375913 (SFD)BUILDING
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY
375913 COUNTY OF RIVERSIDE
FIELD
CONSTRUCTION I
NO.
ELECTRICAL FEES
NO.
PLUMBING FEES
IST FL. , SQ, FT. @ '%
2ND. FL. SQ. FT. @
POR. ro SQ. FT.
GAR. t SQ, FT,
CAR P. .. SQ. FT. @
WAIN SQ. FT. @
SQ. FT. (9
ESTIMATED CONSTRUCTION VALUATION
$
UNITS
-
YARD SPKLR SYSTEM
MOBILEHOME SVC.
BAR SINK
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
;
URINAL
$
so
WATER PIPING
is.
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
14 1W
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
AP-Pc:ANCE DRYER
GARBAGE DISPOSAL
PJRNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
-
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
ex
BOILER do B.T.U.
SQ, FT. @ <
BATH TUB
SQ. FT. (d t
4
WATER HEATER
tM
S0; FT. RES1D Q1'ht
C.
SEWAGE DISPOSAL
SO. FT. GAR @ di c
HOUSE SEWER
GAS PIPING
'In'/
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES MOB.HM.FEE
MICRO FEE
PL. CK. F•EE
CONST. FEE
ELE
•y•
SMI FEE
a
FEE
PLUM .
PERMIT NO.
'3 7 5 913
-
Job Address Space
���s
Y;';
Zip
P
Owner
Community
Valuation
f
-Date -
ist.
O
F,C.C.
MWPermit Fee
f
Micro Film Fee
Cop f
se of rmi
DZ�� ANTS AmT. -GARAGE
P cel o. -. - ` "'
!774,1131(43 --1
a/Case
1 ins
Ck.
Mech. Fee
Dbl a
PI. Ck. Fee
f
acks
Lot Sixe
Construction Fee
Dbl f
Legal Description
//gy�m�1 ry 6* q 9.5 �n C V # Zone
f i3L iiPJ 17LYM i}1'0
F
S
S
R
Electrical Fee
Dbl S
Restrictions �
/
Group - Type
w
SMIFee
fVi
Plumbing Fee
Dbl S
Bond Amt.
f
Pion No.
Plan Checker
final Dar+��te VI p
_ iz � Q
Inspector ' Po Unit
Sp. Instp. Fee
f
Dental. Fee
f
Const. Lender Branch
Supplimental Permit Num r
Registr. Fee
f
Mileage Fee
f
Address City Zip
A'
Witness Fee
$
Reinsp. Fee
f
Ow er/A
ti
Tel. Zip
090
i
r
Total Fees /
r-Its r
ty Zip ,
�y I
M.O. N.C. d Cashd Check97-1
Received by f
onFr. ctor
e . r
Licensei
Trees required 1 5� _s
Sewage System _
T LL P
Address
City Zip
THIS PERMIT SHALL BECOME VOID IF WORK:IS NOT COMMENCED WITHIN 120.DAYS. CESSATION OF`WORK verified by:
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
Sewer District
2 > • J 3-S O ��1
Form 28/-208(R.vA"8)
MI.I.VKVMF4%X Wlln 0Cl.11VIN .041 Vr Int aVQiNciJ MIYV rKVrcJ iI a I.VVC Vr InC,JIMIC Vr 6 Urwfk. M.
a
i
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
_ _
�j
33
Ventilation System
2
Figs & Frms
34
Plenums & Ducts
2A
Slob Grade
35
Furnace Comport.
—Z _.Via
3
Steel
36
Inlets & Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
b
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. 0
43
Final
10A
Fireplace T.O.
OP'N ADDITIONAL INFORMATION
NO.
— _ — — — — — — — — — — — —
— — — — — — — _
v
SEWAGE SYSTEM SIZE & LOCATION
11
Exterior Lath
12
Internal Loth
12A
Drywall
13
Finish Grade
INSULATION
Thick
R
Value
7A
Walls (Batts)
fs %tbj•ZT
12B
Ceiling (Batts)
12C
Ceiling (Blown)
14
Final
PLUMBING APPROVALS
15
Ground Plum b
16
Water Piping
17
Rough Plumb
Z_
18
Vents
19
Sewage Disposal
r,
20
Sewer
21
Water Heater
22
'Water Softener
23
Water Service
24
Gas Test
25
Final
Tank 0,D6 Pit 6 L.Line
REAR OF PROPERTY LINE
,♦
P)
'36 ( r
ELECTRICAL APPROVALS
26
Power Pole
27
Conduit
28
Service Entrance
29
Wiring
.Z� O
29A
Grounding Wire
29B
Bonding
30
Fixtures
31
Service
32
Final
_
a1KCC1 I`!/V r
A V,
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND, SAFETY
COUNTY OF RIVERSIDE
DISTRICT _/
Permit No
Owner L Architect Contractor C_ t
Address Address Address--i
City Z. city City
P17ono Phone
I (we) the undersigned, hereby certify aid, acknowledge that I (we) have read the application and agree that if Curb and Gutter, and
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 that no work is to be,done within the County R/W
0
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 RN-erside and the State of California goVe.rning said property.
