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360187, 360188, 374626 (SFD)BUILDING PERMIT' PERMIT NO.' 5 DEPARTMENT'`OF BUILDING ,B SAFETY. ` FIELD FDS]T -3 6 0;18 7 COUNTY OF RIVERSIDE _� '. t s 'ti- tib..: 'i+ ` CONSTRUCTION 'ESTIMATE ..�r_s:,...:....v...:.- I NO. ELECTRICAL"FEES NO. PLUMBING FEES FsdIST FL $ 'v UNITSSQ - 2ND. FL SQFT. @ _ YARD SPKLR SYSTEM 7 k% MOBILEHOME SVCy' BAR SINKtPOR. +GAR SQ.FT: @ ' Community POWER'OUTLET ROOF DRAINS S Dat. Y 4 1. DRAINAGE PIPING CARP, SQ.,FT. @ - .. .. - .. MH:Permif Fee 8 a. SSP j% •, r;!f �SW k :.v : a s �, .n y oEga's• nrret3r' DRINKING FOUNTAIN 4LL SQ. FT Ck. By Mecb. Fee ~ Dbl $ PI. Ck. Fee $ i • - ' '• Construction Fee Dbl $ legal Description ` .ry•^�ld. # - �•. .L'P URINAL SQ. FT. @ Electrical Fee Dbl $ Zone Restriclions Group Type rn ESTIMATED CONSTRUCTION VALUATION y P SMI Fee WATER PIPING ;NOTE: Not to:be used.as property tax valuation SWIM POOL; PVT, FLOOR DRAIN MECHANICAL FEES';'' t SWIM POOL, COMM' '` °~ WATER SOFTENER VENT SrStEM �.3yFAN ' ; EVAP.` COOL '.HOOD Final Dotes / �� ? /•l * •t . ? r r SIGN'." WASHER (AUTO)(DISH) APPLIANCE, Demol' Fee 'y GARBAGE DISPOSAL FURNACE UNIT MALL", FLOOR SUSPENDED Supplim, entalperAt Numbers "^.+,. •'�' �'•t 4.3'. 4a LAUNDRY TRAY AIR'HANDLING UNIT ' s< : - CFM r,,' IDLE' -METER , KITCHEN SINK ABSORPTION SYSTEM ! B.T.U.4': ,t ;1_', TEMP USE PERMIT SVC.?,_ . ' WATER CLOSET COMPRESSOR' - _ HP Witness T POLE, TEMP/PERM ^j �! LAVATORY HEATING SYSTEM( FORCED GRAVITY AMPERES SERV ENT f'' SHOWER BOILER' B.T,U. Owner/Agent-'{>l t SQ. FT.'@ C BATH TUB �5i!Tt';.a. ,:.c- a,• :.04 ; WATER HEATER .-i::a',i:':;--,iewrkr.�r,A, tl!..a.ry...rw,,,i.,,, :+►w''"'+SQ.'fTr*'@d'W` Total Fees "'_. $ r' S0. FT. RESID @lthc SEWAGE DISPOSAL Cay`; SQ. FT. GAR @ 'r. c HOUSE SEWER Cash Chesk 'a • !�!!"� GAS PIPING PERMIT FEE F - PERMIT FEE PERMIT FEE DBL. TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE _ + �' CitY... Zip ' PERMIT -Nd. ..�r_s:,...:....v...:.- -..Job Address .!v S oce Owner _ 3601 7 A .• W : T4✓ •�. Community r,rt•'� '•.4+h �. v,i y -•.,t: er ..,�,.,k *N,Y a• - t Valuation $ a.__ Dat. i5f. Off. F.C.C. - .. .. - .. MH:Permif Fee 8 Micro Film Fee _ Cop $ Use of Permit - - " ' ` 7a •� Parcel No. _ Use/Case N. '�� Ck. By Mecb. Fee ~ Dbl $ PI. Ck. Fee $ Lot Size �'-� j '" b. • - ' '• Construction Fee Dbl $ legal Description ` .ry•^�ld. y- ` .'-, F t e �n,ZA ;4�. .!� ..•' z, d ter. y G 4, 4 - S S ♦+ R Electrical Fee Dbl $ Zone Restriclions Group Type rn SMI Fee Plumbing, Fee: Dbl $ . r Bond Amt. E.: .: Pian No. ' �"'.; ' Pla C c Final Dotes / �� ? /•l Inspector " Unit .f G Sp. Insp. Fee _ $ Demol' Fee Const:`Lender �. - . •Branch Supplim, entalperAt Numbers "^.+,. •'�' �'•t 4.3'. 4a Registr:Fee r g t . 7 l ,t ..i•uw h+• ,Mileage Fee- _ •� $,: •. Address •'City Zip' •. ., 1Fee Witness T Reinsp. Fee, '• $ •• - Owner/Agent-'{>l ?�f% �/, r Tel. :''' ' Zip Total Fees "'_. $ r' Address , r . -r Cay`; Zip ' s+ N:C. Cash Chesk 'a • !�!!"� YF `#' t s , - • ContractorRe .;a._•£ •y i� ..., * � M Ts.�:, . � d.7i . a• ..a .�,s. { Tel 'i, 4�r`� t J LicenseYe '� Trees'.iequired`"�'+i� 1�,.,,•t..;,.;s +r ,•.'