397682 (RPL)PERMIT NO.
97682
DEPARTMENT OF BUILDING t& SAFETY
COUNTY OF RIVERSIDE
FIELD
DST
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
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. @ p
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT f
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
-VENT SYSTEM FAN EVAP. COOL , HOOD
SIGN
WASHER (AUTO)(DISH)
;APPLIANCE DRYER
udti n
f
GARBAGE DISPOSAL
IFURNACE UNIT WALL FLOOR SUSPENDED
F.C.C.
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
•
SQ. FT. @ a
WATER HEATER
'
S0. FT. RESID @I %a
SEWAGE DISPOSAL `
S0. FT. GAR , @ 3A(i
HOUSE SEWER
Lot Site
lag TOsscrtptiOn'
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBI.
TOTAL FEES
MOB. HM. FEE
MICRO; FEE
MECH. FEE' PL. CK. FEE
CONST. FEE E T. E
SMI FEE
FEE Pl MB. F
PERMIT NO.
397682
!,Mm Permit Fee $
g'!Micro Film Fee Cop $
"ch. Fee Dbl S
k PI )Ck. Fee S
t 4onftrucNon Fes Dbl S
-Electrical Fee Dbl S
,W Fee s
Plumbing Fee Dbl S
SAS Insp. Fee $
Demol. Fee f
Ripistr. Fee S
`.�A�{Isope Fee S
�Vltness Fee f
P Reinsp. Fes f
Total Fees f
Mb, ❑ N.Ct.,Q Cash Q C
Received It
Trees requi
—90 System
System
T LL P
,-ewer -District
Form 281.408 (Rev.. 1/80)
a- 8 8�
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Tel. UcensgR
ty
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THIS PERMIT SFIALL B COME VOID IF WORK IS NOT COMMENCED WITHIN 120 GAYS. CE SATION 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 COUNTY AND THE STATE OF CALIFORNIA.
jjHEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
7CCCORDANCE WITH,SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
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Lot Site
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Cont. lender
Branch
Supplimentcl Permit Numbers
`
Address City Zip
Owner/Agent
Tel.
Zip
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Tel. UcensgR
ty
} _ 4 G�! 7 /
THIS PERMIT SFIALL B COME VOID IF WORK IS NOT COMMENCED WITHIN 120 GAYS. CE SATION 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 COUNTY AND THE STATE OF CALIFORNIA.
jjHEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
7CCCORDANCE WITH,SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
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N,t'FCTUR
NO
OPERATION I DATE
INSPECTOR
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MECXAMCAL APPROVALS
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NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT
APPLICATION TO CONSTRUCT '
DEPARTMENT OF BUILDING AND SAFETY Permit No
COUNTY OF RIVERSIDE
284 199 "4 CANARY—FILE; PINK—APPLICANT
Owner t -"Lf f `'''�' Architect Contractor: -
Address '_t s`Address- Address_
City. City: City_
4.
Phone Phone Phone
W
• 1 (we) the undersigned, •hereby certify and -acknowledge that 1 (mi)' have read theapplication and agree that if Curb and Gutter, andrt.
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 1 (we) 4ill not occupy said'property and will not cause said property to be prfcupiecl until I (we) have
complied with.AV laws of.the County of Riverside and the State -of California governing said property.
DATE: SIGNATURE. OF OWNER AND/OR AGENT
AppMval by Signature.f-roin the Following Departments ListedB�lo'w
Mist Be Obtained Prior -_oto the Issuing of a Construction Permit.
SPACE NO.
USE OF STRUCTURE
f �^
JOBAD s�.l'
:D`R-ESS
SINGLE FAMILY 1?�' DUPLEX
�
O
L D_ESC IPT�1_0^N
APARTMENTS, AGRIC. ❑
a. 7/
ER�_�T-Y;"
C•I-•P.R -y COMMERCIAL INDUSTRIAL
i^
G G
COMMUNITY
ALTERATIONS [�
USE OF PERMIT - z~' GQ—/ �� J
�
NO. OF SUBMITTED' PLANS !" _
CASE N0. - '•�W- .. ��.�./ i
�d
p z
NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NO ,,EXISTING -
/ �1 f r
z
ZONEff SETBACKS: FRONT. �� SIDE'S REAR
J m
GRADING' PERMIT REQUIRED? YES ❑ NO LOT .SIZE _
❑
SETBACK •ORDINAN.CE # OF FEET REQUIRED ON '� -__"S T R E E T
��
DATE SIGNATURE OF LAND USE OF FICIAL
�
DEDICATION' REQUIRED: YES ❑ NO ❑ NO. OF FEET
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
d
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 ❑ NO ❑
at
DATE— SIGNATURE OF ROAD DEPT. OFFICIAL
in
SWIMMING POOLS PUBLIC
SEWAGE DISPOSAL
FOOD ESTABLISHMENT��`
WATER POLLUTION REMARKS
V FLOOD CONTROL—
z AIR POLLUTION
_ DIV OF HWY
o e — YOUR PROPERTY MAY BE SUBJECT TO
0
o FLOOD. RIVERSIDE COUNTY ASSUMES'
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199 "4 CANARY—FILE; PINK—APPLICANT
BUILDING PERMIT
PERMIT . NO.
976.82. '
DEPARTMENT OF BUILDING &. SAFETY DST,
COUNTY OF RIVERSIDE FIELD OFFICE
CONSTRUCTION ESTIMATE,
K NO. ELECTRICAL FEES
NO.. ' 'PLU'MBING..FEES , .
IST FL.
2ND. F.L.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. .@ ', $
UNITS
SQ. FT. 7YARD''SPALR-
SYSTEAA
SO. FT.' @ ' CIBILEHOME SVC.
BAR SINK
SQ. FT. '@ POWER, OUTLET
ROOF -DRAINS;
SQ. FT. @
DRAINAGE, PIP.;�G
SQ. FT. @
DRINKING FOU' AIN
50: FT: @
URINAL r'
VALUATION $
WATER PIPING;
`
NOTE: -Not to be used as property tax valuation
SWIM POOL, PVT
FLObR DRAIN
MECHANICAL, FEES
SWIM POOL, COMM,
WATER SOFTENER
,VENT SYSTEM. FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH),
APPLIANCE DRYER
Use:of Parml
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR• SUSPENDED
Portal No. Ute/ 'se
et. Back? -
F- S 5
f_lj
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
+AITCHEN SINK,
ABSORPTION SYSTEM B:T.]J.
TEMP USE PERMIT;SVC
:WATER -CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY'
H TWG.SYSTEM FORCED `GRAVITY
AMPERES'SERV ENT
'SHOWER
BODER B.T.U.
SQ. FT. @ ¢
BATH TUB
SQ. FT. @. a
WATER HEATER .
Vlumbing Fee Dbl S _
SO. FT. RESID @ 1 %4
SEWAGE 'DISPOSAL
4plolrNo. rchwElter
SO FT., GAR. @ 344
:HOUSE SEWER
Inspector -
Unit •-
GAS PIPING
PERMIT ,FEE,'PERMIT
S•
FEE
PERMIT FEE
DBL.
TOTAL FEES
.MOB. HM: FEE'
MICRO FEE
MECH:.fEE PL. CK. .FEE
CONST. 'FEE
FEE SMI r FEE
,FEE '' *11111MB. 'FEE -
T LL p THIS PERMIT 9MLL MC Me'VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CE95AT.ION OF WORK verified by:
' Sewer ,D sstrict FOR t20 DAYS SHALL ALSO CAUSE PERMIT TO: -BECOME VOID:
.1 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.
HEREBY'CERTIFY THAT THE INDIVIDUAL WHO;PREPARED THE PLANS AND, SPECIFICATIONS HAS DONE SO^IN,-
-
Form 284.20E (Rev., 111,6Q) CORDANCE WITH, SECTION 5541 AF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
16b. Ada`resy .
.' . ,.
V .. Spoce' 'Lip - — ' Owner
- PERMIT NO
39682
Community '
J.
uoti t
- ia. F;CC '
C.
'MH Permit, Fee' S
..
J� .
'Micro Him Fee Cap $
Use:of Parml
.,
Jim
'-
Portal No. Ute/ 'se
et. Back? -
F- S 5
f_lj
o. -Ek "�
Let Size -
Mach. I?" Dbl ' S
go
Constiuctlon Fee Dfil 3
T°9
..
- -
-
,Zo
'Electrical Fee Dial '•5
Restrictions
'�CsrouR'
ype '
SMI Fee 'S
Vlumbing Fee Dbl S _
.Bond :Amt.
4plolrNo. rchwElter
Final1+.• , 1
1
Inspector -
Unit •-
tSp. Insp. Fee S.
S•
/��` if\
-
•Damol: Fee, • - S
-�Const:.lender
Branch
'S.Rpplimental Permit 'Numbers
Registr: Eee-
. Miteoge Fee S -
//
Address. - Gly - - ZiP!
Witness Fee
Reinsp. Fee .S
Owner/ Agent
-
Tel, -.
., Zip .
fota,l ,Fees S -Acldi.,s
- 11
City _
- Zip
_
m Q N: •;Q .'ash Q . eck
r
_
Received by-
t
Tel. •'
Lkensaff -
Trees require
. Sewage System
-Adddress
42
-
Cityi
-
nn'
K�
..
T LL p THIS PERMIT 9MLL MC Me'VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CE95AT.ION OF WORK verified by:
' Sewer ,D sstrict FOR t20 DAYS SHALL ALSO CAUSE PERMIT TO: -BECOME VOID:
.1 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.
HEREBY'CERTIFY THAT THE INDIVIDUAL WHO;PREPARED THE PLANS AND, SPECIFICATIONS HAS DONE SO^IN,-
-
Form 284.20E (Rev., 111,6Q) CORDANCE WITH, SECTION 5541 AF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.