355039 (SFD)YVILLORMW r9RT1t
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD Dsr
355W91' COUNTY OF RIVERSIDE
- CONSTRUCTION
ESTIMATE
NO. - ' ' ELECTRICAL FEES
-NO.
PLUMBING'
FEES"'
IST FL.
SQ. FT. @le "I $ •4
-•- 7 0
UNITS
F.C. Ct
U�
MH•Permit Fee S
Micro Film Fee
Cops
2ND. FL.
POR.
GAR. �"�
Use of Permit
1 7a
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Legal Description
10 �.Jr i3 �•�'! e{ CLQ
Bond Amt. Plan No.
$
Const. Lender
Address
SQ. FT. @
Mech. Fee Dbl E ,y. 1 /�•
PI. Ck. Fee $ �) " ✓
j )
Construction Fee Dbl $ 1 ! �-• f)%t'�
Electrical Fee Dbl f r! 7!`�
SMI Fee $ / �U
YARD SPKLR SYSTEM
Sp. Insp. Fee E
Demo!. Fee $
MOBILEHOME SVC. BAR SINK
SQ. FT. @ -
Mileage Fee $
SQ. FT. @ci POWER OUTLET. ROOF DRAINS
'Remsp. Fee
CAR P.
WALL
SQ. FT. @
Owner/Agent
Tel. Zip
DRAINAGE PIPING
n
SQ. FT. @ L� >'+ »� ' • pa..Y a DRINKING FOUNTAIN• * +^+►� : a.t
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
G
Address
URINAL
WATER PIPING
t.
Y' M.0.171 N.C. Casho Check
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
C 'ntractor �.-•
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FLOOR DRAIN
Tel. (/�/_� t r
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License#
Trees re wired
MECHANICAL FEES
POOL, COMM
Addr`eis/r
WATER SOFTENER
City� / Z•
'+WT SYSTEM ?4- FAN
EVAP. COOL J HOOD
fSWIM
'/ (,/
SIGN
WASHER (AUTO)(DISH)
4t,PLIANCE
/ DRYER
/
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
w
COMPRESSOR
HP
If-. .
POLE,TEMP/PERM'
4
LAVATORY
(J-
JHEATING
HEATINGSYSTEM %
FORCED GRAVITY
AMPERES SERV ENT
jV
SHOWER
it
BOILER
B.T.U.
SQ. FT. @ t
BATH TUB
14
SQ. FT. @ "c' >
WATER HEATER
0(w SQ. FT. RESID @1 /.c
f f
SEWAGE DISPOSAL
0
SQ. FT. GAR @ 3% c
aC
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB.HM.FEE
MICRO FEE
MECH, FEE
PL. CK. FEE
f✓�
CONST. FEE
ELECT. =
FEE
SMI FFE
FEE
PLUM �i E
3
PERMIT NO.
355039
Job Address
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Space Zip
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Owner
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Commu/nitly'� /
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Valuation
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Dote y
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%Dist.
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Off.
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F.C. Ct
U�
MH•Permit Fee S
Micro Film Fee
Cops
Use of Permit
1 7a
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Legal Description
10 �.Jr i3 �•�'! e{ CLQ
Bond Amt. Plan No.
$
Const. Lender
Address
rPaarrccel No. / ��� Use/Case No. Ck. By
// / ,/4—X^_ 1 — (, 0,;, e_;
��1� /�" � c`1 �.- - Set Backs Lot Size
F i� /1 S �."` 5 R / � x v`' 1
- v V .,J •.% /
Zone Restrictions Group Type
.J t. t� �, L :,T !�
-
Plan Checker •, Finol Dataryr 'Unit'
-`� .. » .•,,
Branch5upplime l P mit Numbers
City r Zip
Mech. Fee Dbl E ,y. 1 /�•
PI. Ck. Fee $ �) " ✓
j )
Construction Fee Dbl $ 1 ! �-• f)%t'�
Electrical Fee Dbl f r! 7!`�
SMI Fee $ / �U
y
Plumbing Fee Dbl $ ,,,zjv 1 `I
Sp. Insp. Fee E
Demo!. Fee $
Registr. Fee $
Mileage Fee $
Witness Fee I I$
'Remsp. Fee
=
Owner/Agent
Tel. Zip
tt
!Total Fees
$
;,� i"Cl
9
Address
City Zip
t.
Y' M.0.171 N.C. Casho Check
Received by ...^f+.,/3i.'`�j
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C 'ntractor �.-•
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License#
Trees re wired
Sewage System
Addr`eis/r
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T/ ',UU LL P/ c., h {'I} THIS PERMIT SHALL BECQ'ME. VOID M WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
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I HEREBY AGREE THAT ALL WORK IN'CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND TK STATE OF !;ALIFORNIA.
I Q -11-4 =) ') (' 'r d� 1 HEREBY CERTIFY THAT THE INDIo1DUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev.8/78) ACCORDANCE WITH SECTIO t rv541 OF yE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by:
NO.
OPERATION
DATE
INSPECTOR
NO.
•. OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
2
Set Back
Ftgs & Frms
-4?_zF
ati
Qli _
33
I 34
Ventilation System
Plenums & Ducts
''—�0-7?
2A
Slab Grade
7
�_ —
/JL
I 35
Furnace Comport.
3
Steel
36
Inlets & Outlets
4
5
6
Grout Blocks
Bond Beams
Roof Deck
7. /2 _ 7y
37
38
39
Combustion Air
Compressor
Appl. Clearance
/f/
7
Framing_79
lLl�
40
Fire Damper
8
9
10
Vents
Garage Fire Wall
Fireplace P. L.
