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360161 (SFD)_ -BUILDING PERMIT PERMIT NO DEPARTMENT OF BUILDING & SAFETY FIELD 36016COUNTY OF RIVERSIDE71' CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES INC1.1 PLUMBING FEES IST FL. SQ. FT. @ S. 2ND. FL. SQ. FT. @ FOR. SQ. FT. @ GAR. SQ. FT. @ ` CARP SQ. FT. @ WALL E7 SQ- FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION U NITS • YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK ^ ` POWER OUTLET ROOF DRAINS • DRAINAGE PIPING DRINKING FOUNTAIN URINAL PIPING 29 779WATER NOTE: Not to be used as property tax valuation ` SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD SIGN WASHER (AUTO)(DISH) APPLIANCE DR GARBAGE DIS SAL FURNACE UNIT WALL FLOG SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC 1L WATER CLOSET COMPRESSOR HP WA POLE, TEMP/PERM de LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. @ C BATH TUB 00, SQ. FT. @ C WATER HEATER SQ FT RESID @ 11/4 JL SEWAGE DISPOSAL SQ. FT GAR @ 3% t L HOUSE SEWER GAS PIPING (PERMIT FEE 00 PERMIT FEE PERMIT FEE IDBL. TOTAL FEES MOB. HM FEE MICRO FEE M� H E 22.50 Pl.CK. FEE CONST. FEE E T: SMI FEE FEE PLU ITRMIT NO- 360161 Job Address Space j Zip Owner - Cnmmun�F, Valuation S Date Lrist. Off I F C C MH Permit Fee b Micro Film Fee Cop $ fParcel No. Usn.� s No. Ck. Cs Mech Fee Dbl $ PI. Ck. Fee $ Set K.71. Lot Size Construction Fee Db1 b • a 19 a 238 S= # 24�F F S S R Electrical Fee Dbl $ 311 Zone Restrictions / Group Type 1 _ SMI Fee $Lot Plumbing Fee Dbl $ Bond Aml. $ Plan No. Plan Checker y / Final Dale ;�'— z 2 Inspector Unit r-5.wti-r-/_ / Sp. Insp. Fee $ Demol. Fee $ Const. Lender Branch Supylim nl Pnrmit Numbers 4 Rvgislr. Fee S Mileage Fee $ Address City Zip Witness Fee $ Rernsp. Fee $ Owner/Agent Tel. Zip City Zip Toral Fees $ A 219 i T A ftl$1 • M.O. N.C- EI cosh Check Received by Contractor cons t . Tel License# Trees requl Sewage System Alelo LL ��FORIS20 Address City Zip PA 92260, IT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: PYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE TH�IItlS�jW WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSI ANTY 1b THE STATE OF CALIFORNIA. I HEREBY CERTIFY THAT THE � SPECIFICATIONS ACCORDANCE WITH SECTION 5411OF THE BUSINESS AND PROFESSIONS CODE OF HE STATE OF CALIFORNIA. Sewer Dlssr cl Form 284-208 (Rev.8/78) Q� 3WVN AMiS i/d 3NIi Alb3dObd 10 ?IV3M Dull I J 1!d ^ OpI JuDl NOILVDOI T 3ZIS WUSAS 30VM3S i lould ZE saJnixlj OE 6UIPU09 96Z aJIM 6uipunoJO V6Z 6ulilm 6Z aDuoqu3 aDInJeS 8Z llnpUO:) LZ alod Jaonod 9Z -1-laP s� SlVAO?JddV IV:)1a17313 �j�Z Z F2 lould 9Z } Isal sD0 hZ aDInJaS JaloM EZ I JaualioS Ja1DM ZZ �'—•- JaloaH JaIOM l6 f ffff JaMas OZ losodsl(I a6oMaS 6l SIUGA el - i gwnld g6nOd Ll i 6uldld JaIDM 91 �7�- J✓ gwnld punojo Sl SIVAOIlddV ONiswnld T 2 lould 6l (uM°I9) 6ullla:) DZl (sllo9) 6ulllaD 9Zl rL?,O. Il (s11D9) sll°M VL I anlOA 1:)!ql NOI1V1f1SNl apoJO gslull EL IIDM/,JQ VZl 1 g401 lowalul Zl NOI1VWHOANI IVN011laaV lould POOH 10lJJawwoD �.1.�l�- Qd-jxZ" aalr,a4 uoipalap O)OLUS Jadwop an j aDUOJDaI:)'IddV JossaJdwo:) la D C/ HIDI JolJalx3 11 VOL Ol 6 8 L 9 ,r ❑ -O'1 aooldanj E4 ❑ 'l d aDoldaJlj ZV 1Q![✓ 71 C46 —2 �2 IIoM aJ13 060JOE) lq sluaA Ob Z� 6ulw°Jd 6E �Q ^Zy JDaO}ooa 8E swoaq pu08 nV uollsngwo:) LE sl:)o19 tnoJO 7 - s1alln0 8 slalul 9E n apoJO 9°IS " swg Jj s6lj lz 9 6 L-�Z' �_ i LIDOS laS E VZ Z 1 IJDdwo� oDown j slDn4 '8 swnuald walsAS UOIIDIIIuan SE 7E EE '� 1 SIVAOdddV IV71NVH73W VIVA08ddV ONla uno 31V0 NOI1VdJ dO ON dQ1D3dSNl 31V0 NOI1V213dO -ON BUILDISIG'PERMIT PERMIT NO. - 3601.61 PERMIT. NO. _ DEPARTMENT OF BUILDING A SAFETY rICLLF wrl�.� DST .Community � - .- , � 0161 Valuottoe f1249 COUNTY OF` RIIV'ERSID,E .F.C,C. MH,Permit Fee Is iMicro Film Fee -' Cop f se:of P and , es np ��. y re ' �}j Lot 19 ulk 2S& g 0 A Lot 'Porcel,No: - CONSTRUCTION ESTIMATE NO. ELECTRICAL. FEES NO. PLUMBING FEES : IST FL - S Q: FT. Q' UNITS: Zone Restrictions 24D" FL SQ. FT. Q YARD SPKLR SYSTEM SQ. FT' 6 4.jW MgBICEHOME SVC, BAR SINK I @L9�t SQ, FT. (� AS -So POWER OUTLET - - Loo ROOF DRAINS SQ. FT'Q DRAINAGE PIPING SLR - r " • s rte. DRINKING FOUNTAIN kyr sir w+ SQ., FT, Q City - URINAL �{ A. ':; P WATER PIPING E571MATEDCONSTRUCTION:VALUATION Not Wb, used as p(op'er`)y tax .vdluation SWIM POOLr PVT FLOa WWI OR DRAIN MECHANICAL FEESs1NlM POOL,. COMM WATER SOFTENER VENT-;tyFkM • ;FAN @IWCOOL • 'WOOD SIGN WASHER (AUT )(DISH) 7�tP 4ANI '' DRYER Address Boxg GA BAGE DIS . SAL UNIT WALL FLOOR •SUSPENDED• Ci `t - ty -- Zip 104,10 WB CA 92260 lA DRY TRAY F AIR HAI3DLING UNIT CFM IDLE METER` _ KI,T. . EN SINK i ABSDR 101>7 SYSTEM r B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMRRESSOR.. HP 77— POLE,TEMP/.PERM L4V .TORY 40 vw :HEALINGSYSFORCED GRAVITY. AMPERES SERV ENT. SH ER jh BOILER B'T:U:s SQ.. FT C' BgTM TUB SQ., FT: Q <r WIC R. HEATER SQ. FT. RESID Q I!/. caEULECT SEWAGE DISPOSAL SQ:.FT. GAR Q V,. "!HOU'E SEWER GAS IPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. MOB-HM.FEE MICRO FEE FFEtEE' PL. X, FEE �aaEE FEE ytTOTT#L.FEES ggMfECH.. ��,,��yy'Ceef�ONST./T.//,FF,EEpp ASMI PERMIT NO. - 3601.61 - 1. _ Job Address - - " '- " " - - '' e' "'• ""' Spate ZIP 22 Owner. •o ' .Community � - .- , � �• - .. .. Valuottoe f1249 Date Dist Off. 1 .F.C,C. MH,Permit Fee Is iMicro Film Fee -' Cop f se:of P and , es np ��. y re ' �}j Lot 19 ulk 2S& g 0 A Lot 'Porcel,No: - Use/Gose No. Ck. By - - - Pl. ck:ne 'ConstrudYoh Fee Dbl i �gIedricol Fee • Oblf _ SMI Fee - f - Set Bocks Lot Size y�y N 2 IN F2 s ryy S R22 Zone Restrictions Group Type umbirig Fee Dbl 5 Irtsp..Fee f Bond Amt. Plan No. - -Plan Checker .r Finail{Date In 1Unit "©emote Fee f Const Gender.. -.•Branch - - Sypplimental Permit Numbers Registr. Fee �Alleage Fee s ; City - Zip d.Addrei3 Whneq+ Fee YReitrip: Fee • - f Ow - gent - ` A Redwad, 6, 7 - - � - 'Tel, .Zip ` - Zip , • b 7�er .; - LlcenseF , rY l�• - Total',Eees . - - : 119 V - M-Oi 0 N.C... � Cash 0 Check3ff gecelved'by" - Cont+actor - - - - -. 1 . t. .t•1:R +,A• wage,5ybtetri iovkgoa Address Boxg _ - - Ci `t - ty -- Zip 104,10 WB CA 92260 LL THIS PERMIT SHALL BECOME VOID IF WORK IS NO,T'•COMMENCED'WITHIN 120 DAYS. CESSATION OF WORK verified by: Sawairict- J FOIL 120 DAYS SHALL ALSO. U RMIT TO' BECOME VOID t y I HEREBY AGREE 7H CI!F�AI�INITH THI$;PERiVf1T WILL BE,DONE IN ACCORDANCE WITH' f THE LAWS OF RIVERSIDE COON Y ND TFIE STATE OF.' CAUFOj2N1A, 1 HEREBY CERTIFY'THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE 50 IN ACCORDANCEWTH"SECTION 5541,0E THE BUSINESS AND PROFESSIONS"CODE OF THE STATE OF CALIFORNIA. Form389-21� (Rgv.B/78j - . � - • 4a. �.'NOTME;'_THIS IS 140't A BUILDING PERMIT • DISTRICT APPLICATION TO CONSTRUCT Permit No DEPARTMENT, OF BUILDING AND 'SAFETY - COUNTY OF RIVERSIDE .4 C f -284 "I'99''.,--,9/74, CANARY—FILE, PINK—APPLICANT .j — -1 f. . j., 0. j, j J_ ­,i ` - K I - 1 ;!