391553 (AR)F11
�Iv%�rrl
PERMIT NO.
391 55 3
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD
MDST
it
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
r
r /Yr
SQ. FT. a
UNITS
IST FL.
SQ. FT. @
YARD,SPKLR' SYSTEM
2ND. FL.
POR SCS FT @
MOBILEHOME.SVC.
BAR SINK
GAR:_ Sq. FT. @
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT. @
DRAINAGE PIPING.
;',
WALL SQ:. FT.
DRINKING FOUNTAIN
`
SQ. FT. @
URINAL
ESTIMATED -CONSTRUCTION' VALUATION
WATER PIPING
< —.1
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
FUPNACE UNIT WALL FLOORSUSPENDED
LAUNDRY TRAY
}
AIR HANDLING UNIT•=, CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM `� B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
; :d
COMPRESSOR HP
POLETEMP/PERM
LAVATORY
, f�
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER" ' B. T: U.
SQ. FT. @ C
BATH TUB
— 4
SQ. FT. @. C
WATER HEATER
SQ. FT. RESID @1V.t;
EWAGE DISPOSAL,
SQ. FT., GAR @ V4 c
HOUSE.SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
a PERMIT FEE
DBL.
'TOTAL FEES
MOB: HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE.
: FEE SMI FEE
FEE
PLUMB..,FEE
r PERMIT NO.
-39 553
MH.P.ermlt Fee
j Micro Film Fee Cop
Mech..Fee Dbl
Pl. Ck. Fee
Construction Fee Dbl
( Electrical Fee Dbl
i SMI Fee
Plumbing Fee Dbl
Sp. Insp. Fee
1
Demol. Fee
Registr, Fee
' Mileage Fee
Witness:Fee
Reinsp. Fee
Total. Fees .
Received by
t
Trees require
Sewage Uste
T U.
SewA District
Form'284-208 (Rar.8/78). (DI
Job Address pose Zip rq wner
Com unity Valuotion Dole Dist. _Off: T-,.-C.C.
$rr!"�
UseofPermit - - Parcel' No. Use/Case No.Ck.. By
7- (j�- qo6 1&S
Seb Backs f Lot Size
Legol,D'escription - R
^y
r..�.- ZonelresiriC110 Group Type
Ln► (� i271
Bond Amt. Plan No. Plan Checker Final Dote? Inspector Unit
t _ / O
Const. lender Branch Sup 1* tat Permit Numbers
Address City Zip /
Owner/Agent Tel. Zip
r Address ! City Zip
Co iracto�,i / Tel. License#
Address y !! City Zip
THIS PERMIT'.SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION. OF WORK rerifie<by
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS FERM1T WILL BE DONE, IN ACCORDANCE WITH ,
THE. LAWS OF'RIYERSIDE COUNTY AND PHE STATE-OF:CALIFORNIA.
(I_ 'HEREBY CERTIFY THAT THE'INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
J`{ CORDANCE WITH,SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA., -
NO.
OPERATION DATE
INSPECTOR ,
NO.
OPERATION
DATE I-NSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Sot Bock
33
Ventilation System
2
Ftgs 8 Frms
34 Plenums & Ducts
2A
Slob Grade
35 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 _
10A
Fireplace
T.O. Ej
OP'N ADDITIONAL 114FORMATION
NO.
r ea 4-0
-
SEWAGE SYSTEM .SIZE & LOCATION It'
11 Exterior Loth 3-31 _�
12 Internal Lath
12A Drywall i
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
128 Ceiling (Botts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVsA,lLS_
_
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
�d
Tank Pit L.Line i
PSL
REAR OF PROPERTY LINE �-
ELECTRICAL APPROVALS
P/
1=
„>
6
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service 42 41
32 Final
STREET NAME
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT
Permit No
199 - .9/74 ...
i
CANARY—FILE; PINK—APPLICANT
FA
Owner z,ai AJrcect Contracto• �5.—RAk &ZW-
chhit
Add res' 7r - e I esu Addres W- OW-¢
City & City City_falm
Phone Phone Phone
69
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
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) will not occupy said property and will not cause said property to be occupied until 1 Iwe) have
complied with all laws of the County .of Riverside and the State of California governing said property.
���u "'
DATE 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..
ISP E N
USE OF STRUCTURE.
JOB ADDRESS �% r
��' i�F"" "iii SINGL FAMILY DUPLEXEl
�.�6 !� g /
>
LEGAL DES.CRIPT ON OF PROPERTY ! 7 _
- �� „�wr— APARTMENTS AGRIC.. El,
C I-
'
COMMERCIAL INDUSTRIAL
�^
C10ALTERATIONS
COMMUNITY jV0
z
P R
NO. OF SUBMITTED'PLANS US OF MIT
us a
CASE; NO.
3
Z
NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING
ZONESETBACKS- FRONT - SIDE REAR
J
m
-
GRADING PERMIT REQUIRED? YES E:) NO ❑ LOT SIZE
SE 11iI OF FEET REQUIRED ON. TREET
DATE SIGNATURE OF LAND USE OFFICIAL
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET-
x
CURB AND GUTTER REQUIRED: 'YES ❑ NO ❑ STREET
t -
m
o
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
W
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY .AND STREET
IMPROVEMENT? YES ❑ NO ❑
a�
DATE- SIGNATURE OF ROAD DEPT. OFFICIAL
DISPOSAL OI�� t✓�Y OF { aa/1M (84M; NEWrruepc
oSEWAGE
=
T•
WATER POLLUTION REMARKS
r�r FLOOD CONTROL
W AIRPOLLUTION
m
W DIV OF MWY
p ` YOUR PROPERTY MAY BE SUBJECT TO
_
s
o FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
199 - .9/74 ...
i
CANARY—FILE; PINK—APPLICANT
FA
BUILDING PERMIT
PERMIT NO; DEPARTMENT OF BUILDING & SAFETY FIELCLOFF(CE Ds
qq 0w' I00NTY OF RIVERSIDE I r' I
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
2ND: F.L.
POR.
GAR.
CAR P.
WALL
ESTIMATEWCONSTRUCTION
a $
UNITS-
-
-
Valugtlon, -
S� � .3'Qx-��
SQ. FT. YARD SPKLR SYSTEM
Off.
�
MOBILEHOME SVC. BAR SINK
SQ. FT: Q
MH.P.ermif"Fee
SQ: FT, Q POWER' OUTLET ROOF DRAINS
'COP i
5a: FT. DRAINAGE PIPING
-
- Aft-
S.Q. FT. 0 DRINKING FOUNTAIN.
Mech.'F.ee ��'Dbl S
SQ. FT, @ URINAL '
iConstruttion Fee Dbi is
VALUATION WATER PIPING
Plumbing Fee
SpAnsp.,Fee.
NOTE; Not to be used as,piopeT,ty tax valuation
SWIM POOL, PVT
PlanNo.
FLOOR DRAIN
�FtnalAote
� I . 74-42 5 V
MECHANICAL FEES
swim Pool, COMM;
DemoL.Fee
WATER SOFTENER
Const. Lender
VENT mmm FAN EVAP. COOL HOOD
'SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER.
Mfleagp f- f'
Address _ _ City ,. Zip
GARBAGE DISPOSAL
:Reinsp. Fee
FURNACE UNIT WALL FLOOR SUSPENDED
-��'nerJAgonl
,
LAUNDRY TRAY
AIR HANDLING UNIT' CFM
IDLE METER
KITCHEN SINK
Is Jb Leo
ABSORPTION SYSTEM B:T.U.
TEMP USE PERMIT SVC
WATER CLOSETf%
°City ..
COMPRESSOR AP
MIJE,TEMP/.PERM
Received. by
Trees:required
LAVATORY
Co froctorTel.
-
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
-
$HOWER
-
BOILER B.T.U:
SQ. FT. Q c'
Address QCxiN
BATH TUB
SQ. FT @
r WATER HEATER
ESQ. FT. R41D Q1;'/.c, `
WAGE DISP06AL
SQ, FT. GAR .Q % c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE' '
®,
PERMIT FEE'
DBL.
[_TQTALfF� _S ..
MOB:HM.FEE
MICRO PEE
'MECH.'FEE - BL: CK. FEE°CONST.
FEE-
FE
SMI FEE . -
FEE PLUMB:'FEE
PERMIT NO.
3'91553
-.5-�
..
jobAddress—co
14
ZIP ' Qwner.
Com ugity
\;/'�,y�1�
-
-
Valugtlon, -
S� � .3'Qx-��
Dote ist.
s ' r/'I'll
Off.
�
F..C.C.
+ti'4
MH.P.ermif"Fee
Micro Film,Fee
'COP i
Use of, Permit
Q
Legal - - --
�"t"
-
- Aft-
ziNo. use/Cose No. Ck. By
7 601,0
Set Backs Lot. Sixe
- _
.Zona' estrini " 'Group Type
Mech.'F.ee ��'Dbl S
P.1. q- Fee S
iConstruttion Fee Dbi is
Electrical Fee Dbl i.
SMI.Fee
Plumbing Fee
SpAnsp.,Fee.
Dbl 3
$
Bond'Amt.
i. '.
PlanNo.
Plan Checker
�FtnalAote
� I . 74-42 5 V
Inspector
"
Unit
DemoL.Fee
S.
Const. Lender
Bronch..
r
SupplimentalPermit .Nu .. rs -
Regisir. Fee
Mfleagp f- f'
Address _ _ City ,. Zip
Witness Fee- $
:Reinsp. Fee
y - -
-��'nerJAgonl
,
Telt
Zip
Tolal;;Faes
Is Jb Leo
Address
°City ..
Zip
M.O. N:f. Coib Check
Received. by
Trees:required
-
Co froctorTel.
-
_
�,r{ _
-
'License%
3 Ll
-
Se wagerem
Address QCxiN
Zi
T
S-.-.1 D71,mct
FOHn184.208 (Rev.")
THIS PERMIT SHAH BECOME>VOID IF WORK IS NOT COMMENCED WITHIN 130 DAYS: CESSATION OF WORK
FOR 120 DAYS SHAD ALSO CRUSE 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.
4
REBY CERTIFY THAT THE 'INDIVIDUAL WHO PREPARED THE'PLANS'AND SPECIFICATIONS HAS DONE SO IN
�INE
RDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS' CODE OF THE'STATE OF CALIFORNIA:
verified ¢yt