369086 (RPL)BUILDING
PERMIT NO.
6 9 0 8 6
PERMIT No.
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD
Voluot n
$ &
q
�369086-1
1
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
SQ. FT. @
UNITS
Cop $
YARD SPKLR SYSTEM
SQ. FT. @
Parcel No.
L+
MOBILEHOME SVC. BAR SINK
SQ. FT. @
No. Ck. By
GAR.
SQ. FT. @
POWER OUTLET
ROOF DRAINS
ILot Size
CAR P. SQ. FT. @
ALL SQ. FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT A9=--
FLOOR DRAIN
Type
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
Final Date
D �•–
APPLIANCE DRYER
GARBAGE DISPOSAL
Sp. Insp. Fee $
FURNACE UNIT WALL FLOOR SUSPENDED
$
LAUNDRY TRAY
Const. Lender Branch
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
Mileage Fee $
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
$Owner/Agent
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
Zip
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
', r% i /
%�� '•%.:�".ir.i %�f/ ." ,�'r' (�
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
SQ. FT. @ C
WATER HEATER
License#
SQ. FT. RESID @1'/.t
SEWAGE DISPOSAL
SQ. FT. GAR @ 3/4 c
HOUSE SEWER
zip
GAS PIPING
PERMIT FEE
PERMIT FEE ...
PERMIT FEE
"
DBL.
TOTAL
MOB.HM.FEE
MICRO FEE
MECH. FEE Pl. -CK FE
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PERMIT NO.
6 9 0 8 6
Job Addres Space
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MH.Permit Fee $
Micro Film Fee
Cop $
Use of Permit �`
I/ �7 ,r'� /
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Parcel No.
L+
Use/Cose
No. Ck. By
Mech. Fee Obl $
PI. Ck. Fee $
Set Backs
I
ILot Size
Construction Fee Dbl $
Legol Description �/� 311 /1I /
� -/
.h{
F S S R
Electrical Fee Dbl $
Zone Re}iPjctions Group
f�/¢�'/
Type
SMI Fee $
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Final Date
D �•–
Inspect
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender Branch
SupplimyAil Permit Numbers
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
$Owner/Agent
Tel.
Zip
Total Fees
M. 0.
$Address',
N.C. Cash Che
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City
Zip
Received by,
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Tel.
License#
Frees required
Sewage System
Addr ski Y
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T LL 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.
,A \� I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
v THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
�i I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
r `) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
v.
Form 284-208 (Re8/7 1 J
t".
verified by:
l
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
I
Set Back
!s 6,
33
Ventilation System
2
Ftgs 8 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 Wood
10
Fireplace P. L.
43
Final
10A
Fireplace T. 0.
NO
ADDITIONAL INFORMATION
t
)OV'r— %D Lie -11r /Vi C/i4Le—^'"'�"v
T
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade a
INSULATION
Thick R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
-17 - hough Plumb -
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
.25
Final
Tank r Pit L.Line
P/L
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS.
"+
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding —
30 Fixtures
31 Service
32 Final Q C
`
--
STREET NAME
__ r
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
f
DISTRICT •
Permit No
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
Owner! - Architec> is �cv� Con tractor,' -26 1� 4
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Addres� E /�--- Addrees/ssw����v,,`���.,//� 3742 L5`y'' Zc Address-�--
city'�,f� �/� �i CitYE � - - -city-- A,7�
Phor��_ Phone �✓� -2.�-_ 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.
DATE ___--__ SIGNATURE OF OWNER AND/OR AGEN
Approval by Signature from the Following Departments Liste Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
a -a (SPACE NO.
JOB ADDRESS � � � USE OF STRUCTURE
SINGLE FAMILYDUPLEX
LEGDESCRIPTION OF PROPERTY
W
,4L APARTMENTSR AGRIC.
H Q�Tf"-y'�'+`
, COMMERCIAL INDUSTRIAL n
j '^
C
Z
COMMUNITY
ALTERATIONS n
NO. OF SUBMITTED PLANS USE OF PERMIT --
ku N Q
CASE NO.
_
z
p Z
N0. OF PARKING SPACES REQUIRED - N0. OF BUILDINGS NOW XIS ING --
Q
ZONE, /___SETBACKS: FRONT SIDE REAR
J m
GRADING PERMIT REQUIRED? YES [:]NO ❑ LOT SIZE O -a
SETBACK ORDINANCE # _— OF FEET REQUIREDO/STREET
DATES - SIGNATURE OF LAND USE OFFICIAL _
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET___
W
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ —STREET
cdI-
d
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
W
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
O
C
IMPROVEMENT? YES ❑ NO ❑
cd
DATE - SIGNATURE OF ROAD DEPT. OFFICIAL
S
SWIMMING POOLS PUBLIC
Q W
AL
SEWAGE DISPOSAL
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
vt FLOOD CONTROL
H
Z AIR POLLUTION
Fa
�
= F DIV OF HWY
c a — YOUR PROPERTY MAY BE SUBJECT TO
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
BUILDING PERMIT
DEPARTME
FIELD OFFICE
PERMIT NNT OF BUILDING &SAFETY
136900-86 COUNTY OF RIVERSIDE %
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
LL
C-
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
r/pm
CI""� y L -L i A) /
YARD SPKLR SYSTEM
SQ. FT. @
a V , �
MOBILEHOME SVC. BAR SINK
SQ. FT. @
POWER OUTLET ROOF DRAINS
SQ. FT. @
Q.
i� �`
"r^V
0.2c
DRAINAGE PIPING
SQ. FT. @
Micro Film Fee
DRINKING FOUNTAIN
SQ. FT. @
Use of Permit/
/ /'J/�/7
Ry( i , rr [ ""� ""'
Legal Description /� � fM �/ /
� �L� /
/" � / w
+`.+'�+'�'� ` (ji)[
SQ. FT. @ URINAL
Parcel No,
VALUATION $ WATER PIPING
Ck. By
LPI.
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
Lot Size
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
Zone RjyMjUo
`/
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
Plumbing Fee
APPLIANCE DRYER
Bond Amt.
E
GARBAGE DISPOSAL
Plan Checker
FURNACE UNIT WALL FLOOR SUSPENDED
Final Date
LAUNDRY TRAY
Unit
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
E
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
'
COMPRESSOR HP
POLE,TEMP/PERM
LAVATORY
Address City Zip
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
Owner/Agent
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
Zip
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @11/4c
SEWAGE DISPOSAL
Zip
Received by
SQ. FT. GAR @ 3/. c
HOUSE SEWER
Tel.
GAS PIPING
PERMIT FEE
PERMIT FEE ,,..
PERMIT FEE
Add s/�
��
DBL.
TOTAL
MOB.HM.FEE
MICRO FEE
C
MECH. FEE P EE COf ST. 6 ELECT. F�,E,��
S
FEE
PL�v18yFfifyt
PERMIT NO.
3 6 9 0 8 6
Job Addres `% Space
- S�-"j^�- /�,/
Zip
7fJ
Owner,
-'Oe'
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r/pm
CI""� y L -L i A) /
Ealuat n
(/jJ
a V , �
D��/ •
//
Q.
i� �`
"r^V
0.2c
MH.Permit Fee i
Micro Film Fee
Cop $
Use of Permit/
/ /'J/�/7
Ry( i , rr [ ""� ""'
Legal Description /� � fM �/ /
� �L� /
/" � / w
+`.+'�+'�'� ` (ji)[
Parcel No,
Use/Cole No.
Ck. By
LPI.
Mech. Fee Dbl E
Ck. Fee $ .+..
Construction Fee Dbl E
Set Backs
Lot Size
F
5 / S� 2 R
�J
Electrical Fee Dbl $
Zone RjyMjUo
`/
Group
Type
SMI Fee $
Plumbing Fee
Dbl E
Bond Amt.
E
Plan No.
Plan Checker
Final Date
Inspect o
Unit
Sp. Insp. Fee E
Demol. Fee
E
Const. Lender Branch
Supplimental Permit Numbers
'
Regist, Fee $
Mileage Fee y
Address City Zip
Witness Fee b
Reinsp. Fee
y
Owner/Agent
Tel.
Zip
Total Fees
M.O.Ej
yddress
N.C. Cash Che
City
Zip
Received by
trot `„�. j/'j %
Tel.
LicenseN
frees required
Sewage System
Add s/�
��
C ///JJ
Zip
T LL 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
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284 - ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
208 (Rev.B/7 P s
verified by: