TO BECOME VOID.
Sewer District _
(�
i `
•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. T.
HER Y CERTIFY THAT -THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284208 fRev. 1/80)
ANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
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NOTICE: THIS IS NOT A=BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
r "
DISTRICT
U t
�t
Permit No
284 199A y9/74 CANARY—FILE, PINK—APPLICANT
Owner Architect —_ _ Contractor_--._ -
/
u
Addres5(l,`Address---- Address --.— --
City��-�1 City-- City--- -
Phone661f- Phone _ Phone— --_--- _
o:
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' roperty to be occupied until I (we) have,
complied with al ws of the County of Riverside and the State of California governing said pr er
DATE~� SIGNATURE OF OWNER AND/OR GENT
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
_ ISPACE NO.
'7 O S C �t% arcy (�, USE OF STRU TURE
JOB ADDRESS y p I - SINGLE FAMILY DUPLEX Q
7 L�� 2 a /
>_
Z W
LEGA DESC PTION OF PROPERTY / - APARTMENTS AGRIC. El
� �-� �Locrr` 30� �6��� Z9
U Q
_
r `^ COMMERCIAL INDUSTRIAL
'^
COMMUNITY
ALTERATIONS n
Z
NO. OF SUBMITTED PLANS USE OF P RMIT
Q
TT Com/ (.✓t�-C'C
CASE NO. �
_V
C Z
NO. OF PARKING SPACES REQUIRED _ — N0. OF BUILDINGS NOW EXISTING -
Q
ZONE �f SETBA(fKS: FRONT SIDE REAR
J Co
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE OF FEET REQUIRED ON --� STREET
DATE {' SIGNATURE OF LAND USE OFFICIAL
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET_-
Luu
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ -STREET
H
of
a
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
W
HAS -AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
Q
IMPROVEMENT? YES ❑ NO ❑
O
°C
DATE SIGNATURE OF ROAD DEPT. OFFICIAL
Y
SWIMMING POOLS PUBLIC
QW
SEWAGE DISPOSAL
_
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
rn FLOOD CONTROL
H -
W AIR POLLUTION'
`u
DIV OF HWY
I
I-- — YOUR PROPERTY MAY BE SUBJECT TO
o.
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A y9/74 CANARY—FILE, PINK—APPLICANT
DUILUImp rCKMII
PERMIT NO. DEPARTMENT OF BUILDING &.-SAFETY -
3 p O 8 COUNTY OF RIVERSIDE FIELD OFFICE,
Fr
IT O
J
CONSTRUCTION ESTIMATE
-
,.
NO. ELECTRICAL FEES
NO. PLUMBING FEES..,.
15T'FL. 1
2ND. FL.�SO.
POR.
'GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SO.'FT. .@ $
MH Permit Fee $
UNITS
Cop S
FT.
` YARD SPKLR SYSTEM
SQ. FT. @ " MOBILEHOME SVC.
BAR SINK
SQ. FT. ^@ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. •
'@
DRINKING FOUNTAIN
SO. FT. @ ' '
_
URINAL° .
VALUATION- $ y`i -
WATER PIPING
NOTE: Not to be used os property tox valuation
F ; S
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
Group. :
•J
, SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. 'COOL HOOD
Plumbing Fee -
SIGN
WASHER (AUTO)(DISH) ,
APPLIANCE DRYER
Plon Geckir ..
nol Date LL
—
'GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED _
`
Sp. Insp. Fee 5
LAUNDRY TRAY
AIR HANDLING UNIT ' } CFM
Const. Lender
IDLE METER
KITCHEN SINK -
ABSORPTION SYSTEM .. B.T.U.
_
• TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
Address City .Zip'
1
POLE, TEMP/PERM
LAVATORY
- HEATING SYSTEM FORCED GRAVITY•
Ow nt
AMPERES SERV- ENT
SHOWER
BOILER B.T.U.c
-
SQ. FT. @ a
BATH TUB
Total Fees
S mle
SQ. FT: @ a
WATER HEATER
Pity
n
•
{
SO. FT. RESID @ 1'/4c '
SEWAGE DISPOSAL
Received by
Trees required
,�
SO., FT. GAR ' @ 3/4c -
HOUSE SEWER '
-
s : 'L "
,•�
Licensee
• 1
GAS, PIPING
PERMIT FEE
Address
- - - -
PERMIT FEE
PERMIT FEE r
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO' FEE
MECH. FEE
PL. CK. FEE
CONST. FELE}' ELECT. FEE'
SMI FEE
FEE PLUMB. FEE
_
PERMIT NO.
398938
-
,.
Job Address
Community
-
CAO -
uotio
- S
Space Zip Owner
�Q► Dote Dist.
1 -7
'
Off. F.C.C.
'-7,
MH Permit Fee $
Micro Film Fee
Cop S
Use of Permit •-
- -
1 I r�°v
PS -1 No.
•„
Use/Cose No.
Ck. By
Mech. Fee Dbl 5
PI. Ck Fee S s
Set Backs -
•S
Lm•Si:e
•
'
Construction Fee
Electrical Fee
Dbl S -
Dial 5
Legal Description
-
Y
�P_ rJ ¢'•
F ; S
R -
Zone Restrictions _
Group. :
•J
Type
SMI Fee S-•"
Plumbing Fee -
DbI S
Bond Amt.
S
Pon No. -
Plon Geckir ..
nol Date LL
—
Inspecior '-
• n
Unit Al
`
Sp. Insp. Fee 5
Demol. Fee
S -
Const. Lender
Branch
Supplimentol Permit Numbers
's ,, -
••
_
Registr. Fee • 5
Mileage Fee $
Address City .Zip'
1
Witness Fee 5
Reinsp. Fee
$
Ow nt
" ° �+
Y
Vic
• Tel.
• G
_ ��
-Zip
Total Fees
S mle
Address
, "
L�
'�s 1
Pity
n
•
{
Zip,
�C.
M.O. � N.C. ❑ Cosh. Check
'
Received by
Trees required
,�
Controc or
-
-
Tel.
_ -
s : 'L "
,•�
Licensee
• 1
Sewage System
Address
- - - -
City
Zip •
T LL P THIS PERMIT SHALL BECOME VOID IF WORK ISNOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK rerjfi.d by:, "?
FOR 120 DAYS SHALL ALSO CAUSE PERMIT- TO BECOME VOID. e
Sewer District
u _ ,I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT'WILL BE DONE IN ACCORDANCEWITH
THE LAWS OF RIVERSIDE COUNYY AND THE STATE OF CALIFORNIA.
/� HER�E CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rei. 1/801 lt6E9RDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.