398277 (AR)APPLIANCE
BUILDING PERMIT
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD
[DST
PERMIT NO.
3982 7 7'
CONSTRUCTION ESTIMATE
,. a NO. ELECTRICAL FEES
NO. PLUMBING Fct-S
WALL FLOOR SUSPENDED
1ST FL. / G�
2ND. Fl.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
MH Permit Fee b
Micro Film Fee Cop b
SQ. FT. @ YARD SPKLR SYSTEM
_
r tiL`' {/�-"
SQ. FT. @ MOBILEHOME SVC. BAR SINK
CFM
SQ. FT. @ POWER OUTLET ROOF DRAINS
Mach. Fee Dbl $1d♦
SQ. FT. @ DRAINAGE PIPING
Set Backs -
SO. FT. @ t DRINKING FOUNTAIN.
KITCHEN SINK
SQ. FT. @ URINAL
ABSORPTION SYSTEM
VALUATION $ C.� •-^ WATER PIPING
.y
L✓
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN ,y
Electrical Fee Dist b {�,
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
HP
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
No.
APPLIANCE
DRYER
<_��
_
Spoce
Zip Owne t
�� �' hlC
GARBAGE DISPOSAL
FURNACE UNIT
WALL FLOOR SUSPENDED
Dist.
Y/
I Off.
�� f�,j��
MH Permit Fee b
Micro Film Fee Cop b
LAUNDRY TRAY
_
r tiL`' {/�-"
AIR HANDLING UNIT
CFM
Ck. By
f
Mach. Fee Dbl $1d♦
IDLE METER -
Set Backs -
Lot Size
KITCHEN SINK
Construction Fee Dbl b
ABSORPTION SYSTEM
B.T.U.
.y
L✓
f Y 0 S t.,•,"„
),01
TEMP USE PERMIT SVC
JR /&)
Electrical Fee Dist b {�,
WATER CLOSET
Group
•' '.
COMPRESSOR
HP
L
LJ r
POLE, TEMP/PERM
No.
Plan Checker
PI -A Y,
LAVATORY'
p
HEATING SYSTEM
FORCED GRAVITY
Sp. Insp. Fee $
�`sf
AMPERES SERV ENT
Branch
City
SHOWER °•
Supplimentol Permit Numbers
BOILER
BT.U.
Mileage Fee $
Witness Fee $
SQ. FT. @ a
ner/Agent 1'
�',
BATH TUB
a
Tel.
r
Total Fees b s•^
Ej N. Cash Check
SQ. FT. @ a
.;t, 16 E
/,Er'+i'• ,�(.IT �il�l
!fM.O.
WATER HEATER
Received by _
Contractor
FT. RESID @ 1 t/4a•,
License#
Trees requir d
SEWAGE DISPOSAL
;'-4•
City Zip
S0. FT. GAR @ 3/4a
HOUSE SEWER
•
GAS PIPING
PERMIT FEE
siy
PERMIT FEE
L
PERMIT FEE
�°pJ
DBL.
TOTAL FEES lrMI
OB. HM. FEE
MICRO'FEE
. FEE
T
PL. CK. FEE
21
CONST. FEE
ELE A FED
SMI EE
i
FEE
PLUMB. Fff
PERMIT NO.
- 398277
Job Address
_
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<_��
Spoce
Zip Owne t
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Community
,�' ,f f
Valuation
b Vim/ /`�
136 '(0—
: •" �-+7 "'..,'
Dist.
Y/
I Off.
I F.0 C.
(". '
1• w
MH Permit Fee b
Micro Film Fee Cop b
Use of Pe—ifParcel
��
,ry �j
,� %`
//
_
r tiL`' {/�-"
No.
- �./.. •b-.. r�! cam" f
Use/Casa No.
Ck. By
f
Mach. Fee Dbl $1d♦
PI. Ck. Fee $ �+
Set Backs -
Lot Size
Construction Fee Dbl b
Legal Description
60r F��(,,,k
L✓ y
►° - ///
�.v.!J
.y
L✓
f Y 0 S t.,•,"„
),01
S--�-
JR /&)
Electrical Fee Dist b {�,
Zone Restrictions
�� a /
Group
•' '.
Type
'� �.,1
r
SMI Fee b N !
Plumbing Fee Dbl E •, T
.r
Bond Amt.
b
Plan
No.
