360040 (SFD)BUILDING PERMIT I
PERMIT NO. DEPARTMENT DEPARTMENT OF BUILDING & SAFETY.j
3 6,*O'O
'COUNTY. OF RIVERSIDE
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FIELD DST
CONSTRUCTION ESTIMATE
NO.,
ELECTRICAL'FEES
NO. PLUMBING FEE
IST FL.
SQ. FT.. @ $
Y,cj .40 41 --:t
2zq',zz,1 ?--1 4-1
UNITS
-,
2ND.,FL.
SO. FT. @
I /,..
a
4
YARD SPKLR SYSTEM
F.
id.'Ff."d 2 L5.
Micro Film Fee Cop $ - -
7
MOBI,!L , �-.Au--
BAR SINK
"4
•EHQM�.�VC.,,,,
,PO I aL.
-z
SQ. FT. @
POWER OUTLET Al
ROOF DRAINS
I
GAR .- ::�4,
SQ. FT. @
F 'I S IR
Electrical Fee $ 1.
DRAINAGE PIPING
Zone Re7l'rictions Group
CAR P.
SQ. FT.
DRINKING FOUNTAIN
Plumbing Fee DbI $
WALU-
SQ. FT. @
Plan Checker
Final Dote
URINAL
Unit
Sp. Insp. Fee •'4-'
ESTIMATED CONSTRUCTION
VALLIAT-161N'WATER
Supp Ai Permit Number,
PIPING
,, ,NQjk:jNcjjpt�be useq'PS-property ,tax vql,60f,1o9
Mileage Fee 1$ 1
SWIM POOL; PVT-*- v
FLOOR DRAIN
Reirisp. Fee ir $
MECHANICAL FEES
Tel. -A Zip
SWIM POOL, COMM
WATER SOFTENER
/4-7,
Y!!T SYSTEM, FAN EVAP. COOL - �HOOD
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SIGN
WASHER (AUTO)(DISH)
APPLIANCE 0z DRYER
M.O. C] NZ. C] Cash C3 Check
GARBAGE DISPOSAL
IFURNACE UNIT WALL FLOOR SUSPENDED
Co n i r`oc to r
LAUNDRY TRAY
Trees required
AIR HANDLING UNIT CFM'
tIl
IDLE METER'*
KITCHEN SINK
Address •City
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR r HP
THIS PERMIT SHALL, BECOME'VOIB'IF WORK, IS NOT COMMENtEO 'WITHIN 120 DAYS. CESSATION OF WORK by:
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.,
POLEJEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY •AMPERES
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SERV ENT t
SHOWER
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BOILER B.T.U.
SQ. FT. @ C
BATH TUB
SQ. FT. @ t;
WATER,HEATER
I SQ7FT. RESID @) 4C
-SEWAGE DISPOSAL
SQ- FT. GAR @
HOUSE SEWER
GAS PIPING"
PERMIT FEE'
PERMIT FEE
PERMIT FEE
DBL.,
.TOTAL".!
FEES
MOB. -EE
•MICRO
, A I
W PL. CK. FEE,
CONST. FEE
, . . -
SMI FEE
FEE
RLU moo.
.
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• PERMIT NO.'
Job Address 4 Space
Zip Owner
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lef'-'s"'A
3 60.0.4
Y,cj .40 41 --:t
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K11" P--.' (113*�% A 'e%
-,
Community
1
4
on -
$ .
I /,..
I - //
Off.
F.
MH.Permit Fee $ 14
Micro Film Fee Cop $ - -
Use of Permit
Parcel No..
Ck. By
Mech. Fee DbI $
Lot Size
Pl. Ck. Fee $
1.11
Dbl $
Construction Fee mw�
tion
Legal Description
F 'I S IR
Electrical Fee $ 1.
%
Zone Re7l'rictions Group
Type
SMI Fee $
Plumbing Fee DbI $
B.;d A b mt.
$
Plan Checker
Final Dote
Inspec r
Unit
Sp. Insp. Fee •'4-'
•%j
Demol. Fee, 1$
Const. ILender Bro'nch I
Supp Ai Permit Number,
Registr. Fee
Mileage Fee 1$ 1
Address % City Zip
Witness Fee $
Reirisp. Fee ir $
Owner/Agent i
Tel. -A Zip
/4-7,
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Address ••Zip
M.O. C] NZ. C] Cash C3 Check
Received by
Co n i r`oc to r
License#
Trees required
tIl
Sewage System
Address •City
Zip
THIS PERMIT SHALL, BECOME'VOIB'IF WORK, IS NOT COMMENtEO 'WITHIN 120 DAYS. CESSATION OF WORK by:
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.,
U.
Sewer Disfr� ,7
I HEREBY AGREE THAT ALL W944UIZR-THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
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THE LAWS OF RIVERSIDE COUNTY AD T*=AhOF CALIFQRNIA.-
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i C)&L -T -1 U —1ACCORDANCE WITH SECTION 5$41 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
For. 284-208 (Rev.8/"4
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NO.
