Loading...
350636 (SATT)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY A. FIELD OFFICE PERMIT NO. 3506361 PERMIT NO. 13506361F;T COUNTY OF RIVERSIDE a Commu icy ��� CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES Off. F.C. NO. PLUMBING FEES rmit Fee 8 1ST FL. . 12s SQ. 2ND FL. POR. ' GAR. G a SQ. CAR P. WALL ESTIMATED CONSTRUCTION FT. UNITS Use No. y Ck. by /)01- 5 Lot Size Unit Fee Dbl $ Fee $ SQ. FT. QaYARD SPKLR SYSTEM al Fee Dbl $ 7 t[ SQ. FT. CaY r 7,6 MOBILEHOME SVC. BAR SINK ng Fee N J POWER OUTLET ROOF DRAINS FT. toss ✓ ��3 Bond Amt. SQ. FT. DRAINAGE PIPING Pl/a�•Checker DRINKING FOUNTAIN SQ. FT. Inspector 50. FT. (a} URINAL VALUATION C+� WATER PIPING d O NOTE: Not to be used as property tax valuation SWIM POOL, PVT Registr. Fee $ FLOOR DRAIN Witness Fee $ Reinsp: Fee MECHANICAL FEES SWIM POOL, COMM Tel � U WATER SOFTENER Total Fees VENT SYSTZ Yo FAN ❑ EVAP. COOL HOOD % SIGN City ,A y�-j{`^�J I'r WASHER AU/0) (DISH) ,y[a Received by APPLIANCE K0 DRYER Contractor Tel. GARBAGE DISPOSAL License p Trees required FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Address - LAUNDRY TRAY Zip Workem' Comp. yes ❑ no ❑ AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC o2 WATER CLOSET COMPRESSOR T � HP p POLE, TEMP/PERM C2 LAVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY ari AMPERES SERV ENT 7,o -o SHOWER BOILER B.T.U. SQ. FT. C,2 BATH TUB SQ. FT. Ga ¢ WATER HEATER Py W SQ. FT. RESID p 1 t/.¢ /Lp SEWAGE DISPOSAL /d > SQ. FT. GAR Cai Y.¢ 3 .7 HOUSE SEWER GAS PIPING p;2 PERMIT FEE 3 PERMIT FEE W PERMIT FEE p DBL. I TOTAL FE es]MOB. HM. FEE MICRO FEE MECH. FEE PL.CK. FEEVONST. FEE � � ELECT. FEE SMI FEE � �G FEE PLUMB. FEE PERMIT NO. 3506361 Supp. Permit Job Address Space Zip 7�-ss� �� ©;,« z,-3 Owner -:% Commu icy ��� Valuation Date/, �% b Dist. /� Off. F.C. rmit Fee 8 ilm Fee Cop $ Use of Permit tt Parcel No. %, _ /i •�t/�ti4 / _&P7c. - ��(L ' Set Backs r` Legal Description � Zone Grp - Type ✓G� Y�'f✓y'� Use No. y Ck. by /)01- 5 Lot Size Unit Fee Dbl $ Fee $ ••�� ction Fee Dbl E `pc Q q- al Fee Dbl $ 7 e ng Fee Dbl $ Bond Amt. Plan No. Pl/a�•Checker final Date P f Inspector . p. Fee emol.. Fee $ Const. Lender Branch "I certify that in the performance of the/work for which this permit is issued I shall not employ any person in any manner so as to become subject to the workmen's com- pensation laws of California." Address /��/'//J /nJ'{ Cit Zip Owner Signature / �- LJ%. Builder Signature Registr. Fee $ Mileage Fee $ Witness Fee $ Reinsp: Fee $ Owner/Age rti CV 4' Tel � U Zip Total Fees $ d d.J Address /� / t /� ` t� 0 l..n 1 l : 7 ✓ lJ City ,A y�-j{`^�J I'r Zip M.O. ❑ N.C. ❑ Cash ❑ h c Received by Contractor Tel. License p Trees required Sewage System Address - City Zip Workem' Comp. yes ❑ no ❑ T LL P THIS PERMIT SHALL-BECQbkE VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by: Sewer District WORK FOR 120 DAYS SHA W SEP 1�ITT TO BECOME VOID. I HEREBY AGREE THA C�t7F1R PION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE CAND THE STATE OF CALIFORNIA. :.HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE -. :.HEREBY WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF f W LA PA vR'k-i �r`�y'5 i• e9'i 1�' N i '%/,1: ,5";2 S0 RECEIPT NO.