397702 (AR)BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY
9 7 0 2 COUNTY OF RIVERSIDE FIELD OFFICE DST
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. .@ $
UNITS
F. C..
r
SQ. FT. @ Wff PLR SYST M
SQ. FT. @ MOBILEHOME SVC. BAR SINK
S
SO. FT. @ POWER OUTLET ROOF DRAINS
SQ. FT. @ ' DRAINAGE PIPING
MH Permit Fee $
SQ..FT, @ DRINKING FOUNTAIN
SO. FT. @ URINAL
A
VALUATION $ WATER PIPING
No.
t Bo<
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
PI. Ck. Fee S
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
Electrical Fee Dbl S
APPLIANCE DRYER
SPlumbing
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
m Plo
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
ETypeSMI
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
g .
HEATING SYSTEM FORCED , GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. @ a
BATH TUB
Branch
SQ. FT. @ a
WATER HEATER
Registr. Fee S
S0. FT. RESID @ 1 %c
SEWAGE DISPOSAL
Witness Fee S
Reinsp. Fee $
S0. FT. GAR @ 3/4a
HOUSE SEWER
Tel.
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
So
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
I CONST. FEE ELECT. FEE
SMI FEE
FEE PLU
. FEE,
Sb
PERMIT NO.
397702
Job Address °
-
-�
IY
aluaeon
space Zip Owner
Dist: Off.
F. C..
S
MH Permit Fee $
Micro Film Fee Cop $
Us of er
.
/�"
A
, arcel
��
No.
t Bo<
se/Cos N
'
91
Lot Size
Ck. By
Mech. Fee Dbl S
PI. Ck. Fee S
Construction Fee Dbl $
legal Descrip ion
��
F S S
Zone Restrictions
R
Group
Electrical Fee Dbl S
Fee
SPlumbing
Fee Dbl $
m Plo
Pon Checker
m Do eInspector
ETypeSMI
Sp. Insp. Fee S
g .
��•••/�'—,L�'
Demol. Fee $
Const. Lender -
Branch
Supplimentol Permit Numbers
Registr. Fee S
Mileage Fee S
Address City Zip
Witness Fee S
Reinsp. Fee $
Owner/Agent
Tel.
Zip
Total Fees S
Address
City
Zip
M.O. F� N.C.C] Cash heck
t°
J
,
Received by
Contrac or v
Tel.
License#
Trees requ
Sewage System
Address
y
Zip
A
T .LL40. p THIS PERMIT SHALL ffECCTMt VND FF WORK IS NOT COMMENCED�HIN 120 DAYS. CESSATION OF WORK verified by:
Sower District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
.I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WIIL BE DONE IN ACCORDANCE WITH
//yy// THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
4� ga( ' RTIFY THAT'THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284.208 (Rev. 1/80) ADANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
BUILDING PERMIT —
W702
ERMIT No. DEPARTMENT OF BUILDING & SAFETY FIELD DSr
COUNTY OF RIVERSIDE
/T
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
i POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SO. FT. .@ $
UNITS
SO. FT. @
A 9ORR SY
SO. FT. @ MOBILEHOME SVC. -
BAR SINK
SO. FT. @ POWER OUTLET
ROOF DRAINS
SO. FT. @
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
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
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
SO. FT. @ a
WATER HEATER
Zip 1
S0. FT. RESID @ 1 t/<a
SEWAGE DISPOSAL
S0. FT. GAR @ T/aa
HOUSE SEWER
City
zip-_
M.O. N.C. ❑ Cosh h ck
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
L,;LT.AL,FEES
MOB. HM. FEE
MICRO'FEE
MECH. FEE- PL. CK. FEE
I CONST. FEE ELECT. FEE
SMI FEE
FEE PL FEE—,,
) �V
PERMIT NO.
397702
'
./
Job Address Space Zip Owner
y
-
r
r
-�
ty . -• -^ •Vcl o wn -
$ f (/,��
Us of ' er ._ -' •• J "' arcel No.
1 / '0.. . /' C t �c
Legal Descrip ion mss. .- - F S S
w �Sv' Zone Restrictions
st. O F.C.C.
se/Cas No, Ck. By
lot Size
R '
Group Type
MH Permit Fee $
Micro Film Fee Cop $
Mach. Fee Dbl gJ>!/C/}}/r'_C/
PI. Ck. Fee S
Construction Fee Dist $
Electrical Fee Dist S'
J�
/ )V/
A— AO— 411111
SMI Fee $
Plumbing Fee Dbl $
8M int. No
Pan Checker Ir,
nsp for
Unit ,
Sp. Insp. Fee $
-.
$
I yn
Demol. Fee $
Const. Lender Branch
Supplimentol Permit Numbers
L/•//
Registr. Fee $
Mileo
Mileage
ge Fee g
Address City Zip
Witness Fee S
Reinsp. Fee S
Owner/Agent
Tel.
Zip 1
Total Fees S';tIt
Add rest
City
zip-_
M.O. N.C. ❑ Cosh h ck
l
;� ��} ; '" j I �r
Received by'.,%~
Contractor
Tel.
�. ✓ -
Ucensett
Trees raqucp,%_�
Sewage System
(( '?"y
Addres
Zip
T Ll P THIS PERMIT SHALL COME VOID IF`G%ORK IS NOT COMMENCED_Wf Hf IN 120 DAYS. CESSATION OF WORK verified by:
Sewer District / FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT'WILL BE DONE IN ACCORDANCE WITH }r
�Jj THE•I LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
X ���' T /RTIFY THAT'THE INDIVIDUAL WHO PREPARED THE -PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284.208 (Rev. 1/80) A ORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
NO.
OPERATION
DATE
.INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
r
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
f
Figs & 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. n
43
Final
10A
Fireplace T.0. []
NOADDITIONAL INFORMATION
'
,
^
=may
`
y • t .
_ .. i . " r o .. .. ,
SEWAGE SYSTEM SIZE 8t. LOCATION
11 Exterior Loth
• 12 Interrfol Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final'
PLUMBING APPROVALS_
e:, -:, .ate.: ._. .._•a ...,-.��� - .: ate_-.,....-,.. ,>._. z .. ._.�
15 Ground Plumb
16 Water Piping
17 Rough, Plumb
18 Vents
19 Sewage Disposal
20 Sewer 3 2rr ll7=\SIF=� "wd.J
21 Water Heater , . • "': -
22 Water Softener
23 Water Service
24 Gas Test ., ' • 'r .. .. _
25 Final -�
-
Tank Pit ~ L. line '
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L
`
Y
i.
4
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
298 Bonding
30 i Fixtures
31 r Service
r
32 Final
STREET NAME
i
NOTICE: THIS IS NOT A BUILDING PERMIT
r { APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
J!,
DISTRICT ri
Permit No
284 199A.'9/74
CANARY—FILE, PINK—APPLICANT
Owner 10-1rs A AA e9A,( Architect --. —_—_ Contractor D4T,cF/_4IVA C.OA/ KOeF/ CA
�� f`5O/�l S /
Address Address___ Address -
City City-- City_�N��
City
7
Phone Phone _ Phone --?-/-,19D
-- _
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. 1 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 occupi/d/j until I (w) have
JVf
complied ith allyl s of�the rCounty of Riverside and the State of California governing said property �(�Vl
DATE SIGNATURE OF OWNER AND/OR AGENT-ri►,YJ) —
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
SPACE NO.
Q �- I USE OF STRUCTURE
JOB ADDRESS " AVFW A '4FON ON
SINGLE FAMILY DUPLEX
�^y�1—
Z
LEGA rL DESC IPTION OF PR ERTY — - APARTMENTS AGRIC.
O U.W���
4N (
Q
COMMERCIAL INDUSTRIAL I
UI�� ❑ ❑
COMMUNITY
ALTERATIONS ❑
J �� fl fb A�'
Z
NO. OF SUBMITTED PLANS USE OF PERMIT
Lu a
CASE NO. YIS� (�Cr %A-=Af
Z
NO. OF ARKING SPACES REQUIRED -- — NO. OF BUILDINGS NOW EXISTING
Q
ZONE' P�-'_�"fSETBA(fKS: FRONT SIDE REAR
J
�i m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE # OF FEET REQUIRED ON REET
DATE D- SIGNATURE OF LAND USE OFFICI,
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET—
W
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ —STREET
H^
W
CAN- CURB AND GUTTER FEASIBLY BE INSTALLED? YES [j NO ❑
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
CIMPROVEMENT?
YES C1NO E3
°C
DATE _ SIGNATURE OF ROAD DEPT. OFFICIAL
=
SWIMMING POOLS PUBLIC
t' H
-+ a
� )
SEWAGE DISPOSAL ,�y — M ./ uerf y rys /DOO c - z/V
_
l
FOOD ESTABLISHMENT �oo ��u� %i a f ° x'00 �`'r r `j 7� S c
WATER POLLUTION REMARKS
v� FLOOD CONTROL
H
S W AIR POLLUTION
Lucc 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