Plan Checker
PI -A Y,
-
FinaalDote
/ .2 r
Inspe< r
Unit
Sp. Insp. Fee $
Demol. Fee $
Const. Lender
Address
Branch
City
Zip
Supplimentol Permit Numbers
Registr. Fee $
Mileage Fee $
Witness Fee $
Reinsp. Fee g
ner/Agent 1'
�',
Y
Tel.
Zip
Total Fees b s•^
Ej N. Cash Check
Address
3
.;t, 16 E
/,Er'+i'• ,�(.IT �il�l
!fM.O.
sZip
's
Received by _
Contractor
Tel.
License#
Trees requir d
Sewage System
Address
City Zip
• LL P t!Vj 4 THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
ewer 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 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
Form 284208 (Rev. 1/80) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. _
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
I
2
2A
Set Bock
Ftgs 8 Frms
Slab Grade
S7_O'J�
•/t/ L� �
33
Ventilation System
34
35
Plenums 8 Ducts9-2 r. -A0
Furnace Comport. v
iic;
3
4
Steel
Groul Blocks
36
37 t.-
Inlets & Outlets
Combustion .Air i
5
Bond Beams
38
Compressor
6
Roof Deck
rz-�
-
.39
Appl. Clearance
7
6
Framing
Vents
Sj_2 �.Q/�
'40
41
Fire Domper
Smoke Detection Device
VVVV
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P.L.
43
Final r
10A
11
12
Fireplace T,O.
Exterior lath
Internal Loth
[� -
-
°o ADDITIONAL INI��RWIATION
.
SEWAGE SYSTEM SIZE & LOCATION
12A Drywoll
13 Finish Grade (S✓
INSULATION Thick R
Value
• 7A Walls (Botts) •? n , / �_ Z- 5r /�
_ _
128 Ceiling (Botts) /✓ k—�-8�
12C Ceiling (Blown) (' o
14 Final
PLUMBING APPROVALS
IS Ground Plumb
16 Water Piping V --
17 Rough Plumb
18 Vents
19 ,Se:toae Disposal
20'•• • 6ewer
21 Water Heater
22 Water Softener
23 Water Service -
24 Gas Test
25
Final
Tank Pit �/`" `� L. Line
_
-
i REAR OF PROPERTY LINE
,
1
ro
P/L " - P
> �
1
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire i v ' OV
298 Bonding
30 Fixtures
��
31 Service
31
�- rr'
32 Final -a
z STREET NAME
cr
t
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT
Permit No
Owner Contractor
Address-/ t Address Address_
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 r - CANARY—FILE„ PINK—APPLICAN–
Owner Contractor
Address-/ t Address Address_
Ciry'/ City City_ _
_
Phone— 7 A Phone 6f ;2Z P-- Phone
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.
DATE j SIGNATURE OF OWNER AND/OR AGENT V. 47 h.
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
�2-25 j 1 SPACE N0.
USE OF STRUCTURE
�/-7
JOB ADDRESS ' / _
_ SINGLE FAMILY DUPLEX
-7
>
C �
LEGAL DESCRIPTION OF PROPERTY _
�,(-- APARTMENTS AGRIC.
�n7 S 1j1le
7
H H
®7Er
COMMERCIAL INDUSTRIAL C,
G
Z
COMMUNITY. 7 % ALTERATIONS n
NO. OF SUBMITTED'PLANS _ USE OF PERMIT—
us Q
CASE N0.
-
t9
p Z
-NO. OF PARKING SPACES REQUIRED N0: LDINGS NOW E STING
ZONE k---'-- / SETBACKS: FRONT ;20 SIDE REAR
J
m
GRADING PERMIT REQUIRED?. YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE #OF ` FEET REQUIRED ON STREET
DATE -I-- _ /� r
� "SIGNATURE OF. LAND USE OFFICIAL /� 7"�<r��,` min ;2___
F
DEDICATION REQUIRED: YES ❑, NO ❑ NO. OF FEET__'_
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ - —STREET
�
r
W
"CAN, CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
HAS AN ACCEPTABLE APPLICATION BEEN' MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
C
IMPROVEMENT? YES ❑ NO
J
°L
DATE __ SIGNATURE OF ROAD DEPT. OFFICIAL
•
SWIMMING POOLS PUBLIC ` _
Q W,
v/ 1 rc
SEWAGE DISPOSAL y Oc.1400 y i Max/.yr r�M _ I 1 06J.
__
ty r
FOOD ESTABLISHMENT � - 2' J )I/ 57<
WATER POLLUTION REMARKS
�n FLOOD CONTROL
W AIR POLLUTION
oW,F DIVOFHWY ti
— YOUR PROPERTY MAY BE SUBJECT TO
c r FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199 9/74 r - CANARY—FILE„ PINK—APPLICAN–
RI111 FNNf: DFQMIT
PERMIT NO. „
3982 7 7
PERMIT NO.
1398277
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE1
FIELD OFFICE
DST
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO.
PLUMBING FEES
1ST FL. `7
2ND. FL.
FOR.
GAR.
- CAR P.
WALL
ESTIMATED, CONSTRUCTION
SO. FT. @
/
y
4_/S
UNITS
MH Permit Fee $
SQ. FT. @ YARD SPKLR SYSTEM'
SO. FT. @ x MOBILEHOME SVC. BAR SINK
s6 of PeiF.6
POWER OUTLET -,. ROOF DRAINS r
SQ. FT. @', '
Parcel No. -
SO. FT. @ - DRAINAGE PIPING
No.
SO. FT. .@ ? DRINKING FOUNTAIN
Mach. Fee r Dbl $
SO. FT. @ URINAL
VALUATION - $ '+ WATER PIPING q:
NOTE: Not to be used as property tax valuation
Set Socks
SWIM POOL, PVT..
.
FLOOR DRAIN
Construction Fee Dbl S Legal Description
MECHANICAL FEES
5 IS
SWIM POOL„ COMM
Electrical Fee Dbl 5
WATER SOFTENER
/
VENT SYSTEM 2%;!rAIN -EVAP. COOL HOOD,;
Group
SIGN
Type
WASHER (AUTO)(DISH)
APPLIANCE DRYER
-
GARBAGE `DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
SMI Fee $
/
LAUNDRY TRAY•
-
AIR HANDLING UNIT CFMIDLE
METER -
Plumbing Fee Dbl $
KITCHEN SINK
No.
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
Inspecto
WATER CLOSET 2j
UnitSp.
COMPRESSOR HP
.U'�
.POLE, TEMP/PERM
];lonecker
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AlL,5[)
I AMPERES SERV ENT
SHOWER ,
Demol. Feer $'
BOILER B.T.U.
r
SO. FT. @ a
BATH TUB'
Registr. Fee $
r
..
SQ.,, FT. @ a'
WATER HEATER
Mileage Fee _ $ Address City Zip
Witness Fee $
S0. FT. RESID @11144
SEWAGE DISPOSAL
`
Reinsp. Fae $
caner/Agent
S0. FT. GAR @ 3/aa
Tel. -
HOUSE SEWER
Zip
•
Lo
GAS PIPING
Total Fees $
PERMIT FEE
�j
Oty -
PERMIT FEE_ - C o
/
PERMIT FEE
,.
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
CH. FF�
PL. CK. FEE
CONST. FEE -ELEC F
SMI FEE
FEE LUMB. FEE,26
PERMIT NO. „
3982 7 7
Job Address -
-
Space Zip Owner
t6mrrivnity 7
Valuation
Dist. OII.
F.C.G.
MH Permit Fee $
Micro Film Fee Cap $
s6 of PeiF.6
Parcel No. -
Use/Case
No.
Ck. By
Mach. Fee r Dbl $
(a
Set Socks
Lo f Size
,
.
PI. Ck. Fee $ � / j
Construction Fee Dbl S Legal Description
F
5 IS
R
Electrical Fee Dbl 5
® (]
! ...r.- Fri Lr �7 ! /�
/
Zone Restrictions
Group
Type
SMI Fee $
Plumbing Fee Dbl $
Bond Amt.
No.
Ch
Final Dote
Inspecto
UnitSp.
Insp. Fee $
$I.Plon
];lonecker
r
Demol. Feer $'
Const. Lender Br nc -
r
Supplimentol Permit Numbers
Registr. Fee $
r
..
'.
r
Mileage Fee _ $ Address City Zip
Witness Fee $
`
Reinsp. Fae $
caner/Agent
Tel. -
Zip
t
Lo
Total Fees $
Address •- f•M1,.,,rwm�"""'"'""�''•
Oty -
Zip
M.O. I] N.�..Q Cash, ET Check
,.
Y
Received by '
Contractor ,.
Tel.
LicensaM
Trees requi d
r
Sewage Sys a
Address
City Zip
.LL p C> THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK'. •verilied by:
District
FOR 120 DAYS SHALL ALSO CAUSEPERMITTO BECOME VOID.
- e -r
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
krm 284.208 (Rev. 1/80) I ' ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF,THE STATE OF CALIFORNIA.