368620 (ELEC)BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
DST
368620 COUNTY OF RIVERSIDE //
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. $
UNITS
SQ. FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
BAR SINK
SQ. FT. @" POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
Type
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
KElectrical Fee Dbl $
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Dbl E
Bond Amt.
E
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
C
Unit
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
_ E
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE,TEMP/PERM
Address City Zip
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
Owner/Agent
SHOWER
OILER B.T.U.
SQ. FT. @ t
Zip
BATH TUB
at Fees
SQ. FT. @ c
Address
WATER HEATER
Cit Y
SQ. FT. RESID @I
Zi P
SEWAGE DISPOSAL
`
`-Received by
SQ. FT. GAR
Contractor,
HOUSE SEWER
el.
Lic�e}}nse#
"Trees requiredv'471
Sewage System
GAS PIPING
PERMIT FEE
PERMIT FEE
t�)
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONSELECT.
FEE
SMI FEE
FEE PLUMB. FEE
ly
I PERMIT NO.
368620
Job Address
1
B 2Z2
Space
Zip
Owner
Community
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Valuation
$
Date .G
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Dist.
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Off.
2--
F.C.C.
MH.Permit Fee $
;,Micro Film Fee
Cop ;
Use of Permit
V �r
_
Parcel No.
Use/Case No.
�k,By
Mech. Fee Dbl SJ
!Pl, Ck. Fee i
Set Backs / Lot Size
F 5 S R
Zone Restrictions Group
/�
Type
Construction Fee Dbl E
legal Description
' '� �'^
KElectrical Fee Dbl $
►SMI Fee S
Plumbing Fee
Dbl E
Bond Amt.
E
Plan No.
Plan Checker
ec r
Fina �� 217
Unit
p. Insp. Fee f
Fee
_ E
Const. Lender
Branch
Supplimentol Permit Numbers
IDemol.
I�Registr. Fee $
y Mileoge Fee $
Address City Zip
CWitness Fee b
"Reinsp. Fee
$
Owner/Agent
Tel.
Zip
at Fees
S
Address
Cit Y
Zi P
M. 0. E3 N.C. C.5hA Chec
`
`-Received by
Contractor,
L; �
el.
Lic�e}}nse#
"Trees requiredv'471
Sewage System
Address
City Zip
T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
E Sewer District FOR 120 DAYS SHALL ALSO CAU ER I O B ME VOID.
I HEREBY AGREE THAT ALL ON CTIO H THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
'L THE
LAWS OF RIVERSIDE COUNTY AND THE TATE OF CALIFORNIA.
r1 i+
3 I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE 50 IN
? ^� ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Form 284-208 (Rev.8/78) @s
BUI4DING PERMIT
—
PERMIT NO.
DEPARTMENT OF BUILDING & SAFETY
FIELD
368620
COUNTY OF RIVERSIDEil�/
PST
CONSTRUCTION
ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES
IST FL.
SQ. FT. @
$ UNITS
2ND. FL.
SQ. FT. @
YARD SPKLR SYSTEM
POR.
SQ. 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
NOTE: Not to be used as property fox 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
II
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR
SUSPENDED lj� �ry�yG; xxx7
LAUNDRY TRAY
AIR HANDLING UNIT
CFM IDLE METER
KITCHEN SINK I
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
S0. FT. RESID @1'hc
SEWAGE DISPOSAL
SQ. FT. GAR @ 1%c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE lli
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
/3
!�d
PERMIT NO.
Job Address Space
Zip
Owner
3686201
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���.e,4-/L/-'S-
Community
Valuation
Date
Dist.
Off.
F.C.C.
MH Permit Fee E
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16?!ZV 1, A
E
-y
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Micro Film Fee Cop E
Use of Permit �r _
Parcel No.
Use/Case No.