., •... Sewa a System g. y .. Address _ + �' CitY... Zip ,LL • S. _ P i THIS PERMIT SHALL BECOME VOID IF WORK IS-NOT"COMMENCED'WITHIN 120 DAYS. CESSATION OF WORK verified by: Sewer District /• ," e, FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY'AGREE THAT ALL WORKAN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY.AND THE STATE OF CALIFORNIA". r I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS'AND SPECIFICATIONS HAS DONE SO IN �+ ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. Form 284-208 (Rev.8)78) 1f NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs & 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 IDA Fireplace T. 0. FYN 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 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 I STREET NAME {BUILDING PERMIT k I ' PERMITNO. ;+ {• •- �`'�''• DEPARTMENT�OFBUILDING;&'SAFETY. FIELD DST ++ 3 6,018 18' ;' * :COUNTYOF RIVERSIDE , �..:p • CONSTRUCTION ESTIMATE ;.', +. - -NO. kl':,.k ELECTRICAL FEES NO. PLUMBING FEES ,41STFL'. i` . • ne2N�D�FI';_ POR.w t r4 ` t GAR. t CAR P. y ! WALL a s« .S v'., 'SQ SQ. FTS'@. 4f $ i h �v UNITS T" a _ SQ. FLR 'Y• . L - ` '@ - '• ' YARD SPKLR SYSTEM MOBILEHOME SVC n' '=;i SQ. FT, @ BAR SINK 3 i y.r> ", POWER OUTLET' ti @ SQ. FT.All ROOF DRAINS SQ. FT: @ i + ° " DRAINAGE PIPING FT. ­a v: r • r ..t . a. a ,. t. r . a.. * h' . .,= �t DRINKING FOUNTAIN SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ 7.r ^y 4 y fi t, ''A URINAL WATER PIPING .•`,NOTE: Not to be used as'property tax voluatioti Use of Permit - ..+«/d yr P t �, � � r.-�rK Porcel No. SWIM POOL, PVT r FLOOR DRAIN E s MECHANICAL. FEES .. • ". t•�; i..�-� f j !I "'. . trI' -�,; r• a SWIM POOL, COMM WATER SOFTENER VENT'SYSTEM' �''"• FAN I'EVAP�''COOL-'''"�`� ','HOOD' ° ' ' *✓�" " - SIGN F S �,• WASHER (AUTO)(DISH) APPLIANCE DRYER ;; Zone Restrictions �+-, . v i GARBAGE DISPOSAL FURNACE UNIT WALL" %',,FLOOR ,+ SUSPENDED ,' �' ,:� � , w , LAUNDRY TRAY AIR HANDLING UNIT + .CFM r, ._•4 ! �' IDLE METER z' '` ' x, e KITCHEN SINK ABSORPTION SYSTEM t B.T.U. j. / TEMP USE PERMIT SVC ' { WATER CLOSET COMPRESSOR ` HP It aro POLE,TEMP/PERM Supplimentol er 't Numbers *� � •• !'�} ' LAVATORY HEATING SYSTEM FORCED , ' GRAVITY, t i' Q ,;T AMPERES SERV ENTSHOWER • BOILER'_ ; B.T,U., Owner/Ageni °• lj. yy Tel.�i Zip SQ. FT. @ ,. c S BATH TUB `y «w*.c�t��y a:: 3vh�.�i�#b.t{+�i:rn?e. .1 Tt!.- #.'r t. t " s:ez iT' °SQ:'FTY`@-'''�• t,, WATER HEATER License# Fre s iequired"�%sy%� .�.vkn�vy.,>.. w%�n+t+!`��tf'°. +,r Sewage System ' •� FT..RESID @I /.c - City:'+ Zip SEWAGE DISPOSAL SQ. FT. GAR @ s/. c HOUSE SEWER T f -LL _ ": • P 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 + ', zF + Sewer District . GAS PIPING PERMIT FEE , + I HEREBY AGREE THAT ALL WORK'IN CONNECTION WITH THIS -PERMIT WILL BE DONE IN ACCORDANCE WITH �r THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. '1 PERMIT FEE PERMIT FEE DBL. TOTAL FEES rlsT 6 MOB. HM. FEE MICRO FEE MECH. FEE L. CK. FEE fit+` CONST. FEE' ELECT. FEE' + SMI FEE FEE PLUMB. FEE T.r t , PERMIT NO. ..a:.,- �w.a mit*.: >r 'Job Address Y.t ' .-,. ;`..."�• 4t ;. .F_+ i -'• �.- '��< wL' : �.ia.+' w., Space �_ Zip - - Owner ; 36.0188 -�3�M airsf���_t CommunityValuations w:' $ f ✓ r Dote" : rY<<^-'� Dist. t .�7., Off. -y,. F.C.C. MH. Permit Fee $ I G'.'�_'✓! !T. i'."�a ..i r .. % �' i,- Micro Film Fee Copl$ Use of Permit - ..+«/d yr P t �, � � r.-�rK Porcel No. •Use/Case No.( Ck. By 'Meth. Pee •'�.' Dbl E . .. • ". t•�; i..�-� f j !I "'. . trI' -�,; r• ^..-,. PI: Ck. Fee, E , a - Set Backs^ Lot Size - •�y"%.3 / • r Construction Fee - Dbl E Legal Description t J� i 'i--� ail ', -.TC.� % cf' f"�•C 'i. r`. �• f,« F S �,• S r� r R f r ' Electrical Fee Dbl $ Zone Restrictions �+-, Group Type SMI Fee Plumbing •Fe; Dbl $ Bond Amt. Plan No. 'art PI Chec f r Final Date %— '�• %� Inspector Unit - insp.- Sp. Fee' F •A $ $ £� S.e Demol •Fee Const. Lender - � ..Branch to - • I Supplimentol er 't Numbers *� � •• !'�} ' RegistE Fee ° ` E _ _ Mileage Fee `- + $'•L' ° - ^Y - Address City Zip ,. r*•',y` * Witness Fee i. E f • Reuisp.• Fee 't' '� E Owner/Ageni °• lj. yy Tel.�i Zip Total Fees ''s: .,: $ - - r , Address - �!' -' - ..•1 ._ < , ..0 :% r ; r ?' ?./ ✓ 1 City. �s4 Zip ; r°�J' •a�...+o<_y r •.i%`. `. '_ t'.a. ,. . M.O .�N.C; Cash Chec -. r'• i / Received by +f " 4`' Contractor ,�i ,r - • ,�•:� f .,.:wa'e, n. f�;yu. ry.• tf •'" .. Tel"' -r License# Fre s iequired"�%sy%� .�.vkn�vy.,>.. w%�n+t+!`��tf'°. +,r Sewage System ' •� Address _ R - City:'+ Zip T f -LL _ ": • P 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 + ', zF + Sewer District . .r••��xj.tyrotV '�'"•+� - "'" ``"''"^"'* �'=` "" `+ t jt t r + I HEREBY AGREE THAT ALL WORK'IN CONNECTION WITH THIS -PERMIT WILL BE DONE IN ACCORDANCE WITH �r THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. '1 ?: I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS ND SPECIFICATIONS HAS DONE SO IN Form 284-208(Rev.8/78)yf, ". -'I ----- - -L -- ...- -• c--... _ .._. _ .... ,..,....,. ...• ...- 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 Slab Grade 35 Furnace Comport. 3 Steel 36 Inlets & 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 IDA Fireplace T. 0. 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 Sewage Disposal 20 Sewer 21 Water Heater 22 Water Softener 23 Water Service 24 Gas Test 2s no Tank Pit L.Line P/L REAR OF PROPERTY LINE ELECTRICAL APPROVALS P/ \ 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final r STREET NAME BUILDING PERMIT ��. •-su.- � _ � ' .SIC♦ NO. �( 3 7.4 6 2 6 DEPARTMENT OF BUILDING & SAFETY MH.Permit Fee Is § Q i 1 1401 DST_ Use of Permit }Y���GA, 1PERMIT 3746261 RP fas!?41,626- COUNTY OF RIVERSIDE FIELD PI. Ck. Fee § CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. @ 4 $ � UNITS R 2ND. FL. SQ. FT. @ Zone Restrictions Z I YARD SPKLR SYSTEM „ 5, FOR. SQ. FT. @ MOBILEHOME SVC. BAR SINK GAR. 22 SQ. FT. @ Q' POWER OUTLET ROOF DRAINS CAR P. SQ. FT. @ Bond Amt. DRAINAGE PIPING WALL SQ. FT. @ Final Date DRINKING FOUNTAIN SQ. FT. @ § URINAL ESTIMATED CONSTRUCTION VALUATION$ �[ WATER PIPING '� ^ NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN EVAP. COOL IHOOD SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER T -3 GARBAGE DISPOSAL C FURNACE UNIT WALL FLOOR SUSPENDED City !y ry Zip 922 . LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC ^ WATER CLOSET COMPRESSOR HP POLE,TEMP/PERM LAVATORY NO 0 HEATING SYSTEM 2 FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. @ t 2 BATH TUB P SQ. FT. @ c WATER HEATER 40 ^` SQ. FT. RESID @11/,c r,j SEWAGE DISPOSAL THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFOkNIA. t S0. FT. GAR @ 'G c fj HOUSE SEWER IHEREBY CERTIFY THAT `f:`Ti!l;IpIVIDIiAIWHQ PREPARED T.HE PLANS AND SPECIFICATIONS HAS DONE SO IN GAS PIPING PERMIT FEE r PERMIT FEE PERMIT FEE DBL. TOTALFEES MOB.HM.FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELEC . FEE SMI FEE - FEE PLUMB. FEE hL ry 3133-Od 2 -IJ M ��. •-su.- � _ � ' .SIC♦ PERMIT NO. Job Address C,�' 2605 Space Zip Owner �( 3 7.4 6 2 6 'r Community . Voluation - Date Dist. Off. F.C.C. MH.Permit Fee Is § Q i 1 1401 Micro Film Fee Copl$ 17 Use of Permit }Y���GA, Parcel No. Use/Case No, Ck. By r. Mech. Fee Dbl § PI. Ck. Fee § Set Backs Lot Size 0 100 000 Construction Fee Dbl § Legal Description LOT A B9 SF' 154: CtCULA Q 4 6 d� V *.'C BLIC J iZ V V 1 Le' F S S R Electrical Fee Dbl § Zone Restrictions Z I Group Type 1vN - SMI Fee § P I 1% M Plumbing Fee Dbl § - Bond Amt. Plan No.Plon eck Final Date Insp r Unit Sp. Insp. Fee § r § o /}// AQ65 s Demo!. Fee § Const. Lender Branch §upplimental Permit Numbers N657 ' Registr. Fee Mileage Fee § Address City Zip Witness Fee § Reinsp. Fee § OkVn /Agent *, (.", .,.�! D011,,.. Tel. Zip `i -3 ,Total Fees § Address {t, HWY City !y ry Zip 922 . M.O. .C.73744,Cash Chec Received byIEW Contractor Tel. License# Trees required Sewage System Address City Zip .� / 00 AiI4THIS P 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. Sewer District 40 1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMITYALL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFOkNIA. t t. IHEREBY CERTIFY THAT `f:`Ti!l;IpIVIDIiAIWHQ PREPARED T.HE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284-208 (Rev_8/78) ©s ACCORDANCE WITH SECTION 554'=OF Tck1E BJSINE�S' AND r "OFESSIONS CODE OF THE STATE OF CALIFORNIA. NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back _333 II Ventilation System 2 2A Figs 8 Frms Slab Grade O _7 � 34 35 Plenums 8 Ducts • z Furnace Comport. 3 Steel 36 Inlets 8 Outlets 4 Grout Blocks 37 Combustion Air 5 Bond Beams 38 Compressor 6 Roof Deck /�9� 39 Appl. Clearance 7 Framing Z L, "Fe) 40 Fire Damper 8 Vents 41 Smoke Detection Device o� 9 Garage Fire Wall 5 Z291A942 Commercial Hood 10 Fireplace P. L. E 43 Final 10A Fireplace T. 0. NO ADDITIONAL IN ORMAjTION Q �-7p T GOl / ' / 7 SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath �-.�- • ��� 12 Internal Lath 12A Drywall%l�� 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 7 12B Ceiling (Batts) 12C Ceiling (Blown) 14 Final PLUMBING APPROVALS 15 Ground Plumb - - - - - -7-Z- 16 Water Piping 17 Rough Plumb 18 Vents 19 Sewage Disposal 7 20 Sewer 21 Water Heater 22 Water Softener 23 Water Service 24 Gas Test 25 Final _ Tank �000 Pit /- L.Line REAR OF PROPERTY LINE c - PSL 16 P/ V ' 1 - ,M ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring Z 29A Grounding Wire �p ® ZZ 29B Bonding 30 Fixtures O 31 Service 32 Final'g STREET NAME ✓ "' Ak$?l /Re r W, UA z 0 APPLICATION FOR THE PLANTING 1.