375073 (SFD)BUILDING PERMIT
PERMIT NO.
375073
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
$
UNITS
Owner
IST FL. Sq. FT. @ -
YARD SPKLR SYSTEM
2ND. FL. SQ. FT. @
Valuation i3dt
rQj
Off.
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. @
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. @
Micro Film Fee
CAR P. SQ. FT. @
DRAINAGE PIPING _
WALL SQ. FT. @
/
DRINKING FOUNTAIN
luse/Covo.
.114140
URINAL
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
Lot Size
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
BS
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
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
$Q. FT. @ c
WATER HEATER
$
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
SQ. FT. GAR @ 3/4 c
HOUSE SEWER
d
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
I CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB, FEE
Z
r
PERMIT NO.
375073
Job Addre
" �
Space
Zip
Owner
Communi
Valuation i3dt
rQj
Off.
F.C.C.
MH Permit Fee
$
S
v
Micro Film Fee
Cop $
f
KR *
chtel at�
/
Pa ce Mo. —3.rm
, �7
luse/Covo.
.114140
Ck�By�
(�
Mech. Fee Dbl $
Lot Size
PI. Ck. Fee
$
s,7"'�"aCtt`r
a
BS
Construction Fee Dbl $
Legal Description
—
F S
S i R
Electrical Fee Dbl $
Z estrictions;L0 .5 Gr1.i® fin
�i
SMI Fee $
Plumbing Fee
Dbl S
Bond Amt. Plan No.
Plan Checker
Final Date Inspector �"
6 -, ' O
ni
Sp. Insp. Fee
$
$
d
Demol. Fee
$
Const. Lender
Address
Branch
City
Supplimental Permit Numbers
Zip /
IF
r
Registr. Fee $
Mileage FeeS
�,nness Fee $
Reinsp. Fee
$
Owner/Agent
Tel.
Zip
Total Fees
$
Address /
City
Zip
M.O.
N.C. Cash
Check
,/
Received by
Contra or
Tel.
LicenseM
/
Trees require
Sewage System
m
SAyrer District "` A g �
2 �.(?-gd
'Form 284-208 (Rev.B/7 p
A reser ' a-� - I City'r��"
R-60, iil
Zip
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMEN944tA 120 DAYS. CESSATION OF WORK
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 APp THF.STATii OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL tn'''HO P&EPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by:
NO.
OPERATION
DATE
INSPECTCP
NO.�
OPERATION
DATE INSPECTOR
Water Heater
Water Softener
BUILDING APPROVALS
23
Water Service
MECHANICAL APPROVALS
I
Set Back
(�
25
33
Ventilation System
2
Ftgs 8 Frms
_�J7 —�9
�v
34
Plenums 8 Ducts
2A
Slab Grade
— 9
Q!�
35
Furnace Comport.
3
Steel
36
Inlets & Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor ♦"i� O
6
Roof Deck
1 Z Z� gv
39
Appl. Clearance OF
7
Framing
�. fZ 8�
:� %
40
Fire Damper
8
Vents
41
Smoke Detection Device ♦, �.
9
Garage Fire Wall
6rl'1♦ Q
42
Commercial Hood
10
Fireplace P. L.
43
Final 6 ♦ I �.
10A
Fireploce T. 0. E]
No
ADDITIONAL INFORMATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
R lue
INSULATION ThickFv'
a
iia vvaus ^6-'m - Ada A 7-
128 Ceiling (Batts)' uJ 12T -
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 —Ground Plumb
16 Water Piping
17 Rough Plumb
18
Vents
ELECTRICAL APPROVALS
19
20
Sewage Disposal
Sewer
^?d
21
22
Water Heater
Water Softener
23
Water Service
?�
24
Gas Test
25
1 Final
t_
SEWAGE SYSTEM SIZE & LOCATION
0 Pit 4!';' �,2.0
f_/1aaT
oQ 6 2
STREET NAME
ELECTRICAL APPROVALS
26
Power Pole
27
Conduit
28
Service Entrance
29
Wiring
29A
Grounding Wire
298
Bonding
30
Fixtures
31
Service
32
Final
��/"f, A
SEWAGE SYSTEM SIZE & LOCATION
0 Pit 4!';' �,2.0
f_/1aaT
oQ 6 2
STREET NAME
• Y NOTICE: THIS IS NOT A BUILDING PERMIT
DISTRICT ,`..
�T t APPLICATION TO CONSTRUCT
Permit No `
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
284 199 9/74 CANARY -FILE, PINK -APP NANT
Owners� �?? �t!6L r /` Architect -_f/ !o// ✓ �' // Contractor_'+J/�
j��
Address-L_✓,)Address-490-L eLK / 7 Address
-
..
