360062 (SFD)PERMIT NO.
360062
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD MDS
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. I.Aljq
2ND. FL.
POR."
GAR. v
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ c Y $
6,0
UNITS +
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IZ
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ " ` r� c+ -+u1 MOBILEHOME SVC., ,,.
BAR SINK
SQ. FT. @ .5rrG POWER OUTLET
ROOF DRAINS
I
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @ '
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $�•(
7v
WATER PIPING— _
NATE:,Not,to;be used,as property )ax valuation
,.. ,y, ;
SWIM POOL, PVT—.
FLOOR DRAIN Y'
MECHANICAL FEES
Electrical Fee D61 E v
SWIM POOL, COMM
WATER SOFTENER
Vr.4T SYSTEM FAN EVAP. COOL,HOOD
J
SIGN
%WASHER (AUTO)(DISH)
APPLIANCE DRYER
r
Demol. Fee
GARBAGE DISPOSAL `r
FURNACE UNIT WALL FLOOR SUSPENDED
�.. `
d
LAUNDRY TRAY a
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
Witness Fee E
TEMP USE PERMIT SVC
_ WATER CLOSET
COMPRESSOR - HP
<
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
Zip
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
Address ✓r
SQ. FT. @ c
BATH TUB
Zip
Received by
SQ. FT. @ t
WATER HEATER
Contractor
SQ. FT. RESID @ 1'/. c
SEWAGE DISPOSAL `
License#
' SQ. FT. GAR @ % c
HOUSE SEWER
..�
.01 GAS PIPING
PERMIT FEE
City Zip
PERMIT FEE
PERMIT FEE
DBL..,
.TOTAL FEES
MOB. HM, FEE
MICRO FEE
Fl EE' PL. CK. FEE
CONST. FEE'±EMM.E
SMI FEE
FEE PL .SEE
PERMIT NO.
360062
Job Address
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Community
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Voluotion,
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Space Zip Owner
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Use/Case No.
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Legal Description
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Zone Restrictions Group Type
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Final Date Q` ► •,eLtor Unit
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SMI Fee E
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Bond Amt.
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Plan No.
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Plan Checker
Sp. Insp. Fee E
Demol. Fee
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Const. Lender
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Brooch
Supplimentol Permit Numbers
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Registr. Fee E
Mileage Fee E
Address City Zip
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Witness Fee E
Reinsp. Fee
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Total Fees ' E' "=� r
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Zip
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Contractor
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Trees required
Sewage System
Address
City Zip
LL +- �P. ? THIS PERMIT. SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer District %FOR 120 DAYS SHALL ALSO SE PERMIT TO BECOME,VOID.
1 �I U ' L� 3 LJ" 80 ` $ 0 3) 1 HEREBY AGREE THATeQ71Qjj6iplTH, THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
r 3 •sV + THE LAWS OF RIVERSIDE AND HE STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED•1HE PLANS AND SPECIFICATIONS HAS DONE SO IN
ACCORDANCE WITH SECTION 5541 OF THE BUSINESL AND'PROIESSIONS CODE OF THE STATE OF'CALIFORNIA.
Form 284-206'(Rev.8/78)
verified!: ,
NO.
OPERATION
DATE
INSPECTOR
NO
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System �—
2
Ftgs 8 Frms
7 zV/
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets 8 Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
2-3 f _ 7Q�
39
Appl. Clearance
7
Framing
fl_ r3 2
a�
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial •Hood
10
Fireplace
P. L. 0
43
Final
IDA
Fireplace
T. 0.
NO ADDITIONAL INFORMATION
Je,
ON
_ _
•
..
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
a
12 Internal Lath
12A Drywall �� xX- •% -
13 Finish Grade
INSULATION Thick R
Valve
7A Walls (Batts)
12B Ceiling (Batts) �
242!V
--/119-113-22
12C Ceiling (Blown)
14. Final
PLUMBING APPROVALS
15 Ground Plumb s
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24Gas Test
25
Final
ff�
Tank OTS
04-1?it (0 X i L.Line
REAR OF PROPERTY LINE
C
9
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PSL y P/
_
ELECTRICAL APPROVALS
26 Power Pole
27' '"Conduit
28 Service Entrance
29 Wiring ��
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
:.32 Frnaf
STREET NAME �� ���✓�
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT
Permit No
Owner J�< < �L Architect '-'1til+� �� ' X-- Contractor
Address Address , Address_
CityC
Phone lid-� Phone
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.
n
DATE l f� SIGNATURE OF OWNER AND/OR AGENT r
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
I SPACE NO.
i , 1 USE OF STRUCTURE
,
JOB ADDRESS I SINGLE FAMILY Q DUPLEX [�
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LEGAL DESCRIPTION OF PROPERTY :' � � �` f APARTMENTS F-1 AGRIC.