(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 understcod 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 Building Permit No. / Mailing Address Ci,y /ate 6W Zip �a Job Address — `2— Community ,,(� �L;►�T/� Legal Description Assessors Map, Book & Page _,—'r���,1=�% Type of Spills water available Road Dept. Plot Plan No. Type of existing trees in road right-of—way Type Structurey� Trees preferred by applicant (1) '1VAZ1LF ��(2). Qe— Date/�iyy Owner's Signature Planning Commission Case No ROAD DEPARTMENT APPROVAL (3) Approved species Washingtnnia rnhilsta (Mexican fan palm) Number of trees 1 oZ Spacing of trees Distance from lot lines: FronleI in. W S -_de wo Additional requirements PPr �Lt plan nn ravprtP_ N n street trees will h planted within t Date Building and Safety notified R47q Signature REQUEST FOR EXCEPTION Reason ZLU� LL w(attach additional page if necessary) m a6 Request for hearing: YES ❑ Owner's Signature { (Forward application to Planning Dept. if exception requested) NO REQUEST FOR HEARING Planning Dept. elf f.: C) a Concur ❑- Non -concur ❑ Explanation Za Date Signature J a0 Road Dept. T IL C Concur ❑ Non -Concur ❑ Date . Signature L REQUEST FOR HEARING AND COMMITTEE DECISION !zz Date hearing established Date hearing notice mailed to owner Approved ❑ Disapproved ❑ Date Owner notified of decision IL I Date Building & Safety notified Signature •I'll NOTICE: THIS IS NOTA BUILDING PERMIT DISTRICT 1 APPLICATION TO CONSTRUCT Permit No DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE }, Owner u�jL�/`� t'i��G/C.- Architect• 1 y/ff��/ Contractor %L-r•���•!� Addres �3 y' h& .�P&4A� Address' 7," � C� {%e��. �"*��Address_ City'P City Irl &gr -1O x 7 City_ (6- V . f 1 Phone f � � � ��y! Phone �d�� Phone ccI (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and W 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 cone within the County R/W 0 without an encroachment permit. _ NOW, therefore, it is agreed that l (we) will not occupy said property and will not cause said properZo a 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 �L�' e G+'y' _ Approval by Signature from the Following Departments Listed Below Must Be Obtained Prior to the Issuing of a Construction Permit. SPACE NO. .;I I USE OF STRUCTURE JOB ADDRESS l � ,f t t'� •r. r• ;� 1�.�7'1 tit t_.ty;, SINGLE FAMIL Y,E_�,]'r DUPLEX LEGAL DESCRIPTION OF PROPERTYd°' 1 C / r` / r r f t APARTMENTS AGRIC. ;; .4 r. f < COMMERCIAL INDUSTRIAL tn COMMUNITY. ALTERATIONS ❑ NO. OF SUBMITTED PLANS HJUE, F PERMIT H Q `° r CASE NO. p Z ' NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW,EXJ,$,TING — Q ZONE / SETBACKS: FRONT F0 SIDE REAR rf J m GRADING PERMIT REQUIRED? YES ❑ . NO ❑ LOT SIZE SETBACK ORDINANCE # y __— OF FEET -REQUIRED ON f• STREET DATE _ { ra / SIGNATURE OF LAND USE OFFICIAL t F DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET__— W CURB AND GUTTER REQUIRED: YES ❑ NO ❑ aG �' a '`f r' C STREET F I s CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY *AND STREET IMPROVEMENT? YES L� NO ❑ /_)- f ,,ENCROACHMENT - DATE SIGNATURE OF ROAD DEPT. OFFICIAI = SWIMMING POOLS PUB ICC,r� d SEWAGE DISPOSAL�I�'yi w'10 -0- !O 'e FOOD Air= FOOD ESTABLISHMENT WATER POLLUTION REMARKS �n FLOOD CONTROL r_ Z AIR POLLUTION ' = F DIV OFHWY r- <•/c '` L{ ( o a — YOUR PROPERTY MAY BE SUBJECT TO o. o FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILI1Y IN EVENT OF FLOOD. 284 199 9/74 CANARY—FILE, PINK—APPLICANT a4' '