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.
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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 $
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POWER OUTLET
Parcel -No.
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ROOF DRAINS„
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
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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 _
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Contractor
BOILERB.T.U.
City r - ..
Tel.
SQ. FT. @ c
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Zip.
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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
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PERMIT FEE
I PERMIT FEE
r (1L
DBL.
TOTAL FEESMOB.HM.FEE
MICRO FEE
MECH. FEE
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._P1..CK..FEE. .
Cas
+'tel
CONST. FEE,
.ELECT.. FEE .
SMI FEE
si
FEE
PLUMB. FEE. .
-
PERMIT NO.
+
-- -
Job Address
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I0354819 ►a e,10—el;
~Space
Zip r
,. 7-4.
Community
...sf .7.,. .
Valuation
S
1
Date
79
Dist.
Off.
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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.
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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
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ddress _
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Contractor
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City r - ..
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Zip.
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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
_ _ _ _ - •^
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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
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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
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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 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
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SINGLE FAMILY DUPLEX
N
LEGAL DESCRIPTION OF PROPERTY '' t
`APARTMENTS AGRIC.
COMMERCIAL INDUSTRIAL
_
COMMUNITY f / rAr' /! -
G
y ALTERATIONS LJ
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NO. OF SUBMITTED PLANS —_—_ USE OF PERMIT J ! • /('''f
Q
CASE NO.
t9
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NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING --
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ZONE __--/ SETBACKS: FRONT SIDE REAR
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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,
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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
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CIMPROVEMENT?
YES [ANO C1
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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'
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• ; 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. .