374705 (RPL)BUILDING PERMIT
P7ERMIT N%O
/ 4.i / t 1 s I
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE�STT�
COUNTY OF RIVERSIDE I 't I
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO: PLUMBING FEES
ZipOwner
91 725--d
IST FL.
SQ. FT. @ $
UNITS
Valuation Q
Q O -Q-
Date.
-' { �•
Dist.
I
2ND. FL.
SQ. FT. @
MH.Permit Fee $
Micro Film Fee •
YARD SPKLR SYSTEM
FOR.
GAR.
CAR P.
WALL
SQ. FT. @
MOBILEHOME SVC.
Use/Case No.
_ BAR SINK
Mech. Fee Dbl $
SQ. FT. @ POWER OUTLET ROOF DRAINS
Set Backs
SQ: FT. @ DRAINAGE PIPING
lot Size
I �y v
(Ov,J P foo
SQ. FT. @ DRINKING FOUNTAIN
Legal Descri tion
9 P ..
L O , W V ` ,CL ^") I
L / V i� f� C
(10 SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
G ap
r _ ��
R' ,.//''
lG
URINAL
WATER PIPING
Zone Restrictions
12-1
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
O 00
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
Plan Checker
WATER SOFTENER
Fin a
.a-
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
Sp. Insp. Fee $
APPLIANCE DRYER
$
GARBAGE DISPOSAL t
FURNACE UNIT WALL FLOOR SUSPENDED
Registr. Fee $
LAUNDRY TRAY
Address City Zip
AIR HANDLING UNIT CFM
IDLE METER
$
KITCHEN SINK
Owner/Agent
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
Zip
WATER CLOSET
Total Fees
COMPRESSOR HP
POLE,TEMP/PERM
Address
[r
`�/J ,•,.•^/r./�, /,
LAVATORY
City
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
Received by*
Trees required �•-•
SHOWER
BOILER B.T.U.
s• SQ. FT. .@ c
Tel..jLicen�se"#
,j 2 3
BATH TUB
C-58 3
Sewage System
L..��'
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @ I V, c
,
'-
SEWAGE DISPOSAL
SQ. FT. GAR @ '/4 c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
4'�
' PERMIT FEE 4.
00
DBL.
TOTAL FEES
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
zoG
I CONST. FEE
ELECT. FEE
oc�
SMI FEE
FEE PLUMB. FEE
1. So.
PERMIT NO.
Job Address _
Space
r
ZipOwner
91 725--d
CommupAniity
I
—A 4 TVu 7A$
Valuation Q
Q O -Q-
Date.
-' { �•
Dist.
I
Off.
F.C.0 .
Q2 G
MH.Permit Fee $
Micro Film Fee •
Cop $
Use of Permit
12 Y 28 ' t ��,(, ^" Top �.�•
Q - C
15x9 JAC(.Az;,>1 P�
Parcel No.
Use/Case No.
Ck. By
Mech. Fee Dbl $
PI.Ck.Fee $
IFI.
Set Backs
lot Size
I �y v
(Ov,J P foo
Construction Fee Dbl $ CIO
Legal Descri tion
9 P ..
L O , W V ` ,CL ^") I
L / V i� f� C
F S S
R' ,.//''
lG
Electrical Fee Dbl $
Zone Restrictions
12-1
Group,•+'t � Type
TY •-
SMI Fee $
Plumbing Fee
Db1 $510
Bond Amt.
$
Plan No.
Plan Checker
Fin a
.a-
�OI
. b Q
InsActor
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender Branch
"
Supplimental Permit Numbers
Registr. Fee $
Mileage Fee $
Address City Zip
:Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel.
Zip
Total Fees
$
Address
[r
`�/J ,•,.•^/r./�, /,
City
Zip
M.O. N.C. Cash Check
Received by*
Trees required �•-•
Controc ior- `•'�
(��L
Tel..jLicen�se"#
,j 2 3
C-58 3
Sewage System
L..��'
Address
t ' ' `
�{ � l/L1 t i � 4 4uWlh� •
Zip
,
'-
T LL P
Sewer District
Form 284-208 (Rev.8/78) s
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
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.
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.
verified by:
DWILumv rCKMII
1.
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY 7DST374705 COUNTY OF RIVERSIDE FIELD
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. @ $
2ND. FL. SQ. FT. @
POR. SQ. FT. @
GAR. SQ. FT. @
CAR P. SQ. FT. @
WALL SQ. FT. @
r('�
i"C7,�t SQ. FT. @ M.-� _ J t7
ESTIMATED CONSTRUCTION VALUATION $ - .y
UNITS
MOBILEHOME SVC.
POWER OUTLET
Zip
;�
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
'
WATER PIPING
�..
NOTE: Not to be used as property tax valuation r
SWIM POOL, PVT
�!
FLOOR DRAIN
Date
MECHANICAL FEES
SWIM POOL, COMM
F.C.C.
O 0
V
WATER SOFTENER
Micro Film Fee
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
Parcel No.
