Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
384451, 376021 (SFD)
PERMIT NO. 38445 PERMIT No. Job Address DEPARTMENT OF BUILDING & SAFETY _ Space Zip Owngr 38441 _ COUNTY OF RIVERSIDE FIELD DST Date IQ n Dist. Off. I F.C.C. MH.Permit Fee E CONSTRUCTION`�l�il� STl`' NO. ELECTRICAL FEES INO.1 PLUMBING FEES IST FL. _ 8:2 SQ. FT. @ A $ 2 ;,002 UNITS Use/Case No. Ck.By E 2ND. FL. SQ. FT. @ Set Backs Lot Size A r%3 lam YARD SPKLR SYSTEM ! POR. SQ FT @ MOBILEHOME SVC. q BAR SINK R Vol 2) GAR. SO, FT, @ 58 11101 POWER OUTLET Group -3 IV ROOF DRAINS CAR P. SQ. FT. @ Dbl E Q:I Bond Amt. E DRAINAGE PIPING Pion Checker- Ow- �l it _i WALL SQ. FT. @ ISO. Inspector DRINKING FOUNTAIN 1 FT. @ Demol. Fee E URINAL ESTIMATED CONSTRUCTION VALUATION $ 0 ,o21 Supplimental Permit Numbers RB0384451 WATER PIPING NOTE: Not to be used as property tax valuation r SWIM POOL, PVT Reinsp. Fee FLOOR DRAIN Owner/Agent Address InT IAIPUDIP-0 MECHANICAL FEES SWIM POOL, COMM ' WATER SOFTENER Total Fees E M. 0. N.C. Cash Che VENT SYSTEM n. FAN EVAP. COOL HOOD SIGN Contractor WASHER (AUTO)(DISH) APPLIANCE DRYER Licenselt GARBAGE DISPOSAL Trees required FURNACE UNIT WALL FLOOR SUSPENDED t t Address LAUNDRY TRAY r AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK a ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET . c fA COMPRESSOR Q!oHP POLE,TEMP/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AA 11:2AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. @ t BATH TUB SQ. FT. @ < WATER HEATER SQ. FT. RESID @1'/.< a SEWAGE DISPOSAL t _ SQ. FT. GAR @ s/. c a HOUSE SEWER GAS PIPING PERMIT FEE y PERMIT FEE 31 .z PERMIT FEE DBL. TOTAL FEES MOB.HM. FEE MICRO FEE -k ME, H. F E PL. CK. FEE CONST. FEE ElE .-FEE SMI FEE FEE PLUMB.FEE fA T A fA PERMIT NO. 38445 Job Address �? it _ Space Zip Owngr _ Community NTA Valuation E 1011 Date IQ Dist. Off. I F.C.C. MH.Permit Fee E Micro Film Fee Cop E Use of ermit WELLING ATS' GARAGE we Force No. 7742!9.7,001 Use/Case No. Ck.By Mach. Fee Dbl E PI. Ck. Fee E Set Backs Lot Size A r%3 lam nap Construction Fee Obl E legal Description �!t V t Z �T � �Iy� Jd f .IR F S 610 5 ORN R Vol 2) Electrical Fee Dbl E AlAt6 SMI Fee E Zone Restrictions Group -3 IV Type tj Plumbing Fee Dbl E Q:I Bond Amt. E Plan No. Pion Checker- Ow- �l it _i Final Dole •OBJ • `-' `' Inspector Unit 1 Sp. Insp. Fee E Demol. Fee E Const. Lender Address Branch City Zip Supplimental Permit Numbers RB0384451 Registr. Fee E Mileage Fee E Witness Fee E Reinsp. Fee E Owner/Agent Address InT IAIPUDIP-0 ,,P' Tel. City -201 ' Zip Zip Total Fees E M. 0. N.C. Cash Che Received by �; ">,. Contractor Tel. ' Licenselt Trees required Sewagstem t t Address City Zip Sewer District f -/D_3/'Sp ` J� . ,,,Form284-208'$` Form (Rev.B s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK vfrified by: FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WOR IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH J THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. J 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. NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS `" MECHANICAL APPROVALS 1 Set Back za 1 —2 �� 33 Ventilation System �2 Ftgs & Frms --13---219- Z _ 0S) 34 Plenums 8 Ducts Jr 2A Slab Grade Z 35 Furnace Comport. 3 Steel 36 Inlets 8 Outlets o 4 Grout Blocks 37 Combustion Air 5 Bond Beams 38 Compressor 6 Roof Deck �.•+ -� 39 A I Appl. Clearance 7 Framing _3/ O 40 Fire Damper 8 Vents 41 Smoke Detection Device 6 . 9 Garage Fire Wall Q— — 42 Commercial Hood 10 Fireplace P. L. :4:31 Final _3l IDA Fireplace T.O. 0 P' ADDITIONAL INFORMATION s �j 1 U 7e S I Y� p !/ `v �/" �� •ems// ^ - SEWAGE SYSTEMS E & LOCATION 11 Exterior Lath !