353905 (SFD)1,111JILDING PERMIT
PERMIT NO. s DEPARTMENT OF. BUILDING a SAFETY FIELD
I:3 5 3 9 0 5 f. ' .. +COUNTY OF RIVERSIDE.. ., N,. , ..-y' .wi �.,d . ,-�.: ;k •
CONSTRUCTION ESTI_M TE
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NO. - ELECTRICAL FEES
NO' PLUMBING FEES
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L i PERMIT NO.
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L i PERMIT NO.
;35390,5
MH.Permit Fee
$
,Micro Film Fee
Cop E
Mech. Fee
Dbl $
' P/I. Ck. Fee
$
Construction Fee
Dbl $
Electrical Fee
Dbl $
I SMI Fee
$
Plumbing Fee
Dbl $
r
Sp. Insp. Fee
$
Demol. Fee
$
Regisir. Fee '
$
I. Mileage Fee
$
Witness Fee
$
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[,ReceNed''by
/Trees
I-SewagetSystem Address Ciry. Zip
t % T L _N P�) J THIS PERMIT SHALL BECVOIDW WO& IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK ;verified by:
Sewer Districtl6fOR 120 DAYS SHALL All I E VOID..
' t\ e +\ I HEREBY AGREE THAT ALL WORK I CONNECTION WITk; THIS PER WILL BE DONE IN ACCORDANCE WITH '
--THE LAWS OF RIVERSIDE.000NTY AND THE STATE OF CAIIFURNIA.t�'
I HEREBY CERTIFY THAT THE IN -,,-,, DUAL V4HO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
RDA N_CE WITH SEI'+TION 5541 OF THE BUSINESS AND PROFESSIONS CODE,OF.THE STATEAF CAtIFZ�Nl1
Form 284-208 (Rev.8/78) 1` g 1�.. �., �` '< �x�lit-. t«„ ` ;( k• r `•..� �• •.
'tiN0.
_ OPERATION
DATE
r
INSPECTOR
NO.
_ OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
�/
-
33
Ventilation System
>,
2
2A
Ftgs 8 Frmsi
Slab Grade
7
9
�v
34
35
Plenums 8 Ducts
Furnace Comport.
S - -719 � ,�
mgr'
3
Steel
36
Inlets 8 Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
f
6
Roof Deck
���-79 Q�y
39
Appl. Clearance
7
Framing
S -QA` [C)
_
-Th
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
10
Garage Fire Wall
Fireplace P. L. 0
o - Z
a ti
42
43
Commercial Hood
Final
_ Q�
IDA
Fireplace
T.O. E]
No ADDITIONAL INFORMATION
dee /2-7I9 ����� �
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath J _ -
4'/i `cam
12 Internal Lath
12A Drywall
Ie�l y -f
13 Finish Grade
INSULATION Thick
R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final 1149
PLUMBING APPROVALS
15 Ground Plumb Z
%%
16 Water Piping
17 Rough Plumb _a
18 Vents
19 Sewage Disposal _/2 _ ']9
20 Sewer —/• JJ
21 Water Heater AQL -L3-7S
2j,�a,ri
22 Water Softener
23 Water Service 10 -Z3=29
-
24 Gas Test
25
Final
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Tank Pit L.Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
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26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final `O 2,4 _��
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SIMMI NAMt!/�
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NOTICE: THIS IS NOT •A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT /
Permit No 't~
Y
284 199' 9/74
CANARY—FILE, PINK—APPLICANT
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Owner ",;V Architect Contracto~
/
Addre �' �7 Address_ Address � )fT r + V4.0
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CityCity_ Cit Y
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Phone - 3 a 1 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
O
without an encroachment permit.
NOW, Herefore, it is agreed that I (we) will not occupy said property and will not cause said property to be occupied til I (we) have
ry
complied with al/l1 1 s.pof 1 e County of Riverside and the State of California governing said property. r't t
4
DATE--�JA!— O /% SIGNATURE OF OWNER AND/OR AGENT -� C
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
SPACE NO.
1, I _ USE OF STRUCTURE
7 ' mtfi�. i1 t'c ' Z
JOB ADDRESS _ ;Iii/ w
r SINGLE FAMILY Q/ DUPLEX
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LEGAL�DESCRIPTION OF PROP RTY T _ f� - . APARTMENTS AGRIC.El
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�/COMMERCIAL INDUSTRIAL n
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COMMUNITY ALTERATIONS C
NO. OF SUBMITTED PLANS - USE OF PERMIT
CASE NO.
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NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW .EXISTING
Q �
9'
'� ZONE 2 SETBACKS: � � ~
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f FRONT SIDE REAR
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GRADING PERMIT REQUIRED? YES ❑ NO [3 LOT SIZE" " Z C
SETBACK ORDINANCE # _— OF FEET REQUIRED ON f STREET
DATE -7 SIGNATURE OF LAND USE OFFICIAL ��• -+�'et �"r�---
Y. •
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DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET,__ r f
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CURB AND GUTTER REQUIRED: YES ❑ NO ❑ Ir�- ��' F�/i.% r -5c- fi_2. {'' •STREET
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CAN CURB AND GUTTER FEASIBLY BE INSTALLED? -YES ❑ NO ❑ r
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HAS AN ACCEPTABLE AP CICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
CIMPRO
EMENT? YES NO ❑
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DATE ,�r SIGNATURE OF ROAD DEPT. -OFFICIAL- .0
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WSEWAGE
DISPOSAL Y
F T
_
WATER POLLUTION REMARKS
�n FLOOD CONTROL
W AIR POLLUTION. f
S DIV OF HWY
c YOUR PROPERTY MAY BE SUBJECT `
'09 — -Tb
o
c FLOOD., RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199' 9/74
CANARY—FILE, PINK—APPLICANT
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r , APPLICAMN-f9p TREE PLANTING
I Two), the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if tees 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.
3 os
Owners Name k/ Bu'Iding Permit `lo.
Mailing Address ' ` Ci State Zi
Job Address -Community
Legal Description
`-7 `7 .m �/ —�
Assessor's Map, Book 8 Page 2—el—Type �—Structure
Type of Sd;�s water available ��,G)Road Dept. Plot Plan No.
Type of existing trees in road right -way
Trees preferred by applicant (1) 4` (2) (3) O
Date ( A ;a== R—_ :2^ Owner's Signature
Planning Commission Case No
ROAD DEPARTMENT APPROVAL
Approved species Washingtonia robusta (Mexican fan palm) Number of trees_
Spacing of trees Distance from lot.lines: Front2' in R/W S_de
Additional requirements Per Plot plan on reverse_
P
Date Building and Safety notified 5/79 Signature
Reason
Request for hearing: YES
Owner's Signature
REQUEST FOR EXCEPTION
(attach additional page if necessary)
P
(Forward application to Planning Dept. if exception requested)
NO REQUEST FOR HEARING
Planning Dept.
Concur ❑ Non -concur M Explanation
Date Signature
Road Dept.
Concur ❑ Non -Concur M
Date Signature
REQUEST FOR HEARING AND COMMITTEE DECISION
Date hearing established
Approved [:] Disapproved
Date Building & Safety notified -
C
Date hearing notice mailed to owner
Date Owner notified of decision
Signature
FA