360168 (SFD)PEIMITNO.
' • �� � 6�a�16:s
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD MD
lit
CONSTRUCTION
ESTIMATE
NO. '.'.ELtCTRicAL FEES
NO. PLUMBING FEES
I I ST F t
IST
IW
SQ. FT. $
UNITS -
2ND. FL.
126
SQ.T` I T. @
figift
Valuation Date
win
YARD- SPKLR. SYSTEM
SQ. FT. (0
Md ?BILE46ME SVC.
BAR SINK
POR'
SQ. FT. @
POWER OUTLET
OU
ROOF DRAINS
PAR..,
Fl. Ck. Fee $
Construcfion Fee DbI
Elisciriccif Fee
DRAINAGE PIPING
1 024*_ 4AA
5Q. -ft.
DRINKING FOUNTAIN j
,
S6FT. 9r,
Plumbing. Fee
URINAL
ESTIMATED CONSTRUCTION VALUATION.$
WATER PIPING
NOTE: Not io be Used os. Property tox voluotion
swim POOL; PVT,
a FLOOR DRAIN
MECHANICAL FEES'
SWIM POOL, COMM
WATER SOFTENER
ik = -FAN 'EVAP. co'cit llli ilHOOD
SIGN
WASHER (AUTO DISH)
A.0,PbAINCE `7 DRYER
GARBAGE DISPd§kL
FURNACE,' 'UNIT WALL' FMR SUSPENDED
Const., Lender
LAUNDRY TRAY
AIR. HANDLING UNIT CFM
IDLE *TER',
KITCHEN SINK,
ABSORPTION SYSTEM B.T.U;
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLEJEMP/PERM
LAVATORY
HEATING . :SYSTEM FORCED,-- GRAVITY
AMPERES 40V ENT'
AM
4�7
SHOWER
-
BOILER B.T U., 7,
SQ. FT.
BATH TUB
, #
WATER'HEATER
A AA& SQ: FT. RESID @j
SEWAGE DISPOSAL AT 'VV
Zip
SQ. FT. GAR. .@ 1% c
'HOUSE SEINER
S_ AltAddresiCity
*A6
GAS.
PERMIT FEE
tin', . PERMIT FEE2 0
PERMIT FEE
DBL.
TOTAL FEES,
MOB."HM.FEE,
'MICRO_:FR:EF'_ '&MT•FEF—
PL..CK;;FEE,.
,OONST. FEE'SMI
FEE
FEE 4 W_
ved by.
77
Cohtrbctor
-21-
4 -
1127 00'' 46
License#
PERMIT NO.
`
16b'Arddress
5^3 74-4-
I ff ��
Zip
I
Owner
.
�5016`8F.C.C.
7
06 no
figift
Valuation Date
win
MH.Permlt Fee SIt
Micro Film Fee
Cop
Legal,description
--4wp. fraXeTIS116.
F, - S
20 /I
W1, Size
s R
I I
Mech.feeDbl'
Fl. Ck. Fee $
Construcfion Fee DbI
Elisciriccif Fee
DbI 1$'
1 024*_ 4AA
w1~w* Oi. A 4 A.
Group 79Pe
_Z
A0_
SAM Fee 2
Plumbing. Fee
DbI S
,
Bond Amt. pI.n t4o.P,lun
Checker
--
F.irdl'Date
Inspector nit
Sp. lnsp.,� Fee,'
$
$
}7
Dembijee
$
Const., Lender
eforIcK
kuppliinental PermitNumbers
Reigistr.. Fee.
Mileage Fee
AddreA Zip
'a. Fee S
Retnsp.:F.,
0 w 6 ant,
T4 , L
Zip
tJ0161 Fees
S_ AltAddresiCity
"Alm
Zip
�)kb
0 :C:171
Cdih 171 Chec&f
-Am
889,0A
CA
ved by.
77
Cohtrbctor
TeJ
License#
wage:System
Addrail
V
City's
Zip
gain D"aft
- CA
I
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Sewer rhiI ict
AV�
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Folim: 2941,208
THIS PERMIT SHALL BECOME VOID; IF WORK' ISNOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
FOR 120 DAYS SHALL ALSO USE RMIT TO BECOME VOID.
-
1 HEREBY
A' EE TH A"ON-WITH WILL BE DONE IN ACCORDANCE WITH
THE Cif CALIFORNIA.
LAWS �Ut.iM D
RIVERSIDE t -ii* D THE-STATE
HEREBY Cliffll�.Y THE INDWU�k]L WHO PREPAR91DJ41PLAN�AND SPECIFICATIONS HAS DONE So IN
A C W 0- L N ' 55W * i , ' THE STATE CALIFORNIA.