Mech. Fee Dbl E
j /�y�J�J i.Jy�+tr
-
77Y—,&, �% —4w4(.,
�1",By
Pl. Ck. Fee E
f,
Set Backs
I Lot Size
Construction Fee Dbl $
Legal Description F
S 5
R
I
I
Electrical Fee Dbl E s
��� �" �•� ,''���/L'�
Zone Restrictions
Group
Type
SMI Fee E
/tC
Plumbing Fee Dbl E
Bond Amt.
Plan No.
Plan Checker
Final
Inspector
Unit
^Date c�
• Sp. Insp. Fee E
$
Dental. Fee E
Const. Lender Branch
'
ment
Supplirmit Numbers
Registr. Fee E
/
Mileage Fee E
Address City Zip
" Witness Fee E
.r Reinsp. Fee E
Owner/Agent
Tel.
Zip li
` Total Fees E
Address
City
Zip
M.O. N.C. Cas Chec
Received by
Contractor
License#
Trees
required
Sewage System
Address _
7f �//
Cit Y
v
Zip
w ! . i xr�
1�r r►r
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T LL P
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS.
CESSATION OF WORK verified by:
,Sewer District
FOR 120 DAYS SHALL ALSO CA"ERMIHE E VOID.I
HEREBY AGREE THAT ALLT THIS PERMIT WILL BE DONE
THE LAWS OF RIVERSIDE COUNTE OF CALIFORNIA.
IN ACCORDANCE WITH
Z,�� 6 .1) � q � I � I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO INS
/
Form 284-208 (Ray.8/78) ACCORDANCE,WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS-.-
PPROVALS-I
I
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets 8 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. 0.
OP'N
NO. ADDITIONAL INFORMATION
'
is
1'�CcAUQ� S tw�M%\� l �
OY4T4.J",Q
.-
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A
13 Finish Grade
INSULATION Thick R"
Value
7A Walls (Batts)
12B Ceiling (Batts)
-12C Ceiling (Blown)
14 Final
___ _____.. 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
24 Gas Test
25
Final
-Tank Pit L.Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L
-
P/
26 Power Pole
27 Conduit —
28 Service Entrance
29 Wiring --.
i
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT
APPLICATION TO CONSTRUCT Permit No
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
Owner .Y: _. _ Contractor-/3//� `,G
pkkyr�ch�itect__
Addres - 762 444
Ciry—fdJ�2t ��_ Ciry--- City
/ Phone
WI
(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 the County of Riverside and the State of California governing said property.
DATEy / _— SIGNATURE OF OWNER AND/OR AGENT �I-'�L/ n.
Approval by Signature from the Following Departments Listed Bel�`Z /'2, `3 v
Must Be Obtained Prior to the Issuing of a Construction Permit.
SPACE NO.
/
i USE OF STRUCTURE
JOB ADDRESS �z
SINGLE FIAMILYg DUPLEX ❑
LEG �ESC�RIPTION O __ R G
Z W
� OP,ERTY `� _
APARTMENTS AGRIC.
Q
T t�
— COMMERCIAL INDUSTRIAL LJ
%A
0
COMMUNITY
ALTERATIONS ❑
Z
NO. OF SUBMITTED PLANS _-- USE OF PERMIT
uj Q
j
CASE NO.
_
p Z
NO. OF PARKING SPACES REQUIRED .— NO. 0 BUILDINGS NOW EXISTING _
Q 0
ZONSETBACKS: FRONT SIDE REAR
m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE # -- OF FEET REQUIRED ON STREET
DATE ' — SIGNATURE OF LAND USE OFFICIAL , '—_--
f-
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET.
zCURB
AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
t-
tx
q
,
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
w
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HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
IMPROVEMENT? YES ❑ NO ❑
°C
DATE SIGNATURE OF ROAD DEPT. OFFICIAI
=
SWIMMING POOLS PUBLIC
a W
SEWAGE DISPOSAL
FOOD ESTABLISHMENT
_
WATER POLLUTION REMARKS
FLOOD CONTROL
H
W AIR POLLUTION
_ DIV OF HWY
I--
0 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