375530 (RPL)BUILDING PERMIT
PERMIT No. DEPARTMENT OF BUILDING 8 SAFETY D r
3 755 3 0 COUNTY OF RIVERSIDE FIELD 1
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @
UNITS
D e�
� 2 S-'/`
Dist/
�
YARD SPKLR SYSTEM
SQ. FT. @
MH Permit Fee f
MOBILEHOME SVC. BAR SINK
SQ. FT. @
Use of Pe /'� P' Jrn [lx] +'.t. C'�I+/LJ{j' Q
�j j1"�' f {`ryf) o c �., (/ /
[_ 1 // /!
POWER OUTLET ROOF DRAINS
SQ. FT. @
Use/Case No.
SQ. FT. @ �� DRAINAGE PIPING
Mech. Fee Dbl S
�t1 DRINKING FOUNTAIN
SQ. FT. @
Set Backs
SQ. FT. @ L` URINAL
Construction Fee Dbl f
VALUATION $ WATER PIPING
F S / S _ R'D
NOTE: Not to be used as property tax valUation
SWIM POOL, PVT
FLOOR DRAIN
V
MECHANICAL FEES
SWIM POOL, COMM
Plan No.
WATER SOFTENER
Final Date
�7 Cy
-�?— / /
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
Sp. Insp. Fee $
WASHER (AUTO)(DISH)
Const. Lender Branch
APPLIANCE DRYER
Registr. Fee j
Mileage Fee j
GARBAGE DISPOSAL
Witness Fee $
FURNACE UNIT WALL FLOOR SUSPENDED
Owner/Agent
Tel. Zip
LAUNDRY TRAY
Total Fees j
AIR HANDLING UNIT CFM
IDLE METER
M.O.4 N.C. n Cas Check
KITCHEN SINK
Conliiact
h
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
Sewage System 'S `,'
WATER CLOSET
City
hla �y�/
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 HEATER1
SQ. FT. RESID @I+/.c
•SEWAGE DISPOSAL
S0. FT. GAR @ 'r. c
SE SEWER
S PIPING
I
PERMIT FEE
PERMIT FEE
1.3
% PERMIT FEE
DBL.
TOTAL FEE
16
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE
ELECT. FEE
SMI FEE
FEE
PLUMB_0
7PERMIT NO.
3 1 5 0
3
v'
Job Address ��i p$j1�1(1]1M f(f SP(�S{@Z�jip/
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Comrjunity
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Valuation
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D e�
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Dist/
�
F.C.C.
�
MH Permit Fee f
Micro Film Fee Cop j
Use of Pe /'� P' Jrn [lx] +'.t. C'�I+/LJ{j' Q
�j j1"�' f {`ryf) o c �., (/ /
[_ 1 // /!
Parcel Not
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Use/Case No.
Ck.
/
Mech. Fee Dbl S
Pl. Ck. Fee j
Set Backs
Lot Size
/aO
vType I
Construction Fee Dbl f
Legal Descriptriro+njl (j (�
t l ' U- r
J � / �� � (C - { � 6 SO
L- " ' Z.
F S / S _ R'D
Electrical Fee Dbl S ~
Zone Res ' lions AGroup
SMI Fee S
Plumbing Fee Dbl $
Bond Amt.
f
Plan No.
Plan Checker
Final Date
�7 Cy
-�?— / /
In spect
Unit
Sp. Insp. Fee $
Demol. Fee $
Const. Lender Branch
Sup;ll A e m.1 Numbers
Registr. Fee j
Mileage Fee j
Address Ci t Zip
Witness Fee $
Reinsp. Fee j
Owner/Agent
Tel. Zip
Total Fees j
AddreIis �(��
- '�"S•
City Zip
M.O.4 N.C. n Cas Check
Received %y
Trees required a,li�-
Conliiact
h
Tel. �j
License#
Sewage System 'S `,'
Address
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City
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L284-208
LL P
Rev.B/78) Q11l"
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
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.
verified by:
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
I
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
3B
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. E
43
Final
10A-
Fireplace T. 0. 0
No
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION ThickR
Value -
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb _ -7
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
20 Gas Test
25
Final
Tank Pit L.Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
PSL
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring ,2 %— 7 7
29A Grounding Wire
29B Banding
30 Fixtures
31 Service
32 Final _ % _
STREET NAME
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE "
PAGE DATE
COMPLAINT FILE NO.
PERMIT NO.
NATURE OF COMPLAINT
SCHOOL
INFORMANT DISTRICT ZONE
ADDRESS CITY PHONE
VIOLATOR'S NAME ADDRESS
COMMUNITY
REMARKS:
RECEIVED BY
'REPORT'OF FINDINGS
.. p
ji
1
f
DATE OF REPORT SIGNED BY
284-167 INVESTIGATOR
Form #242
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REAR YARD
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ZONE
REAR YARD
Y, 5QOT AREA
PARKING
DATE RECORDED
LOADING
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FRONT YARD
0� tL",—O- H T L D
3
CK opr
BAC Mr-
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. LAND USE
'
.
DIVISION
NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT
APPLICATION TO CONSTRUCT Permit No
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
cs h ioV
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
Owner �` bV\N:l)-ef�P Architect— —_ —_ Contractor_i—L.J6.h.NSto-k-9 IQ
Address�yt►2/4 __—_ Address___ Address_—%. (X.,) _ S f----
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City— ��W�2'.?- City——�--
Phone Phone _ Phone—._13.W.` a:9 7—
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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 pr to be occupied until I (we) have
California
complied with 11 laws of the County of Riverside and the State of governing said proper y.
DATE! L�.-�__ SIGNATURE OF OWNER AND/OR AGENTT
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
I SPACE NO.
C S USE OF STRUCTURE
OBADDRESS
JOB I y� I _ SINGLE FAMILY DUPLEX
Z t-
LEGA DES RIP F P ERTY - -- 4 APARTMENTS AGRIC.
L-—�
NW-�
Y.� _ __
5 COMMERCIAL INDUSTRIAL �J
COMMUNITY / ALTERATIONS
G
Z
NO. OF SUBMITTED PLANS USE OF PERMIT --
a
CASE NO.
--
p Z
F
NO. OF P ING PACES REQUIRED t_— NO. OBUIL S N XISTING --
Q
ZONE SETBACKS: FRONT SIDE
J
m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBAC RD C OF FEET REQUIRED ON R T
DATE SIGNATURE OF LAND USE OFFICIAL -
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET --
z
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
H
cc
a
W
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES 0 NO ❑
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
D
O
IMPROVEMENT? YES ElNO C3
cc
DATE SIGNATURE OF ROAD DEPT. OFFICIAL
Z
SWIMMING POOLS PUBLIC
H
Q W
SEWAGE DISPOSAL
FOOD ESTABLISHMENT
_
WATER POLLUTION REMARKS
AA FLOOD CONTROL—
z AIR POLLUTION
_
I ce DIV OF HWY
c a YOUR PROPERTY MAY BE SUBJECT TO
a
FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
BUILDING PERMIT —
PERMIT NO.
1375530
PERMIT NO.
13755301
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD OFFICE
Zip Own � bE� A .
DST
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
'GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @'
UNITS
F.C.C.
MH Permit Fee $
YARD SPKLR SYSTEM
SQ. FT. @
Cop $
MOBILEHOME SVC. BAR SINK
SQ. FT. @
Use of Permit
'
POWER OUTLET ROOF DRAINS
SQ. FT. @
Parcel No.
? / —
)?q— (oil
DRAINAGE PIPING
SQ. FT. @
Ck.
/51
DRINKING FOUNTAIN
SQ. FT. @
PI. Ck. Fee f
Pl.
SQ. FT. @ .— URINAL
�
I Lot Size
/00 tK
VALUATION �i WATER PIPING
Legal Description
( [ /''•� J /
( f / 91 K , ( I 1 n
4 V WPlumbing
NOTE: Not to be used as property tax valuation
,SWIM POOL, PVT
FLOOR DRAIN
Group
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
Dbl E
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISHT
No.
APPLIANCE DRYER
Final Date
r
GARBAGE DISPOSAL
ETypeSMI
FURNACE UNIT WALL FLOOR SUSPENDED
Demol. Fee
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
Supplimental Permit Numbers
r
_
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
City Zip
COMPRESSOR HP
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
Tel. Zip
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
s»
SQ. FT. @ c
WATER HEATER
O
M.O. N.C. nCas Check
SQ. FT. RESID @1'/,c
4EWAGE DISPOSAL
Con rrrocs
SQ. FT. GAR @ s/. c
111 SE SEWER
License#
Sewage System
tf 5 PIPING
Address
/
PERMIT FEE
PERMIT FEE &F
PERMIT FEE
DBL.
r
TOTAL FEES 4V
6 Jar
MICRO FEE
MECH. FEE PL. CK. FEE
•CONST. FEE ELECT. FEE
a�-�7
SMI FEE
FEE
PLUMB. f
PERMIT NO.
1375530
Job Address `
rf
'r j h0 uoEIP
- 1(iJ/
Zip Own � bE� A .
Com uni�� /'{�
f�, f\
�
Valuation ��
DQfe�
(,Y /
DSII
Qfj�
f+�/—'�
F.C.C.
MH Permit Fee $
Micro Film Fee
Cop $
Use of Permit
'
%%n'� h t C `t �'i O
G
///
P ° , /
Parcel No.
? / —
)?q— (oil
Use/Case No.
1
Ck.
/51
Mech. Fee Dbl $
PI. Ck. Fee f
Pl.
Set Backs
F S S R 51
I Lot Size
/00 tK
Construction Fee Dbl $
Legal Description
( [ /''•� J /
( f / 91 K , ( I 1 n
4 V WPlumbing
/
v
Electrical Fee Dbl
Zone Res ti=ns
Group
Fee a
Fee
Dbl E
Bond Amt.
EIt
Plan
No.
Plan Checker
Final Date
r
Insp or
ETypeSMI
Sp. Insp. Fee f
Demol. Fee
f
Const. Lender
Branch
Supplimental Permit Numbers
r
_
Registr. Fee $
Mileage Fee f
Address
City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel. Zip
Total Fees
SAdd,
s»
/
City Zip
M.O. N.C. nCas Check
Received y
Trees required
Con rrrocs
Tel.
License#
Sewage System
'"
Address
/
vl
Cit Y p Zip
T LL P
f� Sewer District
I
Form 284.208 (Rev.8/78)
�ay.sai.rc'...oc3»
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATICN 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 --ALIFORNIA.