��rr Issued By DISTRICT: ❑ Riverside, P'ndio ❑ Hemet 4' Perris ❑ Rancho Calif. ❑ Blythe DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE -.Office file YELLOW - Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH Assessors Parcel No. ENVIRONMENTAL HEALTH SERVICES PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM Applicant: Submit this form with four copies of a scaled plot plan (1-20 scale) drawn to County speculations as Indicated on the attached check list. A non-refundable filing fee (see below) is required when the application is submitted. Check must be made payable to the County of Riverside. Approval of this application shall remain valid for a period not to exceed one year from date of approval. Q VERIFY ITEMS IN SECTION A FROM BUILDING 8 SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG it Z Q or Con Pe � �� Nisi Phone A 8 P z Q 0 �� W S Phone . Mailing Address to +yN City State Zip Job Property Sd r Legal Description Prop. (PM, Tract, ) = � .307, Lot Size ter AncyMlell,1'%{ %) Use of Permit P/P, CU, etc. ���nily' �� Other F� �>-p K J po /'t�`.�.Q ta'rc-.+ Fitt- Dwelling, MHSftePrep,etc.tr!E71lA/5 VI�i�Q ✓ti ac cc�t ( Signature of Applicant Date CATEGORY: REV CODE FEE''``� ~' CATEGORY: REV CODE FEE [9, -SUBSURFACE DISPOSAL . 1238 ( !� .O0- ' ❑. SITE EVALUATION UPON REQUEST 7349 $42.00 ❑ MULTIPLE PARCELS WITHIN SAME (NO PLOT PLAN) Ito Z LAND DIVISION [3SEWER/SEPTIC VERIFICATION 7348 $11.00 Q a. 1 at 4 Parcels (Each) 1238 $45.00 (Less than 1 year) U b. Each Parcel after 4 7344 $16.00 ❑ PRELIMINARY ELECTIVE 7352 $45.00 W ❑ Rereview (2nd review same parcel) .7344 $16.00 EVALUATION (Attach DOH SAN 53) U) ❑ Site Evaluation in Conjunction with ❑ HOLDING TANK 7351' $45.00 Critical Area 7346 $86.00 ❑ ALTERNATIVE/EXPERIMENTAL 7345 $13200 D Site Evaluation Lot Less than SYSTEM 10,000 Sq. Ft. 7347 $86.00 Holding Tank Agreements Completed 13 Yes y � T/ Certification of Existing S.D. System Required. ❑ Yes IN _ WQCB Clearance required. (Attach Form ❑Yes N DOH SAN 007, Santa Ana Region Only) :Noo� SoilsPercolation Report Required. O Yes Special Feasibility Boring Report Required. ❑ Yes Detailed Contour Plot Plans Required (1. to 5 ft. interval) ❑ Yes //No'l Other ❑ Yes No Staff Specialist Loi Inspection Required ❑Yes No Lot Inspection Date Soils boring report by Project # Date F' I Map Page / lr 57— p Soils - i Sol Type - Approved by i�l -. Data U No. of Systeme Type of Systems) - t No. Dwelling Unk 1/, (1) Septic Tank- Soil Rafe = ` ' 53roase/Sand _ Z ❑ $ding Tank' -,4t ❑ Exisft -.i. y ❑Replacement',. p, BeCtoo Cture 360&`x. OA04 �yyV Greeaaltcp� Gel W/yl (2) leach Line Sq. Ft Sidewall allowance 4/-- installl+� Lines) R long k wide with , Leach Bed sq. ft R rock/ sq. R min. �r-* afilines or - area m �a!