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COMMERCIAL INDUSTRIAL L
GC
COMMUNITY ALTERATIONS ❑
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NO. OF SUBMITTED PLANS — USE OF PERMIT I _
CASE NO. F
—
Z
NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING
Q
ZONE SETBACKS: FRONT SIDE REAR
J m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE '
SETBACK ORDINANCE __ OF FEET REQUIRED ON STREET
DATE fr SIGNATURE OF LAND USE OFFICIAL
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET___
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ —STREET
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CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
IMPROVEMENTS YES. (!r—NO _ J2
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❑
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DATE SIGNATURE OF ROAD DEPT. OFFICIAL
S
SWIMMING POOLS PUBLIC//
SEWAGE DISPOSAL 36 �� z/;'1210/l�'�i�ss.fr lL���'Oe
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FOOD ESTABLISHMENT - ✓ sem..
- c
WATER POLLUTION REMARKS
�n FLOOD CONTROL
W AIR POLLUTION
_ DIV OF HWY
c a — YOUR PROPERTY MAY BE SUBJECT TO
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199 9/74 CANARY—FILE, PINK—APPLICANT
RIVERSIDE COUNTY DEPARTMENT OF BUILDING AND SAFETY
CORRECTION NOTICE
Permit No.
— Date:
(0. K t OUND PLUMBING — .P , T9
TApproved plans shall be on job for inspection. [U.B.C. 302).C4 Toilet facilities shall be on job site. (Calif. Health & Safety Code). 3. Post job card. (U.B.C. 304) . �0 �
4. Replace defective fitting at (3091.
5. Support soil pipe each joint ( 1, continuous ( 1 [3161 ,
6• Closet bend to extend minimum floor level. (8051 .
7. Off set plumbing out of bearing footing: (315).
8. Fill soil pipe with water for testing. [3181. {,,,•
9• Stop leaks on line. [318] .
10. Unapproved fittings on line. [405 and 310] . r .
11. Minimum'/,, per foot grade required on line. [4071. v�
2• Gas line not permitted under slab. [ 1213 b] .
1 Pipe shall not be installed in a strained position. [5031 [ 12051 .
14. horizontal vents required to drain to fixture it serves. [5051 .
15. Tota nt area to be equal to largest required building sewer
16. Cleanouts ade. [4061.
FOOTING AND FORM INSPECTION — U.B.C., 1976 EDITION
Approved plans shall be on job for inspection. [3021 .
2. rovide legal lot stakes. (301 and 3041.
Foundation footing to be 12 inches — 18 inches into undisturbed soil and 12 inches — 15
inches wide. [Table 29 -Al.
Regrade and compact fill, minimum thickness of concrete floor, 3'/2 inches. (26231.
5. Fireplace footing to be 12 inches larger each dimension than fireplace. [3707(b)) .
6• Interior bearing footings to be 12 inches into undisturbed soil; width, minimum 12 inches.
[2907 (b)] .
7• Pier footings minimum 16 inches square. [Chapt. 291 .
8• Forms shall conform to plan; tied and braced. [2606(a)] .
9• Minimum foundation height 6 inches above finish grade. [2907(a)] .
10 -Re -bar shall be tied in place. [2607(d)] .
11. Provide footing for veneer. Brick ( 1, Rock ( 1 [2006(b)] .
12• Water piping on branch to too small. 11009 U.P.C.] .
13 -Gas piping not permitted under slab. [1213•b U.P.C.].
14. Mastic required on all metallic pipes where they come through slab or footings. [315 U.P.C.) .
15. Form shall be in place for tub trap recess. It shall be poured monolithic. [803 U.P.C.] .
6•Post job card [U.B.C. 304(b)] .
7•Job not ready for inspection. _
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Inspector
CORRECT THE ABOVE CIRCLED ITEMS AND CALL FOR RE -INSPECTION
284-233 REV 3/77
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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 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 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 respo sibility should trees have to be removed due to lot line errors.
/Owners Name Building Permit No. /00(0 DOY
)(Mailing Address City )' state Z -
Job Address O y� Community
Legal Description
Assessor's Map, Book & Page %-7 Od Type Structure r
Type of Soil Is water available Road Dept. Plot Plan No.
