427293 (SATT)PERMIT NO. DEPARTMENT OF BUILDING & SAFETY MIT
COUNTY,.OF RIVERSIDE FIELD OFFICE
427293 RB 0427293
CONSTRUCTION ESTIMATE.
Job AddC
NO. , i ELECTRICAL FEES
NO: PLUMBING FEES
I ST FL. �' SQ. FT. @
1.901 •
UNITS
/nPERMI/T/�NO`(��
` ` v
Community
17P SQ. FT. @�
2ND. FL. • SQ: FT: �E7.
733.
MOBILEHOME SVC.
p r 1}t p
- IIA Q U ,p NU �[': t
YARD SPKLR SYSTEM
BAR SINKGAR.
��POR.
4 SQ.'FT. @ 71
CAR P. SQ. FT. @
WALL SQ. FT. @
SQ. FT. @ w •
ESTIMATED CONSTRUCTION VALUATION $
5�2
•
�7,12 391 ♦ 3
POWER OUTLET
Parcel No.
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL -
, WATER PIPING
;'}Q
NOTE: Not to be used as property tax valuation
Dbl 8
SWIM POOL, PVT
/xa pry
VA'f, h.W ..l
FLOOR DRAIN
PP' 5923
MECHANICAL FEES
PI. Ck. Fee
SWIM POOL, COMM
e .—
WATER SOFTENER
Set Backs _ -
e�''
VENT SYSTEM 6FAN EVAP.000L OOD
,Lf't
1
SIGN
/11000 SgU. /
00
WASHER(AUTO)(DISH)
00
APPLIANCE DRYER
LOT 67TRACT 1406-1
Zone
GARBAGE DISPOSAL
,ry
FURNACE UNIT WALL FLOOR SUSPENDED
E
�i
LAUNDRY TRAY
L -3
AIR HANDLING UNIT CFM
Plumbing Fee
IDLE METER.KITCHEN
Bond Amt.
SINK
5(Tj
ABSORPTION SYSTEM B.T.U.
Fin I Dote
TEMP USE PERMIT SVC
Unit -
Q WATER CLOSET
50
COMPRESSOR 500HP
11. 011231.
,Cl
POLE,TEMP/PERM
LAVATORY'
50
HEATING SYSTEM ?FORCED . GRAVITY
tr�jfQ�
pr
AMPERES SERV ENT
100
SHOWER
Suupplirnental PermitNumbers
BOILER B. T.
SQ. FT. @ C
s. BATH TUB
re 50
$
SQ. FT. @ C
,
WATER HEATER
E50
Witness Fee
E
2 16,SQ.-FT. RESID @l 1AC
2't 73
SEWAGE DISPOSAL
Reinsp. Fee t
$ -
O,vfr1J(MtLVlA'Tel.
4 oSQ. FT. GAR @ I%C
g�
, HOUSE SEWER
�
AWN £CAR'ID
Total Fees
GAS PIPING
G��
PERMIT FEE
City Zip"
PERMIT FEE
4W
I PERMIT FEE
400
DBL.
TOTAL FEES MOB. HM.FEE
458.7
MICRO FEE
MECH. FEE
32,,.59
I PL. CK. FEE
7.8q
CONST. FEE
316.OV.
ELECT.. FEE
41. 1E
SMI FEE
4.2
FEE
PLUMB. FEE
51;.09.
T LL P
Sewer District
Form 284-208 (Rev.8/78). OS
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120.DAYS. CESSATION OF WORK
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.
vl�rified'by:
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Valuation Date Dist. Off.
MH.Permit Fee
$
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$ 6,0391 • 30 08-06-81 111 5 001
Micro Film Fee
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Use of Permit
Parcel No.
Use/Case No.
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Mech. Fee
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Set Backs _ -
Lot Size
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Construction Fee Dbl $ iLegal Descripti
/11000 SgU. /
00
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Electrical Fee
Dbl E
LOT 67TRACT 1406-1
Zone
Group
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Type
Fee
E
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.
7`NSMI
Plumbing Fee
Dbl $
Bond Amt.
Plan No. 'Plan
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Inspector
Unit -
Sp. Insp. Fee
$
$
11. 011231.
,Cl
—/
Demol. Fee
$
Const. Lender Branch
Suupplirnental PermitNumbers
q20Registr. 2729131
Fee
$
,
Mileage Fee $ Ad ess City
Zip
Witness Fee
E
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t
Reinsp. Fee t
$ -
O,vfr1J(MtLVlA'Tel.
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AWN £CAR'ID
Total Fees
$
871 Address
City Zip"
M:O. N.C.
Cash Check
49`991 t1clQOO
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LA QUINT-`
Received by
Contractor ,
-
Tel.
License#
Trees required
Sewage System
.
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Address -
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City Zip
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Sewer District
Form 284-208 (Rev.8/78). OS
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120.DAYS. CESSATION OF WORK
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.
vl�rified'by:
BUILDING PERMIT
i +PERMIT NO.
4272 9 3
PERMIT NO.
-
DEPARTMENT OF BUILDING t& SAFETY
Job Address - - f -
IME ORI ZABA
- _ Spgce
I Zip
922153
DST
Community
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4 2 729
COUNTY OF RIVERSIDE
i 11
FIELD
MH.Permit Fee
Micro Film Fee
Cop $
ESD 0427293
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1OWNROUJE DWLG ATT lXl7,liAGV,
Parcel qNo..� �y /� q
631,3900. 9-6
Use/CCose No. r�
1pr ��G3 IBS
Ck. By
�
CONSTRUCTION ESTIMATE
Set Backs
NO, ELECTRICAL` FEES
INO. PLUMBING FEES
221'6. 23.41
" l9k)l .2k
UNITS
F000 SOOO 11000
Roo%
Electrical Fee Dbl $ CyyO1
IST FL. FT. @
Group
R-3 IV
Type
-N
SMI Fee $
Plumbing Fee
Dbl E
2ND. FL. SQ. FT. @
'Bond Ami.
$
Pylon No//� qq +
1 V 1 1 213
YARD SPKLR SYSTEM
J?44`J
4 • b
733.92
MOBILEHOME SVC.
Unit
BAR SINK
Demol. Fee
POR. SQ. FT. @
Const. tender Branch
-\
Supplimental Permit Numbers
! ��.. 9
46 7.70
3542.02
POWER OUTLET
Ad ess City Zip-
lt
ROOF DRAIN$
Reinsp. Fee
GAR. SQ. FT. @
Owrjer/ e'r
ANDEN CCRIP
Tel.
56i�-1315
CAR P. SQ. FT. @
Total Fees
$
DRAINAGE PIPING
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WALL SQ. FT., @
city m!
LA Q.UINTA
Zip
DRINKING FOUNTAIN
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Contractor -
URINAL
Tel.
SQ. FT. @
License#
T
Trees required
Sewage SystemAddress
ESTIMATED CONSTRUCTION VALUATION $
6121391 ♦ 30
City
1WATER PIPING
� Y
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN+
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM IF FAN EVAP. COOL IHOOD
L nL
♦
SIGN
' WASHER (AUTO)(DISH)
APPLIANCE DRYER
r0lt0
GARBAGE DISPOSAL
50
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
50
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
15
COMPRESSOR 500HP
750
POLE,TEMP/PERM
LAVATORY
3250
HEATING SYSTEM ;FORCED GRAVITY
20 &ERES SERV ENT
700
SHOWER
BOILER B.T.U.
SQ. FT. @ c
' BATH TUB
SQ. FT. @ c
WATER HEATER
250
22JESQ. FT. RESID @114t
2773
SEWAGE DISPOSAL
-$60 SQ. FT. GAR @ %c
q g
� HOUSE SEWER
+�
I GAS PIPING
F0
PERMIT`FEE
PERMIT FEE
P!
PERMIT FEE
400
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FFEJ
MECH. FEEL
PL. C�Ky FEE{}
CONST.FEE
ELECT. FEE
SMISMI FEE
FEE
PLUMB. FEEp�
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C7• P
32• i
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315.0
7.1 .1
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i +PERMIT NO.
4272 9 3
.�• �.
-
-
Job Address - - f -
IME ORI ZABA
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I Zip
922153
Owner A,�
ANDEN CORP
mF.C.C.
Community
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Valuation
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Parcel qNo..� �y /� q
631,3900. 9-6
Use/CCose No. r�
1pr ��G3 IBS
Ck. By
Mech. Fee Dbl $ 31,5
PI. Ck. Fee Is
Set Backs
Lot Size
000 6�V 0 V io
Construction Fee Dbl IS 31 :J
Legal Description
.0iomAACT 14-696-1
F000 SOOO 11000
Roo%
Electrical Fee Dbl $ CyyO1
Zone Restrictions
R28M
Group
R-3 IV
Type
-N
SMI Fee $
Plumbing Fee
Dbl E
'Bond Ami.
$
Pylon No//� qq +
1 V 1 1 213
Plan Checker
Fi I
I ec or
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. tender Branch
-\
Supplimental Permit Numbers
! ��.. 9
.
-
Fee $
Mileage Fee $
Mileage
e
Ad ess City Zip-
lt
Witness Fee $
Reinsp. Fee
$
Owrjer/ e'r
ANDEN CCRIP
Tel.
56i�-1315
Zip
Total Fees
$
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4 1291 EISE ROW'SR
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M.O. N.C: Cash Check
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Sewage SystemAddress
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City
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Sewer District
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C3 VPForm 284-208 (Rev.8/78)
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN_ 120 DAYS, CESSATION OF WORK w�fiecl by:
FOR 120 DAYS SHALL ALSO -CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN Q!:NNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUMY 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.
NO.
OPERATION DATE
INSPECTOR
NO. OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33 Ventilation System
2
Ftgs 8 Frms
34 Plenums 8 Ducts
i
2A
Slab Grade
35 Furnace Comport.
Steel
—71 �� (
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
10A
Fireplace
T. 0. E]
No ADDITIONAL INFORMATION
.,
3
wxLk
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior lath
12 Internal Lath
12A Drywall
Lo
-
13 Finish Grade
INSULATION
Thick
R
Value
7A Walls (Botts)
12B Ceiling (Batts)
r�
12C Ceiling (Blown)
14 Final L
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
e2 L
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
1
/P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring ✓ ���7�
�+✓
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
- - AJ 1. � V' .. `• .
NOTICE: THIS IS NOT A BUILDING, PERMIT DISTRICT
APPLICATION TO CONSTRUCT Permit No
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF'RIVERSIDE
184 199 9/74 -
CANARY—FILE,:' PINK—APPLICANT
Corp " Architect, Ber us Group Anden' Corp.
OwnerAnden Contractor
Address 49-991 Eisenhower :Address 1531 Chapala' '- 'Address_+ 49-991- Eisenhower
`
La Quinta, 'CA 92253. Santa Barbara, CA ,ja Quinta, CA 92253
City Gty City-
Phor,e; (714) 564-1315 {.8'O 903-8901 (714) 5.64-1315 -
Phone phone
•• -
W
1 (we) the undersigned, hereby certify and.acknowledge that 'I (we) have read the application and`agrec that if Curb and Gutter, and -
. 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 tha' oik•is to be done within the County R/W
O.
without an encroachment permit.
NOW, therefore, it is agreed that "I (we) will not occupy said property and will not cause said pr perty to �e occu ied-until (we) have
-
- mplied wipert t
complied all laws of 'ihe�County of Riverside and, the State of California governing said pro
r 4/27/81
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.
�7 7.Y-. - • - ISPACE.ND. - I .r •
-USE OF.; STRUCTURE, "
,;
>
�
JOB ADDRESS Ci& ' O—riz ibJF3 l - SINGLE FAMILY. DUPLEX'.. ..
1 9&1
LEGAL DESCRIPTION OF PROPERTY
631-3919 S}h"c' 3fi 1P5S, a .. APARTMENTS [�'.': AGRIC. �]
O
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<
13siit$ COMMERCIAL INDUSTRIAL O 7
CALTERATIONS
Z
COMMUNITY. -
O'
N0. OF SUBMITTED PLANS USE OF PERMIT condo-dOrell>e g nd att. ges• =_
a
CASE NO. PP 5923
L7
p 3 -
NO. OF PARK G SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING
a aI
ZONE 2,t��'JtETBAC'KS:
m
FRONT= SIDE REAR
GRADING PERMIT REQUIRED?. ;YES ❑ NO ❑ L'OT.SIZE
SETBACK ORDINANCE # OF FEET REQUIRED ON STREET
'DATESIGNATURE OF LAND USE. OFFICIAL Z
t
EET___z
DEDICATION REQUIRED:' YES ❑ NO ❑ .NO. -OF FEET---)
Z.
CURB AND GUTTER- REQUIRED: YES ❑ NO ❑ '� STREET
"
d
..
CAN CURB AND GUTTER' *FEASIBLY BE I ALL'ED? YES ❑ NO' ❑
HAS AN ACCEPTABLE APP CATION BE ADE FOR NCROAC 'ENT PER IT DRIVEWAY STIMPROVEMENT?
NO ❑v1(� 4,1 e,
iES
DATE �� SIGNATURE OF ROAD DEPT. OFFICIA'
I
SWIMMING POOLS PUBLIC..
QW
SEWAGE DISPOSAL
FOOD ESTABLISHMENT
_
WATER POLLUTION REMARKS
�n FLOOD CONTROL' f
W , AIR "POLLUTION
�. DIV OF HWY
o a _ YOUR PROPERTY MAY. BE SUBJECT TO `
o' 4 FLOOD. RIVERSIDE COUNTY ASSUMES,
NO RESPONSIBILITY -IN EVENT OF .FLOOD.•
184 199 9/74 -
CANARY—FILE,:' PINK—APPLICANT
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DEPARTMENT OF BUILDING AND SAFETY APPLICATION CERTIFICATE
COUNTY OF RIVERSIDE PERMIT H
Effective July 1, 1980, Chapter 1301' Section.s19825.n`f the Health and Safety Code requires the execu-
tion of the following applicable declarations prior to the issuance of.a building permit. Please
print or type and sign below. T
Q LICENSED CONTRACTORS DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of
Division 3 of the Businessin
3-715930
and Professions Code and my license is iinfull force and effect.
License Class 33-1 ,License No:
Date 1 ---/? — ri I Contractor 43er4IEM
Q OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following reasons:
0 I, as owner of the property, or my employees with wages as their sole compensation, will
do the work, and the structure is not intended or offered for sale. If I sell within one
year of completion, I understand I will have the burden of proving I did not build or
improve for the purpose of sale (Sec. 7031.5, B.BP.C.).
�] I, as owner of the property, am exclusively contracting with licensed contractcrs to
construct the project (Sec. 7044, B.BP.C.).
[:I I am exempt under Section , B.BP.C. for this reascn:
Date
Owner
0 WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a Certificate of workers'
Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. Code).
Policy No. ` (n : )0-3 0n-7—/dell/nsurance �EjGy�'yQ�/% �/�SLi�9�i�Gc CZ.
Q Certified copy is hereby furnished.
('Certified copy is filed with the County of Riverside, Department of Building aid,/Safety.
Date —lv,lE3 Applicant
Q CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed if permit valuation is for $100.00 or less.)
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 Workers' Compensation laws of California.
I further understand that if after making this Certificate of Exemption, I should become subject to
the Workers' Compensation provisions of the labor code, I must forthwith comply with such provisions
or this permit Shall be deemed revoked.
Date Applicant
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the wcrk for
which this permit is issued (Sec. 3097; Civ. Code).
Lender's Name
Lender's Address
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION
Q I hereby certify that no excavation five (5) or more feet in depth into which a person is re-
quired to descend, will be made in connection with work authorized by this permit, and that no
building, structure, scaffolding, falsework, or demolition or dismantling thereof, will be
more than thirty-six (36) feet high. (Chap 3.2, Grp 2, Art 2, Sec 341, Title 8, C A.C.)
[] As owner -builder, I will not employ anyone to do work which would require a permit from the
Division of Industrial Safety, as noted above, unless such person has a permit to Jo such work
from that division.
0 Division of Industrial Safety Permit No.
Date Applicant
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY
I certify I have read this application and state that the information given is correct. I agree to
comply with all state laws and county ordinances relating to building construction, and authorize a
,representative of the County of Riverside, Department of Building and Safety to enter upon the pro-
perty for hichl havefapplied for tris pe it for the purpose of making inspections.
grin ure o Applicant/Agent V Date
A) Atow
rint Applicant/Agent Name
284-2000 7/80
W
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APPLICATION FOR TREE PLANTING
I (we), the undersigned, hereby certify and acknowledgeithat I (%e) have read the application and agree that is 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 inspection
will be given until said requirements have been met or exception has been granted by the County. Now, theref3re, 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. , !��
Owner's Name � �ryr�u j�- ,['4��� 99,,Bppu�iiIding Per No. /!�( oC
Mailing Address r '� '' /" H .� 7 City �T �'"" v T� State Zip Z
Job Address y�T= �TOR I Communit41 Vil
y.
Legal Description 7& A/. ---
Assessor's Map, Book & Page Type Structure
Type of Soil !� Is water available -----Road Dept. Plot Plan No.
Type of existing trees 1in road right—of—way
Trees preferred by applicant (1) ��a (2)
ir
Date A� Owner's Signatua
Planning Commission Case No.
ROAD DEPARTMENT APPROVAL
as
Approved speciesErythea edulu*(Guadalupe palm)15gal.size Number of tree%gedgd
Spacing of trees 60' Distance from lot lines: Front2 I inside' RAXide 2'inside R/W
Additional requirementsStreet trees should be 2' in_idi right of way along frontage
and apnroximag'''Iy 60' apart and a minimum of 10' from driveways OR as ,per approved
Date Building and Safety notified 9/14/81 Signatur.ELandscape plan. D_M_
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 ❑ Explanation
Date Signature f
Road Dept.
Concur ❑ Non -Concur ❑
Date Signature
Date hearing established
Approved - ❑ Disapproved
Date Building & Safety notified._
C
REQUEST FOR HEARING AND COMMITTEE DECISION
Date hearing notice mailed to owner
Date Owner notified of decision
Signature