360364 (SATT)BUILDING PERMIT
36PERMIT NO.
0364
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD DST
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
Zip
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IST FL. :f i1
2ND. FL.
SQ. FT. @ ; •r>
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UNITS
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41 1 f'-}.
Dist.
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SQ. FT. @ YARD SPKLR SYSTEM
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SQ. FT. @
MOBILEHOME SVC.
Use of Permit
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BAR SINK
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SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION
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ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
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Pl. Ck. Fee y
NOTE: Not to be used as property tax valuation
Lot Size
SWIM POOL, PVT
Construction Fee Dbl $ f '%
FLOOR DRAIN
F S S
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• MECHANICAL FEES
Electrical Fee Dbl b•'�•
SWIM POOL, COMM
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WATER SOFTENER
SMI Fee E CS
VENT SYSTEM ` FAN EVAP. C60L;Fi00
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SIGN
WASHER (AUTO)(DISH)
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APPLIANCE eDRYER'-
Plan Checker
Fin Dat /jQ p or
GARBAGE DISPOSAL
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FURNACE UNIT WALL FLOOR USPENDED -
$
+
LAUNDRY TRAY
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AIR HANDLING UNIT CFM
Supplimentol Permit Numbers
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IDLE METER
Regisir. Fee $
KITCHEN SINK
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ABSORPTION SYSTEM B.T.U.
Reinsp. Fee
TEMP USE PERMIT.SVC
WATER CLOSET
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COMPRESSOR F, - { c HP
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POLE,TEMP/PERM
Zip
„T LAVATORY
Total Fees
HEATING SYSTEM rFOTtan GRAVITY
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BOILER B.T,U.
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BATH TUB
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WATER HEATERMA
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SEWAGE DISPOSAL
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Address
SQ. FT. GAR @ %C 1
City Zip
HOUSE SEWER
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GAS PIPING
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PERMIT FEE
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PERMIT FEE 7 O
PERMIT FEE
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DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MMH. FEE
PL. CK. FEE
CONST. FEE ELER
FEE
SMI FEE
FEE I'LLM.
FEE
PERMIT NO.
36036.4
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Job Address..
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Mech. Fee Dbl E • r
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Set Backs
Lot Size
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Construction Fee Dbl $ f '%
Legal Descriptidn
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Electrical Fee Dbl b•'�•
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Group
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Type
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Plumbing Fee
Dbl $
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Bond Amt.
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Plan No.
Plan Checker
Fin Dat /jQ p or
Unit
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Sp. Insp. Fee S `.
Demol, Fee
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Const. Lender _
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Supplimentol Permit Numbers
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Regisir. Fee $
Mileage Fee y
Address _ City Zip
Witness Fee $
Reinsp. Fee
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Owner/Agent
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Total Fees
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Received by
Contractor—
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License#
Trees requved' 1 ' ti" ' -
Sewoge System
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Address
City Zip
f. N— T _ LL P _ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
(Sewer District FOR 120 DAYS SHALL ALSO USE PERMIT TO BECOME VOID.
I HEREBY AGREE THA " 4;b6wlTH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSID NTY *A`THE STATE OF CALIFORNIA.
1
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN �y 3 3/ 3 t> ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Form 284-208 (Rev.8/78)
verified by:
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
O— 7
33
Ventilation System
2
Ftgs & Frms
34
Plenums & Ducts 9'
2A
Slab Grade
Q
35
Furnace Comport.
3
Steel
36
Inlets & Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
_ % 9
39
Appl. Clearance
7
Framing
.-291
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace
P. L. 0
43
Final
10A
Fireplace
T. 0.
P'N ADDITIONAL INFORMATION
_ _ _. _ _ _ _• _ _ _ _, _ __ , _ _ _
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath..Cc�
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 —_(V—? of
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal — G
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25
Final
Tank IQ 0 O Pit L.Line
REAR OF PROPERTY LINE
PSL P/
06
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ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring 6 -meq_ 79
29A Grounding Wire _
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT
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Permit No
284 199 9/74*` ; a ---
,� ; CANARY—FILE, PINK—APPLICANT
Owner - _ �' Architect ' I k Contractor.
