391946 (PLBG)BUILDING PERMIT
PERMIT Nfj:
391946
DEPARTMENT OF BUILDING 8 SAFETY
COUNTY 01F4RIVERSIDE
FIELD OFFICE
�r
CONSTRUCTION ESTIMATE
NO., ELECTRICAL FEES
NO. PLUMBING FEES. -
1ST FL Sq, FT: - $
UNITS
cyano
2ND: FL. $Q, FT, Q
YARD SPKL'R SYSTEM
POR_ SO, FT. @
MOBILEHOME SVC:
BARwSINk,
GAR. SQ. FT. @
POWER•OUTLET
ROOF DRAINS
'CAR P. SQ, FT. 0
- -
DRAINAGE PIPING.
WALL SQ, FT. ®
"i.
DRINKING FOUNTAIN
SQ FT.
URINAL
EST,IMATED.CONSTRUCTION VALUATION
Construction Fee - Dbl. ; '
WATER PIPING
NOTE: Not to be used os: property tax MluotionSWIM;POOL,
PVT
FLOOR'DRAIN
MECHANICAL FEES
:SWIM POOL, COMM T
WATER SOFTENER
vt"TwMA FAN EVAPi COOL HOOD
SIGN,
WASHER (AUTO)(DISH)
APPLIANCE DRYER'
Plan No..
GARBAGE -DISPOSAL
FURNACE UNIT WALL FLOOR' SUSPENDED
Inspector
LAUNDRY TRAY
AIRPHANDLING,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
AMP€RES SERV ENT
SHOWER.
BOILER W.T.U.
SQ. FT. @ e -
BATH TUB,
Zip
SQ. FT. i@ c
WATEk HEATER
Address
SQYFT. RESID, ,@11 i%i< i
SEWAGE DISPOSAL
Zip
SQ. FT.. GAR' @; 3..c
- HOUSE SEWER
nr, r 1C
'r• -d'"
V'1
�., r _ � ✓y. _,—,
ialfl-
= GAS' PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTA
'MgB,H",FEE
MICRO'FEE
MECH. FEE PL. CK. FEE
CONST.. FEE EIEC?: FEE'
SMEFEE
FEE P.1 Mr„7
r
PERMIT Nd.
1`3 919 4 6
Job Address
fades` '°
p
Spaci9z- I
Owner
I
cyano
Com■•muunniry�..wyu`eyf�i
^^ '�^�� _
Voluetton; -
_
Dote
_ 3�V�VV
�Diist. ON. F.C.C.
MH.Permif Fee f
Micro Film; Fee Vol? ;
.Use of Perm9 -
- - ,. Is
- -
Pafcel Nor -t
i�
;Use/Case No. -
Ck. By
-
Mack Fee Dbl $
01. Ck. Foe =
S_evpacks
Lot Size
Construction Fee - Dbl. ; '
legal Desditlon
p
] � !� �Q'�
^t I
- - -
- _
S
R
Electtical Fee at bl s
Zone Restrtct ons
Gropp
Type
SMI Fee $
Plumbing_ Fee Obi
-
Band Amt.
s,
Plan No..
Plao'Hhecker 15rhol
Ddie
Inspector
Unit
SR; tnsp. Fee
Demol. Fee S
Const. Lender
1
6rdnih -• -
SupPlimentcl Permit Numbers
RegTstr. Fee
Mileage. Fee ;
Address City ZIP.
Wliness:.Fee S
Reinsp. Fee i
Owner/Agent .. _
_
Tel.'
Zip
To I Feet s. —
Address
City
Zip
i4l
Received,
tie0sarequlr -
nr, r 1C
'r• -d'"
V'1
�., r _ � ✓y. _,—,
ialfl-
Tel.
- "�
A90
Liconsef
50.090 system
ft
" i"
ZIP
T LL
I-
Sewer District
Form'284.208 (Rev,8778) IS
• THIS PERMIT -SHALL BECOME VOID IF WORKIS, NOT COMMENCED WITHIN 120 DAYS. CESSATION OF -WORK
FOR 120 DAYS. MALL ALSO'CAUSE PERMIT TO BECOME VOID;
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANEE WITH
THE LAWS OF RIVERSIDE COUNTYAND THE STATE OF CALIFORNIA..
