398818 (BLCK)BUILDING PERMIT
PERMIT NO, DEPARTMENT OF BUILDING & SAFETY FIELD DST
9 8818 COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
Job Address
-���-
NO. ELECTRICAL FEES
NO. PLUMBING., EES
1ST FL.
2ND. FL.
FOR.
GAR.
CAR P.
WALL
ru K-7
ESTIMATED CONSTRUCTION
SO. FT. .@ $
oTnm y "-.+ r' Iu6hoA 1ef
s
�� $ _ V 0
Us>e o'f`Perm�t - '),,Y -cel No.
,J,r g wDn)j
�I �,J •( ��!! Backs
Sbf
Legal Description F S S
i j !.L'. y `(� j Zone Restrictions
Gr.�s�"! } 6..•7 1CWrt� �JJ L+ y L.
UNITS
MH Permit Fee $,.
SO. FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.
50. FT. @
BAR SINK
SO. FT. @ POWER OUTLET
ROOF DRAINS
SO. FT. @
DRAINAGE PIPING
SO. FT. @ ."` -T 7-^�-"9
DRINKING FOUNTAIN
SO. FT. @
URINAL
VALUATION $ • _
WATER PIPING
NOTE: Not to be used as property tax valuation
" �� '"�`
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
Mileage Fee $
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
Owner/Agent
f } I
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Total Fees S -
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
61Y,., tp r V.-
A !
ZP
9...!`
LAUNDRY TRAY
AIR HANDLING UNIT CFM
Cl,Mopstrt for /+ ✓
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
Licensflp 4
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
SO. FT. @ a
WATER HEATER
SO. FT. RESID @ 1 /44
SEWAGE DISPOSAL
SO. F. GAR @ V44
HOUSE SEWER
'
-
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO' FEE
MECH. FEE
PL. CK. FEE
CONST. FEE ELECT. FEE
ca �
SMI FEE
FEE PLUMB. FEE
r J
PERMIT NO.
3988 18
Job Address
-���-
/
-
SpaceZip
�_
Owner
.
-
oTnm y "-.+ r' Iu6hoA 1ef
s
�� $ _ V 0
Us>e o'f`Perm�t - '),,Y -cel No.
,J,r g wDn)j
�I �,J •( ��!! Backs
Sbf
Legal Description F S S
i j !.L'. y `(� j Zone Restrictions
Gr.�s�"! } 6..•7 1CWrt� �JJ L+ y L.
_
�' ist.` ff. FC.C.
U,e/Cos6 No. Ck. B;
gj�
Lot Size
R
Group Type
MH Permit Fee $,.
Micro Film Fee Cop $
Mech. Fee Dbl $
H
PI. Ck. Fee $
Construction Fee Dbl $
Electrical Fee Dbl $
SMI Fee $
Plumbing Fee Dbl $
Bond Amt.
$
Plan No.
Plan Checker
FirtolitNe ctor
3-3
.-
Unit
Sp. Insp. Fee $
Demol. Fee $
Const. Lender
Branch
Supplimental Permit Numbers
'
,
Regisir. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp.. Fee $
Owner/Agent
f } I
Tel.
Zp
Total Fees S -
AddressS ' 4.f•
��
f e
�.
61Y,., tp r V.-
A !
ZP
9...!`
M.O. I] N.C.E] Cash •Check o'4.4d
Received by `
Cl,Mopstrt for /+ ✓
S. - '*/ '4
Tel:��
wJ-
Licensflp 4
Trees reed !
Trees
Sewage System
Address
City
Zip
a
T LL . P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
- a •I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT'WILL BE DONE IN ACCORDANCE WITH
THELAWSOF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
- I HEREBY 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.
VUibed by:
NO
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & Frms
6' , (:'v
l5
/ / Qo —
34
Plenums & Ducts
2A
Slob Grade
35
36
Furnace Comport. c�
Inlets & Outlets
3 Steel 6. Z a w
4
Grout Blocks
-
37
Combustion Air
5
Bond Beoms
38
Compressor _
f 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
10A
Fireplace r.o`
[]
°o ADDITIONAL INFORMATION
gd �j •�
,
'
w`
-
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R"
' Value
",•7d; Wails'(Botts)
12B Ceiling (Botts)
12C Ceiling (Blown) -
14 Final
PLUMBING APPROVALS
15 Ground Plumb 1
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
t
Tank
Pit - L Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L
k
P/
T
v
26 Power Pole
27 Conduit
28 Service EnOonce
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 j Final
STREET NAME
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
n
DISTRICT
Permit No
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
Own 0 Yet --_ _—_. Contractor--_
Addres Q�Q_ Address___ Address—._---_ --
����,,�
City ul //T(i) QQ City-- City_—_ _
Phone—— Phone _ Phone—
cc
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 witthjh all laws of the Countv of Riverside and the State of California governing said prope
DATE SIGNATURE OF OWNER AND/OR AGEN
Approval by Signature from the Following Departments Liste Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
ISPACI� N0.
USE OF STRUCTURE
JOB ADDRESS Ci SINGLE FAMILY•. DUPLEX
Z H
LEGfDESCRIPTION OF PROPERTY— 4—�_— APARTMENTS /��� AGRIC. El
o'�—
—
COMMERCIAL INDUSTRIAL
N Q
L�
j '^
COMMUNITY ALT ONS
73 C
Z
NO. OF SUBMITTED PLANS USE OF PER
Q
N
CASE NO.
O Z
NO. OF PARKING SPACES REQUIRED __ NO. OF BUILDINGS NOW EXISTING
Q
ZONE 4e?-- ETBACKS: 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 A44
1 94y
DEDICATION REQUIRED: YES O NO ❑ NO. OF FEET——
z
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ —STREET
H
'
cc
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. OFFICIAI
S
SWIMMING POOLS PUBLIC
SEWAGE DISPOSAL
QW
_
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
VW FLOOD CONTROL
t-
2;
BUILDING PERMIT
PERMIT NO.
398818
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST
COUNTY OF RIVERSIDE n_
CONSTRUCTION 'ESTIMATE.
Job Address
NO. 'ELECTRICAL FEES
NO. PLUMBING FEES '
1ST -FL.
2ND. FV.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. .@ $
UNITS
SQ. FT. @'
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR, SINK
SQ. FT @ - 1 POWER OUTLET
ROOF DRAINSa
SQ. FT. @
DRAINAGE PIPING
50. FT. @ "`'�
DRINKING FOUNTAIN
SO. 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 ,
VENT SYSTEM FAN EVAP. COOL - HOOD
orcel No.
SIGN -
WASHER (AUTO)(DISH) .
APPLIANCE - _ DRYER
GARBAGE DISPOSAL
FURNACE ''UNIT WALL FLOOR SUSPENDED
,�: [�O
'
LAUNDRYITRAY.
AIR HANDLING UNIT CFM
PI. Ck. Fee $
-Obl
IDLE METER
KITCHEN SINK'
ABSORPTION SYSTEM B.T.U.
Construction Fee S -
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR 'HP
JR,
POLE, TEMP/PERM
LAVATORY, ,.
HEATING SYSTEM FORCED s ' GRAVITY
Zone Restrictions.
- AMPERES SERV ENT.
SHOWER '
BOILER - B.T.U.
-------------
'SMI Fee S
SQ. FT. @ a
BATH TUB
•
Plan No.
.' SQ.: -FT. @ a
WATER HEATER
v InspectorU
SO. FT. RESID @I '/<a.
SEWAGE DISPOSAL
Demol. Fee
S
S0. FT. GAR @ 3/44
HOUSE SEWER
-
• .. .
M
,t; -
Registr: Fee $
Mileage Fee f S
GAS PIPING .
PERMIT FEE
Fee •
S
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
Lia
L
MOB. HM. FEE
-1 -
MICRO FEE -
MECH. FEE'
.
PL CK. FEE
. I
CONST. FEE ELECT. FEE
a
SMI FEE
I I .
FEE PLUMB. FEE
T LL P THIS PERMIT. SHALL BECOME VOID IF WORK IS NOT COMMENCED *WITHIN 120 •DAYS. CESSATION OF WORK" ve`rilled.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.A000RDANCE WITH ,
THE LAWS OF RIVERSIDECOUNTY AND THE STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND, SPECIFICATIONS HAS, DONE 50. IN
• ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
k"Forr m 284208 (Rev. 1/80) • -
r4 t.
Job Address
Space
Zip Owner
PERMIT NO.
-
. \
398818
mm ay - -
Valuation '
Dale
Dist ff. F.G.C.
b
-�
MH Permit Fee
$
S
+�7ofC��••
��
�
_
Micro Film Fee
Cop S
Use Permit'
orcel No.
Use/Casa No. -
Ck. By
h/ ` '•'� f J � C"7'7 ^ %� �••
V C✓
,�: [�O
-
'Mach. Fee Dist $
PI. Ck. Fee $
-Obl
Set Backs _
-
'Lot Size
'
Construction Fee S -
legal Description -
F S
S
JR,
Electrical Fee
Dist S
6or�-1 . �«37 �vL
_
Zone Restrictions.
Group
.
Type ,
'SMI Fee S
Plumbing Fee
Dal $
Bond Amt.
,$
Plan No.
Plan Checker
Final a e�
v InspectorU
nit
S 1
Sp. Insp. Fee S
Demol. Fee
S
Const. Lender Branch s
Supplimentol
Permit Numbers .
$
• .. .
M
,t; -
Registr: Fee $
Mileage Fee f S
Address City Zip
!Witness Fee $
Fee •
S
O—fr Agenr -
TeL
',
- - Zip
f �j
j!O `1
'
•Reinsp+
- f ,+1 (.fit 1 bap' I
Total. Fees,
$
Address �"" .kr `"'
Cil7s•0 ree
Zip
M.O. 0 N.C. C] Cash Check
Received y.''
.
Tel.
•'
•. } .
License# r
..
n
Trees re d�.
Sewage System -
-
Address - -
.Chy-
s
Zip
'
T LL P THIS PERMIT. SHALL BECOME VOID IF WORK IS NOT COMMENCED *WITHIN 120 •DAYS. CESSATION OF WORK" ve`rilled.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.A000RDANCE WITH ,
THE LAWS OF RIVERSIDECOUNTY AND THE STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND, SPECIFICATIONS HAS, DONE 50. IN
• ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
k"Forr m 284208 (Rev. 1/80) • -
r4 t.