Type of ex
isting trees in road right—o way �y� ` l �Q/J C
Trees preferred by applicant (1) 1�17 (2) �Y, (3) �-5U
Date �� Owner's Signature
Planning Commission Case No
ROAD DEPARTMENT APPROVAL
Approved species Jacaranda acutifolia (Jacaranda) Number of trees 1
Spacing of trees' Distance from lot lines: Front 2' in R/W Side
Additional requirements Per plot plan on reverse.
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Date Building and Safety notified 5/79 Signature
Reason
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ad Request for hearing: YES 171
Owner's Signature
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REQUEST FOR EXCEPTION
(attach additional page if necessary)
(Forward application to Planning Dept. if exception requested)
NO REQUEST FOR HEARING
Planning Dept. aI
Concur ❑ Non -concur ❑ Explanation
Date Signature }
Road Dept. s
Concur ❑ Non -Concur ❑
Date Signature
REQUEST FOR HEARING AND COMMITTEE DECISION
Date hearing established Date hearing notice mailed to owner 4
Approved ❑ Disapproved ❑ Date Owner notified of decision
Date Building & Safety notified Signature
} BUILDING PERMIT
1. PERMIT NO.
360.062
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
F19U) OFFICE 1
DST
//
r CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR'
GAR. <ZtV
L{ CAR P.
WALL
*
ESTIMATED CONSTRUCTION
SQ. FT. @ $
GA
UNITS
SQ. FT. @
YARD SPKLR SYSTEM
SQ.. FT. @ dV I s' MOBILEHOME SVC.
BAR SINK
SQ. FT. @ yG POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT.•@
URINAL
VALUATION 7!lC
WATER PIPING
• NOTE •htot to•be used'as property tax valuation
Valuation
E
" SWIM POOL? PVT
FLOOR DRAIN
MECHANICAL FEES
F.C.C.
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL JHOOD
Use of Permit
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Use/Case No.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
et Boc s
F :PS 1
Lot Size
S R
LAUNDRY TRAY
AIR HANDLING UNIT CFM
'PI. Ck. Fee E`•G
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
!Electrical Fee
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM oe FORCED GRAVITY
oe AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ t
BATH TUB
SQ. FT..@ C
WATER HEATER
Dbl E
Bond Amt.
SQ. FT. RESID @1V,c
SEWAGE DISPOSAL
Inspe�ct'o�r`•�j�
�ir'•'•`�!/
Unit
Q. FT_ GAR @ 3/4 c
HOUSE SEWER
E
E
GAS PIPING
PERMIT FEE
G
PERMIT FEE
PERMIT FEE
DBL
TOTAL•FEES
MOB.HM.FEE
MICRO FEE
M CH. FEE.
PL. CK. FEE
-•CONST. FEE •. EL
tEEjSMI FEE
FEE PL B. FEE
PERMIT NO.
Job Address
Space Zip
Owner
3.6x062
--
Community
2,9
Valuation
E
Date
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Dist.
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Off.
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F.C.C.
MH Permit Fee E
Micro Film Fee
Cop E
Use of Permit
Parcel No.
Use/Case No.
Ck. By
Mech. Fee Dbl $-
et Boc s
F :PS 1
Lot Size
S R
!M
'PI. Ck. Fee E`•G
Consttixtion Fee Dbl f
Legal Description
!Electrical Fee
Dial E
Zone Restrictions
Group
Type
SMI Fee
E
Plumbing fee
Dbl E
Bond Amt.
Plan No.
Plan Checker Final Date;
Inspe�ct'o�r`•�j�
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Unit
`Sp. Insp. Fee
E
E
f�„�-�-�_(J_:f
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Dpmol. Fee
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Const. Lender
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Sup limental Permit Numb}j���� �s - 1 nQ
/ � �y `••�-�?� dN �� ✓ D
Registr. Fee E
Mileage Fee E
Witness Fee E
Reinsp. Fee
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Owner/Agent
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Tel.
Zip
1
Total Fees 4
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City ^•
Zip
M.O. N.C.
CoshEj ClIetka
Received by
Contractor
Tel.
License#
rues required
~
5e .ge System
Address
City
Zip
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T U. P THIS PERMIT SHALL BECOME VOID IF WORK IS NO'( C6 ENCE'a*THIN 120 DAYS. CESSATION OF WORK
Sewer District FOR 120 DAYS SHALL ALSO SE PE IT TO BECOME VOID.
I HEREBY AGREE THAT NPf[6idOCY ITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AN HE STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-2a (Rev.8/78; ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by: