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SFD (354819)77755 Calle Madrid 354819 PERMIT NO 19 DEPARTMENT OF BUILDING & SAFETY FIELD DST 3548 COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES I ST FL. 9 S'' SQ. FT. @ 24 ., 1 ' UNITS ...sf .7.,. . Valuation S 1 2ND. FL. POR. SQ. FT. @ Dist. Off. } r7 YARD SPKLR SYSTEM MH.Permit Fee $ MOBILEHOME SVC. * 'BAR SINK SQ. FT. @ - ." A - GAR. SQ. FT. @ f- a CAR P. SQ. FT. @ WALL SQ, FT, @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ e •-! i POWER OUTLET Parcel -No. -,'-74r W a) ROOF DRAINS„ DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING {r: L NOTE: Not to be used as property tax valuation Mech. Fee Dbl E :74, SWIM POOL, PVT . Set Backs FLOOR DRAIN Lot Size t f X J MECHANICAL FEES legal Description i - RF f,, _,} j.2Ste///f & /. '> SWIM POOL, COMM S WATER SOFTENER Electrical Fee Dbl E ] c/ 44 VENT SYSTEM FAN EVAP. COOL HOOD it SIGN SMI Fee $ WASHER (AUTO)(DISH) y t y 4, APPLIANCE DRYER , Plan No. 'V2 / GARBAGE DISPOSAL Final Date L-79 FURNACE UNIT WALL FLOOR SUSPENDED Unit Sp. Insp. Fee $ Dental. Fee LAUNDRY TRAY, „ .. AIR HANDLING UNIT CFM Const. Lender IDLE METER Sup plime nobjI it Numbers KITCHEN SINK ,+ ABSORPTION SYSTEM B.T.U. Mileage Fee $ TEMP USE PERMIT SVC Witness Fee E WATER CLOSET r + COMPRESSOR 4 HP t7 r/ J POLE,TEMP/PERM /) LAVATORY , HEATING SYSTEM FORCED GRAVITY [' y, AMPERES SERV ENT j: SHOWER ddress _ i'. - *,r Contractor BOILERB.T.U. City r - .. Tel. SQ. FT. @ c w .'• .. .. ` ` Zip. % LicenseN BATH TUB# Sewage System SQ. FT. @ c Address WATER HEATER , Zip SQ. FT. RESID @1'/,c SEWAGE DISPOSAL t/ / SO. FT. GAR @ s/. cr HOUSE SEWER ti GAS PIPING PERMIT FEE 7 i PERMIT FEE I PERMIT FEE r (1L DBL. TOTAL FEESMOB.HM.FEE MICRO FEE MECH. FEE w ._P1..CK..FEE. . Cas +'tel CONST. FEE, .ELECT.. FEE . SMI FEE si FEE PLUMB. FEE. . - PERMIT NO. + -- - Job Address - -v.. R• .. I0354819 ►a e,10—el; ~Space Zip r ,. 7-4. Community ...sf .7.,. . Valuation S 1 Date 79 Dist. Off. } r7 I F.C.C. i MH.Permit Fee $ Micro Film Fee Cop $ Use of Permit .1 aAl 7-7- .' : 11 h A 4-1= Parcel -No. -,'-74r W a) Use/Case No. Ck. By B^_5 Mech. Fee Dbl E :74, PI. Ck. Fee E 2 ::0- Set Backs Lot Size t f X J Construction Fee Dbl $ / legal Description i - RF f,, _,} j.2Ste///f & /. '> F -7/1 S S R Electrical Fee Dbl E ] c/ 44 Zone Restrictions - 4-11 Group Type . SMI Fee $ Plumbing Fee Dbl E 7,]y _ Bond Amt. $ Plan No. 'V2 / Plan Checker 1111,1,f,ve., Final Date L-79 Inspector %1• Unit Sp. Insp. Fee $ Dental. Fee E Const. Lender Branch Sup plime nobjI it Numbers Registr. Fee $ Mileage Fee $ Address City Zip Witness Fee E Reinsp. Fee $ Owner/Agent Tel. Zip Total 4es / M.O. N.C. REceived_b w...y+s% $ r Cash . Check ^ i`. ddress _ i'. - *,r Contractor . r . , .. t 1 City r - .. Tel. _. , w .'• .. .. ` ` Zip. % LicenseN Trees recut cl Sewage System Address City Zip T /. (I LL P'-'Xf Sewer District Form 284-208 (Rev.8/78) , THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION 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 CQNE SO IN ACCORDANCE WITH SECTION 5541 OF THE, BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. w „ , , + `NO. ° OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back a2 _a _ 33 Ventilation System 2 Ftgs & Frms / _ ' _ r 34 Plenums & Ducts 2A Slab Grade 2 . S - 9 35 Furnace Comport. 