354217 (SFD)-,FIELD'-'
I FDITJ
COUNTY.Of RIVERSIDE
PERMIT NO. DEPARTMENT OF BUILDING SAFETY
054,217 -- - i
CONSTRUCTION ESTIAAATE,_,j
__NO., ELECTRICAL -FEES
NO� PLUMB I NGFEES
I ST FL.
z3v'�, SO. FT. o/51
I
UNITS
2ND. FL.
so FT,.
YARD, SPKLR SYSTEM
POR.
SQ. F�.
MOBILEHOME SVC.
BAR SINK
�AR.
SQ. -FT.
0
POWER OUTLET
ROOF DRAINS
C�R P.�
SQ. FT. @
F.C. . C.
DRAINAGE PIPING
WALL
SQ. FT. @
Cods
DRINKING FOUNTAIN
1-73,222..;G
Porce(No.
a
U,e/coieTjo.
CL-Bry-
Mech. Fee Dbli $ v
Ck. Fee $
ILI
SO. FT. @
Lot Size
X 100
URINAL
ESTliAATED CONSTRUCTION VALUATION'
A
y 4
F
20
WATER PIPING
NOTE: Not t6 be used as property tax V-0 I ua I i a n
J,
Electrical Fee A)bI $
SWIM POOL, PV�
FLOOR DRAIN
MECHANICAL FEES
Plumbing Fee
SWIM.POOL,.COMM
WATER SOFTENER
V�TSYSTEM�
FAN EVArtObi:�-�'/ 4'40ob
GIN I
SHER (AUT(VtDISH)
6PPLIANCE
jh�"/ - DRYER'
Sp. Insp. Fee $
Demol. Fee
GARBAGE DISPOSAL
FURNACE
UNIT -*WALL' OLOORL%_ -SUSPENDED'!
Branch
plimentol Permit -Numbers
Sup 4 W, -
I
LAUNDRY,TRAY. 4
AIR HANDLING UNIT CFM
Mileage Fee
IDLE' METER
KITCHEN SINK,
ABSORPTION SYSTEM B. T.
$
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR 3—)- HP
POLE, EMP/PERM
LAVATORY
HEATING SYSTEM FORCED "GRAVITY
JAMPERES SERV ENT
SHOWER
BOILER
B. T'U.
To,., F.77
SQ. FT: @
BATH TUB
—Czy—
zip
SO. FT. @ c
WATER HEATER
------------
Cont.ractor
Salre
SO. FT. RESID @-I-A c
SEWAGE DISPOSAL
License#
Treql�requirecl
SQ.'FT GAR @ 7
HOUSE SEWER
'ss
Add,e
city' Z ip
GAS PIPING 4,
PEkM IT FEE
00
4
4
IPERMIT FEE I- 'PERMIT FEE
DBL/
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH.: FEE
PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE FEE
AM
PERMIT NO.
P
THIS PERMli SHALL'BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK �erifiecl by:
Job - Address
I
w n e r
3 4 2
1::7]
In,
4.,-w4,&._I,HEREBY AGREF—THAT, ALI � IN, CT�ION.ITH THIS MWT'�VILL BE'DONE IN ACCORDANCENWTH;4�K��
rem Ida mnlre
THE LAWS,OF RIVERSIDE COUN AND T E STATE OF CALIFORNIA.
TY ND T E S7
�Z
;Pp,,�O
20
& Ir
' Z' �fDl�&AL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
1 HEREBY CERTIFY THAT THE I
Comm�nity
La Qui ta
Valuation
Foirn 284-208 (Re�.8h8)
1 - �, -
Dote Dist. Off.
F.C. . C.
MkPermit Fee
(
micro Film Fee
Cods
Use of Permit
offelling &-'Att
1-73,222..;G
Porce(No.
a
U,e/coieTjo.
CL-Bry-
Mech. Fee Dbli $ v
Ck. Fee $
ILI
Set Backs
Lot Size
X 100
Construction Fee D It]' $ i9
Legal Description—
11
Lot 1 _q 7
lack
0
F
20
S
5
R
J,
Electrical Fee A)bI $
Zone Restrictio n,
RA
-
Gr up Type
le `_3
SMI Fee
Plumbing Fee
DbI $
J, 7
Bond Amt. If
$
Plan No.
Plan 6eckeI
F, no I _D&
tUnil
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender 4 �I%l
Branch
plimentol Permit -Numbers
Sup 4 W, -
I
Registr. Fee it, , $
Mileage Fee
Address ,,city zip
Witness Fee
$
Reinsp. Fee
$
10�n j gent
Tel.
Jk-
4
Zip
7�
To,., F.77
s __) 77
Address
73-061 81, Radao
—Czy—
zip
KO. E] N.C. n C.shn Che
Recdi/jd by
Cont.ractor
Salre
Tel.
License#
Treql�requirecl
age System
'ss
Add,e
city' Z ip
4
T LL
P
THIS PERMli SHALL'BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK �erifiecl by:
Sewer District
FOR 120 DAYS SHALL ALSO To
0 WOME.VOID.
. _. . . I — AP
�RNE
In,
4.,-w4,&._I,HEREBY AGREF—THAT, ALI � IN, CT�ION.ITH THIS MWT'�VILL BE'DONE IN ACCORDANCENWTH;4�K��
THE LAWS,OF RIVERSIDE COUN AND T E STATE OF CALIFORNIA.
TY ND T E S7
:3�, 0
' Z' �fDl�&AL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
1 HEREBY CERTIFY THAT THE I
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Foirn 284-208 (Re�.8h8)
NO.
OPERATION DATE
IN7PECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
I
2
Set Back
Figs & Frms
33 Ventilation System
34 Plenums & Ducts
2A
Slab Grade
35 Furnace Comport.
3
Steel
36 InIdts & Outlets
4
Grout Blocks
37 Combustion Air
5
Bond Beams
38 Compressor
6
Roof Deck
—TH (20 0 G4V Q6
39
Appl. Clearande
7
Framing
—5KV
40 Fire Damper
8
Vents
41
�moke Defection Device
9
Garage Fire Wall
42 Commerci I Hood
10
Fireplace
P. L.
43 Final
10A
Fireplace
T.O. E]
OFYIN ADDITIONAL INFORMATION
NO.
SEWAGE SYSTEM SIZE & LOCATION
II Exterior Loth
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION
Thick
"R!'
Volue
7A Wolls (Botts)
4
12B Ceiling (Botts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
Y 7
18 Vents
19 Sewage Disposal 7-4-??
20 Sewer
21 Water Heater
-22 Water Softener
23 Water Service
24 Gas Test
25
Final
Tank Z49 0 0 Pit L.Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
298 Bonding
30 Fixtures
31 Service
32 Final
STREET NAME IR 12 gNn ^-7
NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY Permit No
COUNTY OF RIVERSIDE
284 199 9/74 CANARY—FILE, PINK—AP
P
Owner Architect Contractor
Address— N Address_�N Address --
City ij� 1, 1 . I , I � j -
City City
-
Phone 'Phoi Phone
01
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 Bui Iding and Safety
31:
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
0
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.
DATE SIGNATURE OF OWNER AND/OR AGENT
Approyal by Signature from the Following Departments Listed Below
M.uit Be Obtained Prior to the Issuing �f a Construction Permit.
SPACE NO.
9225.3, A USE'OF STRUCTURE
JOB ADDRESS -
;�_ SINGLE FAMILY S DUPLEX
Z t-
LEGAL DESCRIPTION, OF, PROPERTY- 'r" APARTMENTS E] AGRIC.
0 L6
4
COMMERCIAL INDUSTRIAL Ej
COMMUNITY ALTERATIONS Cj'
NO.,OF SUBMITTED PLANS USE OF PERMIT
z
ul .4
dwelLiAg and att* g
- N 0.
%n
-CASE .
z
NO. OF PARKING SPACES REQUIRED NO. -OF BUILDINGS NOW EXISTING
z a
<
I
Z ON E so; ETBAC'KS: FRONT REAR
—SIDE
GRADING PERMIT REQUIRED? YES NO F-1 �:;I OT SIZE
SETBACK ORDINAN.CY# OF FEET REQUIRED ON 'STREET
DATE SIGNATURE OF.LAND USE OFFICIAL
1 -.1 �7je'_— 64-ir
DEDICATION REQUIRED: $ YES 0 NO NO. OF FEET_
z
CURB AND GUTTER REQUIRED: YES NO STREET
CAN CURB AND GUTTER41FEASIBLY BE INSTALLED? iYES 0 NO 0
HAS AN ACCEPTABLE APPLICATION BEEN. MADE FOR ENCROACHMENT PERMIT FOR STREET
0
IMPROVEMENT? YES 0 NO 0
'i /t-' -; " AD OFFICIA1
DATE I1G11AtUW&3. Df1f.
x
SWIMMING POOLS PUBLIC
'"ITWAGE
.j
61—SPOSAL.
