303368, 353818 (SFD)ow't
I
RUILDINa PFRMIT
DEPARTMENT OF BUILDING & WETY
OFFICE
RM!l NO,
'p' '
JOB ADDRESS SP I No,
79 - 2-st Reeift".,
�.wwrq,l I %-.Fr RIVCKJ!Loc
76
-D,
ST
CONSTRUCTION
ESTIMATE;
COMMUNITY
NO. ELECTRICAL FEES
NO. PLUMBING FEES
DST
IST FL
2ND FL..
'POR. 1-966
CAR P. 'SO.
WALL.'
ESTIMATED CpCONSTRUCTIONVAL
SQ, FT; o4oV4.4.6.2$
IAIWA
QU
UNITS
7-1-77
11
IF -V
SQ. FT. YARb. tPKI.R.-SYSTEM
MOBILEHOMESVC.. PAR SINK -
so. FT. '
F -T. POWER' OUTLET FOOF'DRAINS'
FT. 0 DRAINAGE PIPING
SQ. FT. @,,W DRINKING FOUNTAIN
FT. URINAL''
'A H. PERMIT FEE
UATION $ WATER PIPING
4'
$:
NOTE: Nov.tp be used as pjr;opert -, lax V6fubtion
y
.FIC,
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL. FEES'
SWIM POOL,'COMM
WATER SOFTENER
VENT SYSTEM AN ';n'.EVAP. COOL 5000D
p_,010
001
WASHER (AUTO)&H)
Vol
APPLIANCE z*RYCIR
G¢
FSIGN.
GARBAGE DISPdSAL
edo ..
FURNACE El UNIT 0, WALL, [:t ac5bk,'m sus#iNdED
BOOK PAGE PARCEL
LAUNDRY TRAY
,MICROFILM
1. 21-
AIR HANDLING UNIT CFM
:3940
IDLE METER
KITCHEN' SINK
`MECHANIC,AL FEE
ABSORPTION SYSTEM B.T.U;.
I
TEMP USE PERM SVC
WATER CLOSET
co
,COMPRESSOR HPP/
me
lFdL9_TEM P ERA
LAVATORY'
400
HEATING SYSTEM ORCED El GRAVITY
0
Z,,rjokMPERES SERV, ENT
ea� tF(0WEk
BOILER 'B.T.U.
SQ:FT. @ c 7 ,
PkTH TUB
iia
BOND AMT. -I
PLAN NO.
-'SQ:FTn @ ¢i
WATER HEATER'
QD
MQ.FT.RI5.S(D @ -I iAd
C?fi._ SEWAGE DISPOSAL.
Al
T
FEE
_tol�g4sq.,FT.GAR,; @ flkc
401 HOUSE SEWER' -
NAME OF -CONST. LENDER f
BRANCHOFFICF N2pNbERJNVOLVED
_-T
GAS, PIPING.
1! 54
PERM IT-FEEa&
—,-
04 L
PERMIT
00 PERMIT FEE
DOL-
MOB.HM.FE
TOTAL FEES — 662
MICRd FEE
1
MECTE FEE
0L CK; FEE
CONST.,'FE 'EL
46,
0 Fx- smi FEE
Z
!o
FEE
_PLUMB. FEE-
J F M ,k J J A S C�
JOB ADDRESS SP I No,
79 - 2-st Reeift".,
OWNER
VnJA DEL LAW
76
d
COMMUNITY
VALUATION
67,$12'.00
DATE
DST
OFFICE
'78
IAIWA
QU
•
7-1-77
11
lztdi4
'A H. PERMIT FEE
$:
USE OF PERMIT
.FIC,
SUPP. TO PERMIT
PERMIT
NO.
jellims 16 Act,
001
297. IP3,033h
t% 0
d
FEE
COPIES
BOOK PAGE PARCEL
LEGAL DESCRIPTION
,MICROFILM
1. 21-
ds
:3940
17
- 6 320- 041
Loi 15 txgm, t 879
.2
`MECHANIC,AL FEE
DBE
I
USE'No�.
ZONE
SET�BACK ISIZE GRP TYPE CK BY
ga 9 00
CLI -1824-F.
19-1
11 20 5#1. 5' Jj� 20" 1OW201 R- VIA
PLAN CHECK FEE
$
BOND AMT. -I
PLAN NO.
LAN.CHECKERFINAL
DAT8L_X-rVel-C_, N ECT
A1391
41,
fe"
T
FEE
DBL
$
NAME OF -CONST. LENDER f
BRANCHOFFICF N2pNbERJNVOLVED
,CONSTRUCTION
1! 54
.
ELECTRICAL FEE.
DBL
ADDRESS
CITY STATE
STRONG MOTION'
'OWNER/AGENTS SIGNATURE
CONTRACTOR.
INSTRUMENTATION FEE
ov
'SPECIAL' INSP'
ADDRESS
ADDRESS,
-STRATION
'REGISTRATION
P.O. sox 9
'PLUMBING FEE
DBL
1$
CITY ZIP CODE
CITY ZIP CODE
A;u
La C. lif. X32253X32253t:
-TOTAL,.FEES
A'r rW
TEL. NO.
