398535 (BLCK)BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING 8t SAFETY FIELD DST
398535
COUNTY OF RIVERSIDE !ST T
A
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES,
1 ST FL.
2ND. Fl.
POR.
GAR. `'SQ.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
v
SQ. FT. @
YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC.
BAR SINK
FT. POWER OUTLET
ROOF DRAINS
SQ. FT. @ " �a
DRAINAGE PIPING
SQ. FT. @ �/j° ;^'(•
DRINKING FOUNTAIN
SO. FT. @
URINAL
VALUATION Is
WATER PIPING
NOTE: Not to be used os 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
Group
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
SMI Fee $
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. @ a
BATH TUB
Mileage Fee $
SO. FT. @ a
WATER HEATER
Reinsp. Fee
SO. FT. RESID @ 11144
SEWAGE DISPOSAL
del.
, ' 4
S0. FT. GAR @ t/4a
HOUSE SEWER
Total Fees
$
ddress
/„�+ fi/(.°..'"v°�' f/f_ f
GAS PIPING
PERMIT FEE
M.O. ❑ N.C. ❑ Cash ❑ Check
PERMIT FEE
PERMIT FEE
DBL.
TOT�FEES,
vim,
MOB. HM. FEE
+ MICROIFEE ,MECH. FEE
PL. CK. FEE
CONST. FEE-, ELECT. FEE
• � �� .��.�.
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
1-3985 35
Job Address
VkF
Space
Zip
_
Owner -
Community
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Valuation
_
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'Err
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Dote
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Dist.
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Off.FEZ—
MHPermit Fee $
Micro Film Fee
Cop $
Use of Permit 1'
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Parcel No.
y9� % y ""
Use/Case No.
2—
Ck. By
Mech. Fee Dbl S
PI. Ck. Fee S
Set Backs
lot Size
,
Construction Fee Dbl S tC�
Legal Description /
! j! 1 (� .'( r '�`� �•'�ts. 1" 4-•' 4
C •r,Kj �,/f.� \� '� G's!
F
5 S R
rElectrical Fee Dbl $
Zone Restrictions %
�... •/
Group
Type
SMI Fee $
'Plumbing Foe
Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Final Dote ,'��y�y�
r
%!
�j'� 1 I
Inspector
_
Unit
.Sp. Insp. Fee S
Dental. Fee
S
Const. Lender Branch
Supplime of rmit Numbers
/
Regist, Fee S
Mileage Fee $
Address City ;Zip
Witness Fee S
Reinsp. Fee
$
iter/Agent - .^ _ { "'"'r"+• -r-
del.
, ' 4
Zip
Total Fees
$
ddress
/„�+ fi/(.°..'"v°�' f/f_ f
Cityr �y ,
?'-r /j'C•r1 Pte.: Ir f.
Zip
7' �.• 4.,.
M.O. ❑ N.C. ❑ Cash ❑ Check
Received by
f
Contractor
Tel.
License#
Trees required i
Sewage System"''
rGY
Address,
t
City
a:
Zip
s
r„ -
'
T LLy f p THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120'DAYS. CESSATION OF WORK
Sewer District FOR 1.20 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.
�4 CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev. 1/80) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
�F verified by:
O-%
OPERATION
;..:
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
32
12A
BUILDING APPROVALS
13
MECHANICAL APPROVALS
1
Set Back
INSULATION
Thick
Value
33
Ventilation System
2
2A
Figs 8 Frms
Slob Grade
_ Z 2 _ Q/�
U v
34
Plenums 6 Ducts
35
Furnace Comport.
3
Steel
5-%'Z _�D
36
Inlets 8 Outlets ,
4
Grout Blocks
–v17— $ U
r
37
Combustion Air
5
Bond Beams
j , j �] Q /�
U / U v
Vents
38
39
Compressor
Appl. Clearance
6 Roof Deck
7
Framing
Sewer -
40
Fire Damper
8
Vents -
Water Softener
t
41
Smoke Detection Device
9
Garage Fire Wall
Gas Test
42
Commercial Hood '
10
Fireplace P.L.