- Z _ 0 12 Internal Lath 12A Drywall .57 2m 13 Finish Grade On4 INSULATION Thick R Value 7A Walls (Batts) �/Z Lt —Z 12B Ceiling (Botts) 1 12C Ceiling (Blown) 14 Final PLUMBING APPROVALS 15 Ground Plumb 16 Water Piping 1. 17 Rough Plumb 18 Vents 19 Sewage Disposal 20 Sewer 21 Water Heater 22 Water Softener 23 Water Service 24 Gas Test Uj 25 Final 16 -3 l' Tank U Pit � / L. Line 1 REAR OF PROPERTY PSL LINE - Q O s < tr p P) 0 r ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service f—Ji 32 Final p 3` STREET NAME W 3 O ct-* oU3 W .moo Z F ST J Q 46; 1-: a z W _o z z O J O CL 0 z - Z~ za aW J � a a APPLICATION FOR TREE PLANTING I (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 understood that no final fnsPection 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�o responsibili`tXtshtuldytr�ees have to be removed due to lot line errors. \ Owner's Name '' ' v Building Permit No. .4 Mailing Address City 1'� �0 St. 71p Job Address — t� Community Legal Description Oa - Assessor's Map Book Page Type Structure ' Type of Soil Is water available Road Dept. Plot Plan No. Type of existing trees in road right–oa N Trees preferred by applicant (1)�% � �A (2) (3) y Date 2-- l Owner's Signature' Planning Commission Case No. r ROAD DEPARTMENT APPROVAL Approved species Fraxinus modesto (Modesto ash) Number of trees 2 Spacing of trees Distance from lot lines: Front 2' in R/W Side Additional requirements Per plot -plan on reverse. No street trees will be planted within 10' of driveways. Date Building and Safety notified 1/80 Signature REQUEST FOR EXCEPTION Reason (attach additional page if necessary) Request for hearing: YES ❑ Owner's Signature (Forward application to Planning Dept. if exception requested) NO REQUEST FOR HEARING Planning Dept. Concur ❑ Non -concur 0 Explanation Date Signature Road Dept. Concur ❑ Non -Concur ❑ Date Signature REQUEST FOR HEARING AND COMMITTEE DECISION Date hearing established Approved ❑ Disapproved ❑ Date Building & Safety notified Date hearing notice mailed to owner Date Owner notified of decision Signature BUILDING PERMIT — PERMIT NO.MENT OF BUILDING & SAFETY FIELD OFFICE M— CONSTRUCTION"IitTIMX1f4 DEPART3pnnC1COUNTY OF RIVERSIDE PERMIT NO. 3844 1 NO. ELECTRICAL FEES NO. PLUMBING FEES ISTFL. 2ND. FL. SQ. FT. @1 1-11309 s UNITS Community N . YARD SPKLR SYSTEM SQ. FT. @ Valuation E FOR. GAR. 4e01 CAR P.SQ. WALL SQ. FT. @ MOBILEHOME•SVC. BAR SINK Off. SQ. FT. @ 6ifAOct POWER OUTLET ROOF DRAINS MH.Permii Fee E DRAINAGE PIPING FT. @ Cop E DRINKING FOUNTAIN SQ. FT. @ Use of ermit WELLING & ,ATT GARAGE SQ. FT. @ URINAL Ck. By ESTIMATED CONSTRUCTION VALUATION ^ Pl. Ck. Fee Ei PjSet Backs WATER PIPING NOTE: Not to be used as property tax valuation Legal Description OT 24 BLK 279 SWIM POOL, PVT FLOOR DRAIN S 1605 MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER Zone Restrictions VENT SYSTEMy FAN EVAP. COOL HOOD Type SIGN WASHER (AUTO)(DISH) r APPLIANCE DRYER Q, Bond Amt, E GARBAGE DISPOSAL u e FURNACE UNIT WALL FLOOR SUSPENDED Final Date 3( Inspector LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK 230 ABSORPTION SYSTEM B.T.U. Const. Lender TEMP USE PERMIT SVC WATER CLOSET - COMPRESSOR rHIP517POLE,TEMP/PERM , 2 LAVATORY Mileage Fee E HEATING SYSTEM • - FORCED GRAVITYAMPERES Witness Fee E SERV ENT r SHOWER BOILER B.T.U. T�r SQ. FT. @ c 1 BATH TUB 2 Zip SQ. FT. @ c WATER HEATER 250 �Li. Address InY IA12 1467.'