354133 (SFD)BUILDING PERMIT
r PERMIT NO. DEPARTMENT OF BUILDING &,SAFETY FIELD r7577
1354133 COUNTY OF RIVERSIDE
PERMIT NO.
• 3 5 413 3
CONSTRUCTION
ESTIMATE
Job Address
':� • J J1��
NO. ELECTRICAL FEES
NO.
PLUMBING FEES
Valu len .
W �-o.
LST FL.�
Dist.
SQ. FT. Lal $1D*
I F.C.C.
UNITS
Micro Film Fee
Cop $
Use of Permit ,j ,�,..,,..
'.l. G t!' r/ / ♦I
12ND. FL.
P R.
{Q
GAR.
�"
SQ. FT. @
Ckk.�By+�
Meth. Fee Dbl $ +(,7.
Pl. Ck. Fee $ a
Set Backs
YARD SPKLR SYSTEM
'
Legal Description
+
SQ. FT. MOBILEHOME SVC. BAR SINK,
SQ. FT. @ 77 / �� POWER OUTLET ROOF DRAINS'
Electrical Fee Dial j
rI�CAR P. SQ. FT. @
WALL SQ. FT. @ r
' I SQ. FT. @ Q
ESTIMATED CONSTRUCTION VALUATION P "�
Group
SMI Fee j
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
Dbl $
'
si
=I
NOTE: Not to be used as property tax valuation
Bond Amt.
jop
SWIM POOL, PVT
Pion Checker
4,
Final Date
al Ay,
FLOOR DRAIN
Unit
•'
`
MECHANICAL FEES
j
SWIM POOL, COMM
Const. Lander
WATER SOFTENER
SuppWfImitNumbers
';�. - ..
.• t . .
VENT SYSTEM
FAN EVAP. COOL f HOOD
..J"
SIGN
Reinsp. Fee
$
WASHER (AUT DISH)
Owner/Agent Ttr•"""""
4
AQPUANCE
DRYER
S. L'
Totgl Fees
j
i
GARBAGE DISPOSAL
t,Z
U
FURNACE
UNIT WALL FLOOR SUSPENDED
rReceived by
/
LAUNDRY TRAY
Tel.
AIR/HANDLING UNIT CFM
,
IDLE METER
KITCHEN SINK -
!1'`
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
el%!
COMPRESSOR 7 HP
O
POLE,TEMP/PERM
oY
LAVATORY
IJ
HEATING SYSTEM FORCED GRAVITY
'�� L'
. e) AMPERES SERV ENT
SHOWER
BOILER
B.T.U. !
SQ. FT. @ t
BATH TUB
/
fi
SQ. FT. @ c,
WATER HEATER
(�
I
/ S0. FT. RESID @IV,C • / 7
SEWAGE DISPOSAL••
/GJ
7/ lC?) S0. FT. GAR @ '/. c
HOUSE SEWER
GAS PIPING
'
PERMIT FEE
` 43
PERMIT FEE
L
PERMITTEE
'`Z3
DBL.
TOTAL FEEj
�
MOB.
MICRO FEE -
MECH. FEE
PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE
PLUMB. FEE
PERMIT NO.
• 3 5 413 3
T
-
Job Address
':� • J J1��
Space ip Own
,1.x„•3 %`��`,✓k � � / J,
Communis
y
Valu len .
W �-o.
Dote
Dist.
Off.
I F.C.C.
MH Permit Fee j
'
Micro Film Fee
Cop $
Use of Permit ,j ,�,..,,..
'.l. G t!' r/ / ♦I
/
Parcel No.
Use/Case No.
Ckk.�By+�
Meth. Fee Dbl $ +(,7.
Pl. Ck. Fee $ a
Set Backs
Lot S1zy,�
Construction Fee Dbl S �O
Legal Description
+
Electrical Fee Dial j
Zone Restrictions
Ile' /
Group
Type
SMI Fee j
Plumbing Fee
Dbl $
7
iO
Bond Amt.
jop
Plan No.
�n N
Pion Checker
4,
Final Date
al Ay,
Ins ctor -'
Unit
•'
Sp. Insp. Fee j
Demol. Fee
j
Const. Lander
Branch
SuppWfImitNumbers
';�. - ..
.• t . .
Regisir. FeeAddress
Mileage Fee $
Cit Zi
y P
r Witness Fee j
Reinsp. Fee
$
Owner/Agent Ttr•"""""
4
Tel.
Zip
Totgl Fees
j
—•'
.7
Address i •T•h!'•
ti • �-r J.. . _ . a "fes ,�..7 •
?✓�%//! /J+Kc" 1ti
City y0J
..-. r �' .• /'T a •l''•.'�rn..*,Y.
3 !� l 1 c-
Zip
��ir+'moi.'
' M.O. N.C. as
Ch Che
rReceived by
/
Contractor !
Tel.
License#
,
Trees required
Sewage System
rrr r� 'X t </
T LL P
$ewer District 2 a 4o 7' 80 .
LA/u 8C / — ,
,f�o•$' �� sn.�baj
;.Form 284-208 (Rev.8/78) / r
Address
City
Zip
THIS PERMIT, HALL 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 RK 1�ONE(,TPIONWITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE CfCALIFORNIA.
I HEREBY CERTIFY THAT THE INDI ARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
ACCORDANCE WITH SECTION 554)'OF-k1��3USINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. t+
t
NO
OPERATION
DATE INSPECEJR
NC
(-PERATION
LATE t
I
I
2
2A
J
BUILDING APPROVALS
33
MECHANICAL
Venlilation System
Plenums 8 Ducts ��x- � ,f �
Furnaor Ccrnparl `fin /yX •L'��LLCJG,
Inlet; d C;uNets
oO vv
Set Back
_Z�—�
2,
Ftgs & Frms
62 �Z7-7?
3.f
35
Slab Grade
Steel
3G
4
5
6
7
W
9
Grout Blocks
37
38
39
Combustion Air
Compressor
Appl. Cleorance
Fire Dompor
�
Bond Beams
Roof Ueck—)
Framing
— %
40
41
42
Vents
Smoke Delechon Device
Commercial Hood
Garage Fire Wall
0D
10
10A
11
12
Fireplace P. L
43 Final
CP'N AtnnaTwr)NAP ,--a ouAT",-��' �
NO
G'oM��r�—ia.y O� f FP,012- fie' z - ;27-Z9 .
®' ,
Fireplace T.O.
Exterior Lath
/10 - 1z-
-
Internal Lath
12A
13
Drywall
�D
Finish Grade
7A
INSULATION
Thick R
Value
I !/
Walls (Batts)
O `-17-7
12B
Ceiling (Batts)
—
/ /Q
--
7- 7
12C
Ceiling (Blown)
14
Final
y�
oy—
PLUMBING APPROVALS
15
Ground Plumb
16
Water Piping
17
Rough Plumb
L
18
19
20
Vents
Sewage Disposal
Sewer
O
21
22
Water Heater
Water Softener
i !�
/
23
Water Service
24
Gas Test
25
Final
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding D `
30 Fixtures .i
31 Service /
32 Final ) 0 J L
SEWAGE S' 'TEM SIZE & LOCATION
%CNt7T• n/G /fi9 I
L Linr: r
REAR OF PROPERTY LINE
I
P L 1
/i
l -
STREET NA!JEfl�/If� _
f
b -
C
NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
Permit No
Contractor-
Address-
City—
Phone
ontractor_Address_City__Phone
ication and agree that if Curb and Gutter, and
rside County Department of Building and Safety
hat no work is to be done within the County R/W
e said property to be occupied until I (we) have
property.
. A
GENT.
is Listed Belov/
action Permit.
USE OF STRUCTURE
SINGLE FAMILY C DUPLEX Q
APARTMENTS i' AGRIC. El
COMMERCIAL ❑ INDUSTRIAL L�
ALTERATIONS n
W EXISTING --
�' REAR
STREET
rz --
r _STREET
PERMIT FOR DRIVEWAY AND STREET
-FICIAL
REMARKS
PROPERTY MAY BE SUBJECT TO
). RIVERSIDE COUNTY ASSUMES
SPONSIBILITY IN EVENT OF FLOOD.
CANARY—FILE, PINK—APPLICANT
NOTICE: THIS If NOT A BUILDING PERMIT DISTRICT
APPLICATION TO CONSTRUCT Permit No
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
Owner_�&Ac i'w" T-ix g_Ic4_ % Architect_ _ -- —__ Contractor_ _-_�!__-,.—%. _—_-
Address__ Address— --
Cify >! ! City City_
e•
Phor,� PhQnP _ Phone.
(we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and
WI
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 I (we) have
complied with all laws of the County of Riverside and the State of California governing said property.
0_
DATE ! _ + SIGNATURE OF OWNER AND/OR AGENT �--• 1—. _._.��
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
I SPACE NO.
