354534 (SFD)BUILDING PERMIT • , .:a ,. , =.r i� ;• w ;a . r * w ,: n.{ • , tt, ✓ ' ^ar :r+ • _
PERMrrlvo.
-DEPARTMENT OF BUILDING & SAFETY + s
r '
}FIELD/ Dsr.'
354 5 3 4 r, - .,..,.,-:..,. ,� . .
P - Y�.-.: �,.� �.�•z.-� ar+COUNTY-OF.RIVERSIDE a•t i. � +-�,,��.f ��
i•
„•)'" PERMIT NO.
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
Zipfj
I/. IST FL,
•_ s 1'
SQ. FT•;. $
s. (°
UNITS
53-125 Ave"" Aub"
SQ. FTS @
':�
o
253
�it
YARD SPKLR SYSTEM
a i
r
2ND. FL.
SQ. FT.
MOBILEHOME SVC.
{
BAR SINK
_
POR.
MH.Permit Fee E •_
SQ. FT.' �G�
Qr,.�
POWER OUTLET•..
-
ROOF DRAINS
-
t
"Parcel
GAR.
Use/Case No.
' `
SQ., FT. (a? f
Ck. By
,•1
lit.'-.• ,
r
6
► s DRAINAGE'PIPING
Lot Size
CAR P.
Legal Description- a -
1 �' ��_ tis'• ¢ `p�
• _S
Lot tal
SQ FT @
F 20 S - 5 S Z R 5
s
t+, DRINKING FOUNTAIN,
Gr(
f`[--%
WALL
a
'
SMI Fee
E
i
URINAL
SQ. FT., @
Plumbing Fee
Dbl E
Bond.Amt.
E
ESTIMATED CONSTRUCTION
VALUATION $
.5 +',•
Final Dote
—may
WATER PIPING
t
NOTE: Not to be used os propefly tax vol6citt6W ``lbt
SWIM POOL, F?VT ' "'
{ FLOORURAIN�+'+k�f
MECHANICAL'FEES �� =',.
`
SWIM POOL, COMM
Regisir. Fee E
WATER SOFTENER
Address `�`.J City Zip
VENT SYSTEM
FAEVAP.-000L,' rHOOD !E
N(AUTO)(DISH)
. "
SIGN
'"
r WASHER
APPLIANCE
f` j*. ,,DRYER h j
q.
! _ t'
`*�,
GARBAGE DISPOSAL
FURNACE
UNIT I WALL FLOOR `{ : SUSPENDED'+} j,
f y
' LAUNDRY TRAY
AIR HANDLING UNIT c Sr 'F CFM'A
,.
IDLE METER
y:
KITCHEN SINK
Address
12544: #'t liAtND ::• .
ABSORPTION SYSTEM ! B T:U.'
¢
TEMP USE PERMIT SVC
WATER CLOSET, -
X.
COMPRESSOR HP - ?
r '"
POLE,TEMP/PERM ^
F
LAVATORY
^
HEATING SYSTEM,' FORCED )Y''„GRAVITY
N'`
'•.. AMPERES SERV ENT'. j
-` SHOWER
BOILER
-B.T.U. + l'
.
SQ. FT. @` ' C+ �'
BATHTUB'
`
SQ. FT. @ C' * ` i
WATER HEATER
} ,
Sewage System
1
S0. FT. RESID @I 1A c
Address..r, k .'•
\l
SEWAGE DISPOSAL
City - Zip
'
t _
S0. FT. GAR @ •'/ t
HOUSE SEWER
Q=P
.
GAS PIPING:
PERMIT FEE
”
PERMIT FEE y
PERMIT FEE '
DBL.
T TADS
MOB: H_M.FEE-
)'. MICRO, FEE
MECH. FEE "
PL. CK. FEE'
CONST. fEEw ELECT.
FEE
SMI FEE
- FEE PLUMB:
FEE
ej
„•)'" PERMIT NO.
Job AddressSpece
Zipfj
Owner .. :,a
•_ s 1'
3.� 4.5
3*4
53-125 Ave"" Aub"
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253
�it
a i
Community•' r A;*
LSE uitM4 • `'. 1E
Voluotio+"^
Date - Oist
Z�-23+
Off.
F.C.C.
&'
MH.Permit Fee E •_
Micro Film Fee
Cop E
i'.