CORDANCIEt ITH SE '6KfHE BUSINESS7A,ND, PROFESSIONS CODE OF Tt OF
verlfied by:
L
NO.
OPERATION
DATE
r INSP4-QR
NO.
OPERATION
DATE
INSPECTOR
SUOLDOMG APPROVALS
'
Afi�CMAMPCAL rAPPROV AU
1
2
Set Back
Ftgs 8 Frms
33 Ventilation System
34 Plenums 8 Ducts
2A
Slob Grade
_3� _
35 Furnace Comport.
3
Steel
36 Inlets 8 Outlets
4
Grout Blocks
37 Combustion Air o
5
Bond Beams
38 Compressor c.gd
6
Roof Deck
_ _
39
Appl. Clearance _ kd
7
Framing
/� —
40 Fire Damper
8
Vents
41 Smoke Detection Device
9
Garage Fire Wall
42 Commercial Hood�Q
10
Fireplace
P. L,
43
Final $a
IDA
Fireplace
T.O.
ONP''N ADDOT90MAL IMFORARATOOM
a.
-
SEWAGE SYSVEM SIZE i LOCATOOM —
11 Exterior Lath _ 7
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb ! 5_
18 Vents
19 Sewage Disposal Pa
20 Sewer
21 Water Heater%
22 Water Softener
23 Water Service
24 Gas Test
25
Final
Tank Pit W L.Line
P/L
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
1
'
1
_
' P/
' % Z,
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
298 Bonding
30 Fixtures
31 Service
32 Final
STREET NAM&D-79 � �7
NOTICE. THIS, IS.'NOT A BUILDING' PERMIT DISTRICT
APPLICATION T.O. CONSTRUCT a
Permit No
DEPARTMENT OF BUILDING AND SAFETY ;
COUNTY OF RIVERSIDE 4.1
f
OwneC 40 Ry �f JArehitect y Contractor r !! f �r l 4:i1
c
Addre j L UlkP�p YAddress Address_
City �Ci Cify
�
'-Phone.—
Phone Phonp
1 (t) the undersigned, hereby certify and acknowledge that I (we) have. read the application and agree that if Curb and Gutter, and
o
�'
3
Paving, and/or Dedication of right of way is required by the County of Riverside, the Riverside County Department of Building and Safety
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
O.
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 alt laws.of the County of Riverside and the State of California governing .said property.
DATE _ SIGNATURE OF OWNER AND/OR AGEN
Approval• b,y''.Signature from the Following Departments Liited. Below -
Must Be Obtained Prior to the Issuing of a Construction Permit. '
SPACE NO.
USE OF STRUCTURE
JOB ADDRESS -, . 1 (V❑
A Y DUPLEX
LEG L.DES_�F P4TJ.ON OFPP��PERTY � '� iJ /<c�
Z f.
_ ❑ ❑
J _� AP'A'RSIAENTS AGRIC.
N t
'^
COMM'ERGA'L ❑ .INDUSTRIAL ❑
1 d� �V
5:
0 �
z
COMMUNITY ..
- ,�_ t. L „,_r, •�- r„— _ ALTERATIONS ❑
NO. OF SUBMITTED•PLANS — USE OF PERMIT
Olin
CASE NO.
p Z
N0. OF PPKINP SPACES REQUIRED NO. OF BUILDING -S NOW .E)(,LSTING -4—
ZONE tETBACKS: FRONT `' SIDE REAR
m
GRADING PERMIT REQUIRED? YES ❑ NO 0 LOT SIZE
SETBACK /ORDPENCE II OF. -FEET REQUIRED ON =::5 ,STRE'ET
'
71
DATE ` SIGNATURE OF LAND USE.OFFICIAL -
DEDICATION REQUIRED:. YES ❑ NO p NO. OF14EET
W
CURB AND. GUTTER REQUIRED: YES -p • NO,0 `- �� rE STREET
o
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO' O'
'
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR. ENCROACHMENT .PERMIT FOR DRIVEWAY :AND STREET
cc
IMPROVAEN7? • YES pr NO ❑ r
" ✓" f Cyt �' - re l '+-�
.
DATE�� "_ - SIGNATURE OF ROAD DEPT, �OFFI NAL
SEWAGE DISPOSAL.
= p
F T ,F '
•,, - ,. -,. WATER',POLLUTION REMARKS
FLOOD CONTROLY
_
Z AIR POLLUTION
_.. N DIY OF HWY.
o •�. _ YOUR-:PROURTY MAY BE SUBJECT TO
o FLOOD... RIVERSIDEI'000NTY ASSUMES
' fp NO.RESPONSIBIL•ITY�IN EVENT OF FLOOD.
284 1'99 9/74
CANARY—FILE, PINK—APPLICANT
A
'+RIVERSIDE COUNTY DEPARTMENT OF BUILDING AND SAFETY
CORRECTION NOTICE
To: Permit .No. 'E60^GAJ
Address:, 5 3 - 93 GQDate:
GROUND PLUMBING — U.P,C., 1976 EDI
1 -_Approved plans shall be on;job for inspection. [U.B.C. 1021.
Toilet facilities shall be on job: site. (Calif. Health & Safety Code) v
Post:job card. [U.B.C. 304] .
4. Replace defective fitting at [309).
5• Support soil pipe each joint ( 1, continuous ( ) 131 1
6. Closet bend to extend minimum floor level. [805],. `
Off set plumbing out of bearing footing. [315). „WyA
ill soil pipe with water for testing. (318) .
Stop leaks on line. (318).
10. Unapproved fittings on line. [405 and 310).
11. Minimum Y..'' per foot grade, required on line. [4071.
12• Gas line not permitted under slab. [1213-b1.
13. Pipe shall not be installed in a strained position. [5031 112051 .
14. All horizontal vents required to drain to fixture it serves. [505] .
15• Total vent area to be equal to largest required building sewer. ,[504] .
16. Cleanouts to grade. [406]
FOOTING AND FORM INSPECTION — U.B.C., 1976 EDITION
1- Approved plans shall be on job for -inspection. [302] .
2. Provide legal lot stakes. [301 and 3041:.
3• Foundation footing to be 12 inches — 18 inches into undisturbed soil and 12 inches — 15
inches wide. [Table 29 -Al.
4• Regrade and compact fill, minimum thickness of concrete, floor, 31h inches. [2623) .
5- Fireplace footing to be 12 inches larger each dimension than fireplace. [3707(b)) .
6. Interior bearing footings to be 12 inches into undisturbed soil; width, minimum 12 inches.
[2907 (b)1 .
7- Pier footings minimum 16 inches square. [Chapt. 291.
8. Forms shall conform to -plan tied and braced. [2606(a)] .
'9 Minimum foundation height 6 inches above finish grade. [2907(a)] .
10. Re -bar shall be tied in'place. [2607(d)) .
11 -Provide footing for veneer. Brick ( ►„Rock ( ) 12006(b)).
12 -Water piping on branch to too small. [1009 U.P.C.] .
13 -Gas piping not permitted under slab. [1213-b U.P.C.]..
14 -Mastic required on all metallic pipes where they come through slab or footings. [315 U.P.C.] .
151. Form shall be in place for tub trap.recess. It. shall be poured monolithic. [803 U.P.C.] .
16.Post,job card [U.B.C. 3041b)] .
17 -Job not ready for inspection.
^� Inspector
CORRECT TH 'ABOVE CIRCLED ITEMS AND CALL FOR RE -INSPECTION
r�
184.233 REV, 3/77`
W
tu
z
O
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 tress 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, 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.
Owners Name
Mailing AddressGi
Job Address l�cs-rtara rc-- -Z—
Legal Description V"
Assessor's Map, Book & Page ` 0"1
Type of Soil -�)s water availableT Road Dept. Plot Plan No
Type of existing trees in road right—of—way, ��
Trees preferred by applicant (1) (2)
Building Perm' o. 3Lor6
State ip
Community
Type Structure
(3)
Date L " 1 "� / Owner's Signature 6
('pir7`, u i ie
Planning Commission Case No..
ROAD DERARTMENT.APPROVAL
A- O�
Approved species
Jacaranda acutifolia (Jacaranda) Number of trees 1
ca.Spacing
of trees Distance from lot lines: Front 2' in R/W Side
an
Additional requirements
Per plot plan on reverse.
Date Building and Safety
notified 5/79 Signature '
REQUEST FOR EXCEPTION
Reason
= W
O U.
JN
(attach additional page if necessary)
mW
for hearing: YES' 0
Request
Owner"s Signature
(Forward application to Planning Dept. if exception requested)
NO REQUEST FOR HEARING
Planning Dept.
IL
Concur ❑ Non -concur ❑ Explanation
= p
Date
Signature
z
JO
Dept.
Road
IL oe
Concur ❑ Non -Concur
❑
Date
Signature
REQUEST FOR HEARING AND COMMITTEE DECISION
z .
Zd
Date hearing established
Date hearing notice mailed to owner
Jp Approved
❑ Disapproved ❑
Date Owner notified of decision
IL
Date Building & Safety notified
Signature
k A
i
I
i
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,777
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:. PERMIT NO. -
' -36016 6
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PERM+rNo.
�
•D PARTMENT'OF BUILDING 8 SAFETY
n�ur vrn�
osT
F.CC.
36016,8
COUNWOF RIVERSIDE'
-
• trucBon Fee a Dbl.- �
IEletrrf I FeeDbl $,
• CONSTRUCTION'_
ESTIMATE
NO. EL MICAL .FEES
NO; PLUMBING FEES
I$T.F.L.$
_ SQ. FT. ,�'asis
UNITS
0"
�
2ND: KL.'SQ, FT.
1 _ or
YARD SPKLR.SYSTEM
-
POR; r ` SCF. FT.. &> 44
MOBILEHOME SVC: '
BAR SINK +
GAx SQ. fr: 0
POWER•OUTLET
ROOF DRAINS
SCAR P ,SQ:.FT. @.
.
DRAINAGE PIPING
"
VYALI:' ,SQ. F7. @.
Zip
DRINKING FOUNTAIN
:�u SQ. FT.
-
URINAL
ESTIMATED CONSTRUCTION VALUATION $
l'oMl Fags- s,
WATER PIPING 2.
Aw
NOTE: '46t to be used'as property tax. valuation.
SWIAA,POOL, PVT
FLOOR DRAIN
-MECHANICAL FEES-
swim POOL, COMM
WATER SOFTENER
;VfiNT SYSTEM FAN EMAP. EOQL OODSIGN
jj�!kRechived b" .- -
WASHER AUTO ISW)
APPLIANCE . DRYER -
- .•
GARBAGE DISPOTAL.
FURNACE UNIT, WAIII. FLOOR SUSPENDED
i
LAUNDRY TRAY
Alf HANDLING UNIT K CFM
IDLE.,METER' -
KITCHEN;SINK an
ABSORPTION:SYSTEM B.T.U.
TEMP, USEPER.M,IT-SVt•
- WATER §LOSET
'Ef M4PRESSOR HP
POLE, TEMP/PERM
LAVATORY
HEATING;SYSTEM FORCED GRAVITY'
i
AMPERES' SERV''ENT"
SHOWER
BOILER; B.T:U,
Sq. FT. (r$' C,
BATH TUE
,•,•.: , R - _ ._ ..... �'.
-
SCA.FT. @ c�
WATER HEATER
SQ'. FT. RESID @1T
SEWAGE ISPOSAL, so ww
50'. FT, GqR
HOUSE SEWER
GAS PIPING
PERMIT FEE`,
PERMIT FEE
PERMIT FEE
DBL,
'•.M08.HM.FEE
- MICRO FEE FEEFL..CI(. FEE
C��OjjNSTnnFE��CT FELE„
SMI FE//E����
.FEE PI_
gq7�0tTAL:FEppESe
qq-Hgg:
+�
:. PERMIT NO. -
' -36016 6
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Job Addrea...�!'
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.Comrnunity - - _
Use o Per it "
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Legol;Description
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- `Spot. Zip Owner
'Valuation.• .• -. Dote]-7ffisT.
- - rce No. Use/
Set Backs
F - '5 S R
Zone -Restrictions Group
-
.Off.
se No.
Lot•Sixet.
'
Type
F.CC.
, MW.PermlPFee- 3
'• Mlcio-Film Fee Cep S.
; MecK Foo. 0bI $ 2 - -All
P(, Ck, fee _ S,
-
• trucBon Fee a Dbl.- �
IEletrrf I FeeDbl $,
SMI Fee
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Sµ Ifisp. Fee f -
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Constr. kender
Address
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,-
Zip.
Supplimentel Permit Numbers
Iel.
Zip
Mileage Fee f-
A
- aNNnass Fee -
Re'ijyp, •Fee, f - - -
O en -
mat 1-jig-
l'oMl Fags- s,
Address=
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�Fmrin294:,T08'(Rev.8Fl8} •-
THIS PERMIT'SHALL BECOME VOfD IF WORK IS NOT COMMENCED WITHIN 120 DAYS. aSSAT(ON OF WORK
FOR 120 DAYS SHALL A U RMIT TO BECOME VOID
I HEREBY:AGREOHi I.WITH THIS PERMIT WILL BE -'DONE IN ACCORDANCE'WITH
THE LAWS OF RIVERSIDE COUNTY' D THE'STATE OF CALIFORNIA
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS. DONE SO IN.
ACCORDANCE WITH SECTION 5541 OF THE BUSINES$ AND PROFESSIONS CODE, OF THESTATE•OF CALIFORNIA.
verified by: