356214 (MISC)9WILLP1Fq1L7, rCKMIN V.,
PERMIT NO.
&]
DEPARTMENT OF BUILDING ,,SAFETYFIELD Ji. D T
;3 5 6 A .,,,'
COUNTY OF RIVERSIDE
�:- " ti!'. � ��; ; 'j,
T
"CONSTRUCTION
ESTIMATE
1'4s
NO. * ELECTRICAL FEES,
Job Ad&s� a
NO. PLUMBING, FEES
F L. SQ. FT.
PERMIT N 0.�.�:.�.
3H2141
UNITS
V.Iuati-�Iti' 'r wvt
$
Dot.
W).' F.L. SQ. FT. @
C.
MH.Permif,Fee $
'x4cro Fi7m."Fee- -r
YARD M
I,, SPKLR SYSTEM
-POR: SQ. FT. @
�P el N k-. 1 Y, Use/Case
71
MOBILEHOME:SVC BAk-SIN
,Meth. 'h. Fee DbI $
SQ. FT. @
,�,:,Ck. Fee $
POWER OUTI.Ef�_'t
-Set B4,cks
F
Lot SizeZ
-C6.struction Fee DbI $
CAR P.,SQ. FT. @
Legal �Dc Pn•
J'
Electrical Fee DbI $
DRAINAGE PIPING
6G,�oup,.
r: Me -
ALL SQ. FT. @
SMI Fee $%
Plumbing Fee
t. DRINKING,FOUNTAIN
SO. FT.
Plan No.
Plan Checker
Unit
a
URINAL
�ESTIMATED CONSTRUCTION VALUATION
1$
z
Const. lender, Branch
T WATER PIPINGL
Regisir. Fee $
NOTE! Not to be used as property,tax valuation
. . ;
'Mileage Fee $
SWIM POOL, PVT.f
Address City Zip W"', .1.4
FLOOR DRAIN i
MECHANICAL F,&B—
$
SWIM POOL, COMM;a
Owner/Agent/
A
WATER SOFTENER,
VENT SYSTEM FAN EVAP. COOL HOODS
...... 4�
SIGN -
WASHER (AUTO)(DIS . H)
Add ss
V7
APPLIANCE DRYER
M. 0 Cash
e=c�
Received
•GARBAGE DISPOSAL
FURNACE LIN. IT sLwALL ' FLOOR SUSPENDED
T�li
License#
Trees 'reqUirred
LAUNDRY TRAY,
sewage System
AIR HANDLING UNI CFM
DL
IDLE METER
City Zip
SINK3'
%-7
KITCHEN 1,
ABSORPTION SYSTEM B.T.U.TEMP
USE PERMIYSVC ,W
"[WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERMI�-,;-
1.
-AVATORYN,
1: , 1. q
ZIL
HEATING SYSTEM FORCED GRAVITY
•-!�l 1
AMPERES SERV'.ENT,,,,
0
SHiOWER
BOILERBATH B.T.U.B. T. U
e SQ. ;FT.
T _TUB_
SQ.
WATER HEATER
,
SO. FT. RESIID,'dli/. 4S
DISPOSAL" V
SEWAGE ISPOSA(4t,3
SQ.'FT. GW@ 34 c
HOUSE SEWEIR,�,`_'
GAS PI
PERMIT FEE'"'
PERMIT FEE 7,,
7t-�f 7%��r,
-
I
F -f- z
PE6AIT, EE
DBL.
TOT Al FEES
rOB.HM.FEE
MICRO FEE
MECH. FFf
VHCl
A
PL. CK. FEE
T_ CONST FEES EVCT FE SMI FEE
KY
'�E.E eB, FE0
n,
Tat'
&.,o
X
j LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN'1. n DAYS. -CESSATION bIz WORK verified by:
Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.'- u
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE, IN ACCORDANCE W*ITH fi
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. 4
J .. Az_%
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPAREDTHE PLANS AND SPECIFICATIONS HAS DONE SO IN. 1 ti
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA' 4
iForrm-204-208 (Rev.8/78)
.z -- I �7
.4 nt 57
t,J
1'4s
Job Ad&s� a
Zip
P
at
PERMIT N 0.�.�:.�.
3H2141
CommZ �nity k
V.Iuati-�Iti' 'r wvt
$
Dot.
C.
MH.Permif,Fee $
'x4cro Fi7m."Fee- -r
cop $
U I Permit;
ie e 1,
dQ!1k
�P el N k-. 1 Y, Use/Case
71
Ck.
,Meth. 'h. Fee DbI $
,�,:,Ck. Fee $
-Set B4,cks
F
Lot SizeZ
-C6.struction Fee DbI $
or
Legal �Dc Pn•
J'
Electrical Fee DbI $
Z,. -4,0
,,on eonction5
6G,�oup,.
r: Me -
Type
SMI Fee $%
Plumbing Fee
DbI $
Bond Amt. T
$
Plan No.
Plan Checker
Unit
a
Lp. insp. Fee $
Demol. Fee
1$
Const. lender, Branch
Supphmental Permit umber;�
7,
- ;:� -
Regisir. Fee $
. . ;
'Mileage Fee $
Address City Zip W"', .1.4
Witness Fee. $
Reinsp. Fee
$
Owner/Agent/
A
Tel. .,Z ip
Total Fees
Is �r
Add ss
V7
zt",-;
'P�
•- . j
t,
M. 0 Cash
e=c�
Received
Contractor
T�li
License#
Trees 'reqUirred
sewage System
Address",
City Zip
j LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN'1. n DAYS. -CESSATION bIz WORK verified by:
Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.'- u
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE, IN ACCORDANCE W*ITH fi
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. 4
J .. Az_%
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPAREDTHE PLANS AND SPECIFICATIONS HAS DONE SO IN. 1 ti
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA' 4
iForrm-204-208 (Rev.8/78)
.z -- I �7
.4 nt 57
t,J
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
figs & Frms
34
Plenums & Ducts '
?A
Slab 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.
FI ADDITIONAL INFORMATION
p ^ L
_
`
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
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
PSL
P/
c
7
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
2V Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
NOT:CE: THIS IS 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
Owner Atex Tpow-i Architect— —_ _ Contractor_—_—.. —
Addrejss tr! �yw6'�7 0)& —_ Address___ Address_----_— ---__
City -L �lll� (t' S City_ City--_— —
eJ -3Z �zg� dl� Phone _ Phone— -----.--..-
Pho nV
tY
W
I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agre^ 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. 1 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 no be occupied until I (we) have
complied with of the County of Riverside and the State of California governing said property.
alall �laws
SIGNATURE OF OWNER AND/OR AGENT '
DATE—�!-TL•--��-1----
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
ISRACCEE�NO.
USE OF STRUCTURE
•`�
>
Z H
� / / �CaEf�c�..—_C�<S�G
JOB ADDRESS SINGLE FAMIL-' DUPLEX
L G ES RIPTION 0 PR PERT _ � ~ ��
APARTMENTS AGRIC.
0 ❑
'^
COM CI f/� INDUSTRIAL LJ
COMMUNITY �I ALTERATIONS C�
C
Z
NO. OF SUBMITTED ANS USE 0 MIT• I _
CASE NO. iwe
— -=
C Z
' Q
N0. OF P —KIN SPACES REQUIRED — — NO. OF BUILDINGS NOW EXISTING -
-
ZONE ETBACKS: FRONT SIDE --REAR
J m
GRADING PERMIT REQUIRED. YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE b — OF FEET REQUIRED ON — STREET
DATE — SIGNATURE OF LAND USE OFF] CI — ---
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET__
uZi
CURB AND GUTTER REQUIRED: YES NO ❑ - STREET
a
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
W
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
CIMPROVEMENT?
YES ❑ NO ❑
°C
DATE SIGNATURE OF ROAD DEPT. OFFICIAL
2
SWIMMING POOLS PUBLIC
QW
SEWAGE DISPOSAL
—
_
FOOD ESTABLISHMENT
WATER POLLUTION RE ARKS
"`..H FLOOD CONTROL
H
Z AIR POLLUTION
,f u
W'
_ P_ DIV OF HWY
0 a _ YOUR PROPERTY MAY BE SUBJECT TO
•'.°so FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILI-Y IN EVENT OF FLOOD.
284 199A 9/74.-
CANARY—FILE, PINK—APPLICANT
1
(V Lack oc, . or _r:Jproper c✓a`er closet, lavatory, ba h rib e= 's,�o.✓z�n
a dwelling unit . . . . . . . . . . . . . . .. _ ...
H
505
A
2.
( ) Lack of, or in, water closets, lavatories, and bath tubs or
mowers per number of guests in a hotel..
H
505
B
3.
(V) Lack of, or improper kitchen sink . . . . . . . .
H
505
C
4:
( ) ack of hot and cold running water to plumbing fixtures in.a hotel.
H
505
D
5.
(Lack of hot and cold running water to plumbing fixtures in a
unit
•facilities
H
505
D.
6.
(LZwelling
ack of adeauate•heating . . . ...
H.%701
A
or improper operation of, required ventilating equipment .
H
701
C, H504 C
8.
(�ack
ack of minimum amount of natural light and ventilation required by
this Code . . . . . . . . . . . . . . . . . . . . . . . .
.H
504
A
9.
( ) Room or space dimension -.less than required by this Code.
10.
O Lack of required electrical lighting . . . . . . . . . , . . . ...
H
701
B .
11.
( J Dampness of habitable rooms . . . . . . . . . . . . . . . ... . . . .
H
601
B
12.
( y Infestation of insects,•vermin or rodents as determined by the health
-
fficer:Int. Ext..
General
H.1001
13.
(t dilapidation or improper maintenance . .
H
505
G,(UBC104
UBC -203)
14.
O Lack of•connection.to required sewage disposal system .
H
505
D
.15.
( )..Deteriorated or inadequate foundations . . . . . . . . . . , , ,
H
601
A '
16.
( ) Defective or deteriorated flooring or floor supports. . .-. .
H
601
A-
17.,
( ) Flooring or floor supports of insufficient size to carry. imposed
doads with safety . . . . . . . . . . . . : . . . . . . . .
H
601
A
18.
( Members of walls, partitions, or -other vertical supports that split,.'".
lean, list, or buckle due to defective material or deterioration, .'
or insufficient size. Int.Ext.
H
601
A
Members of walls, partitions, or'other vertical supports that are
MOf insufficient size to carry'imposed loads with safety. , . . .
H
601
A
20.
lembers of ceilings, roofs, ceiling anal roof supports or otaer .
•
horizontal members which sag,'spli.t, or buckle due to defective
material, deterioration or insufficient size. Int. Ext..
N
601
A
21.:
( ).Members of ceilings, roofs, ceiling and roof supports or otber .
horizontal.members that are of insufficient size to carry inposed
loads with safety. . . . . . . . . , , , , , , , , , , , • , , , . ,
H601
A
22.
Fireplaces or chimneys which list, bulge, or settle, due to. defective'
material or deterioration. .. .. -
H
601
A
23.
O Fireplaces or chimneys which 'are of insufficient size„or strength•
to carry imposed loads with safety.
H
601
A
24.
Hazardous wiring. ,'
H
701
B
25.
(✓fiHazardous plumbing.H
,
-equipment.
1001-f
26.
(4 :Hazardous mechanical . . . . . . . . . ,H
701
C
27.
(�F u1ty weather protecti on. • • • • • • • . , , ;F - -
H.
601
B '
Deteriorated, crumbling, or loose plaster.
:
Deteriorated or ineffective waterproofing of exterior wil1s,.
'.roof, foundations, or floors, including broken windows cr doors.
Defective or lack of weather protection for exterior wa11 coverings,
including lack -of paint, or weathering due to lack of, paint or,
other approved protective covering.
Broken, rotted, split, or buckled exterior•wall coverings or roof'coverings28..re
eb;Xn
hazard. . . . .
H
901
H 1001;I
.29.
adequate maintenance . . , . . , , , , , , , - -
• -
•,
H
_
101 H -L
30.
O1Inadequate exits. .' -
-..
X
801
31.
Water closet compartments in'dwellings shall be finished wit_`
approved non-absorbent materials. All others shall be in accord=
ance with Section 1711 of U.B.C. . . . . .. . _
H
505
E
32.
(� Wa:ter closets, bathtubs or showers required.by-this-Code. shall be
in a room which will afford privacy to.the occupant;
33.
�i�nstalled
(4 A room in.which a water closet is located shall be separated from
food preparation or storage rooms bytight -fitting door.
H
505
F'
34.
'a
O Faulty materials of Construction. All materials of construe -.ion
except those which are specifically allowed or approved by o_-
r
,pursuant
,pursuant to this Code.and which have.been adequately maintained .
.in good. and safe condition,
E .35.
Hazardous or unsanitary premises. . . ... , . , ,. , , , ,
H'1001
K
Case
O O,3�_
No. � .Z
Date
l Inspector
p cO"^”
284-178
t, _, � . ..
%
rb NOTICE TO'APPLICANT�,.
P 7 1 v
tion provisions of the Labor'Cocle that I will comply forthwith with the provisions
in conformity with the provisions of State of California Labor Code Section 3800, theli!applic6nt.sholl,ha%,4'on file or file,wi;K the Rive"r-sige County,--
Department of Building and Safety a certificate as designated in Items I or 11 below,tcir shallin '
,clicafe Item,1jIII JVor V,
, -whichever is applicable.
I ST FL.
- , I
2ND..FL..
PQR.
GAR
CARR
WALL'
ESTIMATED CONSTRUCTION
'y
-I
a t n
-
$
CERTIFICATE OF APPLICANT
D''•t_.5
Please mark the appropriate block:
I .. 1
SO. FT. @ : YARD-SPKLR SYSTEM
,,MH.Permit Fee $
SVCL R
MOBILEHOME,,?1*.1C-. ��4
SQ. FT. @ BA
Certificate of Consent to self -insure issued by the Director of Industrial Relations.
POWER OUTLET/.' -** 7' 4` ° ROOF BRAINS
SO. FT.
4
0 Copy file ❑ Copy
SQ. FT. @ DRAINAGE PIPING
on submitted
SQ. FT. @ DRINKING FOUNTAIN
Certificate of Workers' Compensation Insurance issued by an admitted insurer. 4
SQ. FT. @ URINAL'
C3 Copy file El Copy
VALUATION S WATER PIPING
on submitted
The cost of the'work to be erformed is $100 or less.
p
NOTE: Not to be used as property tax valuation
I.-
SWI . M POOL, PVT
z'V---. I.certify that in "the perf&mance of the work for which this per q�lo
mit is issued 1'�hdll not'employ any person in any,mapper so become
i
i , " - '�� ;
sub ect to the Workers' Com ensation laws of Cal ifornio I further certif that ' in'tKe, eni I become subect to the Workers' ensa-
4
visii�n`s d L816�rt6��§ectian 3200,'et secl.,'and unaerstand
that, if I do not comply, the permit.shall be deemed revoked
❑ V. I certifyas the owner n the p for
(or the agent of the owner) that i erformance of the work - hi6h.,this'permit.' is' issued f-
�,
I have engaged
contractor. IC- _fiA.- mit certificate required by 'I or. 11 above I -
Tt L.,C.V
licant's Si not '14
t1v 'd
ro�Date Perm
Address and location where work is to be performed
284-141 Rev. 6/77
BUILDING PERMIT
PERMIT NO.
3 5 6 2.i741
9F
,`Cr
DEPARTMENT OF BUILDING & SAFETY'
DT
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO., ELECTRICAL FEES,
NO: PLUMBING FEES
I ST FL.
- , I
2ND..FL..
PQR.
GAR
CARR
WALL'
ESTIMATED CONSTRUCTION
SO. FT. $
-I
a t n
-
$
UNITS
D''•t_.5
9 41'
I .. 1
SO. FT. @ : YARD-SPKLR SYSTEM
,,MH.Permit Fee $
SVCL R
MOBILEHOME,,?1*.1C-. ��4
SQ. FT. @ BA
Cap $
POWER OUTLET/.' -** 7' 4` ° ROOF BRAINS
SO. FT.
U Perm'
SQ. FT. @ DRAINAGE PIPING
IN
SQ. FT. @ DRINKING FOUNTAIN
SQ. FT. @ URINAL'
Pl. Ck. Fee $
VALUATION S WATER PIPING
NOTE: Not to be used as property tax valuation
Construction Fee DbI $
SWI . M POOL, PVT
FLOOR DRAIN
N. 'IS
1,
MECHANICAL'Fg-&—
Electrical Fee Dbl.$
SWIM POOL, COMM.
WATER SOFTENER
GroupeType
VENT SYSTEM FAN_
EVAP. COOL HOOD
Plumbing Fee
SIGN
WASHER (AUTO)(DISH)
)(DISH)
Bond Amt.
$
Plan No.-
Pion Checker
f" f,
finol'Dale
GARBAGE DISPOSAL
nit
FURNACE U46T, ;L44ALL
)FLOOR SUSPENDED
LAUNDRYTRAY.
AIR HANDLING UNI
CFM
ge Fee $
IDLE METER
witness Fee $
Reinsip. Fee
ABSORPTION SYSTEM
B.T.U.
TE I MP USE PERMIT SVC01,
WATER CLOSET
Zip
COMPRESSOR
HP
$
POLEJEMP/PERM
LAVATORY
HEATING SYSTEM
FORCED GRAVITY
1_'eceNed
AMPERES SERV,ENT:
SHOWER
ContractorTel.'
BOILER
B.T.U.
SO.'
FT.- @: ;,C,
BATH TUB
Sewage System
Address
SQ. ff.
;1 WATER HEATER •
A
-—
SQ. FT. RESID 61 1%c SEWAGEDISIPOSALA
SO. FT. GAR @ 3/ c
HOUSE SEWER
GAS, PIPING
PERMIT FEE
r
PERMIT FEE I
PERMIT FEE
DBL.
TTAL Fy
MOB. HM.,FEE
MICRO FEE
MEQH.
Pl. Ci FEE
I /CONSTJ" EEL CT. Fn SMI FEE
FEE
'Lin Fk
•
PERMIT NO.
3, 35621,
.5621,41
Job A �Wwh
Allw/.Zz)o
Zip
at
e -o'#
Comm �nity
2 -Arl IV,
-I
a t n
-
$
D''•t_.5
9 41'
F.C.C.
,,MH.Permit Fee $
Micro Film Fee
Cap $
U Perm'
IN
-4 Use/Case No.
Mech. Fee DbI $
Pl. Ck. Fee $
Set Backs•
Lot Size,
Construction Fee DbI $
Leq�ol D Legal n
'1W
N. 'IS
:IR
Electrical Fee Dbl.$
Zoneestrictions,
GroupeType
•SMJ1 Fee $
Plumbing Fee
Dbi $
1%.r
Bond Amt.
$
Plan No.-
Pion Checker
f" f,
finol'Dale
Ins clor 4; -S
A -
nit
Sp. Insp. Fee i$
-Demol.-Fee$
Const. Lender Branch
S5�pym7e,-ntol, .PermitVurnber
, ef
e
rRegisir. Fee $
ge Fee $
Address • City Zip
witness Fee $
Reinsip. Fee
$
Tel.
Zip
k
jqtqI Fees
$
)Ad clf� N611
y k"p,
eI 'A�.O. 41 h; Cash C] Neek
1_'eceNed
ContractorTel.'
7,
License#
Trees required
Sewage System
Address
City
Zip'
ILL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED'WITHI,W120 DAYS. CE I SSATION OF -WORK, verified by-
ISewer 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.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARE 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)
A 7
Ir 1, 1. —, �4v.A 4