369136 (BLCK)PERMIT NO.
369136
Job Address Space = jip�^� Owner
�,/ d �j �ry
-'i- � � !moi. ,�.. ('7/ e6 - /• 1 f /G eG /1 /7"A Da,
v
Community
.� � 7—,49$
Valuation
Date
zei,, -��
Dist.
//
Off.
.='.
F.C.C.
MH,Permil Fee.. E
+Micro Film Fee Cop $
Use of Permit /
Parcel No. /l/t/ /,/�
Use/Case No.
Ck.
Mech. Fee-- Dbl $
Pl. Ck. Fee $
Set Backslot
Size
f� rj
Construction Fee Dbl $ f/
Legal Description f
,�{11 7 "Zone
S S p1roup
Electrical Fee Dbl $ -
Restrictions
Type
SMI Fee $
Plumbing Fee Dbl $
Bond Amt.
$
Plan No.
Plan Checker
FinalDate
Inspector I /
Unit '
Sp. Insp. Fee $
Dental. Fee $
Const. Lender Branch
Supplimentqj Pg6rmit Numbers
Registr. Fee $
Mileage Fee, g
Address City Zip
Witness Fee $
Reinsp. Fee $
Owner/ ent ,�\ /.d_ r.
GY^' "'�'ri"lx
Tel. Zip
Total Fees $ &C
Address / �.�• �+j
"/ .-�. �J /7 ✓� 07�
City / Zip
./"• �� .%J r--
M.O. N.C.0 Cash Chec
Received by
Contractor
Tel.
Lice nseM
Trees required
Sewage System
Address —
City Zip
T LL P
Sewer District
nL^n
It
:y£
Form
284-208 (Re,8/78)
. THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK' verified by:
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 CJUNTY•61 I) 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.
d`-. g.�.. 4._. _-•.., ice., .w. -<v... F:.t_al'•,y,, •. £-.' :I. _..�_ _... ,....�....... P4.- .r _../'.". tar . ..._.---!!�a_,. _._.....
NO.
OPERATION
DATE
INSPE�R
NO.
OPERATION
DATE
INSPECTOR
Finish Grade
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Sat Back
33
Ventilation System
2
Ftgs & Frms
34
Plenums & Ducts
.2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets 8 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
10A Fireplace T. 0. U
11
Exterior Lath
12
Internal Loth
12A
Drywall
13
Finish Grade
INSULATIONI Thick I Value
7A Walls (Batts)
128 Ceiling (Batts)
12C. Ceiling (Blown)
14 Final
PLUMBING .APPROVALS
ES
KADDITIONAL INFORMATION
I-
BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD DST
3691376 COUNTY OF RIVERSIDE ��
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING -TEES
IST I'C'"
2ND. FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @
UNITS
SQ. FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
BAR SINK
POWER OUTLET
SQ. FT. @
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @'
DRINKING FOUNTAIN
.SQ. FT. @
URINAL
VALUATION:
WATER PIPING
NOTE: Not to be used as property tax valuation'
SWIM POOL, PVT
FLOOR DRAIN 1.
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
COMPRI•SSOR HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @11hc
SEWAGE DISPOSAL
SQ. FT. GAR @ '/. c
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
SMI FEE
FEE PLUMB. FEE
15
Ground Plumb
16
Water Piping
17
_-Rough Plumb
• 18
Vents
19
Sewa6e.Disposc
20
Sewer
21
Water Heater
. 22
Water Softener
23
Water Service
24
Gas Test
25
Final
ELECTRICAL APPROVALS
26
Power Pole
27
Conduit
28--
Service Entrance
29
Wiring
29A - -
Grounding Wire
29B
Bonding
30
Fixtures
31'
Service
32
Flnal
SEWAGE SYSTEM SIZE t& LOCATION
c
Tank Pit L. Line
REAR OF PROPERTY LINE
1
1 .
P/L P/L
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
OwnPrfllG/E� /wF6G.4/J�i4 rchitect--___. -..—_ Contractor-_—..----.--_.._.
Address-.—_—.--_
City.44�U//ilii City--- City---- -- -_.—`—
Phone2 Phone _ 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 Countv of Riverside and the State of California governing said property.
�� SIGNATURE OF OWNER AND/O
Approval by Signature from the Following Depa fisted Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
I SPACE NO.
I USE OF STRUCTURE
JOB ADDRESS �ve ' VIAz�
C/�J_� SINGLE FAMILY DUPLEX
��--�0
H
z W
LEG DESCRIPTION OF PROPERTY _ ,�
�� / ,�7� — APARTMENTS AGRIC. El
Q
'--'—'� �—�z � * '—
COMMERCIAL J INDUSTRIAL
'^
Z
COMMUNITY %401 iV_iZ1A,
ALTERATIONS ❑
NO. OF SUBMITTED PLANS ___ USE OF PERMITuj
% Q
CASE NO.
p Z
NO. OF PARKING SPACES REQUIRED _— NO. OF BUILDINGS NOW EXISTING
Q
SETBACKS:
ZONE FRONT SIDE REAR
J m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
ORDINANCE # __ OF FEET REQUIRED ON _ STREET
SETBACK ORDINANCE
DATE 9:! � �� SIGNATURE OF LAND USE OFFICIAL
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET - —
z
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
cct-
d
W
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
C
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
C
C
IMPROVEMENT? YES ❑ NO ❑
°L
DATE SIGNATURE OF ROAD DEPT. OFFICIAL—
S
SWIMMING POOLS PUBLIC
Q W
SEWAGE DISPOSAL
_
FOOD ESTABLISHMENT
WATER POLLUTION — REMARKS
vt FLOOD CONTROL
l' -
Z AIR POLLUTION
� W
_ DIV OF HWY —
0 a — YOUR PROPERTY MAY BE SUBJECT TO
a
Lu FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
BUILDING PERMIT
PERMIT NO.
369136
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD OFFICE
FDS
//
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
_WALL
f�/fh! C.' C-
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT, @ MOBILEHOME SVC.
BAR SINK
SQ, FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
-SQ. 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
Zone Restrictions
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
SMI Fee $
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. @ c
BATH TUB
SQ. FT. @ c
WATER HEATER
Address City Zip
i
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
$
SQ. FT. GAR @ 'i c
HOUSE SEWER
' !�L IL
Tel. Zip
GAS PIPING
§
PERMIT FEE
PERMIT FEE
rf
TOTAL FEES MOB, HM. FEE
/4
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
/10
SMI FEEF
FEE PLUMB. FEE
PERMIT NO.
369136
Job Address
i--�
s' �� �..� �-
Space
Owner
Community
Valuation
f
Date
- t
Dist.
Off..
Lr
F.C.C.
MH.PermitFee
Micro Film Fee
Cop $
Use of Permit
Parcel No.
Use/Case No.
Ck.
Mech. Fee Dbl $
Pl. Ck. Fee §
Set Backs
Lot Size
'r
Construction Fee Dbl $ V
Legal Description
F S 5
R
Electrical Fee Dbl S�,�,
Zone Restrictions
Group
Type
SMI Fee $
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Fiyoliate•
I pector
nit
Sp. Insp. Fee §
Demol. Fee
$
Const. Lender
Branch
Supplimental Permit Numbers
Registr. Fee §
Mileage Fee §
Address City Zip
i
Witness Fee $
Reinsp. Fee
$
Owner/ of
' !�L IL
Tel. Zip
Total Fees
§
Address /�
15-1 �� 4/Jr �"' :.//
City /
/�. �• / A./ '
Zip
M.O. N.C. Cash Chec
Received by .
j,(j
Contractor
Tel.
License#
Frees required
Sewage System
Address
City
Zip
r T LL P
Sewer District
00
Form 284-208 (Rev.8/78) P s
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT 6LL 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.