-
TEL, NO.-
AREA
I
LICENSE
I '
1$
CASHOcHf (Kj ag 7
5"-4039-1
- 714 '1300612
-
CEIVED BY TREES REQUIRED
SHALL BECOME VOID11"WORK ISNOT COMMENCED WITHIN 1,20 DAYS, CESSATION 'OF--
120
-SHALLALSO CAUSE PERMIT
DAYS IT TO BECOME VOID,
00 I.H_ A 'I ALL WORK INCONNECTION WITH THIS PERMIT WILL BE 'DONE IN ACCORDANCE
'ffio
�SYSTEM[
1-p
PSE
T LL
L V
THE LAWS, OF ECOU�7,,AND THE-��,AT.H CALIF'QRN ALSO AGREE'TO.CARRY
LFORM 284.208: ,/REV. Sw761
CALIF00,11A, COVERING CONTRACTORS' 15 - ALSO GUARANTE,t6.
I'HEREBY�-gRTIFYTHA'T.T,HE.INOIVIIDUALWHQP . REPAR . ED THE PLANSiAND,SPECIFICATlOt4S HAsbONE
SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS, COPE OF TjHE.STATE
OFCALIFORMA;
PERMIT NO: - _ DEPARTMENT OF`9URDING 8�: SAFETY. FIELD- '
3 5'381 v T �i EOUNTY'OF RIVERSIDE
I, �� Y F -'.'C ZTry S:}.L-_ T tiF— - 1 nY •4 ".T is { {,_ Y
G PERMIT'NO. } y FW
';
`l06 Addnsss _ s �q 'Space Yip
Owner,'
�v
f
35..81 y
ELECRICALFES.' N.G.FEGONSTRUCTION,ESTMATENO: FNES
`
IST'FL.
SQ. FT:o<dr;K
Dist
60NI.TS
F.C,C
2ND. FL.
I
SQ. FT
-i1^'�.
YARD SPKLR_ SYSTEM
N(OBILEHOME SVC BAR SIfVk._
SQ. FT.. ,t,:, q •y, •- .�-a - ? 5:..,.
��- r^:'.
.POR.
GAR.
SQ; FT
POWER OUTLET
.•;:; > w ROOF•DRAINS••
i
CAR P:
Ck B "
SQ, FT a
Fee
Pl. C_ k: i.. -
:`' -- 'Set Back's• - - , '
_ -
'
DRAINAGE PIPING
t;amhuction Fee L' S ra �Q
SQ. FT.'-
.,5
,�.:
DRINKMG FOUNTAIN
Zo nedResinctwns. -GroU
WALL
T ;
SMI
SQ. FT ®� _URINAL�-
,, ,�.- ;r�
✓
.i:
_ ESTIMATED CONSTRUCTION VALUATION "'
;Bond Amt
Plan No- „y: y Qlcn Checker. ,Proal
�CjIk
WATER PIPING
r +'
NOTE: Not'to'be used as property tax'"vdluallon;
SWIM.POOL, PVT
? ' - FLOOR DRAIN'',
MECHANICAU FEES . `. ' - ,
-°
9SWM POOL, COMM` .
t ;•, '`..- WATER'SOFTENERI.
Const Gender - Brc'nch.
.VENT SYSTEM
=. •FAN-. EVAP. COOL > ,HOOD'
,Mileage Fee S.
", SIGN
_ WASHER,•(AUTO)(DISH)',
r-. _
APPLIANCE
bRSyER as "
"; - GARBAGE ;
'' S'.
Totalk�ees _
_ �,
`AdUieu� .: '' u>< :. r-- .� , ,
I
,;
M.O. N.C. ash n -e
-a -
Refetved by
DISPOSAL
-, -- ,t -.
y rTel - -' Licensed '
FURNACE
UNIT WALL FLOORSUSPENDED'_•;_
AddressV.
r.M1' ''P"
LAI7NDRY'.TRAY' ' ` rt
/
r
AIR HANDLING'
.UNIT �
,-
kIf6HE
;N
ABSORPTION SYSTEM a s ° ; y I B T.U_ :
to TEMP;USE PERM�j SVC ! -
WATER CLOSET:.
"
F� kHP + zf r `'v: ''+a{
` PQLE;TEMP/PERM
LAVATORY
,COMPRESSOR
r
HEATING SYSTEMFORCED
MPERES SERVNT
SHOWER
T'. s
BOILER
6:f. U.
>-SQ FT-
TL1B
s SQ. FT'
SQ. FT. RESID Q'.1:/.c'
;SEWAGE:.DISPOSAL: '
SQ! FT. GAR,,6, Y. t'
HOUSESEWER.