OPERATION
DATE
INSPECTOR
NO. OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
j — N-7tj
33 Ventilation System t
2
Ftgs 8 Frms
_ �7� %�%
34 Plenums & Ducts
2A
Slab Grade—
�7_,jy�
35 Furnace Comport.
3
4
5
Steel
Grout Blocks
Bond Beams
36 Inlets 8 Outlets n
37 Combustion Air
38 Compressor a u7
6
7
Roof Deck
Framing
/� —Z�—�
`v
39 Appl. Clearance���
40 Fire Damper
8
Vents
M Smoke Detection Device 1Q 7"�(.'
i - P-2;�
9
Garage Fire Wall
�() _
42 Commercial Hood
10
Fireplace
P. L. E]
43 Final
10A
Fireplace
T.O. E]
No ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath 79
—
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Batts)
G
12C Ceiling (Blown) 10 U
14 Final b_ 61
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb le -Al -79
18 VentsQ �e,
19 Sewage Disposal et
20 Sewer
21 Water Heater
L
22 Water Softener
23 Water Service d
24 Gas Test �v ��
25
Final
��_-'�
/Doo 6xJo '
Tank Pit L.Line
�Pww REAR OF PROPERTY LINE
3p
t
PSL P/
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring aZ.�_7 9 Q�
29A Grounding Wire
29B Bonding D�
30 Fixtures fJ— ��
31 Servlte
32 Final 10:5-79t
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I STREET NAME
NOTICE:' THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT
Permit No
s .
284 199 9/74 CANARY—FILE, PINK—APPLICANT
COye_ GOnS , CO' xhL •
Owner Architect Contractor
Addres- PO 809,�8 Address_ Address_
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City <J t ✓1 I City City_
Phone 54, 4 - 430C) Phone Phone
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I (we) the undersigned, hereby certify and acknowledge that 1 (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 of theof Riverside and the State of California governing said property.
-C�ounty
DATE Z' /3 �—y1 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.
SPACE NO.
780 %dc(m t• fPz I 1 USE OF STRUCTURE
JOB ADDRESS 1 — SINGLE FAMILY � DUPLEX
1_OJ Z 1311-,-58 0.n 1'+
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LEGAL DESC IPTION OF PROPERTY •5 _ �-I
APARTMENTS lJ AGRIC. El
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Cy Jr K COMMERCIAL [:]INDUSTRIAL ❑
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COMMUNITY
[^� ALTERATIONS n
W E I C in tf W e r1
NO. OF SUBMITTED PLANS _ USE O PERMIT f/
CASE NO.
4
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NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING --
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ZONE �� tETBACKS: FRONT Zp SIDE -� REAR
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GRADING PERMIT REQUIRED? YES E:) N0 LOT SIZE -5O M IOC3
SETBACK ORDINANCE N _— OF FEET REQUIRED ON STREET
DATE SIGNATURE OF LAND USE OFFICIAL ---
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET__
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CURB AND GUTTER REQUIRED: YES ❑ NO [�/ ic< c. �- t�i�Z STREET
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•— _
y CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
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HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STR ET
IMPROVEMENT? YES C vO ❑ 19 y6
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DATE__;9_Cj(z_2A 7, 4T -7y SIGNATURE OF ROAD DEPT. OFFICIAL_Z—�/
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SWIMMING POOLS PUBLIC
SEWAGE DISPOSAL 3 htrAce - t1u/�� �r1 %bu0 fY b � !
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- FOOD ESTABLISHMENT %9 F �a- /y- S- -. -Z
WATER POLLUTION 1 # REMARKS
Pn FLOOD CONTROL—
x ,AIR POLLUTION
_ DIV OF HWY
c _ YOUR PROPERTY MAY BE SUBJECT TO
s
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 �cknowledge that I (we) have read the application and agree that if trees ore required under River-
side County Ordinance No. 457�thesagp' i cant agrees to install said trees prior to final inspection. It is understood that no final in t,
tg. prion
will be given until said require ent aye been met or exception has been granted by the County. Now, therefore, it is agreed hot s ec 0
or owner shall cause the property lines to be surveyed in the event no survey stokes can be found. Further, it is agreed that the County P.f
R rside shall assume no responsibility should trees have to be removed due to lot line errors.
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Owner's Name e- c. V'sk , Co. VNC- —Buildin'g Permit No.360 7(1 -
Mailing Address P (n 13 0 K City L -C- �LUI '%+C' State C Ok Zip 9ZZ -5-3
Job Address S1_ 780 R C'� V-\' Community kc,
Legal Description /_c,� 2- '310c -k S8 QK i + -5
Assessoros Map, Book & Page -7-7--5 -RoS -&4 Type Structure L,3z &-c"
Type of Soil -5C-4*Xdy Is water avoilabl Road Dept. Plot Plan No.
7—
Type of existing trees in road right -of -w
Trees preferred by applicant (1) 611 k Ocx- k (2) ZlaiCltl 1110,0red (3) 0 1 I'L)
D ate 2-- 1:3 - lq-7q Owner's Signature
V
Planning Commission Cas`e No.
ROAD DEPARTMENT APPROVAL
Approved species Washingtonia robusta (Mexican fan palin) - Number of trees 1
Spacing of trees Distance from lot lines: Front 2' in R/W Side
Additional requirements Per plot plan on reverse..
Date Building and Safety notified 5/79 -Signature
REQUEST FOR EXCEPTION
Reason
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Request for hearing: YES F-1
Owner's Si nature
(attach additional page if necessary)
(Forward application to Planning Dept. if exception requested)
NO REQUEST FOR HEARING
Planning Dept.
Concur M Non-conc*`
ur,NF-1 Explanation
Date Signature
Road Dept.
Concur Fj Non-Conc,ur
Date Signature
REQUEST FOR HEARING AND COMMITTEE DECISION
Date hearing established Da'te hearing notice mailed to owner
Approved Disapproved F-1 Date Owner notified of decision
Date Building & Safety notified Signature
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