I HEREBY CERTIFY THATTHE INDIVIDUAL WHO PREPARED THE PLATYS AND SPECIFICATIONS HAS DONE SO IN
ACCORDANCE: W ITH:SECTION 5541 :OF THE BUSINESS AND PR6FESS16NstODE OF THE STATE OF :CALIFORNIA.
verlfied,by>
NO
OPERATION
DATE
INSPECTOR
NO.
OPERATION DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
I
f Set Back
33
Ventilation System
i
2
Figs & Frms
34
Plenums & Ducts
2A
Slab Grade
35
Furnace Comport.
J
Steel
36
Inlets & Outlets
h
Grout Blocks
37
Combustion Air
5
Bond Beams
36
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.
P' 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 (Baits)
12C
Ceiling (Blown)
1.1
Final
PLUMBING APPROVALS
15
Ground Plumb
iy /v
16
Water Piping
17
Rough Plumb
v
18
Vents
19
Sewage Disposal
20
Sewer
III
21
Water Heater
22
Water Softener
23
Water Service
24
Gas Test
25
Final
T-+
Tank Pit I-Aine
{
P/L
REAR OF PROPERTY LINE r
ELECTRICAL APPROVALS
1
P/
26
Power Pole
27
Conduit
28
Service Entrance
29 Wiring
J
29A Grounding Wire
29B
Bonding
30
Fixtures
31
Service
32
Final
+
I
�_.
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING' AND SAFETY
COUNTY OF RIVERSIDE.
DISTRICT
Permit No at
284 ,1:99A 9/74
L=;1 .
PINK- APPLICANT
Owner_ 14�,rAylC,,-f 6r/tc itect - _. Con tractor4-
�//-'�t�d�//f�l�,/LX�/I
Addres- _ Address___ Addresses -2` 7�-
City City-- City_ /-Ac -T
Phone Phone _ Phone
LU
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
shall not make a Final Inspection until said requirements have been imet. 'I am also aware that no work is to be done within the County R/W
O
without an encroachment permit.
'
NOW, thereforejt•is agreed that.4 (we) will not occupy said ,property and will not cause said property to beAtcupied until I (we) ve
complied with all laws of the County of Riverside and. .the State of California governing said property.
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.
SPACE NO.
USE OF STRUCTURE
- `1
v r � ��F ,1�_ n^ t Z54,
>'
JOB.A'DDRE�SS 1 14
LE C IPT'ION OF PROPERTY" SINGLE FAMILY DUPLEX Q
�p !
'I--
- APARTMENTS' �] AGRIC.,
C
N Q
- 9 -`- - .COMMERCIA'L � INDUSTRIAL []
V1
COMMUNITY10,
ALTERATIONS E]
Z
NO. OF'SUBMITTED PLANS USE OF PERMIT _- t
CASE NO.
Z
NO. OF PA SPACES REQUIRED' NO. OF'BUI INGS NOW EXISTING
a �
DING'
'ZON'E ETBA(fKS: FRONT SIDE REAR
J .M
m.
G.RADING'PERMIT REQUIRED'? YES Ej NO ❑ LOT SIZE
SETBARDINANCE'N OF FEET REQUIRED ON STREET'
l
DATE SIGNATURE OF LAND USE OFF[ L-
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF.-FEET—
iZu .CURB
AND GUTTER REQUIRED: YES. ❑. NO ❑ tTREET
f'
W
CAN CURB - AND GUTTER 'FEASIBLY BE INSTALLED? YES ElNO ❑
HAS, AN ACCEPTABLE .APPLICATION BEEN, MADE' FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
IMPROVEMENT? YES ❑ NO ❑
DATE— SIGNATURE OF ROAD DEPT. OFFICIAI
SWIMMING POOLS PUBLIC
W
SEWAGE DISPOSAL,
_
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
FLOOD CONTROL
Z AIR POLLUTION
� W
DIV OF HWY
o _ YOUR PROPERTY MAY BE SUBJECT TO
IL
c FLOOD. RIVERSIDE COUNTY ASSUMES,,,
NO RESPONSIBILITY -IN EVENT OF FLOOD..
284 ,1:99A 9/74
L=;1 .
PINK- APPLICANT