� per running it Leachlines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Seepage Pit T Depth �"r I Other: Applicable N/A +"'"� Overburden factor 4111.%*6 ' /// Inlet (BI) / / '/' Max. Allowetio Depth jb No. 2 System REMARKS: k,;,. -/,f4n 10d o ot� • .e�..i!.,!r,�J'G"T� `t.1 .l,,F" � iY( �I'•tD �� /A •(.� VWJ 77 s�a application This a i pp s,' PROVED - I -for the category checked in SECTION B above, regarding the design oPf i1surfa disposal system as indicated Q on the accompanied pot plan, using the requirements set forth in SECTION C above. A building permit is necessary for the installation of the 0 above -designed system. No construction is permitted in the required reserved 100% expansion area. �1 Y Septic tank and sewer lines must be 50' minimum from any wells., f Leach lines must be 100' minimum from any wells, including expanse iW (3 Seepage pits must be 150' minimum from any wells, including expansiioonn area�lo Si nature of Health Oficial / A'Z4A :. It S Date O f ,5";2 S0 RECEIPT NO.��rr Issued By DISTRICT: ❑ Riverside, P'ndio ❑ Hemet 4' Perris ❑ Rancho Calif. ❑ Blythe DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE -.Office file YELLOW - Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records m YN 1 46 crU vo! MI IN Al 'Alf 7'a 17 01, co OA 41 ahti' r, Q All" fN m YN 1 46 crU vo! MI IN Al 'Alf 7'a 17 01, co OA 41 ahti' r, Q IUVERSIDE MUM IMPAWMElff OF PUBLJC.HEALTH IDIVOON OP ENWROMMENTAL HFALTH IF Tm%r Park7ZM r,,-� , ,rte Taah VMd, APL. HM _# F- Cam� B"M 36204^ 4WX. No +w oto repwaftS v&,tr jc�*ZnkjM &--.jmS gry to 'D FW Sy$tmkmwb approved witilvAt r&-es-zne§ konn ,I -b y cio;j*,-J;8 c VGCO wow. 4: AA sommo dk=pdwa&i3F -rw tmk.;-n aw -7X— AnY OuVIP4 credi4 or, f Mig * h r".1 taw, o", -ap 0 -el Ji ftj bam, yj r,;Q rt, Ewd .1w lw-,;"-;.4n ef the -S This Is to, cw* IVW the Im" efPwag ftr �, mstructior, q1 . 0- Y. 4 Dat a v A y, a&A.25 1Y 4t, oA r'- C?Q C. r rs -is 'm a MIN. I W, FRW AM AWfM 7 SWU'. ta i lines Must be V40 ft. nk-*,� �nd ftm znp�WzBa, lazIuding c. -pan -Mm fircas. nimum from Seepap'pb must 15ft. be 0 mh any to w AkcUp— DEPARTMENT OF PUBLICHM a- f 4S V A L I a FOR 0 M E - Fj FROM DATE'Of AFfROVAU lrea#h of RivicciVide Cormnky, &Fa mot raeve the Ehglo. Arch;tsct fd t34�, mvwxZi:�;h ft tUI&OW" V 71 284 199, 9/74 i s CANARY—FILE, PINK—APPLICANT Architects Contractor_: i "Addie Idfr':...a Addie Address_ ' City, t` City /jam �y fn�Af�: City_ phrv;prrfS Phnne • • y ' ` -L25/ . " r W ;; iF ': 1' we the undersigned, hereby certify and acknowledge ° `"' ( ) 9 Y edge that 1(we)•have read the application and agree That if Curb•and Gutter, and •.'