�/
— —
41
42
43
Smoke Detection Device
Commercial Hood
Final
r
'/ Fa
IDA
Fireplace T.O.
OP'ADDITIONAL INFORMATION
/
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F,Q�( RgPoO P�� � o v mit. 25-79
— — — — — — — — — — _ — — — — — — — — — - _.�.-
SEWAGE SYSTEM SIZE &LOCATION
11 Exterior." Alai �19�% �„' l
U��
12 Internal Lath
12A Drywall p
13 Finish Grade �.. 4 j
INSULATION
Thick "R"eAMpIgC
Value
7A Walls (Batts)
!7-2 9
128 Ceiling (Batts)
12C Ceiling (Blown)
14 Final—
_ PLUMBING APlP�RO_FFVVALS • -
— — — — — — -- — - - -'
-ze—,
-
15 Ground Plumb ^14 —
16 Water Piping
17 Rough Plumb O Q
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service _ 0
24 Gas -Test
25
Final
'td
—
Tank [000 Pit ( l L.Line
!'
REAR OF PROPERTY INE
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P/L LlP/
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring o? —17 /
29A Grounding Wire
Bonding
30
30 Fixtures
31 Service
32 Final
` STREET NAME �Z�'D /Islo�ure44'rW2
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APPLICATION FOR THE PLANTING
I (we), the undersigned, hereby certify and acknowledge that I (we) have read -the application and agree that if trees are required under River-
side County Ordinance No. 457, the applicant agrees to install said trees prior to final inspection. It is understood that no final inspection
will be given until said requirements have been met or exception has been granted by the County. Now, therefore, it is agreed that the prop-
erty owner shall ca se the property lines to be surveyed in the event no survey stakes can be found. Further, it is agreed that the County of
Riverside shall q me no re;ppns.Ailiyy should trn.�w�� . 6• a removed due to lot line errors.
Owner's Name'`
Mailing Address City
Job Address
Legal Description
Assessor's Map, B/ookjy� Page
Type of Soill�ie`�" Is water available d A92 I Road Dept. Plot Plan No.
Type of existing trees in road right—of way (/
Trees preferred by applicant
%(1)/ ���� (2)
Date ! ( C [ Owner's Signature
Planning Commission Case No.
Building Permit No tJJ 4JJ .
Sjate �zip
Type Structure
ROAD DEPARTMENT APPROVAL
Approved species Washingtonia robusta (Mexican fan palm) Number of trees 1
Spacing of trees Distance from lot lines: Front 2' in R/W Side
Additional requirements Per plot plan on reverse,
A
Date Building and Safety notified 3/79 Signature
REQUEST FOR EXCEPTION
Reason
Request for hearing:
Owner's Signature
YES ❑
(attach additional page if necessary)
(Forward application to Planning Dept. if exception requested)
NO REQUEST FOR HEARING
Planning Dept.
Concur ❑ Non -concur ❑ Explanation
Date Signature
Road Dept.
Concur ❑
Date
Non -Concur ❑
Signature
O REQUEST FOR HEARING AND COMMITTEE DECISION
Z .
Za I Date hearing established Date hearing notice mailed to owner
Z
Jp Approved ❑ Disapproved ❑ Date Owner notified of decision
a I Date Building & Safety notified Signature
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NOTICE: THIS IS NOT''A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
BOUNTY OF RIVERSIDE
DISTRICT
Permit No3ss0 /
I Alf
--384 199 9/74 CANARY—FILE, PINK—APPLICANT
Owner Architect Contractor
X � 1 61
Addres r '* Address Address_
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City�' City Gry_
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•-� 1 Phone Phone
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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
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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 AGENT—
GENT
Approval
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
i I SPACE NO.
1 USE OF STRUCTURE
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JOB ADDRESS -- - - SINGLE FAMILY DUPLEX El
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LEGAL DESCRIPTION OF PROPERTY r El
_ / _ - APARTMENTS AGRIC.
O
/ f COMMERCIAL INDUSTRIAL LJ
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COMMUNITY
ALTERATIONS
NO. OF SUBMITTED PLANS --_—_ USE OF PERMIT
N <
CASE NO. -
p z
NO. OF PARKING SPACES REQUIRED N0. OF BUILDINGS NOW EXISTING
r
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ZONE i SETBACKS: FRONT SIDE REAR �
J m
GRADING PERMIT REQUIRED? YES 0 NO ❑ LOT SIZE � 'k
SETBACK.ORDINAN_CE # OF FEET REQUIRED ON STREET }
f
DATE _ SIGNATURE OF LAND USE OFFICIAL
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET___
�F`
Ml
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ I !�""'/-�fSTREET
oc
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CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
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HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
IMPROVE ENTYES O_
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DATE SIGNATURE OF ROAD DEPT. OFFICIAL-" � �!
DATE
,
9WIMMINC, POOLS - Of 17
ti r L
W
SEWAGE DISPOSAL
M.:�V a
WATER POLLUTION --y REMARKS '
FLOOD CONTROL r f� 'y)1 r" r 4-2 L
W AIR POLLUTION + / _ .7 -
T_
XDIV OF HWY j `r
I-
0 a — YOUR PROPERTY MAY BE SUBJECT TO
d
o FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
--384 199 9/74 CANARY—FILE, PINK—APPLICANT