354209 (SFD)y. bUILVIInV rCKMII
PERMIT NO. DEPARTMENT OF BUILDING 8 SAFETY
13542091 COUNTY OF RIVERSIDE
FIELDDST
At
CONSTRUCTION
ESTIMATE
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NO. ELECTRICAL FEES
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NO. PLUMBING FEES
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IST FL. SQ. FT. $
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. '
UNITS
2ND. FL. SQ. FT. @
O
YARD SPKLR SYSTEM
Saguaro
Community
POR. SQ. FT. @G~�
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Valuation
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MOBILEHOME SVC.
F.C.C.
BAR SINK
MH.Permit Fee
' GAR. SQ. FT. @
POWER OUTLET " •
ROOF DRAINS
j�gir
i
CAR P. � SQ. FT. @
Micro Film Fee
Cop $
DRAINAGE PIPING
Use of ermit
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DRINKING FOUNTAIN'
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WALL SQ. FT.
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Legal Description
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Electrical Fee Dbl $
�ZneRrictions •
SQ. FT. @
Type
SMI Fee
URINAL
ESTIMATED CONSTRUCTION VALUATION llag 71
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WATER PIPING
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NOTE: Not to;be used as property tax valuation
Plumbing Fee
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
Plan Checker
SWIM POOL, COMM
Final Dat ,� In or Unit
WATER SOFTENER
Sp. Insp. Fee ) , f
VENT SYSTEMEVAP. COOL
FA HOOD
+ $
SIGN
Const. Lender
WASHER (AUT SH)
APPLIANCE t DRYE
'
Registr. Fee $
Mileage Fee $
GARBAGE DISPOSAL -
Witness Fee $
FURNACE UNI WALL FLOOR SUSPENDED
$
:O<er�geni
LAUNDRY TRAY
Tel.
AIR HANDLING Ulb T CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
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COMPRESSOR HP
Address , a
POLE,TEMP/PERM
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VATORY
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HEATING SYSTEM FORCED GRAVITY
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AMPERES SERV ENT
p0
SHOWER
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BOILER f .'I B.T.U.
;Received by
SQ. FT. c
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BATH TUB
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Tel. -
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SQ. FT. @ C
WATER HEATERL'
,Sewage System
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SQ. FT. RESID @I '/. t
SEWAGE DISPOSAL
City Zip
S0. FT. GAR @ sG c,
HOUSE SEWER
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-
GAS PIPING
PERMIT FEE
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PERMIT FEE
PERMIT FEE
t)BL.
TOTAL FEES
MOB.HM.FEE
MICRO FEE
MECH.FFEE,E.��
PL. CK. FEE '
CONST. FEE
CT. FEE
SMI FEE
FEE P
B. fEE
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PERMIT NO.
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Job Address
Sewer District
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Space Zip Owner
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ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. '
Form 284-208 (Re,8/78)
O
Saguaro
Community
On.
Valuation
i
ote Dist. Off.
��.+2/8
r
F.C.C.
MH.Permit Fee
$
j�gir
79
Micro Film Fee
Cop $
-
Use of ermit
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Parcel o! Use/Case No..
617-3
Se c s Lot Size
S 5 R
Ck. By
'
't Mach. Fee I_ $ ,�,.
_Lb
PI. Ck. Fee _
t; Construction Fee Dbl i �` -
Legal Description
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Electrical Fee Dbl $
�ZneRrictions •
Group
Type
SMI Fee
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Plumbing Fee
FFL
ter Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Final Dat ,� In or Unit
Sp. Insp. Fee ) , f
Demol. Fee
+ $
Const. Lender
Branch
Supplimental Permit Numbers
'" ' "'' ` • '' "
'
Registr. Fee $
Mileage Fee $
Address - .City - Zip
Witness Fee $
ReinsP Fee
$
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Tel.
Zip
Tota., -Fees
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Address , a
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City s . r ..« .._ .s.•„ ... ,.-a , .
ZiPd.+..
M'. 0.
N.C. Cosh Check
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;Received by
Contractor
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License#
Trees required r — +
,Sewage System
Address
City Zip
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THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verifit l . J:
Sewer District
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C99AAEErVOID.
FOR 120 DAYS SHALL ALSO CAUSEWN
I HEREBY AGREE THAT ALL WOR1rfTJON WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY ANDE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUA�WHO PR:OARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
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ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. '
Form 284-208 (Re,8/78)
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
I
Set Back
7_7
33
Ventilation System r
2
Ftgs 8 Frms
-7-7
34
Plenums 8 Ducts
2A
Slab Grade
3 r7
35
Furnace Comport.
3
Steel
36
Inlets 8 Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
—s- 79'
39
Appl. Clearance
7
Framing
��6 7
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace
P. L.
43
Final
10A
Fireplace
T.O.
OP'N
NO.
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath G_2- %
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION
Thick R
Value
7A wane (Bans)
L. 1 79.
12B Ceiling (Botts)
4"
12C Ceiling (Blown)
14 . Final
PLUMBING APPROVALS
15 Ground Plumb 27—-
16 Water Piping
17 Rough Plumb _ 7
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
P/L P/
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
NOTTCE: THIS IS NOT A BUILDINGPERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT i
Permit No
Owner Architect— — Contractor_
Address----_-- Address_ —__-_ Address_—�
City- -- ---
Phone Phone ----Phone.—
WI
(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
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without an encroachment permit.
NOW, therefore, it is agreed that I (we) will not occupy said pr rtynd 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_ .-.._
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
i SPACE NO.
USE OF STRUCTURE
JOB ADDRESS
Y ',° " 1 SINGLE FAMILY DUPLEX L
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LEGAL DESCRIPTION OF PROPERTY .>
- APARTMENTS AGRIC.
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"`---"�u--— COMMERCIAL ❑ INDUSTRIAL
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COMMUNITY _�
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ALTERATIONS C�
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NO. OF SUBMITTED PLANS ---___ USE OF PERMIT
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CASE N0. —— --
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NO. OF PARKING SPACES REQUIRED -- -- NO. OF BUILDINGS NOW EXISTING
JZONE
8"1 SETBACKS: FRONT20 SIDE fflff REAR 24*
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GRADING PERMIT REQUIRED? YES El NO ❑ LOT SIZE 59OXWO
SETBACK ORDINANCE # --- OF FEET REQUIRED ON STREET
DATE ____ 1 SIGNATURE OF LAND USE OFFICIAL`=
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DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET_-__—
CURB AND GUTTER REQUIRED: YES ❑ NO ❑
_STREET
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CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
IMPROVEMENT? YES [�-- NO" [I
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DATE 1 __ SIGNATURE OF ROAD DEPT. OFFICIAL
SWIMMING POOLS PUBLIC
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W
SEWAGE DISPOSAL P i
FOOD ESTABLISHMENT
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WATER POLLUTION — REMARKS
FLOOD CONTROL
Z AIR POLLUTION
W DIV OF HWY
H
_
o — _ YOUR PROPERTY MAY BE SUBJECT TO
o FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199 9/74 - CANARY —FILE, PINK —APPLICANT
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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 unr_er River-
side County Ordinance No. 457, the applicant agrees to install said trees prior to final inspection. It is understood that no final ins 'action
will be given until said requirements have been met or exception has been granted by the County. Now, therefore, it is agreed that tre 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.
Owner's Name A G, Mz.nit �ji&
Mailing Address _7 (O 1 PS-&lh 4FCity
Job Address L.
Legal Description qn D
Assessor's Maap�p^, �,r
B000kk� & Page % m 6)Y �-
Type of Soil Is water available �—Road Dept. Plot Plan No
Type of existing trees in road right f—way
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Trees preferred by applicant (1)
Date Ly — f — z
Owner's Signature
-3
Building Permit N —7/o. State ✓/- Zip 2260
Community L4 iZ✓ ika
Type Structure;
(3) FrilM
Planning Commission Case No.
ROAD DEPARTb ENT APPROVAL
Approved species Washingtonia robusta (Mexican fan palm) Number of trees 1
oWSpacing of trees Distance from lot lines: Front 2' in R%W Side
Wo Additional requirements Per plot plan on reverse.
Date Building and Safety notified 3 79 Signature
REQUEST FOR EXCEPTION
Reason
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-j Q (attach additional page if necessary)
w Request for hearing: YES ❑
m adt
Owner's Signature
(Forward application to Planning Dept. if exception requested)
NO REQUEST FOR HEARING
Planning Dept.
06 H
a Concur ❑ Non -concur ❑ Explanation
w
Z a Date Signature
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J Oa Road Dept.
d Concur ❑ Non -Concur ❑
Date Signature
REQUEST FOR HEARING AND COMMITTEE DECISION
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ZaDate hearing established Date hearing notice mailed to owner
J Wp Approved ❑ Disapproved ❑ Date Owner notified of decision
d Date Building & Safety notified Signature
APPROVAL BY BUILDING INSPECTOR
c�F Final Date Inspector Building Permit No.
0 LL Job Address Community
jw Requirements for tree planting complied with
00"6 Remarks
(Detach and forward above information to Road Department Riverside)
284-230, REV. 1174
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