-14. Owner,' Arch:tec Contractor - Address d q '/Add�ess Address 1A L �jl C1 City Cif 'Phone Phr> Phone ZI (we) the undersigned, hereby certify and,4acknowledge that I (we) have read the application and agree 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 :t 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 without an encroachment permit. NOW,.there,fore, 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 SIGNATURE OF OWNER AND/OR AGENT. Approval by Signature lirdrei the Folio 9 Departments Li" Below Must Be,*,t!ined Prior to the Issuingf aC-onsihuction Permit. [S P ALC ";,,.USE, OF STRUCTURE JOB ADDRESS DUPLEX 'RVPARTMENTS LEGhL -PES.CRI. 0 OF 1 -7- 0 RTY, L? AGR*IC. 0 u. in COMMERCIAL INDUSTRIAL ❑ 5: COMMUNIT_ L ALT ERATIONS NO, OF SU.BMITTED'PLANS US'E OF PERMIT CASE 1410,' _.N 0.' OF KIN SPACES REQUIRED:-, NO.'OF BUILDINGS NOW EXISTING -Z < -'FTBACKS: FRONT .�, SIDE REAR GRADING,�PERMIT REQUIRED? MED? Y..8 S NO -.CL:]' LOT SIZE SET" A _:L_ OF—' FE.ET-REQUIRED, ONr STREET LKORDILA�C DATE SIGNATIUR - E OF. LAND USE 0 'N.O�- -OF FEET- DEDICATION REQUIRED:.. YES Cl Z CURB AND --GUTTER RtOUIRit):L' YES El - TREET NO [I CAN CURB AND GUTTER FEASIBLY-_�BE' INSTALLED? YES 0 NO El HAS AN ACCEPTABLE APPLICATION2. BEEN MADE FOR ENCROACHMENT PERMIT Fq�L AWEIAAY. AND STREET .4 0. N �IES IMPROVE ENT?, DATE $iGNATURE OF ROAD DEPT. EWAGE DISPOarySAL / Fenn —al 16 T 0. z WATER POLLUTION REMARKS FCOOD,CONT*&'_ z AIR POLLUTION DIV OF,HWY PROPERTY MAY BE, SUBJECT TO -FLOOD. RIVERSIDE COUNTY ASSUMES .4. NO. RESPONSIBILITY IN EVENT OF FLOOD. -284 "I'99''.,--,9/74, CANARY—FILE, PINK—APPLICANT F� U z O O {may oc p = W J LL N =m as to f.: c! d = W z zC .�J O IL Ge 0 z. 21-- X d �w IL APPL'ICATtQM FOR TREE PLANTING I(we), the undersigned, hereby certify -and aaknowledge 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 inspection Fill be given until said requirements have been met or exception has been granted by the County. Now, therefore, it is a reed that the prop- erty owner shall cause the property lines to be surveyed in theevent no. survey stakes can be found. Further, it is agreed that the County of _Riverside shrill assume no responsibility should trees have to be removed due to lot line errors. Owner's Name Building Permij��o. Mailing Address Ci tate -��p S C> t4 Vz­ l _T" Job Address Legal Description i-�V �7 ��; S SQ V Assessor's Map, Book 8" Page "7 7 C-(-z- Type of Sail ✓j Is water available — Road Dept. Plot Plan No. Type of existing trees in road fight -of -way - Trees preferred by applicant (1)c �r (2) elm e Date Z ! — % 7 Owner's Signature Planning Commission Cass No. Type Structure ROAD DEPARTMENT APPROVAL Approved species Jacaranda acutifolia (Jacaranda) Number of trees 1 Spacing of trees Distance from lot lines: Front 2' in R/W Side Additional..requirements Per plot plan on reverse - Date Building and Safety notified 5/79 Signature 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 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 Signature Cbz c. c.<