398022 (BLCK)BUILDING PERMIT
PERMIT NO.
98022
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD f /
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SO. FT. .@ $
to
UNITS
r
SO. FT. @
YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC.
BAR SINK
SO. FT. @ POWER OUTLET
ROOF DRAINS >'
SO. FT. @
DRAINAGE PIPING
SO. FT. @ /' Nt 2 C�
DRINKING FOUNTAIN
SO. FT. @
URINAL
VALUATION $ ! r T W,'s
WATER PIPING
NOTE: Not to be used as property tax voluation
Bond Aml.
s
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
!psfect.r
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
Const. Lender Branch
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Address City Zip
Witness Fee S
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Tel. Zip
LAUNDRY TRAY
AIR HANDLING UNIT CFM
City Zip
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
Tel.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
Address - ^" l+. 'C
.^� u
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
50. FT. RESID @ 1 /4a
SEWAGE DISPOSAL
S0. FT. GAR @ a/4a
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
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MO8. HM. FEE
MICRO FEE
MECH. FEE
PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
398022
Job Address �-y Space
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Zip
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Owner
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Community l alio
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MH Permit Fee S
Micro Film Fee Cop $
Use o ermn N
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Parce No. r
Use/Cas No.
Ck. By
Mach. Fee Dbl 5.w%%
Pl. Ck. Fee s
cks Lot Sire
F S S R
Zone Restrictions Group Type
Construction Fee Dbl s 10
Lego ascription
`~"-'•, L. �^"` ef' L ` `�
�' .T„ ,v= ii s
Electrical Fee Dbl $
SMI Fee $
Plumbing Fee Dbl s
Bond Aml.
s
Plan No.
Men CFiecker
Fin I Dote f
/�
!psfect.r
Unit
Sp. Insp. Fee $
Demol. Fee s
Const. Lender Branch
Supplimentol Numbers
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee S
Reinsp. Fee s
Owner/Agent
Tel. Zip
Total Fees s
Address •-�/ll
• 1'
City Zip
M' N.C. Q/ Cash Q Check
Received b,
Controaor ' ""` ' �'�
�'
Tel.
licensell
Trees required
Sewage System
Address - ^" l+. 'C
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City ./ Zip
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T LL THIS PERMIT HAl BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WOR
Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BE -COME VOID.
•I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
,IVE 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 284.208 (Rev. 1/80( ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verilied-b� r3
NO.
OPERATION
DATE
INSPECTOR
NO. OPERATION
DATE
INS PECTJR
BUILDING APPROVALS
MECHANICAL APPROVALS
I
Set Bock
33 Ventilation System
c'
2
Ftgs & Frms
'ZZ
„
34 Plenums 8 Ducts
2A
Slab Grade/Cr�G
r
35 Furnace Comport.
3
Steel
L�_�S
�+
36 Inlets & Outlets
37• Combustion Air
4 Grout Blocks v
5
Bond Beams
38 Compressor t 1
:•6.•
'-Roof (;,:ck-
39 Appl. Clearance
r 7
Framing
40 Fire Damper
8-
Vents
41 Smok6 Detection'Device
9
Garage Fire _Wall
42 Commercial Hood
10
Fireplace - P. L.
43 Final
10A
Fireplace T.O.
U
°o ADDITIONAL INFORMATION
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C\Tt fJ
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1
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SEWAGE. SYSTEM SIZE & LOCATION
-
V i
i {
t
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11 Exterior Loth
12 Internal Lath
12A Drywall
13 Finish Grade ,
INSULATION Thick R '
Value
7A Wolls (Batts)
128 Ceiling (Batts) —
12C Ceiling (Blown)
14 final
PLUMBING G !w"PPROVA_LS
. --
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.
F;;�r..;;
Tank , Pit L. Line
P/L
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
-,
i
s
z
# '
P/
� t
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME s
NOTICE: THIS 15 NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT /
Permit No
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
Owne L Architect _. ___—_ Contractor _ _
a u
Addres� _ Address—_— Address 7'/
-----
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City City-- Citp
Phone—_ $ Phone
WI
(we) the undersigned, hereby certify and knowled -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 requir b the County of Riverside, the Riverside County Department of Building and Safety
3
shall not make a Final Inspection until said require n 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) I 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 proper
DATE �_^ �+_6r SIGNATURE OF OWNER AND/OR AGENT—
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
�a I SPACE NO.
USE OF STRUCTURE
JOB ADDRESS�%f/[ D�� SINGLE FAMILY
DUPLEX El
LE DESCRIPTION P OPERTY ��F --
Z H
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OF — pARTMENTS AGRIC.
N Q
COMMERCIAL INDUSTRIAL
COMMUNITYOf
ALTERATIONS []
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NO. OF SUBMITTED PLANS USE OF PERMIT —
�+ ul a
CASE NO.
p Z
N0. OFP RKING SPACES REQUIRED -- NO. OF BUILDINGS NOW XISTING _
Q
ZON ETBACKS: FRONT SIDE REAR
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m
GRADING PERMIT REQUIRED? YES ``j NO ❑ LOT SIZE
SETBACK ORDINANCE OF FEET REQUIRED ON STREET
DATEc7Z�� SIGNATURE OF LAND USE OFFICIAL —
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET__
F
W
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
H
oc
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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 C3NO C1
°C
DATE — SIGNATURE OF ROAD DEPT. OFFICIAI
S
SWIMMING POOLS PUBLIC
Q W
SEWAGE DISPOSAL
_
FOOD ESTABLISHMENT �.
WATER POLLUTION REMARKS
H FLOOD CONTROL
t`
Z AIR POLLUTION
� W
_ DIV OF HWY
c .4 — YOUR PROPERTY MAY BE SUBJECT TO
CL
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
PERMIT NO.
398 0 2 2
Job Address
Community
L
l
U
..:Pr
VOI o G
S 1
Spare I Zip
~
Owner
to rimr fl. F. .
1 MH Permit Fee S
Micro Film FeeCop S
Use o ermit -
Parcel No.Use%Cos
No.
Ck. By
Mech. Fee Dbl S
PI. Ck. Fee S
`
SocksI
Lot Size
1.
Construction Fee Dbl S
Lega esaiption s
\
C
v `^ ' ` C
rt
F
S
S
R
Electrical Fee Dbl S
Zone Restrictions
y.
Group
Type
MI Fee I Ste,
lumbing Fee Dist S
Bond Amt.
5
PI No.
n Checker
Final Dote
Insp for
Unit
Sp. Insp. Fee $
Demol. Fee S
Const. Lender
Branch
Supplimentol Permit
Numbers
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee S
Reinsp. Fee S
Owner/Agent
Tel.
Zip
Total Fees S -
Address
t t �
.+-
City
Zip
M. . {] N.C. Or Cash O Check
Received Is
Contractor
K�j
Tel.
Licenseg
Trees required
Sewage System
Address
�
City G_I
� Zip
T U. - THIS PERMIT SHAL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK, verilied.!>S
Sewer District FOR 120 DAYS SHALLALSO CAUSE PERMIT TO BECOME VOID.
,I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
E LAWS
OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
1-IHQREBY 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.