-
-Use of Permit ' i 16
T .,ir
�, , � - �' t, ' (;A b
-
t
"Parcel
No. -
'• �, •, •
/ ! 4*042,ODO
Use/Case No.
-
I
Ck. By
,•1
lit.'-.• ,
Mech. Fee Dbl E
PI. Ck. Fee E _ .e.•
Set Backs
Lot Size
Construction Fee Dbl E -
Legal Description- a -
1 �' ��_ tis'• ¢ `p�
• _S
Lot tal
F 20 S - 5 S Z R 5
Electrical Fee Dbl E..rr
Zone Restrictions -
Gr(
f`[--%
' ...
a
'
SMI Fee
E
e
.
W Blk- li7 1q-
Plumbing Fee
Dbl E
Bond.Amt.
E
Plan o6 Syf7 j
�vI'�/ V•�
Plan Checker
.5 +',•
Final Dote
—may
Inipector v
I
Unit ;r
/ i'.
Sp. Insp. Fee rt E t:
Demol.Fee
E
Const. Lender ., .Branch
•.r `- ,.
••
SupplimentalPerm�tNumbei��j�f •�.
• T>��-'., - _ „� _
Regisir. Fee E
Mileage Fee E
Address `�`.J City Zip
Witness Fee
-
Reinsp. Fee
E
Owner/A h6-"� 12 ,/'7 n ,rr i•!"C"I'Y'
- �+ �-
W & BI-9mild
Tel.
929M8�771
Zip
Total Fees
$
Address
12544: #'t liAtND ::• .
1.
City Zi
Wert 92240;^,4`
M.O.
a
GCsh
Che
.� .r,,,:.,
-Hot-:Sprinp.f.tCA
Received by
r �T�✓--
Contractor
n y. t . 3 J. t r • .
V. Q1Ct*'•• r
Tel.
Licensed '
'•AM
Trees required
Sewage System
1
Address..r, k .'•
\l
City - Zip
t _
Q=P
.
!L R��`y.• ` THIS PERMIT SHAIC'BECOME VOID IF WORK IS NOT CO/Nfv1ENCEDINITHIN l20'DAYS. CESASAT)OhIOEN%ORK' verified by:,
'Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. +
1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
�HE LAWS OF RIVERSIDE COUNTY.AND THE STATE OF CALIFORNIA. L
' I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN " ',
-ACCORDANCE WITH SECTION 5541 OF THE BUSINESS ASND PROFESSIONS CODE OF THE STATE OF CALIFORNIA..
'Form 284-208 (Rev.8/78)
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & Frms
34
Plenums & Ducts
2A
Slob 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. C3
No
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
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
"
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 1 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
ELECTRICAL APPROVALS
PSL
P/
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
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT
Permit No
Job 925-16
284 199 9/74 CANARY—FILE, PINK—APPLICANT
�
iY 4 t1 �At
Owner ct t r
CUM
Ir`� 5
ofr
Address i -r C Add,�ss Adie
City City City_
49-8771 t
Phone Phora Phone
L O 290966
W
I (we) the undersigned, hereby certify and acknowledge that I (we)have read the application and agree that if Curb and Gutter, and
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. 1 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 bei occupied until I (we) have
complied with all laws of the County of Riverside and the State of California governing said property.[t
r� sk��1't►�lL
, x
DATE Tib 1979 SIGNATURE OF OWNER AND/OR AGENT
Approval by Signature from the Following Departments Listed Be`looww- °' 0 ' $ CIN
-Must Be Obtained Prior to the Issuing of a Construction Permit.
SPACE NO.
USE OF STRUCTURE
JOB ADDRESS 53125 Avenida- ftblo I
�
75,e �- GtEr'��" ��Cf' SINGLE FAMILY DUPLEX
as
LEGAL DESCRIPTION OF PROPERTY
E T
APARTMNS AGRIC.
5 M 177 nit 18 w � ❑ ❑
0 ,�
H '^
Ta Uinta COMMERCIAL INDUSTRIAL C�
>
�
COMMUNITY .