43
Final
10A
Fireplace T. 0.
0
11
Exterior Lath .
Fixtures
12
Internal Lath
32
12A
Drywall
13
Finish Grade
INSULATION
Thick
Value
7A
Walls (Batts)
12B
Ceiling (Botts)
12C
Ceiling (Blown)
14
Final
;PLUMBINC
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
26 Power Pole
27 Conduit
28) Service Enti
29 Wiring
I I"O'"" ADDITIONAL INFORMATION
N.
APPROVALS '
r �
Y
29A
Grounding Wire 1
I
298
Bonding
30
Fixtures
31
Service
32
Final
SEWAGE SYSTEM SIZE & LOCATION
REAR OF PROPERTY LINE
t
P/L P/1
T
STREET NAME
i
NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT
APPLICATION TO CONSTRUCT Permit No
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
Owner Architect ----.--_ Contractor---. --
p
ddress _-- --
Addres' • 0. 19 49 Address__ Address—
CityCity--_ _ City_—_— —
City��
' /L_�
Phone__S&��_ �7 Phone _ Phone--'
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 all laws of the County of Riverside and the State of California governing said property.,
SIGNATURE OF OWNER AND/OR AGE v
DATE ___-_—_— —
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
I SPACE NO.
^„ USE OF STRUCTURE
JOB ADDRESS pJ — SINGLE FAMILY DUPLEX
>
LEG DESCRIPTION OF PROPERTY � ff/ —
Z
APARTMENTS AGRIC.
W
O
Q
COMMERCIAL INDUSTRIAL
j '^
_
COMMUNITY. ❑
ALTE RATIONS
C
Z
NO. OF SUBMITTED PLANS — USE OF PER T
N Q
/ r
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t9
CASE NO. —,ELL%
Z
I
NO. OF PA KING SPACES REQUIRED NO. OF BUILDINGS NOW S7/Ixt
Q
ZONE — ETBA(fKS: FRONT SIDE REAR
J m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE1 OF FEET REQUIRED ON STREET
DATE �� SIGNATURE OF LAND USE OFFICIA ---
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET - —
F
z
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ —STREET
H
oe
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
cc
DATE SIGNATURE OF ROAD DEPT. OFFICIAL_
=
SWIMMING POOLS PUBLIC
Q I.:
SEWAGE DISPOSAL
_
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS '
FLOOD CONTROL—
H
z AIR POLLUTION
DIV OF HWY
c YOUR PROPERTY MAY BE SUBJECT TO
a —
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
T LL p THIS PERMIT SHALL BECOME VOID IF WORK IS NOT.,COMMENCED WITHIN 120 DAYS. CESSATION OF WORK s 'verified by:
Sewer District : FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. v
r I HEREBY AGREE THAT 'ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE'WITH
THE LAWS OF RIVERSIDE'COUNTY AND THESTATEOF CALIFORNIA.
r Y CERTIFY THAT THE INDIVIDUAL WHO PREPARED. THE PLANS AND SPECIFICATIONS HAS DONE SO IN -
Form 284.208 ,(Rev. 1/80) [br��,/�) ORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE. OF. CALIFORNIA.
PERMIT NO.
13-918535'.
�... •.�'! � ��
Job Address � Spo42-
S "
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE.
FIELD. OFFICE
PERMIT NO.
•
398535
DST
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL,
FOR. -
GAR. `
CAR P.'
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
- UNITS
Micro Film Fee Cop $
SQ. FT. @
YARD SPKLR.•SYSTEM
SO. FT. @ • MOBILEHOME SVC.
BAR SINK
Q. FT. '' POWER OUTLET
ROOF DRAINS
SQ. FT. @ R.�i -
DRAINAGE PIPING
V
SO: FT. @ _.
DRINKING FOUNTAIN -
-,
SQ:,FT.
