360417 (GRD)BUILDING PERMIT
PERMIT NO.
360417
DEPARTMENT OF BUILDING & SAFETY FIELD D T
COUNTY OF RIVERSIDE ,
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. r PLUMBING FEES
�{ $
IST FL. SQ. FT. @
Space Zip
UNITS
2ND. FL. SQ. FT. @
YARD SPKLR SYSTEM
POR. SQ. FT. @
p
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. @POWER
C.—!5
OUTLET
ROOF DRAINS
CAR P. SQ. FT. @
Dote'
,
DRAINAGE PIPING
WALL � SQ. FT. @
I F.
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MH Permit Fee $
DRINKING FOUNTAIN
SQ. FT. @
Use of ermit
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URINAL
ESTIMATED CONSTRUCTION VALUATION $
c
Ck. By
WATER PIPING
NOTE: Not to be used as property tax valuation
iBac c"
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
$
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
-�
SIGN
WASHER (AUTO 2ISH)
APPLIANCE DRYER
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F S S
GARBAGE DISP SAL "♦ ~
FURNACE UNIT WALL FL(50R SUSPENDED
Zone Restrictions 'µ
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEMte—
B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
$
POLE,TEMP/PERM
LAVATORY jv
HEATING SYSTEM -.. FORCED GRAVITY
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AMPERES SERV ENT
SHOWER
BOILER B. Ti U.
Dbl $
" SQ. FT. @ t
BATH TUB
•
Checker
SQ. FT.
JWATER HEATER
Unit
SQ. FT. RESID @ 1 t/. c
SEWAGE DISPOSAL
` SQ. FT. GAR @ %c r. -
+iOUSE SEWER
d 0
'
GAS PIPING
PERMIT FEE
_
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES ti
MOB. HM. FEE
MICRO FEE
MEWP�F_EO t
PL. CK. FEE
CONST. FEE EL4tTT. EE?
SMI FEE
FEE PLU B. fte
Const. Lender
12
Supplimentol Permit Numbers
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Mileage Fee $
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PERMIT NO.
Job Address
Space Zip
Owner
360417
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Micro Film Fee
Cop $
Use of ermit
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a el No.
Use/Case No.
Ck. By
Mech. Fee n Dbl $
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Pl. Ck. Fee
$
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Lot Size
Construction Fee Dbl $
Legal Description
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F S S
R
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Electrical Fee Dbl $
Zone Restrictions 'µ
Grou P
10
SMI Fee
$
i Of
Plumbing Fee
Dbl $
Bond Amt.
Plan No.Plan
Checker
Date ao'
1'UG
ns ect
P
Unit
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Sp. Insp. Fee
$
$
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DemoL Fee
$
Const. Lender
Bronch
Supplimentol Permit Numbers
Regist, Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent
/ J /
Tel.
Zip
Total Fees
$
r.Address
City '� j �./�
Zip
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M. 0. N.C.
Cash
Check
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Received by
Contractor
Tel.
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License#
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Trees required
Sewage System
Address
Oity ♦
Zip
..e 6T-#'' LL C P'r r17 THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified ¢y: '
Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT R C��OikRiTHIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE AND TWE STATE OF CALIFORNIA. r
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PIANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev.B/78j ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
.
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE ?lSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
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
39
Appl. Clearance
7
Framing
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42'
Commercial Hood
10
Fireplace P. L. ❑
43
Final
10A
Fireplace T. 0.
PI
_ _
ADDITIONAL INFORMATION
_. , .., ..,. - - _ _ - - _ _ , - - - _ - - _ _ _ _. _.
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION
Thick R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 • Final
PLUMBING APPROVALS
y
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener'
23 Water Service
24 Gas Test
25
Final
Tank Pit L.Line,
REAR OF PROPERTY LINE
PSL P/
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT /
APPLICATION TO CONSTRUCT Permit No
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
284 199 9/74 CANARY—FILE, PINK—APPLICANT
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Owner- Architect Contractor__ X-�
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Address f %�� oP Addres Address_ —
City City City-
ity_Phone
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Phone—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
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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 the County of Riverside and the State of California governing said property.
�of
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DATE SIGNATURE OF OWNER AND/OR AGENT'���"
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
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3
USE OF STRUCTURE
JOB ADDRESS_
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LEGAL DESCRIPTION OF -PROPER -TY _ - APARTMENTS AGRIC.
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COMMERCIAL ❑ INDUSTRIAL LJ
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COMAh'JNITY
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OF SUBMITTED PLANS --� _ USE OF PERMIT -
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CASE NO.
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NO. OF PARKING SPACES REQUIREDt +'' NO. OF BUILDINGS NOW EXISTING
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ZONI � SETBACKS: 'FRONT � SIDE r 5 REAR Z �
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GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK3ORDINAN E b _— OF FEET REQUIRED ON STREET
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DATE — SIGNATURE OF LAND USE OFFICIAL
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET -_—
u
CURB AND GUTTER REQUIRED: YES ❑ NO ❑-'�-��' STREET
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t-
-
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CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES, ❑ NO O'1 -
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT IVEWAY �1 S EET
OIMPROVEME
,,F
? Y NO ❑
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DATE __ SIGNATURE OF ROAD DEPT. OF A rf'r""j"'
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WSEWAGE
SWIMMINrC.�PODI
DISPOSAL
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_
F
•ENT
r661pe f a
WATER POLLUTION REMARKS
Pn FLOOD CONTROL
W AIR POLLUTION
_ DIV OF HWY
I-
0 a — YOUR PROPERTY MAY BE SUBJECT TO
o. -
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199 9/74 CANARY—FILE, PINK—APPLICANT
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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 responsibility should trees have to be removed due to lot line errors.
Owners Name en -FV ' —t1^U Bu
Mailing Address In ' 73� / =�-2- A� C Citi ° CST
Job Address �� mmun
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Legal Description D% V"+o � �T/} G ✓����/%� 41,—,
Assessor's Map, Book & Page '7 7' Type Structure
Type of Soil S'OtA,2 Is water available Road Dept. Plot Plan No.
Type of existing trees in road right-of-way
Trees preferred by applicant (1) C2/,/� (2)
Date Owner's Signature
Planning Commission Case No.
ROAD DEPARTMENT APPROVAL -'-
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(3) M,4ZZ,E
Approved species Olea europaea (Olive) Number of trees 1
Spacing of trees Distance from lot lines: Front 2T in R W Side
Additional requirements per plot plan on reverse.
Date Building and Safety notified Signature
REQUEST FOR EXCEPTION
Reason
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Request for hearing: YES ❑
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Owner's Signature
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(attach additional page if necessary
(Forward application to Planning Dept. if exception requested)
NO REQUEST FOR HEARING -
Planning Dept.
Concur ❑
D ate
Non -concur f -I Explanation
Signature
Road Dept.
Concur F1 Non -Concur ❑
Date Signature
REQUEST FOR HEARING AND COMMITTEE DECISION
Date hearing established Date hearing notice mailed to owner
Approved ❑ Disapproved, ❑ Date Owner notified of decision
Date Building & Safety notified Signature
APPROVAL BY BUILDING INSPECTOR
Final Date Inspector Building Permit No.
Job Address Community
Requirements for tree planting complied with
Remarks
284-230, REV. 1174 - t.
(Detach and forward above information to Road Department Riverside)
PERMIT NO.OWNEIf
Job Address
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Parcel No.
Use/Cose No.
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Mech. Fee Dbl E J L}.�..
Pl. Ck. Fee
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Lot Size
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Construction Fee Dbl E
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Electrical Fee
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Zang) Restrictions Group
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SMI Fee
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Plumbing Fee
Dbl E
Bond Amt.
'Plan No.
Pion Checker
Final Dote
Inspector
Unit
Sp. Insp. Fee
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Demol. Fee
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Const; lender
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Supplimentol Permit Numbers
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Registr. Fee E•
Mileage Fee E -
Address . City Zip.,"
Witness Fee S
Reinsp. Fee _
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Owner/Age
Tel.
Zip
Total Fees
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Address
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M.O. N.C.
n Cash n. Chec
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License#
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frees required
Sewage System
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Sewer District
Farm 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 CIDNNECYION WITH'THl$ 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 PLAN$ AND SPECIFICATIONS HAS DONE SO IN
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
�' { • DEPARTMENT OF BUILDING AND SAFETY-
' - COUNTY OF RIVERSIDE
CLAIM OF: l I ' // [�4P�.'.-, °' r DATE: ✓U�i -3a%7i
ADDRESS:
CITY. AND STATE
ON THE TREASURER. OF THE COUNTY OF RIVERSIDE, STATE OF' .
1j7 CALIFORNIA
Instructions: Permittee will furnish the following information:
(1) Permit Number 3AB %
(2) . Date Issued ,�}/�/�I.x 7o lf79
(3) Total Fees Paid $
(4) Reason for Refund
I CERTIFY THAT THIS CLAIM IS TRUE AND CORRECT, AND THAT NO PART HEREOF HAS
BEEN.PREVIOUSLY PAID BY THE COUNTY OF RIVERSIDE.
ClaimanCs Signature
(Do not write below this line)
DateAufust 312,-:i979 General Fund: 1001-284-1231
FROM: DEPARTMENT OF BUILDING AND SAFETY
TO: AUDITOR -CONTROLLER, COUNTY OF RIVERSIDE
Please issue to the above indicated claimant a refund of $ 108.42 on the above
permit deposited under Treasurer's Receipt NO -62 , dated 4»24-29
AUTHORITY: Ordinance No. 457, Section 7, Subsection. E
Approvt_-4dt+ed for the following reason: (strike out words not applicable)
Chief Building Inspector
irec, oro uil i� d l "ety
284.188 REV. 10/17/69