USE OF STRUCTURE
JOB ADDRESS SINGLE FAMILY DUPLEX [J
ZO us
LEGAL DESCRIPTION OF PROPERTY
- APARTMENTS n AGRIC. C�
H N
- COMMERCIAL �. INDUSTRIAL ID
COMMUNITY
p
ALTERATIONS
Z
NO. OF SUBMITTED PLANS __—__. USE OF PERMITLn
Lu a
CASE NO.—
k7
p Z
NO- OF PARKING SPACES REQUIRED --___— __ NO- OF BUILDINGS NOW EXISTING ----.--___—_
Q
ZONE—_ SETBACKS: FRONT SIDE REAR "•��
�
r - — _
m
GRADING PERMIT REQUIRED? YES ❑ NO ❑n LOT SIZE
SETBACK ORDINANCE OF FEET REQUIRED ON — STREET
DATE SIGNATURE OF LAND USE OFFICIAL _
r�
F
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET -_
ulCURB
AND GUTTER REQUIRED: YES ❑ NO ❑ __—STREET
t—
oc
W
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ElNO ❑
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
IMPROVEMENT? YES NO ❑
°L
DATE ___._. �+ SIGNATURE OF ROAD DEPT. OFFICIAL-
H
L I C
wSEWAGE
DISPOSAL
_
9g,D�TA ftLLjdMENT _
S
!v't
WATER POLLUTION REMARKS
FLOOD CONTROL —
W AIR POLLUTION
_ DIV OF HWY _ —
H
o .4 ,_ YOUR PROPERTY MAY BE SUBJECT TO
IL
c - — FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199 9/74 CANARY —FILE, PINK —APPLICANT
s.J
1z
w
z
3
O
APPLICAT10N F0k 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 insPeciion
will be given until said requirements have been met or exception has been granted by the County. Now, therefore, it is agreed that the drop
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.
Owner's Name L^ D -S M e— `e i
Mailing Address gy ,C/ity L
Job Address 3
Legal Description �O 2– `C V
Assessor's Map, Book & page 77T —za c>e-7�
Type of Soils water available Road Dept. Plot Plan No.
Type of existing trees in road right–of–way
Trees preferred by applicant (1) k}��L' (2)
Date / � � z ` Owner's Signature
Building Permit No. 3 9L//'3-3
State C Lr zip 94b Z�
pity !I//1L,Ti4
Type Structure
Planning Commission Case No.
ROAD DEPARTMENT APPROVAL
Approved species Ceratonia siliqua (Carob) Number of trees 1
oW Spacing of trees Distance from lot lines: Front 2' in R/W Side
Wo Additional requirements Per plot plan on reverse.
O>
Z�
LL
J Q
N
m o�
ad H
Date Building and Safety notified 3/78 SignatureL.
REQUEST FOR EXCEPTION
Reason
(attach additional page if necessary)
Request for hearing: YES ❑
Owner's Signature
(Forward application to Planning Dept. if exception requested) {'
NO REQUEST FOR HEARING
Planning Dept.
Concur ❑
D ate
Non -concur ❑ Explanation
Signature
Road Dept.
Concur ❑ Non -Concur ❑
Date Signature
REQUEST FOR HEARING AND COMMITTEE DECISION
Date hearing established
Approved ❑ Disapproved
Date Building & Safety notified _
Date hearing notice mailed to owner
❑ Date Owner notified of decision
Signature
�r
r
�r 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 R�verside 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
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
]El III. The cost -of the work to be performed is $100 or less. �
'ZJ 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
that, if I do not comply, the permit shall be deemed revoked.
❑ V. I certify as the owner (or the agent of the owner) that in the performance of the work for which this permit is issued
I have engaged
contractor. (Contr or must ha� on file,,or sb mit ce.,rtificate required by I or II above.)
Applicant's Signotur
�dj/f 3_1V / 3 3 '
Date Permit No.
Address and location where work is to be performed -� ^`� by `/9i1Ki5►�Z�
284-141 Rev. 6/77
BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FLEW QFIFICE DST j
354133 COUNTY OF RIVERSIDE y0 I
CONSTRUCTION ESTI TE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. !
2ND. FL.
a
POR.
(BAR.
CAR P.
rM/ALL
'
ESTIMATED CONSTRUCTION
SQ. FT. @
619
"' UNITS
Vo.
SQ. FT. @
YARD SPKLR SYSTEM
V MOBILEHOME SVC.
SQ. Fl.
BAR SINK
.Q
SQ. FT. @G. - POWER OUTLET -
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $ "
WATER PIPING
! NOTE: Not to be used os property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL f HOOD
SIGN
WASHER (AUT )(DISH)
APPLIANCE DRYER
v
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
COMPRESSOR Y7 HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
l� AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
SQ. FT. @ c
WATER HEATER O
S0. FT. RESID t@11Ac
SEWAGE DISPOSAL 0 D
S0. FT. GAR @ '/, C
HOUSE SEWER
GAS PIPING owl
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL. TOTAL FE
MOB.HM.FEE
MICRO FEE
MECH. PL. CK. FEE
NST FEE ELECT. F
aye
SMI FE
�../
FEE P UMB. F E
a.
ace0!z_
Ow
`,
I DiFI.
I JILL F.C.C.
Vo.
Use/Case No.
Ck. By
S
Set Backs
Lot Siza..
STI/
S J
SS' >
estrictions
Group
Type
ate
-0 v
Insp for
Unit
3Iimentol Permit Numbers
Zip
Zip
License#
Zip
WITHIN 120 DAYS. CESSATION OF WORK verified by:
!MIT WILL BE DONE IN ACCORDANCE WITH
ONS CODE OF THE STATE OF CALIFORNIA.