398780 (BLCK)BUILDING PERMIT
PERMIT NO.
98780
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD ,DSI
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL f50.
"µ
ESTIMATED CONSTRUCTION
SO. FT. .@ $
UNITS
7
50. FT. @
YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC.
BAR SINK
SO. FT. @ POWER OUTLET
ROOF DRAINS
SO. FT. @
DRAINAGE PIPING
FT. @ r ( '�
DRINKING FOUNTAIN
S0. 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
Plan N
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
inot Dote
42&-% .-
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
Owner/Agent
SO. FT. @ a
WATER HEATER
Zip
SO. FT. RESID @ 1 %a
SEWAGE DISPOSAL
Address
SO. FT. GAR @ 3/4a
HOUSE SEWER
Zip
Received b
!
GAS PIPING
PERMIT FEE
Tel.
:2
E ._
qFE
PERMIT FEE
DBL.
TOT}ALL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CKCON�S{T.
FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
398780
Job Add—,
-
C unit •
\ _
Space Zip Owner
- -�
td
S ✓
r
• , ('O(I. I'F. pC`
MH Permit Fee S
Micro film Fee Cop $
UX o Permit. -.tet +
` � �
�a
Pofcel No.
A7�
Uso/Case No.
Mech. Fee Dist S
PI. Ck. Fee $
Set Backs
Lot Size r
Construction Fee Db1 S "•1
Legal Description
f�4/�� /� � 3/
�/ •��- , `�
�.-
FS S
R
Electrical Fee Dist S
Zone Restrictions
_
Group
Type
SMI Fee S
Plumbing Fee Dbl S
Bond Amt.
$
Plan N
6ntAcker
9)
inot Dote
42&-% .-
Inspect
Unit ,
Sp. Imp. Fee $
Demol. Fee S
Const. lender Branch
Supplim�mit Numbers
,
Registr. Fee S
Mileage Fee
Address City Zip
Witness Fee , S
Reinsp. Fee $
Owner/Agent
Tel.
Zip
Total Fees $ p�
M:Q. 0 N.G ❑ Cash heck
Address
j
i
City
dv
Zip
Received b
!
ontroctdr -' �✓ ^'
.�
Tel.
:2
Li<enseN _
Trees required,"�.
Sewage System
ddress74�3
City `"
71
Zip
V
T LL ,� ,p" THIS PERMIT SHALL BECOME VOID IF WORK 15 NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK _ voril.its E.
Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
s•-
•1 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.
E1RBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 28<-208 (Rev. 1/801 ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. 6(
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
34
- Ventilation System
Plenums 8 Ducts
rt
Yt
2 FtqS & Frms —ro
(O V/ \T/^%
2A
3
Slab Grade
Steel
I
(I JJ
35
Furnace Comport. ,.
36
37
38
Inlets & Outlets
Combustion Air
Compressor
_
4 Grout Blocks' • — 30%
5 Bond Beams �' .2 4 �O
6
Roof Deck
39
Appl. Clearance
7
Framing
-
-
40
Fire Damper
6
Vents
41
Smoke Detection Device
9
Garage Fire; Wall
...
42
Commercial Hood '
10
Fireplace P.L.
E]
43
Final _
10A
Fireplace T. 0.
[�
°o
t
i
`
`
ADDITIONAL INFORMATION
/
�+ -
•
SEWAGE SYSTEM SIZE'& LOCATION
'
,
-
11 Exterior Loth
12 Internal Lath
12A• Drywall.
3'3••: .=sinish'T,ir`ai/e
- INSULATION Thick „Valluu e
7A Walls (Batts)
12B'. Ceiling (Batts) �-
12C• 'Ceiling (Blown)
14 Final'..
f 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
+
•t
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L
:
r C
P/
J
4
26 Power Pole
27 Conduit
28 Service Entrance r
29 Wiring
29A Grounding Wire
298 Bonding t
313 Fixtures
31 Service
32 Final
i
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
n
11
DISTRICT
Permit No
.,a #Fz36
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
Owner W 77rchitect —. Contractor_ _�"_ _.._
Address___ Addre
ity_
City City--
t
Phone Phone _ Phone—:e—� _
W
I (we) the undersigned, hereby certify and acknowledge that 1 (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 wilt not cause said property to be occupied until I (we) have
- complied w�ith all aws the CCoounty of Riverside and the State of California governing said property.
he
DATE `r' _v✓ 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.
� 7 �r3 1 SPACE NO.
1 USE OF STRUCTURE
. .
JOB ADDRESS �G�jC/ '
SINGLE,FAMILY Q DUPLEX
LE AL DESCRIPTION OF PROPERTYIr
=p_
Z H
— T APARTMENTS AGRIC.
#
O Q
—� _
COMMERCIAL INDUSTRIAL n
G'A
COMMUNITY .
t ALTERATIONS CJ
C
NO. OF SUBMITTED PLANS --, USE OF PERMIT
Q
CASE N0.
�
p Z
NO. OF P KING SPACES REQUIRED — — NO. OF BUILDINGS NOW EXISTING -- —
ZONE�SETBACKS: FRONT SIDE REAR
J
m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK RDINANCE # OF FEET REQUIRED ON STREET
DATE -L SIGNATURE OF LAND USE OFFICIAL
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET—
t-
W
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ _STREET
t-
oe
d
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
W
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND -STREET
D
C
IMPROVEMENT? YES [INO E3
°C
DATE SIGNATURE OF ROAD DEPT. OFFICIAL—
Z
SWIMMING POOLS PUBLIC
a W
SEWAGE DISPOSAL
FOOD ESTABLISHMENT
_
WATER POLLUTION REMARKS
FLOOD CONTROL—
f
z AIR POLLUTION
= F DIV OF HWY
c a — YOUR PROPERTY MAY BE SUBJECT TO
d
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
BUILDING PERMIT
3pPERMIT NO.
) 87 801
PERMIT NO:
9 p O O
O O
Job Address
muni,
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD OFFICE
DST
CONSTRUCTION ESTIMATE
Micro Film Fee Cop S
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. .@ $
Use/Case No.
UNITS
Mech. Fee Dbl S`
SQ. FT. @
YARD SPKLR SYSTEM
_
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @ 7 i'
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
SMI Fee S
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
No.,
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
Inspector
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Demol. Fee $
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Supplimental Permit Numbers
-
LAUNDRY TRAY
AIR HANDLING UNIT CFM
Address City Zip
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
Owner/Agent
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY t
HEATING SYSTEM FORCED GRAVITY
/.
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
Received by
Trees required
SQ. FT. @ a
BATH TUB
Tel.
SQ. FT. @ a
WATER HEATER
Sewage System _
50. FT. RESID @ 1144
SEWAGE DISPOSAL
City
Zip
S0. FT. GAR @ I/4a
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEESMOB.
aO
HM. FEE
MICRO FEE
MECH. FEE
PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
3pPERMIT NO.
) 87 801
Job Address
muni,
Val o n
S
Space Zip Owner
+L,[,,,,
'7
MH Permit Fee S
Micro Film Fee Cop S
Ufa of ermi �(
[7 ��
/'
P rcel No.
7,i�_�'i
Use/Case No.
Mech. Fee Dbl S`
Pl. Ck. Fee S
Set Backs
-57
Lot Size
Construction Fee Dbl S
Legal Description
/� /'F/a
/ '•I�'" J
F
S
S
R
Electrical Fee Dbl S
Zone Restrictions r
t
Group
Type
SMI Fee S
Plumbing Fee Dbl S
Bond Amt.Plan
g
No.,
Plan Ch cker
Final Dore
3
Inspector
Unit
Sp. Insp. Fee $
Demol. Fee $
Const. Lender Branch
Supplimental Permit Numbers
-
Registr, Fee S
Mileage Fee g
Address City Zip
Witness Fee S
Reinsp. Fee S
Owner/Agent
Tel.
Zip
Total Fees S
Q
Address /
IL
/.
City
Zip
M. . Q N. Cash -heck Q
Received by
Trees required
onir or
Tel.
License#
Sewage System _
ldress _
City
Zip
_
T LL v" THIS'PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK ' verified bj:
Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. j
,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.
t9�BY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
. Form 284.208 (Rev. 1/80( ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND. PROFESSIONS CODE OF THE STATE OF CALIFORNIA.