ALTERATIONS
%ig c .•
N0. OF SUBMITTED PLANS USE OF PERMIT •_f�`�'�-•—
Z
--_—_
CASE N0. +? CSI l�4 !
p Z
NO. OF PARKING SPACES REQUIRED NO. OF BUILDIN-GS,N✓O'W,EXISTING ----�—
r,� ✓�
ZONE �r� SETBACKS:
J m
FRONT SIDE _/ REAR
GRADING PERMIT REQUIRED? YES E) NO ❑ LOT•SIZ� r *Fy X fE; �}
!
i SETBACK ORDINANCE N __ OF FEET REQUIRED ON /STREET
f1
-DATE ,- � � SIGNATURE.OF LAND USE OFFICIAL ' - '' ` � ✓�o-�^�
"'NO.
f
DEDICATION REQUIRED: YES ❑ NO -. O' OF FEET___
W
CURB AND GUTTER REQUIRED: YES ❑ NO ❑J4F _STREET
d
CAN CURB 'AND GUTTER FEASIBLY BE INSTALLED? YES. ❑ NO ❑
HAS AN ACCEPTABLE APPLICATION I PEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWA> AA D STREET
IMPROVEM T? ES NO ❑
°L
Z "_ SIGNATURE OF ROAD DEPT. OFFt saa�
DATE
s
SwMo�RRG'PG>3Cs'4�Bt I c
/a Opt
SEWAGE DISPOSAL _
WW
F=3 ESIXEICISR T C &AMftji'
S G
l
WATER POLLUTION REMARKS
�n FLOOD CONTROL—
x AIR POLLUTION
_ DIV OF HWY
c a — YOUR PROPERTY MAY BE SUBJECT TO
W 1 FLOOD. RIVERSIDE COUNTY ASSUMES
o
+" NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199 9/74 CANARY—FILE, PINK—APPLICANT
IF
M APPLICATION FOR TREE PLANTING Job .925-26
•any I`(we),the undersigned;'Rereby,certify.and acknowledge that l (we)}hcve read the' -application and agree that if trees•are required under River-
a side County'Ordinance No. 457, theaPplicant agrees to install said trees 'prior.to final inspection. lti`s understood thai,no final inspaction-
t!
ction -
t! will �be given"',until said requirements hove been met or exception has been granted by'the County. Now, therefore, it is. agreed that the prop-
L-11 _. h
erty,, nor's a cause t e property lines to be,surveyed in the event no survey stakes can be found. Further; it is agreed that the County of
,River gide,shall'assume no responsibility should trees have to be"removed due to lot iine,,,,errors.
t.
4'4. r . ' v4W, & H BUILDERS. „' h " "•
Owners Name ' Building Per No.
Mailmg'A'ddress 12540, Palm Dr. ,.P O''Box 818 Desert,qt -SP-rings,state' Ca E zip' 9224n
Job�Address `5312.5 `Avenida�:RubiO }. ;,. "'rCommu�,ty 4;a ;�u-1Tlta
Liyal. Description:"«Lot. t6. .BlkV177• ; -Unit='18h 'r -Santa -'Ca"rmelitaTat-'Va e'
Assessors Map, Book & Page Type Structure' ing
elT
W Type of so,i f wand �':Is water available yeS Road Dept: Plot Plan No ) "
z, r --r
0 Type of,existing,trees in road right—of—way '
Palo Verde.'. Brazi 'an `P
Trees preferred.by applicant (1) '" 011ve . (y) (3)
W`�& jfY BUILDEFLS
Date 9 Fah 1929 Owner s"Signature
Planning Commission Case -No ?` PE Y 'C" BERTSON .
ROAD' DERARTMENT<APPROVAL. i
Approved species ,N: Washingtoniaarobugta ;(Mexican fan -palm) , �'' Number of trees..
as Spacing.of; treeg -�r."' ,D_istariceyfrom-lot lines`:. F.ront'_ n` .Side
o Additional requirements Per plot plan:on.reverse.:..
Datie Building :and -Safety notified. 5/79 Signature
• z W
� W
Kt_ .
a
z w
. D
et . z
Z D
j' J 0
CL tY
REQUEST -FOR EXCEPTION . a
u
Reason
(attach additional page if necessary)
Request for hearing: YES ❑
Owner's Signature
(Forward application to Planning Dept. if exception requested) ,
T .. NO REQUEST. FOR HEARING
Planning Dept.
Concur ❑ Non -concur ,01 Explanation{' nY "'t
Date Signature
Rood Dept.
Concur F1
Date .
Non=Concur,
C3
Signature
r, "REQUEST FOWHE'ARING, AND COMMITTEE DECISION
za "Date hearing established, r _LtDate hearing notice mailed'to owner-
Jp Approved Disapproved 0 - :Date. -Owner notifi�d of,decision _
tl Date Building & Safety.notified t' Signature '
14.
vp