391933 (RPL)BUILDING PERMIT
PERMIT NO.
391933
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE IM;j
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
, Space
�,
I ST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
LT
ESTIMATED CONSTRUCTION
SQ. FT. @
Community
UNITS
on
Val160
§ 'c"
`r
Date tJ o�/�/,
✓ _
3 o
YARD SPKLR SYSTEM
SQ. FT. @
Oy
MOBILEHOME SVC. BAR SINK
SQ. FT. @
MH Permit Fee E
POWER OUTLET ROOF DRAINS
5Q. F7. @
Cop E
SQ. FT. @ DRAINAGE PIPING
Use of Permit
71
Legal Description ,§ J
`` "P
DRINKING FOUNTAIN
SQ. FT. @
Parcel No. Use/Case No.
du
SQ. FT. @ URINAL
t7 ��
Ck. By
VALUATION $ :3 �' / WATER PIPING
Q
NOTE: Not to be used as property tax valuation
Lot Size
CJ
SWIM POOL, PVT
FLOOR DRAIN
5'
52
MECHANICAL FEES
Group
SWIM POOL, COMM
WATER SOFTENER
Plumbing Fee
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
Plan No.
APPLIANCE DRYER
Final Date
2_a{ L" —
GARBAGE DISPOSAL
Unit
FURNACE UNIT WALL FLOOR SUSPENDED
Demol. Fee
E
LAUNDRY TRAY
Const. Lender
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
Registr. Fee §
ABSORPTION SYSTEM B.T.U.
Address City Zip
TEMP USE PERMIT SVC
WATER CLOSET
E
COMPRESSOR HP
Owner/Agent
POLE,TEMP/PERM
LAVATORY
Tel.
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
!!i - (/r /
SQ. FT. @ c
BATH TUB
Zip
M.O. N.C. Cash Check
Received by
SQ. FT. @ c
WATER HEATER
nn c r
/
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
Trees required
�7
Sewage System r� /J ..'[�
Address Isi-/
SQ. FT. GAR @ 3/. c
HOUSE SEWER
GAS PIPING
PERMIT FEEPERMIT
FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB.HM.FEE
MICRO FEE
MECH. FEE
PL. CK. FEE
.--
7COS1.J 2i EL �. F.
SMI FE
FEE PLUMB. jEF��
2.71 ter✓
PERMIT NO.
1391933
Job Address�
r 3 �% 0 � I
J,�
, Space
�,
Zi A Owner
Community
Z
on
Val160
§ 'c"
`r
Date tJ o�/�/,
✓ _
3 o
Dist.
Oy
/'�F..C..G.
S...JW
MH Permit Fee E
Micro Film Fee
Cop E
Use of Permit
71
Legal Description ,§ J
`` "P
Parcel No. Use/Case No.
Ck. By
Mech. Fee Dbl E
PI. Ck. Fee §SIP
Construction Fee Dbl E
Set Backs
Lot Size
CJ
F S
S R
Electrical Fee Dbl E f
Zone Restrictions
Group
Type
SMI Fee E
Plumbing Fee
Dbl E
Bond Amt.
E
Plan No.
Plan Checker
Final Date
2_a{ L" —
Inspe
Unit
Sp. Insp. Fee E
Demol. Fee
E
Const. Lender
Branch
Supplimentol Permit Numbers
Registr. Fee §
Mileage Fee §
Address City Zip
Witness Fee E
Reinsp. Fee
E
Owner/Agent
Tel.
ZIP
Total Fees
E
Address/,/
�
!!i - (/r /
City
Zip
M.O. N.C. Cash Check
Received by
nn c r
/
Tel.
Cit
?4
LicenseX
Y
Trees required
�7
Sewage System r� /J ..'[�
Address Isi-/
I I—
T LL 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.
Com/ HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev.8/78) as ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by:
BUILDING PERMIT
PERMIT NO.
391933
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD DST
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING.FEES
$
UNITS
Owner
IST FL. SQ. FT. @
Community
2ND. FL. SQ. FT. @
YARD SPKLR SYSTEM
Dist.
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. @
Micro Film Fee
Cop S
GAR. SQ. FT. @
POWER OUTLET
ROOF DRAINS
Ck. By
Mach. Fee Dbl $
DRAINAGE PIPING
CAR P. SQ. FT. @
Lot Size
F S S r.�• R
•{ f
WALL SQ. FT. @
Zone Restrictions
DRINKING FOUNTAIN
S SQ. FT.
��
URINAL
ESTIMATED CONSTRUCTION VALUATION $
7
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
Addres
!t W t! � � . -W
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. @ t
BATH TUB
SQ. FT. @ c
WATER HEATER
Tel.
r ../
S0. FT. RESID @l ht
SEWAGE DISPOSAL
SQ. FT. GAR @ 3%c
HOUSE SEWER
Cit Y Zi
1
f L
i!
GAS PIPING '�
PERMIT FEE
PERMIT FEE
PERMIT FEE e
DBL.
TOTAL FEES
MOS. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE E7rMT. FEE
SMI FEE
FEE PLUMB. fEE
.,Y
I
PERMIT NO.
1391933
Job Address
s .330 Di (1
Space
Zip
Owner
,
Community
Valu ion
$
Date
Dist.
Off.
F.C.G.
MH Permit Fee S
Micro Film Fee
Cop S
Use o Permit
Legal ascription
�� - f ,.n �}
y VY`J
Parcel No. Use/Case No.
i
24/1
Ck. By
Mach. Fee Dbl $
Pl. Ck. Fee $
'
Construction Fee Dbl S
Se Backs
Lot Size
F S S r.�• R
•{ f
Electrical Fee Dial S \
Zone Restrictions
Group
Type
SMI Fee S
Plumbing Fee
Dbl S
Bond Amt.
S
Plan No.
Plan Checker
Fin7al Date}, Q
`_ Z- i rV 1
Inspector
Unit
Sp. Insp. Fee $
Dental. Fee
$
Const. Lender
Branch
Supplimental Permit Numbers
Registr. Fee f
Mileage Fee $'
Addres
!t W t! � � . -W
Witness Fee $
Reinsp. Fee
$
Owner/Agent
— r 'e '" �' iwr ri�i7 A M U ON .
`Tel. -
Zip
Total Fees
$
Address
�,p�j►6 r �,
L'
City
Zip
M.O. Q N.C. Cash Chec
Received by
Trees required
Contr c r //
Tel.
r ../
License#
Sewage System
Address
/
Cit Y Zi
1
f L
i!
T LL 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.
EREBY CERTIFY THAT THE INDIVIDUAL WHU PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
/ ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Form 284-208 (Rev.8/78) @s 'L
verified by:
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS i
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums 6 Ducts F`
2A
Slab Grade
35
Furnace Comport.
3
Steel
,Z
,' Q�y
36
Inlets 8 Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
z
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
IDA
Fireplace
T.O.
P' ADDITIONAL INFORMATION
q y�
jovc
�( % A )
v f` _ L 14
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Batts)
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
24 Gas Test _
25
Final
-
Tank Pit _L.Line
PSL
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/
i
26 Power Pole
27 Conduit S r/�
28 Service Entrance
29 Wiring L - Z-4-91
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
jNOTICE:
THIS IS NOT A BUILDING PERMIT
/ {
DISTRICT
4,
APPLICATION TO CONSTRUCT
Permit No
'� f
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
Owner 7116.0p - Architect
Contractor !r� J
-.7 r 4 ,-
Address '��'� ` Address
Address_i-�Z-
)�0
City �rL (a/1l T City
City_�--
Phone Phone-:ZPhone
.. �-
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 u it I we) have
complied with all laws of the County of Riverside and the State of California governing said property. /
/_
DATE e—SIGNATURE OF OWNER AND/OR AGE.NT .�>< i t `
Approval by Signature from the Following Departmenh Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
SPACE NO.
USE OF STRUCTURE
JOB ADDRESS /L *-_ `J r�_
SINGLE FAMILY DUPLEX [�
LEGA DESCRIPTION OF PROPERTY
Z W / :� `' AP,ARTMNTS [] AGRIC. []
O r` --- _ ✓�r�� �y fCOMM�k_tIAL INDUSTRIAL /,L]
j G COMMUNITY ALTERATION S/�'❑
NO. OF SUBMITTED PLANS --_—_ USE OF PERMI
Q 111"'
W y"
CASE NO.
c Z NO. OF PARKING SPACES REQUIRED _ �NO..OF BUILDINGS NOW I , TIG _ 1
Q a 11 ZONE ' - , / ETBACKS: FRONT - SIDE.%X/'. r AR
J m GRADING PERMIT, REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE # -- OF FEET REQUIRED ON _ STREET
DATE �_-_��-a r SIGNATURE OF LAND USE OFFICIAL
F, DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET.__
xCURB AND GUTTER REQUIRED: YES ❑ NO ❑ —STREET
t -
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
C IMPROVEMENT? YES ElNO ❑
°L DATE __ SIGNATURE OF ROAD DEPT. OFFICIAL
S SWIMMING POOLS PUBLIC
W SEWAGE DISPOSAL _
= c FOOD ESTABLISHMENT
12
WATER POLLUTION
FLOOD CONTROL_
AIR POLLUTION _
DIV OF HWY
REMARKS
YOUR PROPERTY MAY BE SUBJECT' TO
FLOOD. RIVERSIDE COUNTY ASSUMES
AD RESPONSIBILITY IN EVEN?:OF FLOOD.
284 199 9/74 CANARY AFI+LE,'ad,NK — APPLICANT
5
You will need approvals from the following agencies:
COUNTY AND STATE OFFICES
Riverside Offices
County of Riverside
Administrative Center
4080 Lemon Street
Planning Commission
Road Department
Building and Safety
land Use Division
Health Service Building
3575 11th Street 92501
Environmental Health
Flood Control District
1995 Market St. 92501
Weights and Measures
2950 Washington 92504
State of California
Regional Water Quality Control Board
6809 Indiana, Suite 200, Riverside 92506
Transportation Dept. of Calif. CALTRANS Dist 8
247 W. 3rd St., San Bernardino, CA 92401
State Fire Marshal
303 W. 3rd St.
San Bernardino, CA 92401
South Coast Air Management Dist.
22850 Cooley Drive
Colton, CA.
Indio Offices
Administrative Center
46-209 Oasis 92201
Planning Commission
Road Department
Environmental Health
Air Pollution Control
Building and Safety & Land Use Div.
Coachella Valley Water District
85-820 Coachella Hts. Q0. Box 1058
Coachella,CA 92236
Water Quality Control Board (State)
73.271 Hwy 111, Palm Desert 92260
Calif. Division of Forestry
46-209 Oasis, Indio, CA 92201
Hemet Offices
Administrative Center
880 N. State St., Hemet, CA 92343
Building and Safety
Health Department
Perris
California Division of Forestry
210 San Jacinto St.,
P.O. Box 248, Perris 82370
Sen Diego
Transportation Dept. of Calif-CALTRANS, Dist 11
4075 Taylor, P.O. Box 390 92212
Regional Water Quality Control Bd. N9
(State) 6154 Mission Gorge Rd.
Sacramento
Dept. of Aeronautics
Sacramento Executive Airport
Sacramento, CA 95822
Room If
Phone
Land Use
Requirement
Bldg Div
Requirement
9th Floor
787-6181
8th Floor
787-6111
9th Floor
787-6146
9th Floor
787-2011
Basement
7874543
787.2015
787-2620
684.9330
383.4536
282
888-9255
824.2660
304
342-8277
313
342-8267
203
342-8287
205
3424402
310
3424271
398.2651
346-7491
308
347-1929
658.4464
658.5102
657.3183
297.4501
286-5114