397607 (BLCK)BUILDING PERMIT
PERMIT NO,
397607
DEPARTMENT OF BUILDING 8t SAFETY
COUNTY OF RIVERSIDE
FIELD DST
M��
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
Valuation
2 f - �.,
5 I "�T�
SO. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SO. FT. @ POWER OUTLET
ROOF DRAINS
SO. FT. @
DRAINAGE PIPING
//
SO. FT. @ 7 `L' is7 T l% ��
DRINKING FOUNTAIN
SO. FT. @
URINAL
VALUATION $
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
Electrical Fee Dbl S
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.
SO. FT. @ a
BATH TUB
Const. Lender Branch
SO. FT. @ a
WATER HEATER
SO. FT. RESID @ 1 tAa
SEWAGE DISPOSAL
Address City Zip
SO. FT. GAR @ J/44
HOUSE SEWER
$
Ow er/Agent F
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES 11
g J/
MOB. HM. FEEMICRO'FEE
MECH. FEE
PL. CK. FEE
CONST. FE5 ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
1-3976071
Job Address (( J�y�C/J /- ,/� Space
S +V / !._ / T L: '%�/Y i fC-/7s"
Zi7p s�
6✓ Zr .S
Owner moi/ r
.10' �� �. �` wc� 2-s.
Community
x t..3 r,,•(/ f
Valuation
2 f - �.,
5 I "�T�
Date
./sG�,
�1 4
Dist.
Off.
F.C.C.
MH Permit Fee $
Micro Film Fee
Cop $
Use of Permit
✓ :"I a"/ / l, / ✓j L
V �J •!J
Parcel No. y�
Use/Cole
No.
Ck. By
'Meth. Fee Dbl 5
Pl. Ck. Fee 5
Set Backs
Let Si..
'Construction Fee Dbl 5
gal Description
(j f L�'�'�� 2 �- "' -s-� •�
r
F
S 5
R/
Electrical Fee Dbl S
Zone Restrictions
�Z -- / P
Group
Type
SMI Fee $
'Plumbing Fee
Dbl $
Bond Amt.
E
Plan No.
Plan Checker
Final Dot 00` pe or
V —5
Unit
Sp. Insp. Fee S
Demol. Fee
S
Const. Lender Branch
Supplimental Permit Numbers
Registr. Fee S
,Mileage Fee $
Address City Zip
Witness Fee $
.Reinsp. Fee
$
Ow er/Agent F
Tel.
Zip
Total Fees
$
},�'
Address or"/Cigty`��
i�
//
i
^� �y Zip
,,,� .
M.O. N.C. 0 Cash heck
Received by
Contractor
Tel.
License#
Trees requ' e
Sewage Sys em
.•
Address
City
Zip
T LL ry. P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN.120 DAYS. CESSATION OF WORK
Sewer District 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
[-F.r.2.4�j(Re,.
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
EREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
1/80) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.8o ,
verified by:
61
NO.
OPERATION
DATE -
INSPECTOR
NO.
OPERATION
e
DATE
INSPECTOR
BUILDING APPROVALS-
MECHANICAL APPROVALS
1
Set Bock
33
Ventilation Sysiem
2
Ftgs & Frms
34
Plenums 8 Ducts,
2A
Slab Grade
35 1
Furnace Comport.
3
Steel
36
Inlets & Outlets '
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor '
6
Roof Deck
39
Appl. Clearonce ..
7
Framing
40
Fire Damper
8
Vents
41
Smoke Detection�Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L.
C
43
Final
10A
Fireplace T. 0.
[)
°O ADDITIONAL INFORMATION
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t
- _ .-_--'- - --.--. --- --- -- -------Y-----------
f
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'
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal lath
12A /Drywall '
13 Finish Grade
"R"
INSULATION Thick Value
7A Walls (Batts)
128 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 "r
25 Final
'
.Tank Pit L. Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L
?
r
a
P/
a
i
t
26 Power Pole
27 Conduit
28 Service Entrance
29, Wiring
29A Grounding Wire
.29BI Bonding j
30 ' 'Fixtures
'31 Service
32 Final
�s
STREET NAME
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
"fw 7, 77 TTArchitect
Owner —__. Contractor__..
t /� 7��
Addres % _ Address___ Address_ —._— ---__
City DeCity-- City--------
ity_—_— .--_
6Phone_
Phone —. _
W
I (we) the undersigned, hereby certify and acknowledge tha 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 Co ty of iverside, the Riverside County Department of Building and Safety
3
shall not make a Final Inspection until said requirements have bee et. I am also aware that no work is to be done within the County R/W
O
without an encroachment permit.
id /,be I have
NOW, therefore, it is agreed that I (we) will not occupy property and will not cause said property/t/ occupied until (we)
complied with all laws of the County of Riverside and the • tate cf California governing said propert V-0
DATE ________ SIGNATURE OF OWNER AND/OR AGENT
Approval by Signature from the Following Departments'Listed.2ow
Must Be Obtained Prior to the Issuing of a Construction Permit.
!' + I SPACE NO.
1 OF
USE STRUCTURE
�- ��
JOB
JOB
ADDRESS /� SINGLE FAMILY Ej DUPLEX El
LE,GAJ�DEfSsRIPT PROPERTY
Z
NOF c_{%�� APARTMENTS 0 AGRIC.
H Q
COMMERCIAL ❑ INDUSTRIAL
`^
z
COMMUNITY
NO. OF SUBMITTED PLANS --- USE OF PERMIT �� —� ALTERATIONS ❑
&'�
CASE NO.
_
p Z
NO. OF PARKING SPACES REQUIRED _— -- NO. OF BUILDINGS NOW EXISTING _
Q O
ZONE,�& SETBACKS: FRONT SIDE REAR
J
m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE # _— OF FEET REQUIRED ON STREET
DATE SIGNATURE OF LAND USE OFFICI
F
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET—
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
t–
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
W
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
O
IMPROVEMENT? YES ❑ NO ❑
o�
DATE SIGNATURE OF ROAD DEPT. OFFICIAI
S
SWIMMING POOLS PUBLIC
Q W
SEWAGE DISPOSAL
FOOD ESTABLISHMENT
S
WATER POLLUTION REMARKS
v+ FLOOD CONTROL—
o' W AIR POLLUTION
= F DIV OF HWY
c a — YOUR PROPERTY MAY BE SUBJECT TO
FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
BUILDING PERMIT 1
T LL V", p '
PERMIT No.
3 9 C O 7
J I U
7
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD OFFICE
OST
/
CONSTRUCTION ESTIMATE
NO. ELECTRICAL- FEES NO.
PLUMBING FEES
1ST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL ZCZL jn
j
ESTIMATED CONSTRUCTION
SQ. FT. @
$
UNITS
SO. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
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
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL
HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
.L
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. @ a
BATH TUB
SQ. FT. @ a
WATER HEATER
S0. FT. RESID @ 1144
SEWAGE DISPOSAL
S0. FT. GAR @ '/4a
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
t DBL.
TOTAL FEESMOB.
HM. FEE
MICRO FEE
MECH. FEECONST,.lsF40
ELECT. FEE SMI FEE
FEE PLUMB. FEE
Job Address
- Space Zip Owner
PERMIT NO.
't 3 9 7 6 0 7
Community
Valuation
S t;"--
�
Dote
Dist. Off.
F.C.C.
I �A ti Permit Fee S
• Micro Film Fee Cop S
Use o! Permit -
c j�
orcel No. - -
Use/Case No. Ck.
By
h. Fee Dbl S
p
,'Pl. Ck. Fee S
Set Socks
Lot Size
Construction Fee Dist S
Legal Description
o�
1, j 41< �„ -� �r ,� �'//,f:,,
y
F
S - 5
_
R
Electrical Fee Dist S
Zone Restrictions
Group
Type
SMI Fee S
Plumbing Fee Dbl S
Bond Amt.
S
Plan No.
Plan Checker
Finek-Cr X P) PC, nspecter
s—
Unit
.Sp. Insp. Fee S
Dental. Fee S
Const. Lender
Branch
Supplimental Permit Numbers
Registr. Fee S
Mileage Fee S
Address City Zip
Witness Fee S
Reinsp. Fee S
Owner/Agent
/f
/
r'Gt�
Tel.
Total Fees SAddress
f'
J
y -
City
Zip
N.C.❑Cosh heck OM.O.04
Received by
'ontra for
Tel
Licensell
Trees requ'
Sewage
0
A �
ivAA
Address
City
Zip
T LL V", p '
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified b"y:
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
Sewer District
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 EREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Agj;ogr'�CORDANCE
WITH SECTION 5541 OF, THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Form 284-208 (Rev. 1/80(