369014 (BLCK)WING PERMIT
PERMIT NO.
369014
MH Permit Fee $
Micro Film Fee Cop $
Mech. Fee Dbl $
PI. Ck. Fee s
Construction Fee Dbl f
A�
LL P
I'
r -a -go 6-a>
orm 284-208 (Rev.8/78t
Job Address, Spoce Zip Owner
Community Valuation Date Dist. Off. F.C.C.
/q $ � // -i /i/ .77, I
Use of Permit Parcel No. Use/Case No. Ck. By
W .0 0 4S &_ A, C- &, Set Backs - Lot Size
Legal Description y/ F S S R
/&1-07— /0 �" Zone Restrictions Group Type
,5 G 1/ / /0 /e - / . / I
Bond Amt. Plan No. Plan Checker Final Date %Q spe Unit
$
Const. Lender Branch Supplimental Permit Numbers
Address City Zip
Owner/Agent
A117 %-I
�r Tel. � Zip
Address City Zip
Contractor Tel. License#
Address City Zip
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
FOR 120 DAYS SW41. 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 t. �✓
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. �//1
PERMIT NO:
DEPARTMENT OF BUILDING & SAFETY
FIELD
Ds
I 369014
COUNTY OF RIVERSIDE
/!
F
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
UNITS
IST FL. SQ. FT. @
2ND. FL. SQ. FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. @
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. @
DRAINAGE PIPING
CAR P. SQ. FT. @
WALL SQ. FT. @
DRINKING FOUNTAIN
I� SQ. FT. @
URINAL
@
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENERI:•
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
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
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @I14c
SEWAGE DISPOSAL
SQ. FT. GAR @ I/, C
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEESMOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
/a a
�o �~
PERMIT NO.
369014
MH Permit Fee $
Micro Film Fee Cop $
Mech. Fee Dbl $
PI. Ck. Fee s
Construction Fee Dbl f
A�
LL P
I'
r -a -go 6-a>
orm 284-208 (Rev.8/78t
Job Address, Spoce Zip Owner
Community Valuation Date Dist. Off. F.C.C.
/q $ � // -i /i/ .77, I
Use of Permit Parcel No. Use/Case No. Ck. By
W .0 0 4S &_ A, C- &, Set Backs - Lot Size
Legal Description y/ F S S R
/&1-07— /0 �" Zone Restrictions Group Type
,5 G 1/ / /0 /e - / . / I
Bond Amt. Plan No. Plan Checker Final Date %Q spe Unit
$
Const. Lender Branch Supplimental Permit Numbers
Address City Zip
Owner/Agent
A117 %-I
�r Tel. � Zip
Address City Zip
Contractor Tel. License#
Address City Zip
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
FOR 120 DAYS SW41. 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 t. �✓
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. �//1
;n_•
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
'MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & Frms
34
Plenums & Ducts
2A
Slab 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
IDA
Fireplace T. 0. Ej
N� ADDITIONAL INFORMATION -
'
V
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A' Drywall
13 Finish Grade
INSULATION Thick R
- Value
7A Walls (Batts)
128 Ceiling (Botts)
-12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plurhb
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
PSL
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS '
'
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
298 Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
r -
NOTICE: 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
e� Contractor_v.
Own �e ��. CI Archil ct —r __—_ —
Addresl S F- �rrQ-t Ad red ss-- t Address-----
ddress _—_—
City
City—i-a�-%�(�1y►t0. — city-- - . City---- —
hone—
Phone— � Phone _ Phone--
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
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 I (we) will not occupy said property and will not cause said property to be occupied until I (we) have
complied with all laws of ",C Countv of Riverside and the State of California governing said property.
11/2---- a�
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.