.Pavirrq,.and/or Z •?•, Dedication of right of way is required by the County of Riverside, the Riverside County Department of Building and Safety . ,� r - =r t NOTICE: THIS IS NOT A BUILDING PERMIT • .0 t DISTRICT . ; DATE' SIGNATURE OF OWNER AND/OR AGENT l APPLICATION TO CONSTRUCT'S " r -)-,Approval by Signature from'the Following Departments Listed Below a r DEPARTMENT OF BUILDING AND SAFETY ' ' COUNTY - OF RIVERSIDE Permit No x Be Obtained .Prior to the Issuing of a Construction Permtt t 284 199, 9/74 i s CANARY—FILE, PINK—APPLICANT Architects Contractor_: i "Addie Idfr':...a Addie Address_ ' City, t` City /jam �y fn�Af�: City_ phrv;prrfS Phnne • • y ' ` -L25/ . " r W ;; iF ': 1' we the undersigned, hereby certify and acknowledge ° `"' ( ) 9 Y edge that 1(we)•have read the application and agree That if Curb•and Gutter, and •.'.Pavirrq,.and/or Z •?•, 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 • �� • .0 ithout °an. en:roachment permit. . ... - t_r: ,=$:`'•.:" `t:'• •• • _ ! •� NOW, therefore, it is agreed that I (we) will not occupy said property and will not cause saidpro rt to be occupied until I ( 0 have complied wit all laws of the County of Riverside, and the State of California governing said property . DATE' SIGNATURE OF OWNER AND/OR AGENT l �•r " r -)-,Approval by Signature from'the Following Departments Listed Below a r q a t` r 'Must Be Obtained .Prior to the Issuing of a Construction Permtt t LII"IE f'OTRe�?O .Y I SPACE NO. fff :... E OF STRUC �S`( f USE STRUCTURE.7",-­%% W;.:253 JOB ADDRESS - " ^ .- r ti -7 %' - �' Q SINGLE FAMILY OUPLEX;-�:Y' .' ❑ LEGA DE CRIPTION P OPERT `� ti Z %f i 1; �_ r_, /� . APARTMENTS AGRIC:. ,' ❑ (•�V ' -., r.> • _ ` r: , COMMERCIAL ❑ INDUSTRIAL' [] ~COMMUNITY �a1,, :.:: :. o . - -, !. _ ....• , �..: ALTERATIONS C]Z NO. OF. SUBMITTED PLANSy USE OF PERMIT N G AND ATTACHED CzE1RACsE CASE N0.` O Z D NO OFuPARKING SPACES REQUIRED 7 z NO OF BUILDINGS NOW EXIS ING m ZONE�i_SETBACKS 7 K FRONT : r _SIDE �1 v REAR GRADING PERMIT REQUIRED �y�r`YES �� F �,IsNO ❑" , LOT SIZE SETBACK ORDINANCE OF FEET REQUIRED ON' STREET' ' ~DATE ' ytir��'� SI NATURE LAND USE OFFICIAL DEDICATION REQUIRED:, ;YES '❑." NO$❑ NO., OF FEET -( W y y - , • ;' CURB�AND GUTTER REQUIRED: ; YES ❑ NO •❑ STREET i .. a;Yi��S� Sr �a e.•:. �'t� 4 yw-���hr. L h r, •� `.,, ,.. '7• '., •' r r ^� 1F + ;':� - ': ' CAN .CURB AND. GUTTER FEASIBLYf BE INSTALLED? YES ❑ NO ❑ HAS AN ACCEPTABLE APPLICATION BEEN MADE FOY. ENCROACHMENT PERMIT •FOVIVE AND STREET PROVEM NT?' rYES �NO ❑ ` •' / O a = °C�` ,. J d SIGNATURE OF ROAD DEPT. OFFICIA�� ... fir,. .. J. •. .. - .. ;�.j s r. SEWAGE DISPOSAL 07v "WATER POLLUTION ,! REMARKS ` r�s FLOOD CONTROL Z AIR POLLUTION- _ DIV OF HWY o YOUR PROPERTY MAY SUBJECT TO FLOOD. RIVERSIDE COUNTY ASSUMES / NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199, 9/74 i s CANARY—FILE, PINK—APPLICANT