URINAL - -
VALUATION - $ -
' WATER PIPING
NOTE: Not to be used as.property tax valuation
- SWIM POOL, PVT
FLOOR DRAIN,.
' MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER s. '
VENT SYSTEM '• FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE' DRYER
Dern of. Fee S
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
RRegist , Fee S '
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
;KITCHEN SINK
ABSORPTION SYSTEM s B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR r HP ..
POLE, TEMP/PERM
LAVATORY „
HEATING SYSTEM• FORCED': GRAVITY
' AMPERES SERV ENT
SHOWER
BOILER B. U.
SO. FT. @ d
BATH TUB'
•
SQ. FT. @ a
r
WATER HEATER
-
50. FT. RESID @ 1 t%a
SEWAGE DISPOSAL
SO. FT. GAR @ t/<¢
HOUSE SEWER
GAS PIPING x. ,
PERMIT FEE
PERMIT FEE
-PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
'" MICRO FEE
MECH. FEE PL. CK. FEE
1. CONST. FES ELECT. FEE.SMIFEE
. FEE PLUMB. FEE
T LL p THIS PERMIT SHALL BECOME VOID IF WORK IS NOT.,COMMENCED WITHIN 120 DAYS. CESSATION OF WORK s 'verified by:
Sewer District : FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. v
r I HEREBY AGREE THAT 'ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE'WITH
THE LAWS OF RIVERSIDE'COUNTY AND THESTATEOF CALIFORNIA.
r Y CERTIFY THAT THE INDIVIDUAL WHO PREPARED. THE PLANS AND SPECIFICATIONS HAS DONE SO IN -
Form 284.208 ,(Rev. 1/80) [br��,/�) ORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE. OF. CALIFORNIA.
4 '
�.
�... •.�'! � ��
Job Address � Spo42-
S "
Zip A _--Owner
y 3
Dr) f
PERMIT NO.
•
398535
Com//munity
\ / s
Valuation
$ •• �s�
Oote
f / ��
.Dist.
Off.
F.C.C.
MH Permit Fee S
Micro Film Fee Cop $
Use of.. Permit
y C•�'(�
f:! X/ l -J / x—,06w
�/ r
Parcel No. •--, • Use/Case No.
+• r1 3"vG� Z .
V
Ck. By
Mich. Fee DbI $
PI. Ck. Fee S
Set Backs
Lot Siza
-
,
Construction Fee" Dbl� S t
i
Leof Description
g P'on •
r
[, f r' J'Z�""�y� �•.+��/.,, ,�� -
J !' 7. •• •...is 1+ .!� �+^�
F S S
R
Electrical Fee Dist S�
SMI Fee S
Zone Restrictions -
Group.
Type
Plumbing Fee Del $
Bond Amt.
S -
Plan No.
Plan decker ,
Final Dote
�
Insp ctor
Unit
Sp, Insp. Fee $
Dern of. Fee S
Const. Lender _ Branch
Supplimentol Permit Numbers ,
RRegist , Fee S '
Mileage Fee - $
AddFess - City ; Zip
Witness Fee -g
Reinsp. Foe $
ner/A 'e t��JJ., �+„�,,s ��f''/�-�••r.•....
TeL'(`' Zi
Total Fees $
A dress _ 1
� � a • '
City // Zip ,
j/ , �, �•„ ..
s J F !r ,5"
M.O. [:)^C. Q- Cash � Check
Received by,
Controctor - -
Tel.
Licensett
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 s 'verified by:
Sewer District : FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. v
r I HEREBY AGREE THAT 'ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE'WITH
THE LAWS OF RIVERSIDE'COUNTY AND THESTATEOF CALIFORNIA.
r Y CERTIFY THAT THE INDIVIDUAL WHO PREPARED. THE PLANS AND SPECIFICATIONS HAS DONE SO IN -
Form 284.208 ,(Rev. 1/80) [br��,/�) ORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE. OF. CALIFORNIA.