CityrA City lzzlEr� 1' J/f/!• City_ •, Gi � -
Phone Phone Phone.S_tL _3C0_6
W
i
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 I
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 t e County R/W
O
without an encroachment permit.
NOW, therefore, it ,s agreed that I (we) will not occupy said property and will not cause said perty to b occupie1
d til I (we) have
complied with al laws f the County of Riverside and the State of California governing said property.
G _
DATE �. SIGNATURE OF OWNER AND/OR AG EN
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
SPACE NO.
l I - USE OF STRUCTURE
JOB ADDRESS,CflJj
�>�
_ SINGLE FAMILY �' DUPLEX [—]
LEGAL DESCRIPTION OF PROPERTY �/�f��j%'� ? 1"r-/ �,�
: l�
Z yt /
if''�� APARTMENTS � AGRIC. 1_ I
N
r
T COMMERCIAL INDUSTRIAL L]
j
COMMUNITY ___7
ALTERATIONS [�
a
N0. OF SUBMITTED PLANS --_—_ USE OF PERMIT "
N Q
CASE NO._ -
Z
NO. OF PARKING SPACES REQUIRED' -_ _— NO. OF BUILDINGS NOW EXISTING
10
Q
-- SIDE l.� REAR
ZONE.- / SETBACKS: FRONT ')
J
m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE # __ OF FEET REQUIRED ON STREET
DATE j - �j r SIGNATURE OF LAND USE OFFICIAL — -
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET --
CURB AND GUTTER REQUIRED: YES ❑ NO ❑(_. - REET
i
a
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
W
`.
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR `pRIVEWAY AND STREET
CIMPROVEMENT?
YES P.1NO O
°L
DATE % / SIGNATURE OF ROAD DEPT. OFFICIA
=
SWIMMING POOLS PUBLIC
WSEWAGE
DISPOSAL ,
FOOD ESTABLISHME
WATER POLLUTION _ REMARKS
Pn FLOOD CONTROL -
x AIR POLLUTION
W DIV OF HWY
c a — YOUR PROPERTY MAY BE SUBJECT TO
d
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199 9/74 CANARY -FILE, PINK -APP NANT
BUILDING PERMIT
1PERMIT NO.
375073
DEPARTMENT,OF BUILDING & SAFETY FIELD OFFICE mj/
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. @ `�- $ `�
UNITS
Zip
'
2ND. FL. � SQ. FT. @
YARD SPKLR SYSTEM
FOR. f - �' SQ. FT. @
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. @
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT. @
F.C.C.
DRAINAGE PIPING
WALL SQ. FT. @
cop $1sf
DRINKING FOUNTAIN
SQ. FT. @
'
URINAL
ESTIMATED CONSTRUCTION VALUATION $
?9
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
Electrical Fee Dbl E
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
Demo!. Fee
SQ. FT. @ t
WATER HEATER
Const. Lender
SQ. FT. RESID @1'/.c ,�
SEWAGE DISPOSAL
Supplimental Permit Numbers
SQ. FT. GAR @ 3/4 c
HOUSE SEWER
Registr. Fee E
Mileage Fee E
GAS PIPING
PERMIT FEE
Reinsp. Fee
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MICRO FEE
MECH. FEE` PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
Total Fees
E
IMOB.HM.FEEI
Address
I
City
J
M.O. E1 .C. El Cash 0 Check
Received by
Trees required
Sewage System
Co%irac
c f
Address
PERMIT NO.
13750731
Job Address P1
Space
Zip
Owner
Cammunitemate
smigna"aValuation
92[W
E
qOLcc
Fred
Off.
F.C.C.
MH Permit Fee E
Micro Film Fee
cop $1sf
P
dwelling & att•%^4e
'
Parce o.
?9
Use/Ca+o. Ind.
'130
Mech. Fee Dbl E
'
PI. Ck. Fee E
Lot Size
B5
JJ�7
Construction Fee Dbl E �4
Legal Description
lots
F S S
R
Electrical Fee Dbl E
Zo strictions 10
Gr
e 8
SMLFee E
Plumbing Fee
Dbl E
Bond Amt. Plan No.
E
Plan Checker
Fin 1 Date /y'
/ i_ Q
Ins ctor
Unit
Sp. Insp. Fee E
Demo!. Fee
E
Const. Lender
Branch
Supplimental Permit Numbers
Registr. Fee E
Mileage Fee E
Address City Zip
Witness Fee • E
Reinsp. Fee
E
Owner/Agent
Tel.
Zip
Total Fees
E
'7'2
Address
City
Zip
M.O. E1 .C. El Cash 0 Check
Received by
Trees required
Sewage System
Co%irac
c f
Address
jTel.
3609
Zip
License#
Z50
LL P
Sewer District
Form 284-208 (Rev.8/et
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCepwr *420 DAYS. CESSATION 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. _
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.