S
PERMIT FEE
~
PERMIT FEE
PERMIT FEE °-
�;/�^•
TOTAL FEESmoil
^.)-WMFCHFEE n
CONSTr HE�p 1R
PLUMB. HE'. '
f mil
.P'�7.`!I
e k Y
+F�' r v r -
167K ,%'u
.t'F+!. ""•
,:'mss
- `�,
-.,i?t
}
r,
..41..3. -
r
: .[.
I, �� Y F -'.'C ZTry S:}.L-_ T tiF— - 1 nY •4 ".T is { {,_ Y
G PERMIT'NO. } y FW
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Owner,'
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f
35..81 y
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Community,. 'y }Date-
.
Dist
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F.C,C
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-L i
-i1^'�.
..MH.PeimitFee S
Fa -... /<i,It�w-'J e
/ ti
,j0
-:Mico Film Fee 'Cops
Use of Permii I -' - t !
W _ ; _ .� " `_'z'!% -- / �~r•G��11-7
, ^ A.::GJ�t/��-• ,. 'G/ /ifLL77�+'(�
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t
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Ck B "
}
r Medi. Fee .L I S..�
Fee
Pl. C_ k: i.. -
:`' -- 'Set Back's• - - , '
_ -
'
;Lot Stze-
.: '�
.
t;amhuction Fee L' S ra �Q
L'e dl Dascri hon -r-' ' ' -� -
,.,9 P . _ _ . •Q
-t - �/
j� 7 ..-
.,5
,�.:
• Elechtcal Pea 1 f -
Zo nedResinctwns. -GroU
T ;
SMI
-Fee S.
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.i:
,Plumbing Fee: 'L� I S • , �.� yr{i
;Bond Amt
Plan No- „y: y Qlcn Checker. ,Proal
�CjIk
Date+ �;LpInapectof
r +'
Umt
Sp.lnsp.Fee
Demol. Fee S =
Const Gender - Brc'nch.
Supplimemcl Permtt Numbers�
i - _ - .. ,'! '
. Registi. Fee $
,Mileage Fee S.
Address -_ - Clry Zip
• . - -
Witness Fee $ :
' Rein{p Fee $ . t - - �.;
OwnerLApent '! - . t r . , k ! z
s Te�.,*n, 'ff• w. ;, Y...•^ Zip
'' S'.
Totalk�ees _
_ �,
`AdUieu� .: '' u>< :. r-- .� , ,
I
;� "•-1--t-sv,w'y �f+cY- _ a�CiQr~.-- •" z -r
h
M.O. N.C. ash n -e
-a -
Refetved by
Contractor i'!J„-,r
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L: /3 •�rsi.=`✓
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y rTel - -' Licensed '
y)
T/eea iequo-ediLA;7AC
SfwageSysteh
AddressV.
Ar city
/
f ! T LL P
Sower District
4
Y J�
/
Pum 281-208 (Rev.B/78)
''THIS' PERMIT`SHALL BECOME VOID IF WORK IS NOT COMMENCED, WITHIN: 120 DAYS—CESSATION Ol"WORK ' verified by:
FOR 120 DAYS:'SHAII A ERMI ' . BECOME VOID
t o
I HEREBY AGR L WORK CONN WITH TWIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RI i JNTY ND THE STATE OF�CAUFORNW:
:'U l Kr Ac s. _w_- •Y..[;,r,+.rL �}•-.Y7 �i'^c}- �,•`.x fi7Y �•.+R�. Y :_ t�nF"'� �4Si �i 'F.•1-rd".fli 1� � 7t.' °1'r?'iV
I HEREBY`CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PIANS AND SPECIFICATIONS HAS DONE SO IN
ACCORDANCE; WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF+CALIFORNIA -
NO.
OPERATION
DATE
,iiNSPECTOR
NO.
OPERATION
DATE
INSPECTOR
SUOLDONG APPROVALS
MECP4ANUCAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs E Frms
34 Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel,
36
Inlets 8 Outlets
4
5
Grout Blocks
Bond Beams
37
38
Combustion Air
Compressor
6.
Roof Deck
39
Appl. Clearance
7
Framing
40
Fire Damper
8
Vents
41
Smoke Defection Device
�W
4
Garage Fire Woll,�S
Q�
42
Commercial Hood
10
Fireplace
P. L,
43
FinalWg,
'sof
10A
Fireplace-
T.0. E]
ONP''N cADDOTUONAL URIU=OI�MATU0W
O.
_ .
_ l l
SEWAGE SYSTEM SOME LOCATUON
11 Exterior Loth _
12 Internal Loth, .
12A Drywall
13Finish Grode 29
INSULATION Thick
R
Value
7A Walls (Botts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final 7
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 _ IS -2,9
24 Gas Test �.2.�
Re
25
Final
_
Tank Pit L.Line
Pfd
:REAR OF PROPERTY LIME
ELECTRICAL APPROVALS
7`
_ , P/
26 Power Pole '
t
27 Conduit, '
28 Service Entrance
29 Wiring
29A Grounding Wire
29B; ' Bonding
30 Fixtures
31 Service
32 Final
STREET NAME