360365 (SATT)PERMIT NO. DEPARTMENT OF BUILDING & SAFETY rirLU vrrlk-c
MDSt36 0365 COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
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NO. ELECTRICAL FEES
NO. PLUMBING FEES
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Micro Film Fee
DRAINAGE PIPING
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DRINKING FOUNTAIN
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Use of Permit
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URINAL
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Parcel No.
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VALUATION $ 1 WATER PIPING
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NOTE: Not to be used as property tax valuation
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Plan No.
LAUNDRY TRAY
Plan Checker
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PERMIT NO.
360365
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Plan No.
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Sp. Insp. Fee E ..
Demo]. Fee
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Const. Lender
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Supplimentol Permit Numbers
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Registr. Fee E
Mileage Fee E
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Sewer District
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`Form 284-208 (Rev,8/78)
THIS PERMIT SHAH BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
FOR 120 DAYS SHALL ALSO CAUSE PER IT TO BECOME VOID.
I HEREBY AGREE THAT A 1 WO�THE
�li15 PERMJT WILL BE DONE IN ACCORDANCE WITH t
THE LAWS OF RIVERSIDE COUNTY OF CALIFORNIA. f
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_
Jia_
33
Ventilation System
2
Ftgs 8 Frms
_ 7f_ q
/
34Plenums
8 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
_�3_
39
Appl. Clearance
7
Framing
_ �9
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. 0.
DON ADDITIONAL INFORMATION
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SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath f�_s %�
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Botts) � ,-
128 Ceiling (Batts)
12C Ceiling (Blown) /
14 Final .
PLUMBING APPROVALS
15 Ground Plumb -, 9
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal `7
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25
Final
Tank a C2 Pit I-Aine
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/
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26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring _�/� 9,
29A Grounding WirePSL
F—J4 --7
298 Bonding
30 Fixtures
31 Service
32 Final
STREET NAME --AZ D 6 )q -/e. S
•NOTICE THA, BUILDING PERMIT/ '
At.!APPLICATION TO CONSTRUCT �!
'' 1 r"A• t41DEPARTMENT OF BUILDING AND SAFETY
COUNTY -OF RIVERSIDE
DISTRICT ✓
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Permit No
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284,-,199 9/74
CANARY — FILE, - PINK — APPLICANT'
Owner '_ Architectis,"'• 3r ' Contractor 9'
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Address ` Address r r Address— —
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City _ity City_ --"'
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Phone r `� PhonPhone
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1 (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
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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 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 J lf� SIGNATURE OF OWN ER.AND/OR AGENT
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Approval by Signature from the Following Departments Liste Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
SPACE O.
PACE�y USE OF STRUCTURE
JOB ADDRESS I +f
— SINGLE FAMILY DUPLEX
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LEGAL DESCRIPTION OF PROF' RT
-a��T� --� �r - APARTMENTS AGRIC.
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�— COMMERCIAL Ej INDUSTRIAL L
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F3 C
J COMMUNITY •� - - ' :
t: r- ALTERATIONSEj
NO. OF•SUBMITTED'PLANS -- USE OF PERMIT
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CASE N0.
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•`NO..OF•PARKING
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SPACES REQUIRED jN}O. OF BUILDI. GS;,.NOW XISTING
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ZONE SETBACKS: FRONT t iJ �r REAR
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SIDE-
GRADING PERMIT REQUIRED? YES ❑ NO '0 ,LOT Si _ r' /
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SETBAC ORDI"NCE.# - —_ OF .FEET REQUIRED'ON _ �S,, T
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DATE SIGNATURE OF LAND OFFICIAL
_ ,� -USE
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DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET
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CURB AND GUTTER REQUIREDi : YES -OV X ❑ STREET
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CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES. ❑ NO ❑
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HAS AN ACCEPTABLE `APPLICATION tB N" MADE FOR ;EN j%pffCNMENT PERMIT FOR DR WAY AND STREET
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IMPROVEMENT" `SES NO ❑ gl J r ��f' r /J} r
SIGNATURE OF ROAD OFFICIAL(i
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SEWAGE DISPOSAL= '�
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WATER POLLUTION' REMARKS_ t ;
�n FLOOD CONTROL
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x AIR POLLUTION09
W DIV OF HWY
YOUR PROPERTY;'MAY BE SUBJECT TO
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o }`" --FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITYIN EVENT OF FLOOD./
284,-,199 9/74
CANARY — FILE, - PINK — APPLICANT'
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APPLICATION FOR TREE PLANTING Y3
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 Cainty Ordinance No. 457, the applicant agrees to install said trees prior to final inspection. It is understood that no final ipsPPaction
will be given until said requirements have been met or exception has been granted by the County. Now, therefore, it is agreed the 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. �a 6
Owner's Name'^ cil�^ on Building Per/m�it I{o. AG
Mailingdress City State Cx Zip
rT Q a Community �� iX Ig
Assessor's Map, Book & Page _
Type of Soilol ^ Is watq
Type of existing trees in road ri
Trees preferred by applicant (1)
Date
L -�
ivoilable
t -of --way
f C./ I ��/ Type Structure —!1
Road Dept. Plot Plan No.
• Vin` .!{^ � i ih . '.�.
(2)S A,_PAi)S (3). 1
Owner's Signature
Planning Commission Case No. f
ROAD DEPARTMENT APPROVAL
Approved species Number of trees
Spacing of trees Distance from lot lines: Front Side
Additional requirements No street trees required.
Date Building and Safety notified 5/79 Signature
Reason
Request for hearing:
Owner's Signature
Planning Dept.
Concur ❑
D ate
YES ❑
REQUEST FOR EXCEPTION
(attach additional page if necessary)
(Forward application to Planning Dept. if exception requested)
NO REQUEST FOR HEARING
Non -concur ❑ Explanation
Signature
Road Dept.
Concur ❑ Non -Concur ❑
Date Signature
REQUEST FOR HEARING AND COMMITTEE DECISION
Date hearing established Date hearing notice mailed to owner
Approved ❑ Disapproved ❑ Date Owner notified of decision
Date Building & Safety notified Signaturey
Final Date Inspector _
Job Address
Requirements for tree planting complied with
Remarks
APPROVAL BY BUILDING INSPECTOR
Building Permit No.
:ommunity
(Detach and forward above information to Road Department Riverside)
284-230, REV. 1/74 R 2 4 1919
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