()- FT. RESID @I'/.t SEWAGE DISPOSAL 4 AO SQ. FT. GAR @ 3/4 c HOUSE SEWER Received bx t Contractor GAS PIPING Tel. PERMIT FEE PERMIT FEE PERMIT FEE d DBL. TOTAL FEES A24 MOB. HM. FEE MICRO FEE MECH. FEE 5A PL. CK. FEE CifR CONST. FEE ELECT. FEE 1 7XI7. f7t fZI 31 gej SMI FEE 5 1 FEE PLUMB. FEE AZ. n PERMIT NO. 3844 1 Job Address 77 445 q1R Space Zip � Owner R Community N . Valuation E ' Date Dist. Off. F.C.C. (l, MH.Permii Fee E Micro Film Fee Cop E Use of ermit WELLING & ,ATT GARAGE Parcel No. 77-1293001-3 Use/Cose No. Ck. By Mech. Fee Dbt E d — Pl. Ck. Fee Ei PjSet Backs Lot Size Construction Fee Dbl E Legal Description OT 24 BLK 279 f' 02 1010 S 1605 20 Electrical Fee Dbl E 3 Q• Zone Restrictions Group Type SMI Fee E Plumbing Fee Dbl E• Q, Bond Amt, E Plan No. f� Q Pion Checker 1 -�,k_. ,M...i Final Date 3( Inspector Unit $p. Insp. Fee E Demol. Fee E Const. Lender Branch Supplimental Permit Numbers q RFXJ t)v RB 0+x6445 1 , Registr. Fee E Mileage Fee E Address City Zip Witness Fee E Reinsp. Fee E Owner/Agent �. T�r Tel. .� Zip Total Fees E �Li. Address InY IA12 C1ty Zip M.O. N.C. Cash Check Received bx t Contractor Tel. License# Trees required Sew ystem i O�'ca u� I l (1 Address City Zip -- T U. P 4 Sewer District r G tE I Form 284-208 (Rev.8/78) P s 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. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. t y 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. BUILDING PERMIT PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD nDST 376021 COUNTY OF RIVERSIDE I I I I CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING AES IST FL. £ j + 2ND. FL. SQ. FT. @ l9. $ UNITS Comm unit Y SQ. FT. @ YARD SPKLR SYSTEM POR. SQ. FT. @ MOBILEHOME SVC. BAR SINK GAR. SQ, FT. @4 f , CAR P. SQ. FT. @ WALL SQ. FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ ' POWER OUTLET 'ROOF�DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL. WATER`pIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOO.R,DRAIN MECHANICAL FEES SWIM POOL, COMM br L%ATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD SIGN 71 rM4ER (AUTO)(DISH) APPLIANCE DRYER Legal Description'^' GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED F S 5 R I 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 HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. @ c �BATHTUB Inspector SQ. FT. @ c WATER HEATER S0. FT. RESID @1'/,c SEWAGE DISPOSAL E SQ. FT. GAR @ 1% c HOUSE SEWER Branch GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES MOB.HM.FEE MICRO FEE MECH. FEE PL. CK._ FEE � V n V. CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 376021-7 Job Address Space r... Zip Owner Comm unit Y ~M vc y r� I' f% ' al� v uation E Date 1r• . /a '.' d" Dist. Off. F.C.C. MH.Permit Fee E Micro Film Fee Cop § _,.4 OS'e of Permit n� P.1 V ) . 1.7 g r4 ,! Parcel No. _ Use/Case ^ + No. Ck. By � j Mech. Fee Dbl E Pl. Ck. Fee E _ -r "' S lot Size Construction Fee Dial I$ Legal Description'^' `•''"" H y ,rr� 4."� ,�,. F S 5 R I Electrical Fee Dbl E Zone Restrictions Zone J , ..- Group - Type - SMI Fee § Plumbing Fee Dbl E Bond Amt. E Plan No. '.. r PI (Necker / Final Date /O • ?/ Inspector Unit Sp. Insp. Fee E V Demol. Fee E Const. Lender Branch SupplimentaI Permi Numbers - ` r Registr. Fee § Mileage Fee § Address City Zip Witness Fee E Reinsp. Fee § Owner/Agent Tel. ' ; Zip Total Fees M.O.0 N.C. § �j CshM Check ddress / ,1 / \ \...�.-.•/ City Zip Received b - (Itntro c or \ ,1 w Tel. t Ste" �• t' ..r .'r License# frees req(red Sewage Syy em ress �r `•J City Zip T LL P Sewer District Form 284-208 (Rev.8/78) @s 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. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. 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. Jr nYr NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs 8 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.O. NON 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 PSL REAR OF PROPERTY LINE ELECTRICAL APPROVALS P/ 26 Power Pole t 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME BUILDING PERMIT — PERMIT No. DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DS 376021 COUNTY OF RIVERSIDE `' CONSTRUCTION ESTIMAT5 NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. .r 2ND. FL. POR. GAR. CAR P. WALL 'SO. FT. @ $ UNITS Community �,. SQ. FT. @ YARD SPKLR SYSTEM SQ. FT. @ MOBILEHOME SVC. BAR SINK SQ. FT. @ s POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ [UWse/CoseNo. URINAL 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 HOOD SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER Electrical Fee Dbl $ GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Type 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 HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER' B.T.U. SQ. FT. @ c BATH TUB Regisir. Fee $ SQ. FT. @ c WATER HEATER Witness Fee $ SQ. FT. RESID @1'/.c SEWAGE DISPOSAL Owner/Agent SQ. FT. GAR @ 1%c HOUSE SEWER Zip GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL fEFyS. ,.) MOB. HM. FEE 3 S V MICRO FEE MECH. FEE PL: CK� CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE , PERMIT NO, Job Address.•.... �_a Space �Z4p Owner376021 Community �,. Valuation S Dote Dist. Off. / F.C.C. MH.Permit Fee $ Micro Film Fee Cop $ Use jo/•f�f Permit � I0�t"�" r I �,, 4( P +. / Parcel No. w' [UWse/CoseNo. Ck. By Mech. Fee Dbl $ PL Ck. Fee $ Set Backs Lot Size Construction Fee Dbl S _ Legal Description 11 - 1 //%% ,7e'^ 6nr� "'" "/F�. {/ 6r✓ ! F S S R Electrical Fee Dbl $ Zone Restrictions Group Type SMI Fee $ Plumbing Fee Dbl $ Bond Amt. $ Plan No.Plan cker Final Dote Inspector Unit Sp. Insp, Fee $ Demol. Fee $ Const. Lender Branch Supplimental Permit Numbers , t 2 Regisir. Fee $ Mileage Fee $ Address City Zip Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip Total Fees _ $ ddress �-• City Zip M.O. N.C. Cash Check Received b o tr for _ Tel. City Zip License# Trees req ire Sewage SystemAd-dress T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. 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) ©s ` NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE DISTRICT Permit No 1�7 284 199A 9/74 CANARY—FILE, PINK—APPLICANT Owner.k Architect —. --_ Contractor_/1('/ _ Address1 ���Z_ Address___ Address-- _ City —�=y City_— City_—_���y�_/ Phone Phone Phone _ Phone— I (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 done within the County R/W O without, an encroachment permit.' - 'NOW, therefore, it is agreed that 1 (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 �-0— 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. I SPACE NO. 1 USE OF STRUCTURE / � JOB ADDRESS 7 e��%0� r— �L f. „t)LY i�7 DUPLEX �K c ^ LEGAL DESCRIPTION�(O/F P P RT 7_l G/ — .J... e– —_ % N p��/), / /6 APARTMENTS AGRIC. Q p COMMERCIAL INDUSTRIAL LJ COMMUNITY r ALTERATIONS ❑ Z NO. OF SUBMITTED PLANS — USE OF PERMIT 4 CASE NO --- p Z NO. OF A KI SPACES REQUIRED _— -- NO. OF BUILDINGS NOW EXISTING Q ZONE ETBACNKS: FRONT SIDE REAR J m GRADIN PERMIT EQUIRED? YES j-1NO ❑ LOT SIZE SETBAC DIN_E OF FEET REQUIRED ON STREET DATE SIGNATURE OF LAND USE OFFICIAL – DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET -_— W CURB AND GUTTER REQUIRED: YES ❑ NO ❑ _STREET t - cc a CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET Q IMPROVEMENT? YES ❑ NO ❑ O cc DATE — SIGNATURE OF ROAD DEPT. OFFICIAI = SWIMMING POOLS PUBLIC aW SEWAGE DISPOSAL _ FOOD ESTABLISHMENT WATER POLLUTION REMARKS H FLOOD CONTROL F W AIR POLLUTION cc _ DIV OF HWY c a — YOUR PROPERTY MAY BE SUBJECT TO 0 c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199A 9/74 CANARY—FILE, PINK—APPLICANT