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Address 7 �j - % Address + i 0. ' r f Address_ •/
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City �`' j City - City_
_
Phone - r Phone' �`� Phone
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I (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/orDedication 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 male 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 sa?d 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.
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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.
3 31 SPACE NO.
'
I USE OF STRUCTURE
'7 �/ J
JOB ADDRESS !d 45 !�/-"/- L= ' " ' I r /f Z'- d S SINGLE FAMILY � DUPLEX 0
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LEGAL DESC I OF PROPERTY! �
APARTMENTS AGRIC.
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COMMERCIAL E] INDUSTRIAL
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COMMUNITY �' ALTERATIONS ❑
NO. OF SUBMITTED PLANS USE OF PERMIT YF 1/.cam=r r.f' G>r � - !t
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CASE N0.
NO. OF PARKING SPACES REQUIRED NO. OF BUILD/INGS NOW,E`XISTING
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ZONE SETBACKS: FRONT SIDE / RE°Aii /
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GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZ-E y h V j Thr
SETBACK ORDINANCE H _— OF FEET REQUIRED ON STREET
DATE ray—/� SIGNATURE O,F LAND USE OFFICIAL
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF'FEET___
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AND GUTTER REQUIRED: YES ❑ NO ❑
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CAN CURB AND GUTTER FEASIBLY BE INSTALLED? ❑ �
AYES•❑L-7NO
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR. DRIZWA AY AND STREET
IMPR0 EMENT? YES ❑ ✓' 1
09 0
-1�0 ti ..
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> 'OFFICIAL
DATE SIGNATURE OF ROAD DEPT.
17
W
SEWAGE DISPOSAL
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WATER POLLUTION REMARKS
�n FLOOD CONTROL—
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_ DIV OF HWY ;
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o cc — YOUR PROPERTY MAY BE SUBJECT TO
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c FLOOD. RIVERSIDE COUNTY ASSUMES
- N0. RESPONSIBILITY IN EVENT OF FLOOD.
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284 199 9/74*` ; a ---
,� ; CANARY—FILE, PINK—APPLICANT
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1 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 insryection
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 no responsibility should trees have to be removed due to lot line errors. (-,c)/
Owner's Name U / rjyr/i�i[-47- ` t Building Parmit No. f0" /
Mailing Address 'XI^Q 'L - City T. State de/ ' _ Zip
Job Address Z77— L.. u`,�—
Legal Description O % L� / ? hk _ ``(3 `lYl f_'?'!`�
Assessor's Map, Book & Page _2_
Type of Soil-'�i.%bls water available Road Dept. Plot Plan No.
Type of existing trees in road right—of—way r_
Trees preferred bby- applicant(II) ® Lf ids-.+ (2) �ye0
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Date / 5Y Y' Owner's ,Signature
Planning Commission Case No.
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
REQUEST FOR EXCEPTION
Reason
(ct•tach addifi'onal•page if,.necessary)
Request for hearing: YES ❑
Owner's Signature "t
(Forward application to Planning Dept. if exception requested)
Planning Dept.
Concur ❑
Date
NO REQUEST FOR HEARING
Non -concur M Explanation
Signature
Road Dept.
Concur ❑ Non -Concur
Date Signature
REQUEST FOR NEARING AND COMMITTEE DECISION
Date hearing established Date hearing notice mailed to owner
Approved Disapproved Date Owner notified of decision
Date Building & Safety notified Signature
APPROVAL BY BUILDING INSPECTOR
Final Date Inspector _
Job Address
Requirements for tree planting complied with
Remark s
Building Permit No
Community
(Detach and forward above information to Road Department Riverside)
284-230, REV. 1/74 `
AP 2 4 1979