,2 5_3 I SPACE N0.
i 1 USE OF STRUCTURE
JOB ADDRESS�1�� // �y�Y
SINGLE FAMILYDUPLEX
J
}Q
L AL DESCRIP ION OF -PROPERTY/ APARTMENTS AGRIC.Z 7 0
0
���L
? COMMERCIAL INDUSTRIAL El
j `^
C
Z
COMMUNITY 7 ALTERATIONS n
NO. OF SUBMITTED PLANS — USE OF PERMIT —
W Q
H
CASE NO.
p Z
NO. OF PARKING SPACES REQUIRED .— -- NO. OF ILDINGS NOW EXISTING
Q
ZONEGg— 4 SETBACKS: FRONT SIDE REAR
J
m
GRADING PERMIT REQUIRED? YES ,'] NO ❑ LOT SIZE
SETBACK ORDINANCE # OF FEET REQUIRED ONSTREET
DATE ,6— — SIGNATURE OF LAND USE OFFICIA_
F
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET_
uZi
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
i
t-
oe
a
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
W
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
D
IMPROVEMENT? YES ❑ NO ❑
cc
DATE SIGNATURE OF ROAD DEPT. OFFICIAI
I
SWIMMING POOLS PUBLIC
a W
SEWAGE DISPOSAL
FOOD ESTABLISHMENT
_
WATER POLLUTION REMARKS
FLOOD CONTROL —
H
z AIR POLLUTION
WH DIV OF HWY
c a — YOUR PROPERTY MAY BE SUBJECT TO
a
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 •. CANARY—FILE, PINK—APPLICANT
BUILDING PERMIT
PERMIT No, DEPARTMENT OF BUILDING 8 SAFETY
FIELD OFFICE DST
369014 COUNTY OF RIVERSIDE /f
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. @ $
UNITS
Communityq
/it�'' }} N 7-14
2ND. FL. SQ. FT. @
Dote
'91
YARD SPKLR SYSTEM
FOR. SQ. FT. @
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. @
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT. @
Ck./ByB
DRAINAGE PIPING
WALL SQ. FT. @
Set Backs
DRINKING FOUNTAIN
' SQ. FT. @
Leg'oot DDescription /�
' 47— �O 19A,< ;7
URINAL
ESTIMATED CONSTRUCTION VALUATION $
Electrical Fee Dbl $
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
Sp. Insp. Fee $
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Supplimental Permit Numbe,
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. @ t
BATH TUB
Trees required
SQ. FT. @ c
WATER HEATER
City Zip
SQ. FT. RESID @I'/.c
SEWAGE DISPOSAL
SQ. FT. GAR @ s/. c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
Noll
PERMIT NO.
369014
Job Address Space
- 7%.;1;ve .11C,V � � .�-
Zip
Owner
X �da'0--
Communityq
/it�'' }} N 7-14
Valuation
$
Dote
'91
Dist.
Off.
F.C.C.
MH.Permit Fee $
Micro Film Fee Cop $
Use of Permit
/`�r �
" fr% ''a AI C� a—
Parcel No.Use/Case
/ ?, Z' Z. �;
No.
Ck./ByB
Mech. Fee Dbl $
PI. Ck. Fee y
Set Backs
Lot Size
Construction Fee Dbl $ !$
Leg'oot DDescription /�
' 47— �O 19A,< ;7
F S S
R
Electrical Fee Dbl $
Zone Restrictions
Group
Type
SMI Fee $
Plumbing Fee Dbl $
Bond Amt.
S
Plan No.
Plan Checker
Final Datil/
'Q -'qu-
L:L�
Unit
Sp. Insp. Fee $
Demol, Fee S
Const. Lender Branch
Supplimental Permit Numbe,
Regisir. Fee Is
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp, Fee $
Ow�ne�r/Agent %�
' '
' Tel. Zip
Total Fees $
Address �_
�/��! �/ /'�G..���.L�Q
City �j ` Zip
1-/y' 411A,"7,ry —
M.O., N.C. Cash heck
Received by
Contractor
Tel.
License#
Trees required
Sewage System
}
Address
City Zip
';arm 284- (Rev.8/78) 0
3
THIS PERMIT SHALL,BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 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.