FOOD ESTABLISHM
101/
WATER POLLUTION REMARK,
FLOOD CONTROL—
lit
z AIR POLLUTION
DIV OF HWY
PROPERTY MAY BE SUBJECT Tb.
0 YOUR
FLOOD. RIVERSIDE COUNTY ASSUMES
NO.RESPONSIBILITY IN EVENT OF FLOOD.
284 199 9/74 CANARY—FILE, PINK—AP
P
7�
K
41
APPLICAT109 FOWTREE PLANTING
ljwe), the undersigned, hlereby'cortify an d acknov;Iedgi that Wwi) h`ave r4ad 1h.'�'ppIico;i`ona`n`d agree. trees are requir;�d uno?er-River-
ins t
side'County Ordinance No. 457, the igpliccnt agrees,to install said trees prior to fin a I i F,,ct,,n. It is'understo6d-th6t no final ins ec ion
,1 will. be]giveA'unti I -said requi - rements ave been met or exception,has been granted by the� ounty; Now, therefore,it is agreed that tge prop-,
erty owner shall cause.the property lines -to be surveyed in the event,no survey stakes can be,found. F6rther, it is agreed that:the County of
Rivers lde!sholl assuime no responsibility shou Id �trees -have ito be removed due to lot,line errors.
w M ��r Bu i I d i n'g P6 it N
'-0 'ner's Nome`�; 1. 0.26,
'city Dwt. State L?22 Lo
Mailing Address 3 -tYGA Zip
Co muni'ty- L'Igia UfWT'q'
'Job Address (V
Z
Legal De;criptionl� n -r JA k-2 7 U�'
Assessor's Map, Book P 00 T,
ge i pe StrL c re _4
iu
Type of Soil ater availabI6 RZad!Dept.'Plot Plan No.,
f_W�y
Type of existing trees in road right -o
Trees preferred �by applicall, (4 �O (3)
D Own-er s Signature
0.
Planning Commission Case N
ROAD DEPARTMENT-APPRovAL
'kasl�ingtonia mbusta'(Mexican.fan,,pal
Approved,'species M) Number of trees
�paci'ng Sf. tree's' Dist4nce-from lot lines:','Front in UW_�Ide
Additiona . 1'. "'Per --plot -plan- on, rever . se.
requirements. I
Date.Building,and Safety notified 3 T 7._9 Signature','��__
REQUEST.FOR EXCEPTION
page if necessary)
.(ottach..additional
Request for,hea;lhg:, YES El
Ow;er's Signature,
'(F6rward ap�licotion to Phinning-Dept.jf �xception requestid)o 1,
;4
f NO REQUEST FOR HEARING:' 141
P�Ianninq Dept --
Concur M Non -concur n Explanation
sig�nature"
Road Dept.
Concur n Non -Concur 0 _V1
S. _A0
Date i9nature 1
REQUESi.FOk'HEARING AND COMM'IT"i'EE DECISIOW
Date hearing establishe d ".Date' heari ng`no-t1i c e* ma i led to owner
Approved Disapproved%n. Date Owner,notified of decision
Date Building & Safety notified Signature.'
APPR6VAL BY BUILDING INSPECTOR"
Final Date Inspector Building Permit No.,
Job Address Community
Requirements Wtree plantiwg,complied�with
Remarks
(Detach an'd forward above'information to Road Department'Riveriide)
j
284-230, REV. 1/74s
3
FIE
z
on
5
W
A
i
ft
DST
PERMIT NO. -bEPARTMENT OF BUILDING &,SAFETY" _'_.'�-_JIELD,0FF1C1E
3 .54217 1 COUNTY OF, RIVER . SIDE
PERMIT NO.
3542
CONSTRUCTION,
ESTIMATE.,
ELECTRICA .."FEES,
N07 --PLUMB I NG�', FEES
Owner
IS & J ka R nt
I ST FL.
2ND. FL.
POR.
GAR.
v
SQ. F T. Ca/=— I
UNITS
Micro Film Fee
cop $
SQ. R! YARD S�KLR SYSTEM,
'77_1Io22V(W
SO. FT MOBILEHOME SVC. BAR SINK
Use/Cose No.
I IRS
POWER OUTLET ROOF DRAINS
SQ. Ff.
Mech. Fee DbI $ Q/
CAR P.
WALL
-Set Backs
SQ. Ff. @
Construction Fee D�l $ 40?/', �Ie V
Le�qol Descrip�tion
Lot. 15.ir.'Block 77A, t 1b,
DRAINAGE PIPItIG
F
20 IS 5 ltl�
-4
SO. FT. @ DRINKING FOUNTAIN
Zone Restrictions
A�
Group �ype
/? 73
SMI Fee 1$ 17
SQ. FT. @
Dbl Is
-.370b
URINAL
F"p
ESTIMATED CONSTRUCTION VALUATION 1$ 7
Sp. Insp. Fee $
Demol. Fee
101� WATER PIPING
Co�sit:' Le�`ncfe,* Br�nch�
NOTE: Not'to be used as property tax v9luotion
r
SWIM POOL, PVT
FLOOR DRAIN
Address City
�4
Zip
Witness Fee
MECHANicAL-FEES
$
SWIM POOL, COMM
WATER SOFTENER
Tel. Zip
VENT SYSTEM
FAN EVAP16CZI��*f . 'r,11A6&6`-
172Plb"
SIGN
\4WSA JAAUTT4�(�16H'
da, ItTl
fit
tin
APPLIANCE
PRYtR
ReceNed by
GARBAGE DISPOSAL -
Contractor
FURNACE
UNIT WALL FLOOR.', SUSPENDED
Trees required
Sewage System
LAUNDRY TRAY
Addr16.
Al� HANDLING UNIT
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B. T. U.
TEMP USE PERMIT SVC
WATER CLOSET
'COMPRESSOR HP
POL,E,TEMP/PEk.M
LAVATORY
IV
P��;
HEATING SYSTEM. FORCED GRAVITY,
,:;L"�
AMPERES -SERV ENT
SHOWER
BOILER
B. T. U.
SQ. h. @ BATH TUB
�W
SQ. FT. @ c
WATER HEATER
=;lt
kv
SQ. F T. R �S I D @ I 1A C
SEWAGE DISPOSAL
SQ4 FT. GAR @ M, C -1� .3
HOUSE SEWER
GAS PIPING
PERMIT FEE
'PERM11 FEE 'PERMIttti
E
DBL.
TOTAL FEE
MOB.HM.FEE
MICRO FEE
MECH. FEE
PL. CK. FEE
CONST. FEE ELECT' FEE
SMI FEE
FEE
PLUMB.,jFEE;`,::
:3:7
PERMIT NO.
3542
Job Address
Space
92253
Zip
Owner
IS & J ka R nt
Community I -
La Quiate
hjo�ion Dote Dist. Off.
7j .3 pq, 1�__ 1 2/8/79 1
FC
061
MH.Permit Fee
Micro Film Fee
cop $
Use of Permit
'77_1Io22V(W
Parcel No.
-
Use/Cose No.
I IRS
Ck. By,,:
Mech. Fee DbI $ Q/
Pl. Ck. Fee $
-Set Backs
Lot Siz�
.50 'm 100
Construction Fee D�l $ 40?/', �Ie V
Le�qol Descrip�tion
Lot. 15.ir.'Block 77A, t 1b,
1R*1
F
20 IS 5 ltl�
-4
Electrical Fee DbI Is 02,9FZ17
Zone Restrictions
A�
Group �ype
/? 73
SMI Fee 1$ 17
Plumbing Fee
Dbl Is
-.370b
Bond �mt. Pion No., Plan Checker
$
F"p
U.
nit
Sp. Insp. Fee $
Demol. Fee
$
Co�sit:' Le�`ncfe,* Br�nch�
SUi�lim'e(nt'o['P6,Miri4ut.bets- -.q
Regist, Fee $
Mileage Fee $
Address City
�4
Zip
Witness Fee
Reinsp. Fee
$
16 -VA e
k" jag rki
Tel. Zip
Total Fees
Address, .
73-�661 01 Pow
da, ItTl
fit
tin
Zip
0081�ixit
M.0-0 N.C.(]'Cc;shL]/heAj.
ReceNed by
Contractor
License#
Trees required
Sewage System
Addr16.
CitV I �f Zq)
T LL P . .
THIS PERMIT SHALL'BECOME V �erified by:
�QID IF WORK IS NOT CbMMENCEditliHIN 120 DAYS. CESSATION OF WORK
Sewer District FOR 120 DAYS SHALL ALS OID.
T �tI
0 WORIK!IINN %NECTION WITA TI41SW MIT41aEirbONE MAccoRbANCE
-.1 HEREBY AGREE-FHAT'AlLt,
D ES!
THE LAWS OF RIVERSIDE COUNTY AND E STATE OF CALIFORNIN..,'
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREMIRED THEIPLAM AND�'SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Re�.6/7 ACCORDANCE WITH SECTION 554_1OF THE BUSINESS AND PRQFESSIONS CODE OF THE STATE OF CALIFORNIA.