399322 (AR)BUILDING PERMIT -
�PERMIT NO. DEPARTMENT OF BUILDING & SAFETY �/
99322 '`• COUNTY OF RIVERSIDE FIELD A.
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES .+
1ST FL
2ND. FL.
FOR.
GAR.
CAR P. '+ .-
WALL
ESTIMATED CONSTRUCTION
SO. FT. .@ $
UNITS
I
$ r'`-`
SO. FT. @
YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC.
BAR SINK
SO. FT. @ POWER OUTLET
ROOF DRAINS
SO. FT. @414;:
DRAINAGE PIPING
SO. 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
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER ,-
Plumbing Fee Dbl S -'
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Plan Checker
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.
SO. FT. @ a
BATH TUB
Address _
�,. (�! /
'SO. FT. @ a
WATER HEATER
Recei�ed�b' �;/�. _�•�•.. I,f+i '-
SO. FT. RESID @11144
SEWAGE DISPOSAL
License R
SO..FT. GAR @ 3/aa
HOUSE SEWER
Address irt.
City Zip
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
T� FEES ,
MOB. HM. FEE
MICRO FEE
MECH. FEE `• PL�
. CK. E
CONST ELECT. FEE
SMI FEP
\%f
FEE PLUMB. FEE
PERMIT NO.
399322-�'
'
Job Address Space
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Owner -
Comrn-unity,,
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$ r'`-`
Dote
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MH Permit Fee SJA
Micro Film Fee Cop $
-Me of Permit
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Parcel No.
Use/Case No. `"'""'
Ck.
Mech. Fee Dbl S�
PI. Ck. Fee S
set Boc9t'r
Lot Size
Construction Fee Db l S
Legal Description/ / //
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Electrical Fee Dbl S
Restrictions`
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SMI Fee S r�;
Plumbing Fee Dbl S -'
Ban Arn .
S
Pldn N67-
Plan Checker
Final Dore'--• /
V7-d/`
7~ V L —dV/`)
Inspector
Unit
Fee S
Sp. Insp. Fe
Dismal. Fee S
Const. Lender Branch
1/
Supplimentol Permit Numbers
C%`ie
Regr. Fee $
Mileage
Mileage Fee S
Ad sst �` ' fCity Zip
Yl %
Witness Fee $
Reinsp. Fee S
ner/Agent / t s-, - '
Tel. ter' Zip
Total Fees S_� r �•
ar.
Address _
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City Zip,
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M.O. C] N.C. ❑ Cash E) Che c
Recei�ed�b' �;/�. _�•�•.. I,f+i '-
Contractor
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City Zip
T LL r 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.
e •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. '
REBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form�284.208 (Rev. 1/80) _
CCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
T ' 4
verified by:
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSR CTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Bock
'33 'Ventilation
System }
2
Ftgs 8 Frms7/7=470y�,
/�j��
' '34
Plenums 8 Ducts .. ._
2A.
Slab Grade
/.
35 ,Lurnace
Comport.
3
Steel
36
Inlets 8 Outlets
4
Grout Blocks
" -
37
Combustion Air '
5
6
Bond Beams
Roof Deck
S"(O
38
39
40
Compressor
Appl. Clearance
Fire Damper
7 Fram ng �i7 �f=(Q v
C/ ` V
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P.L.
43
Final
10A
Fireplace , T.O.
Q
�O ADDITIONAL INFORMATION
.
'
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick.
R
Value
7A Walls (Batts)
"
128 Ceiling (Botts)
12C Ceiling (Blowni % Gj Qf�
14 Final .. — ` /_V.V1
i6MBING APPROVALS
15 Ground. Pl,ymb
Wayeh-Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service r
24 Gas Test
25
Final
Tank Pit L. Line
—
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
!
r
P/L
P/
:
26 Power Pole
27 Conduit _
28 Service Entrance c
29 Wiring
29A Grounding Wire
29B Bonding r
30 Fixtures `
31 Service
32 Final
STREET NAME
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—.._ _
ddress
Address�`� ' ° chl-410 1601 .Address_ Address—
City//&L_���/City_— —_ City___--- —
A6&,_
City/
hone—
Phone.- �`� — Phone _ Phone--
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cc
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I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and
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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, thereforeit is agreed that I (we).will not occupy said property and will not cause said prop rty to be occupied Til I (we) hav
complied with 411/of the County of Riverside and the State of California governing said propert
DATE--- SIGNATURE OF OWNER AN-D/OR AGEN
Approval by Signature from the Following Departments ListBel
Must Be Obtained Prior to the Issuing of a Construction Permit.
n/Gh �3 ISPACE NO.
I USE OF STRUCTURE
.YOB ADDRESS 70� �—v % E_ZLiSINGLE FAEl
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LE L DESCRPPTPO OCE PROoPPE!R�TY��� ''!� .,/r�0� ��- APARTMENTS AGRIC.
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COMMERCIAL INDUSTRIAL
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COMMUNITY 1 ALTERATIONS n
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NO. OF SUBMITTED PLANS — USE OF PERMIT'
Q
CASE NO.
-
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Z
NO. OF PARKING SPACES REQUIRED _— NO. OF BUILDINGS NOW EXISTING
a
/
ZONE�SETBA(fKS: FRONTSIDE REAR /O
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m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE •�� iX/ ��
SETBACK ORDINANCE # OF FEET REQUIRED ON STREET
DATE SIGNATURE OF LAND USE OFFICIAL -
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET--
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CURB AND GUTTER REQUIRED: YES ❑ NO ❑ _STREET
i
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oe
a
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES [I NO ❑
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HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
Q
IMPROVEMENT? YES ❑ NO ❑
0
cc
DATE SIGNATURE OF ROAD DEPT. OFFICIAI
=
SWIMMING POOLS PUBLIC
QSEWAGE
DISPOSAL
= Q
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
vi FLOOD CONTROL
t- -
W AIR POLLUTION
W DIV OF HWY
c 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
oVnufrvv F'CKmii
PERMIT NO.
399322
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD OFFICE-,,
FsTssTT -
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES ..NO.
PLUMBING FEES
1ST FL.
2ND: FL.
FOR.
GAR.
CAR P.
WALL
.
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
SQ. M,-@'
YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC.
BAR SINK
POWER OUTLET
SQ. FT. @
ROOF DRAINS
SQ. FT. ✓ t/
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
r
SQ. FT. @
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used as property'tca valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM• POOL, COMM
WATER SOFTENER
,VENTSYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH) -
APPLIANCE DRYER ' , r
Legal Description.
fid/',/�•- Y�,!Gr� *�'
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
one Restrictions
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
Demol. Fee
'SO. FT. @ a.
WATER" HEATER
Const. Aender Branch
1
50. FTJ'RESID' @ 11/<a
"SEWAGE DISPOSAL
' -
S0. FT. GAR @' T/4a
HOUSE SEWER
' -
Witness Fee S
Reinsp. Fee
GAS PIPING
PERMIT FEE -
Sner/Agent ,A'° �''
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO -,FEE
MECH. FEE PL. CK. J,,EE .+
CONST ELECT. FEE
SMI FE
FEE PLUMB. FEE
-
PERMIT NO.
3 9 9 3 2 21'
-
Job Address Space
CJj
Zip '
Owner
Communis
Va,aatinn
Date
Dist.
Off.
,F.C.C.
MH Permit Fee $
Micro Film Fee
Cop S
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.�V �.r• - /C�� _
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Parcel No.
r. "moi
Use/Cose
No.
Ck. V-•
Mech. Fee Dbl S ..
PI. Ck. Foe. S.
Set Bocks
Lot Size
Construction Fee . Dbl S
Legal Description.
fid/',/�•- Y�,!Gr� *�'
F S ,., • S R
Electrical Fee s Dbl S tJ
one Restrictions
Gr up
ype
SMI Fee S•
Plumbing Fee'DbI
S
B-3 A t. -7—
S
PI No.-
Plan 'Checker -
Final Dare
�'
Inspector
Unit
Sp. Imp. Fee S
Demol. Fee
S
Const. Aender Branch
1
Supplimentol Permit Numbers
"
-
Registr. Fee $ r
Mileage Fee .5
Add ` r ty Zip
t
Witness Fee S
Reinsp. Fee
S
Sner/Agent ,A'° �''
•Tel.
Zip
r
Total Fees S
A dress
.' C„/�`y, G..C: ��L
City
/��
Zip
M.O. 0 N.C,Lj Cash Lj Che c
Received
ft,�, -�-,•
Contractor •
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•License8
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Trees r u '(
Sewage System
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Address Y , r
City', Zip
r
T LL p . THIS PERMIT SHALL BECOME VOID IF WORK ISNOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
FOR 120 DAYS SHALL ALSO CAUSE'PERMIT TO BECOME VOID.
Sewer District
;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. ,
REBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN -
Form 284-208 (Rev: 1/80) CCORDANCE WITH. SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.