APPLIANCE DRYER
se/Case No. v
Ck. By
GARBAGE DISPOSAL
Pl. Ck. Fee E rrys
FURNACE UNIT WALL FLOOR SUSPENDED
lot Size
on d OC
LAUNDRY TRAY
Dbl E
Dbl E
AIR HANDLING UNIT CFM
IDLE METER
Legal Description
r u
a , �J V L F7
KITCHEN SINK
R
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
Type
WATER CLOSET
Plumbing Fee
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
Plan No.
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
n r
SHOWER
Sp. Insp. Fee $
BOILER B.T.U.
° SQ. FT. @ c
BATH TUB
Const. Lender Branch
Supplimental
SQ. FT. @ c
WATER HEATER
Mileage Fee $
Address City Zip
SQ. FT. RESID @1'/.c
Reinsp. Fee
SEWAGE DISPOSAL
SQ. FT. GAR @ % c
Tel.
HOUSE SEWER
Zip
Total Fees
$
GAS PIPING
PERMIT FEE
PERMIT FEE
r- O r�
'� PERMIT FEE
p.�
DBL.
TOTAL FEES
��
MOB. HM. FEE.
MICRO FEE MECH. FEE
PL. CK. FEE
~r Y+
CONST. FEE
d ha
E CT. FEE
I ? a
SMI FEE
FEE PLUMB. FEE
SD
PERMIT NO.
1374705-��
Job Address
,,,
Space
Zip
;�
Owner
�..
W
CommunityV
L—A
Vo
E C
�!
Date
Dist.
1
Off.
F.C.C.
O 0
V
MH.Permit Fee $
Micro Film Fee
Cop $
Use of Permiti-!!
'y/ Y�( e ,/�� O 0L...-
_
!�j k JF1 f` (moi 7v f `• A
Parcel No.
n
se/Case No. v
Ck. By
Mech. Fee Dbl $
Pl. Ck. Fee E rrys
Set Backs
lot Size
on d OC
Construction Fee
Electrical Fee
Dbl E
Dbl E
Ad
'
G7ti
7.a
Legal Description
r u
a , �J V L F7
F S I S
R
Zone estrictions
_
Group
Type
SMI Fee $ ...
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
Plan Checker
of Dat
n r
Unit
Sp. Insp. Fee $
Demo!. Fee
$
Const. Lender Branch
Supplimental
Permit Numbers
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel.
Zip
Total Fees
$
Address
c/( 1. ,%r: =L� f �!
City
Zip
M. 0. N.C.0 ash Check
Received by
frees required
!,
y.,..i .... k
CAtrocibe— �''� -
�.1
�,: `` f''
Tel.
-
2
LicenseN
_ C,-7 4 (1
Sewage System
Address
Cit
T LL P
Sewer District .
Form 284-208 (Rev.B/78) s
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
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._
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.
verified by:
a
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Bock
_ �/�/�
—�' O
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets & 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
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace
P. L.
43
Final
IDA
Fireplace
T.O.
No ADDITIONAL INQFORMATION
%q� �v—%Ip
—
SEWAGE SYSTEM SIZE & LOCATION
Ill Exterior Loth
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 00
15 Ground Plumb—�
16 Water Piping 00
17 Rough Plumb �7g
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
PSL P/
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring _
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME f
i
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT
Permit No
284 199 9/74 CANARY—FILE, PINK—APPLICANT
Owner t ) Architect Contractor
! �� L r'r r f
'
Address �/ Address Address_
I ` {
City City_ City-'
Phone Phone r ` Phone
I (we) the undersigned" hereby certnfy 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 ofthe County of Riverside and the State of California governing said property.
,i
DATE / SIGNATURE OF OWNER AND/OR AGENT
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
j I SPACE NO.
q f AI USE OF STRUCTURE
�
t �1I11'r-j o_
JOB ADDRESS •�-•� f fff \\\vcj�yifj�
SINGLE FAMILY DUPLEX
-0
>
Z
LEGAL ESCR•IPTION*0 P O,P TY — APARTMENTS AGRIC.
% +.� � t,
us
H Q
t
tr �/ r COMMERCIAL INDUSTRIAL ❑_`
'^
Z
COMMUNITYCltI
ALTERATIONS
NO. OF SUBMITTED PLANS USE OF PERMIT L-41
a
--_—
4
CASE NO.��
NG10Z
C
PIG SETBAC'KSCES I.REFRONT * "r OFSBDELDIRIG.OISTIREAR
ZONE SETBACKS:
J
m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK.g RD NC t _— OF FEET REQUIRED ON STREET
DATE /T� SIGNATURE OF LAND USE OFFICIAL ---
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET-_
F
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ —STREET
d
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
W
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
CIMPROVEMENT?
YES ❑ NO ❑
°L
DATE __ SIGNATURE OF ROAD DEPT. OFFICIAL
=
SWIMMING POOLS PUBLIC
IW
SEWAGE DISPOSAL
_
_
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
�n FLOOD CONTROL—
z AIR POLLUTION
_ DIV OF HWY
c < YOUR PROPERTY MAY BE SUBJECT TO
—
to
c FLOOD. RIVERSIDE COUNTY ASSUMES
.
.r
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199 9/74 CANARY—FILE, PINK—APPLICANT