3 Steel 36 Inlets & Outlets 4 Grout Blocks 37 Combustion Air 5 Bond Beams 38 Compressor 6 Roof Deck 39 40 41 Appl. Clearance Fire Damper Smoke Detection Device 7 Framing 4, 8 Vents f 9 Garage Fire Wall _-7 42 Commercial Hood 10 Fireplace P. L. E] 43 Final Kms' 10A Fireplace T. 0. ' OFI ADDITIONAL INFORMATION _ _ _• _ _ _ _. _ _ _ _ __ _ SEWAGE SYSTEM SIZE &.LOCATION 11 Exterior Lath 12 Internal Lath/ 12A Drywall tw-- 13 Finish Grade — C/ G INSULATION Thick R Value 7A Walls (Batts) - 12B Ceiling (Batts) 12C Ceiling (Blown) 14 Final PLUMBING—APPROVALS _ 15 Ground Plumb 16 Water Piping 17 Rough Plumb 18 Vents 19 Sewage Disposal .z0 _ 20 Sewer 21 Water Heater G 22 Water Softener 23 Water Service J 24 Gas Test 25 Final Tank 00 0 Pit L. Line P/L REAR OF PROPERTY LINE ELECTRICAL APPROVALS g _ _ _ _ - •^ r' t l 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 298 Bonding 30 Fixtures 31 Service 32 Final STREET NAME27" %S"S /{ //i 2962 - . ,, - -r w NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT L DEPARTMENT OF BUILDING AND SAFETY t COUNTY OF RIVERSIDE DISTRICT _ Permit No 284 199 9/74CANARY—FILE, PP.'K--APPPLICAN' x U ( f- 7Jn Architect Contractor Owner ' `f' 'J IG Address 64L 41 4L ! % r 7 Address Address— d/A (y1.. ,rz City, City City - Phone Phone Phone 1 (we) the undersigned, hereby certify and acknowledge that I (we)have read the application and agree that if Curb and Gutter, and m 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 1 (we) have complied with all laws of the County of Riverside and the State of California governing said property. y SIGNATURE OF OWNER AND/OR AGE DATE Approval by Signature from the Following Departments Listed Below Must Be Obtained Prior to the Issuing of a Construction Permit. I SPACE NO. / -,— 5 1 , T USE OF STRUCTURE JOB ADDRESS r° /> SINGLE FAMILY DUPLEX N LEGAL DESCRIPTION OF PROPERTY '' t `APARTMENTS AGRIC. COMMERCIAL INDUSTRIAL _ COMMUNITY f / rAr' /! - G y ALTERATIONS LJ Z NO. OF SUBMITTED PLANS —_—_ USE OF PERMIT J ! • /('''f Q CASE NO. t9 G z NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING -- } a` U ! - ZONE __--/ SETBACKS: FRONT SIDE REAR J m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE' SETBACK ORDINANCE # OF FEET REQUIRED ON STREET DATE f ""`— — SIGNATURE OF LAND USE OFFICIAL EET-_— DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET---- F, z w CURB AND GUTTER REQUIRED: YES O NO ❑""'' t'4' -`STREET X f. W CAN CURB AND GUTTER FEASIBLY BE INST6LLED? -YES ❑ NO ❑ HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET e.. CIMPROVEMENT? YES [ANO C1 Z 0° DATE _ / SIGNATURE OF ROAD DEPT. OFFICIAI = SWIMMING POOLS PUBLI WSEWAGE _ DISPOSAL 1A/, ' Ioaje' S U -e JG 111,119 _ FOOD ESTABLISHMENT WATER POLLUTION REMARKS rh FLOOD CONTROL ' W AIR POLLUTION f' _ DIV OF HWY c a — YOUR PROP ERTY'MABE WEST TO c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199 9/74CANARY—FILE, PP.'K--APPPLICAN' ae LU z 0 0 O y j o O > Z - oLL J_ Q m oa 0 z z '- za aW J IL • ; APPLICATION FOR TREE PLANTING I (we), the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if trees ore 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 cause 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 assume no responsibility should trees have to be removed due to lot line errors. Owners Name yt'TOn Building Perm/it N 1o. / / ?Z Mailing Address 66;_"i" /iL 'Ll//dN2t City' i G/ ✓T.4 State .-L Zip 9,jf1 Job Address h zE- Q /F/12 ' / om /nity Legal Description - oz C v - Assessor's Map, Book & age ,% - a —00,/ Type Structure _ Type of $oils water available Road Dept. Plot Plan No. Type of existing trees in road right-of-way ' , fi o_- s Trees preferred by applicant (1) D` `G (2) Date / Z— Z Owner's Signature Planning Commission Case No. ti ROAD DEPARTMENT APPROVAL Ceratonia siliqua (Carob) on Avenida Velasco Approved species Olea europaea 40live) on Calle Madrid Number of trees__ Spacing of trees Distance from lot lines: Front 2' in R/W Side 2' in R/W Additional requirements Per plot plan on reverse_ Date Building and Safety notified 3/79 Signature REQUEST FOR EXCEPTION Reason Request for hearing: YES ❑ (ottach additional page if necessary) Owner's Signature (Forward application to Planning Dept. if exception requested) •`u ` ) NO REQUEST FOR HEARING Planning Dept. Concur M Non -concur 0 Explanation Date Signature Road Dept. Concur ❑ Non -Concur M Date Signature REQUEST FOR HEARING AND COMMITTEE DECISION Date hearing established Approved C3 Disapproved 0 Date Building & Safety notified — Date hearing notice mailed to owneee Date Owner notified of decision Signature NOTICE TO APPLICANT In conformity with the provisions of State of California Labor Code Section 3800, the applicant shall have on file or file with the Riverside County Department of Building and Safety a certificate as designated in Items I or II below, or shall indicate Item III, IV, or V, whichever is applicable. CERTIFICATE OF APPLICANT t i Please mark the appropriate block: ❑ I. Certificate of Consent to self -insure issued by the Director of Industrial Relations. } ❑ Copy on file ❑ Copy submitted II. Certificate of Workers' Compensation Insurance issued by an admitted insurer. Copy on file ❑ Copy submitted .,. » "., , . _ .., _ • r r . v , _.. _ .. - •. , . » ❑ III. The cost of the work to be performed is $100 or less. ❑ IV. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California. I further certify that, in the event I become subject to the Workers' Compensa- tion provisions of the Labor Code that I will comply forthwith with the provisions of Labor Code Section 3700, et seq and understand e' that, if I do not comply, the permit shall be deemed revoked. ❑ V. I certify as the owner (or th gent of the owner) that the performance of the work for which thispermit is issued I have engaged contractor. (Contractr ave on - e, or it cer7i ' a required by I or II above.) Applicant's Signature Date—%'"'/% Permit No. Address and location where work is to be performedV7 % 1 i t. 284-141 Rev. 6/77 BUILDING PERMIT _ FIEI,p QFFIGE 354819 — PERMIT No. DEPARTMENT OF BUILDING & SAFETY-.' DST COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE Job Address NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. FOR. 4 GAR. 30 CAR P. WALL ESTIMATED CONSTRUCTION 4i o $ t1619 SQ. FT. @ Zip UNITS IMP!, SQ. FT. @ YARD SPKLR SYSTEM - T j,/ J Al -rµ Gov + SQ. FT. @ 'MOBILEHOME SVC:' - ' ` '.• ' ' • 1 ,' BAR SINK Valuation is".79, SO, FT. @ U7,9 POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN f URINAL SQ. FT. @ MH Permit Fee E VALUATION $ G WATER PIPING 2(tJ NOTE: Not to be used as property tax valuation Use of Permit SWIM POOL, PVT r FLOOR DRAIN Parcel No. , • 7 •»e2o i$ MECHANICAL FEES Ck. By SWIM POOL, COMM WATER SOFTENER Set Backs VENT SYSTEM FAN EVAP. COOL HOOD Legal Description SIGN WASHER (AUTO)(DISH) R APPLIANCE J DRYER Lj Type GARBAGE DISPOSAL cis FURNACE UNIT WALL FLOOR SUSPENDED • M LAUNDRY TRAY,, Plan No. AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK (j ABSORPTION SYSTEM B.T.U. Dental. Fee TEMP USE PERMIT SVC 2 WATER CLOSET00COMPRESSOR Const. Lender HP 7 ( POLE,TEMP/PERM LAVATORY _ HEATING SYSTEM FORCED GRAVITY U AMPERES SERV ENT SHOWER E BOILER B.T.U. Tel. SQ. FT. @ c BATH TUBij )o Total Fees M.O. E N.C. Cash Check. dress SQ. FT. @ _ ,c WATER HEATER C.t . , r_r-.»(.%w »..ZiP,.+..»t Receive .'s ✓ SQ. FT. RESID @11/,c + SEWAGE DISPOSAL (1 Tel. - SQ. FT. GAR @ 3/4 c HOUSE SEWER Trees.zocIired Sewage System Address GAS PIPING PERMIT FEEia) Zip PERMIT FEE ( ! j PERMIT FEE aQ DBL. TOTAL FEELS S b-80 MOB.HM.FEE MICRO FEE MECH. FEE /Zlu '.•PL. CK, FEE 6 CONST.. FEEELECT"FEE.. u ..a}SMI FEE ^ ?4 t 4 EEE ... PLUMB: FEE . PERMIT NO. 354819 Job Address Space Zip Owner IMP!, Community - T j,/ J Al -rµ Valuation is".79, Date { "'% / ' Dist. , *// Off. J f `F,..C.C.. t: 0 MH Permit Fee E Micro Film Fee Cop E Use of Permit r ry,PA Parcel No. , • 7 •»e2o i$ Use/Case No. Ck. By Mech. Fee Dbl E 21 54) Pl. Ck. Fee E •Q Set Backs Lot Size 50 X 0 0 i✓ Construction Fee Dbl 217 ou Legal Description - F 'o o S S R Electrical Fee Dbl E q ZoneRestrictionsGroup Type SMI Fee E Plumbing Fee Dbl E Bond Amt. Plan No. Plan Checker Final Date Inspector Unit 'Sp. Insp. Fee E Dental. Fee E Const. Lender Branch - Supplimental Permit Numbers r ` - _ Regist, Fee E Mileage Fee E Address Cit Zi Y P Witness Fee E Rein sp. Fee E _Oyner/Agent Tel. Zip Total Fees M.O. E N.C. Cash Check. dress !11 • p `F i:„ r`,•. . PC' •. Ciry . _ ...rJ '"r' / ' / rFA! C.t . , r_r-.»(.%w »..ZiP,.+..»t Receive .'s Contractor Tel. - LicenseX Trees.zocIired Sewage System Address City Zip T 7,5V LL P U THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: 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. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATION$ HAS DONE SO IN . Form 284-208 (Rev.8/78) ACCORDANCE WITH SECTION 5541 OF THE, BUSINESS AND PROFES$IONS.C,ODE QF THE STATE,OF CALIFORNIA. .