360440 (AR)111lILVING PLKMII s
PERMIT NO. + DEPARTMENT OF BUILDING .& SAFETY' FIELD MDS
36044 0 COUNTY, OF RIVERSIDE
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NC°. PLUMBING FEES
IST FL.
2ND." FL.
POR.
SQ. FT. @ L. O $
7U UNITS
CommunityT
.ry • .,�..
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
GAR.
CAR P..
WALL '
SQ. FT. @
POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @ ' * `
DRINKING FOUNTAIN
SQ. FT. @
URINAL
ESTIMATED CONSTRUCTION VALUATION $
Use/Cose No.
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 Group
GARBAGE DISPOSAL
FUP,NACE 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. -d c. i
.NATER HEATER
S0. FT. RESID @1'/.c
iEWAGE DISPOSAL
Address City-
Y' Zi P
SQ. FT. GAR @ 3/4 c
HOUSE SEWER
$
-
Owner/Agent -
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE A
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE EL
. FEE_ SMI FEE
FEE PLU B.
PERMIT NO' " "
360440
�`-' �' " " "'
'Job Address +. • -'+ �+- t' • , .. t _ q- .0 ••: ;•Space
1
Zip
-
Owner
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µDili.
XI
CommunityT
.ry • .,�..
•�,
Valuation
$ + Q
Date~
r Off.
F.C.C.
'
MH. Permo Fee E
Micro Film Fee
Cop $
Use of Permit or
i/ �{ ��I�[ •
` '"
Parcel _ o.
Use/Cose No.
Ck. By
`/
Mech. Fee Dbl $�`�
PI. Ck. Fee $ G•
Set ack`s
lot Size
VCS
.,.
Construction fee Dbl $
Legal Description J
♦.
t—
1I
✓Checker
f S 5
R
Electrical Fee Dbl $
4o7/GGT
Zone Restrictions Group
Type
SMI Fee $
Plumbing Fee
Dbl $
C70
Bond Amt.
$
Plan No.
Plan 'Final
•
Dote
9..,zo_ /
Inspecto
Qv
Unit '
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender *Branch
Supplime tat it Numbers
'
Registr. Fee' • $
Mileage Fee' $
Address City-
Y' Zi P
Witness Fee, $
Reinsp. Fee
$
-
Owner/Agent -
Tel.
Zip
Total Fees
' M.O.Itl
$
N.C.0 Cash Check
Address '
City '.1.
Zip
Received by
Contracto r'.
r i � �� • r.r
-
.. -.i - .e
Tel. "
, -i ;• 'e
LicenseM
`a .
Trees required , _s
Sewage Systern
Address
ll
City '.r
Zi p
T rt LL
P r
THIS PERMIT SHALL BECOME•VOID IF WORK ISNOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer District ,
XI
FOR 120 DAYS SHALL AL CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE TH L AN� WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
•�,
THE LAWS OF RIVERSIDE COUNTY D 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.
Form 284-208 (Rev.8/78)
verified by:
t,
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTgR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
2A
Ftgs & Frms J-N—�
Slab Grade J
34
35
Plenums 8 Ducts
Furnace Comport.
3
Steel *
36
Inlets & 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
IDA
Fireplace T.O.
NPON
ADDITIONAL INFORMATION
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— 2O�7Q
Tank Pit L.Line
REAR OF PROPERTY LINE
PSL P/
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit'
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
- y
NOTICE: THIS IS NOT A BUILDING PERMIT DISTRI•--T
APPLICATION TO CONSTRUCT Permit No
ti DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
284 199; `, 9/74 CANAR" — FILE, PINK — APPLICANT
,-
• �
Owner Architect Contractor�'
Addres- — Address Address_`
City City City_ =
E^ E
h
Phone Phone hone --'01
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 D.partment 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 propey " be occupied until I (we) have
complied with all laws of theCounty of Riverside and the State of California governing said proper t .
d}
� � �
DATE SIGNATURE OF OWNER AND/OR AGE T `�-•�w-- .,.
Approval by Signature from the Following Departmenh Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
I SPACE NO.
1 USE OF STRUCTURE
_ �,J t/
JOB ADDRESS �j�G� ,'v "4�/� I — SINGLE FAMIL" DUPLEX El
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Z t-
LEGAL DESCRIPTION OF PROPERTY 723 "/2%. -z;af
l — - APARTMENTS AGRIC. [�
h
COMMERCIAL INDUSTRIAL LJ
N
COMMUNITY.
ALTERATIONS ❑
C GNO.
Z
OF SUBMITTED PLANS ____ USE OF PERMIT /r>>,D R/"% % --
N a
CASE N0. /d h"
p Z
NO. OF PARKING SPACES REQUIRED- — NO. OF•BUILDINGS NOW EXISTING --
Q to
ZONE /l SETBACKS: FRONT SIDE REAR
J
CIO
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK OR NAN E a _— OF FEET REQUIRED ON STREET
DATE �! SIGNATURE OF LAND USE OFFICIAl�I%
F,
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET_--
zCURB
AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
t-
d
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
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HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR 'ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
D
C
IMPROVEMENT? YES C)NO ❑
°L
DATE __ SIGNATURE' OF ROAD DEPT. OFFICIAL
S
SWIMMING POOLS
W
SEWAGE DISPOSAL 6N/.�J yiJll3C• /��Jf�! G' t'Xif�/I�ti' s�fJ� w,> >%� 5V
_
FOOD ESTABLISHMENT _ /
WATER POLLUTION REMARKS
�n FLOOD CONTROL
Z AIR POLLUTION
W
DIV OF HWY
o a — YOUR PROPERTY MA" BE SUBJECT TO
o FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY I� EVENT OF FLOOD.
284 199; `, 9/74 CANAR" — FILE, PINK — APPLICANT
BUILDING PERMIT
PERMIT NO.
PERMIT No.
(� lJr4 4 0
•
i
DEPARTMENT'- F BUILDING• AF TY ;
COUNTY OF RIVERSIDE"
tt��✓ vrr t�.�
DST
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. ti—
2ND.'FL.
POR.
GAR.. •
CAR P.
R�.+.w rsn ..."4
WALL
t
ESTIMATED CONSTRUCTION
SQ. FT. @ $
07J UNITS +
'Community
*a; .,., .. , r .. , ,. _ a Valuatioq -.fir(:. r Date Dist Off.
YARD SPKLR SYSTEM
SQ. FT. @.
MH Permit Fee
MOBILEHOME SVC. BAR SINK
SQ. FT. @
r q
SQ. FT. @ POWER OUTLET; ROOF DRAINS
40
SQ. FT. @ DRAINAGE PIPING
Cop $ -
;fir.. ..�x�.'.:i+.c •+-•.�.. .. ... • ,a• .. tom. .4.
SQ. FT. @ DRINKING FOUNTAIN
ff
URINAL
SQ. FT. @
Use/Case
VALUATION WATER PIPING
By
NOTE: Not to be used as property tax valuation'
SWIM POOL, PVT
FLOOR DRAIN
••ro+� 6 //
MECHANICAL FEES,
SWIM POOL, COMM
WATER SOFTENER
[C�.:
VENT SYSTEM " r e FAN'" EVAP CCiOL HOOD
n SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
# �;
GARBAGE DISPOSAL
Construction Fee
FURNACE UNIT WALL FLOOR SUSPENDED
Legal Description
�..
LAUNDRY TRAY
- S
�"•
AIR HANDLING UNIT _ :CFM
IDLE METER
KITCHEN SINK
Group
ABSORPTION SYSTEM ' B.T.U.
TEMP USE PERMIT SVC '
WATER CLOSET
Electrical FeeDbI $
.� ��'E� � / JG �.,i1C/v ...•X..V irR,r�j% / �-
COMPRESSOR HP
POLE,TEMP/PERM }
LAVATORY
HEATING SYSTEM, FORCED GRAVITYf
AMPERES SERV ENT
SHOWER
BOILER B.T:U.
. SQ. FT. @ c
BATH TUB
.� Bond Amt.
�.C'�r�!�''/"'!T"S�14Yi♦N.4 a.. 'e'f. A.. In �x:11 .'=, ''{f '"v
r- ♦ .M.♦"A.WY' ♦.v...+--..—'ntl-wc.v.w♦.... .M.�w.
SQ. FT. @ t
WATER HEATER
Fi(n/gokpote.
r�
y
SQ. FT. RESID @1 /.c
SEWAGE DISPOSAL
Sp. Insp. Fee . •
y.
SQ. FT. GAR @ 3/4 c
HOUSE SEWER
- (I—•
GAS PIPING
l
PERMIT FEE
$
PERMIT FEE
PERMIT FEE
Supplimentol Permit Numbers
DBL.
.TOTAL FEES
72
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
mu m -o
y
SMI FEE
��
r.
, FEE PL
of
tEE
/
PERMIT NO.
,, ..
Job Address
.. ..
s "t^ • •' space Zip Owner
J
36.0440
. -
'Community
*a; .,., .. , r .. , ,. _ a Valuatioq -.fir(:. r Date Dist Off.
I/F.C.C.�
MH Permit Fee
$
r q
„�,✓'!'y $ '0„,)a^ '°'� a �i
40
Micro Film Fee
Cop $ -
Use of Permit
ff
Parcel No.
Use/Case
No.
By
Mech. Fee
"Dbl $
. .-
••ro+� 6 //
f
[C�.:
PI. Ck. Fee
- $
4xva
Set Backs 11
Lot Size
Construction Fee
`• Dbl $
Legal Description
�..
F
- S
�"•
5
R
Zone Restrictions
Group
Type
Electrical FeeDbI $
.� ��'E� � / JG �.,i1C/v ...•X..V irR,r�j% / �-
SMI Fee -
$
Plumbing Fee
- Dbl $
.� Bond Amt.
Plan No.
Plon Checker
Fi(n/gokpote.
r�
Inspector
U t
Sp. Insp. Fee . •
$
$
- (I—•
Demol:. Fee
$
Const. lender
Bronch
Supplimentol Permit Numbers
Regislr. Fee
$
.-
A,
Mileage Fee - $ Address City Zip
,Witness'Fee
$
w
'
Reinsp. Fee
$
Owner/Agent
Tel.
Zip
Tocol Fees
S
1,08 Address
Ciiy
Zip
:'M.0.0
N.C.M CoshWCh.ckFl✓
i
Received by
Contracto
v
Tel L•
Licenseq
Trees required
Sewage System
”
Address
.City Zip
' T - LL >' PTH IS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
•Sewer District FOR 120 DAYS SHALL A CAU PERMIT TO BECOME VOID.
/ r • r ' I HEREBY AGREE T &O �F�f 11 9�fQk7 N WifH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
CO
r THE LAWS OF RIVERSIDE UNTY RAND THE STATE OF CALIFORNIA,,'
,
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
T c ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Form 284-208 (Rev.8/ 8t i
verified by: