399175 (AR)BUILDING PERMIT
PERMIT NO.
399175
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD WNDST
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
I ZipOwner
.��-� "
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SO. 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
Witness Fee $
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
ner/ gent
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. @ 4
BATH TUB
Tel.
SQ. FT. @ a
WATER HEATER
Sewage System
SO. FT. RESID @1%4
SEWAGE DISPOSAL
S0. FT. GAR @ t/.4
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 Pl M$ FEL-
PERMIT NO.
3991 7 5
Job Address
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Space
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Valuation
$
Date
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Dist
Off.
I F.C.C.
MH Permit Fee S
Micro Film Fee
Cap $
Use of Permit
Legal Description
^
v 1 ``h--
nd Amt.Plan No.
$
Const. Lender
_
Address
w
Parcel No. Use/Cosa No. Ck._@y
77� 41"1 —
Set Bocks Lot Sire
F S S R
Zone Restrict' s ( Group Type
4.. L
Plan Checker Fin to 41 /f ,1 P'•tQr, Unit
Branch • Supplimentat eatmit Numbers ,
1
City Zip
N
Mach. Fee Dbl S
Pl. Ck. Fee s
Construction Fee Dbl S
Electrical Fee Dbl S
SMI Fee S
Plumbing Fee Dbl $
Sp. Insp. Fee E
Damol. Fee S
Registr. Fee $
Mileage Fee $
Witness Fee $
Reinsp. Fee
$
ner/ gent
Tel. .. '�.,, Zip
Total Fees
s
Address(,(f/_
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i Zip
/ �"" rCsn ` ttL/ r F!c' w2
M.O. E]N.C. sh I] Check
Received by
-'
Contractor
Tel.
licenseR
Trees required
Sewage System
/*Address
City Zip
T LL tP 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.
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.
BY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284.208 (Res•. I/80) A RDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
—ilied�'by:
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
It:SPECTOR
:t
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System --
2
Ftgs 8 Frms
34
Plenums 8 Ducts t
`
2A
Slob 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.
[]
°o ADDITIONAL INFORMATION
,
,
r
i
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Lath
12C .-.Drywait .-
..�
13 Finish Grade -
INSULATION Thick "R"
Value
7A Walls (Batts)
12B Ceiling (Botts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater.
22 Water Softener
23 Water Service
e1
24 Gas Test
.25 Final /
Tank Pit L. Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L
r
,
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A ' ,-V3roundinq�Wire
2" Bonding
30 Fixtures
3.1 Service
32 Final
i I
i I
STREET NAME
NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT 7
APPLICATION TO CONSTRUCT Permit No
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
Owne S Architect_ `. __.. Contractor--_
Addres �J_&7, Address_-_— Address_ —._.-. --_-__
City� City--- -_ City____--.--._ --.—
hone—
Phone3Z/ Phone _ Phone--
I
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 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/ORA E
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
SPACE NO.
USE OF STRUCTURE
%� '
JOB ADDRESS ` "�
>
�._� SINGLE FAMILY�DUPLEX
LEGAL DESCRIP PROPERTY `� O
Z
XON OF //////
APARTMENTS AGRIC.
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UA
0 Q
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A \ —c��'L �'Q-_ - L COMMERCIAL INDUSTRIAL CJ
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COMMUNITY V` AG LTERATIONS [,
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NO. OF SUBMITTED PLANS - USE OF PERMIT 01
W Q
CASE NO.
�+
k7
p Z
NO. OF P KING SPACES REQUIRED _ NO. OF BUILDINGS NOW EXISTING
Q 0
ZONE _ —SETBACKS: FRONT SIDE REAR
r J m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE # OF FEET REQUIRED ON STREET
-7
---2 SIGNATURE OF LAND USE OFFICIAL
DATE
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET. --
t-
W
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ -STREET
i
cc
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
O
IMPROVEMENT? YES ❑ NO ❑
°L
DATE SIGNATURE OF ROAD DEPT. OFFICIAL
2
SWIMMING POOLS PUBLIC
QSEWAGE
DISPOSAL
us
_
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
rn FLOOD CONTROL
H
W AIR POLLUTION
W
2 DIV OF HWY
f.
c a — YOUR PROPERTY MAY BE SUBJECT TO
a
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
BUILDING PERMIT
PERMIT NO,
399175
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE F�Iil
COUNTY OF RIVERSIDE
CONSTRUCTI ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
' 2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SO. FT. $
UNITS
Zip Owner
+ r
SO. FT. @
YARD SPKLR SYSTEM
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
•Y
Registr. Fee S
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
S0. FT. RESID @11/4c
SEWAGE DISPOSAL
S0. FT. GAR, @ 3/<a
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOT L FEa
MOB. HM. FEE
MICRO FEEMECH.
FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE
PERMIT NO.
3991 7 5
Job ff Address
s
`
4 AA
Space
Zip Owner
+ r
Community r
Valuation
S
�J
Doty
D.O.
Off. I
F.C.C.
MH Permit Fee $
Micro Film Fee
Cop S
Use of Permit
Legal Description
i
nd Amt.
S
Const. Lender
Address
ner gent
C> '
Plan No.
�
Par�cJe{t NP. Use/Case'No. Ck. By
/ 7 ,,,, „ 0,0,-- R3
Set Backs Lot Size
~ F S S R
t 3'3 Zone Restrictions Group Type
Plan Checker Fina Inspector Unit
.t. r
Branch Supplimentol Permit Numbers !�
City Zip
Tel. � '
Mach. Fee Dbl S
PI. Ck. Fee $
Construction Fee Dbl S
Electrical Fee Dbl $
SMI Fee $
Ptuinbing Fee Obl S
$p. Insp. Fee $
Demol. Fee $
Registr. Fee S
Mileage Fee $
Witness Fee $
Reinsp. fee g
Total Fees
M.17
L-1N.C.
$
, sh Q Check
Address
t
,L
City - Zip
.,..•^
Received by
Tree: required
Contractor
Tel.
License#
Sewage System
'Iyo,Ay
iNddres,
I
City Zip
I
T tL 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.
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.
�, HE BY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284.208 (Rev. 1/80) DANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by:
it