7'7
DATE —7 SIGNATURE OF OWNER 4ND100 AGENT
Approval by Signature from the Following Departments Listed Below
Must Be';Obtained Prior to the Issuing of a Construction Permit.
-:7 ISPACE NO.
USE OF STRUCTURE
JOBADDRESS S
SINGLE' FAMILY DUPLEX
-DESCRIPTION 7 7-f -
LEGAL L._ OF PROPERTY APARTMENTS AGRIC, El
0
M 4
1^.
COMMERCIAL E] INDUSTRIAL
j
COMMUNITY
ALTERATIONS ❑
z
NO. OF SUBMITTED PLANS USE OF PERMIT
4
CASE NO. f C_
NO, OF PARKING SPACES REQUIkEb�' NO. OF BUILDINGS NOW EXISTING I )c r, C
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V.
7
z 'a
I
ZONE SETBACKS: 'FRONT SIDE R E,;k R
GRADING PERMIT REQUIRED? YES El' NO [9 LOT SIZE
gtT*A'CKSj IN N9��__ OF FEET REQUIRED ON f STREET
SIGNATURE OF LAND USE, OFFICIAL NIL
DEDICATION REQUIRED: YES 0 NO :[] NO. OF FEET -
elkSTREET
CURB AND GUTTER REQUIRED: YES El NO [I
Ile
4 -
IL
. CAN -CURB AND GUTTER FEASIBLY BE INSTALLED? YES El NO El
IVEW
HAS AN ACCEPTABLE: APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT F'5)� D AND STREET
.4L
IMPROVEMENT? YES, %EY NO 0
t�
DATE SIGNATURE OF ROAD "DEPT. OFFIC-
z
ip AP
A
SEWAGE DISPOSAL ;xx
Z
F, TI il-VA J" A 'i A
WATER POLLUTION REMARKS
_7
FLOOD CONTROL —
x AIR POLLUTION
la,
DIV OF HWY
YOUR INOPERTY MAY 5 JE
46
to F.LOOQ. RIVERSIDE COUNjX.A&16.UMES-.
I V�OO
NO RESPONSIBILITY WIVENT OF FL''
XA
284 199 9/74
CANARY —FILE, PINK —APPLICANT
BUILDING PERMIT
PERMIT NO.
37F
DEPARTMENT OF BUILDING & SAFETY
. COUNTY OF RIVERSIDE
c'�`s•�r-r'f�7
FIELD OFFICE
D
� A
CONSTRUCTION tf IM9
NO.
ELECTRICAL FEES
NO.
PLUMBING FEES
IST IFL.
SQ. FT.
UNITS
2ND. FL.
SQ. F7: �
YARD SPKLR SYSTEM
POR SQ. Fj@ A MA
GAR. SQ. FT.
CAR P. SQ. FT. Q
WALL SQ. FT.
SQ FT @
ESTIMATED CONSTRUCTION VALUATION
MOBILEHOME SVC.
BAR.SINK
POWER OUTLET
ROOF'DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN,
URINAL
2647S
60
WATER PIPINGIRA
NOTE: Not to be used as property tax voluotion
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
Ix fA
SIGN
WASHER (AUTO)(DISH)
APPLIANCE 'DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
r.
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR Mao HP
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ t
BATH TUB
SQ. FT. @
WATER HEATER
SQ. FT. RESID @04C
SEWAGE DISPOSAL
SQ. FT. GAR @
HOUSE°SEWER
tAfa2
GAS PIPING
PERMIT FEE
PERMIT FEE
IA APERMIT
FEE
fA
DBL.
TOTAL.FEES
jMOB.HM.FEEj
.MICRO FEE
ME
PL. CK. FEE
1 rn
CONST. FEE
I IQ -1210:
ELE
SMI FEE
FEE
PLUfxl
47
PERMIT NO. Job Address 53665 Space Zip Owner
375913 �r '+ +± s
Community Valuation Data Dist, Off: F.C.C.
MH.Permit Fee S
i _
Micro Film Fee Cops se of P rmlt IT4c7 . se/Case o. Ck. y
Meeh.'Fee Dbl3 3DWELLING AND ATT. GARAGE � "'
PI. Gk. Fee s et Backs lot Size
Corotruclion Fee Dbl $
Legal Description F S S R-
Electrical Fee Dbl S LOT 7 BT 1 9 SC V Q # 1 9 Zone Restrictions Group Type
SMI Fee $
1 ( 11 irk J S7 W Y iz sG f►'1 3 .
Plumbing Fee Dbl $ Bond Amt. Plan No., Plan Checker Final Date Ins or Unit
Sp. Insp. Fee $ S -
Demo!. Fee $ Const. Lender Bronclt Suppllmental Permit Numbers
Registr. Fee $ RB0375913
Mileage Fee $ Address City Zip
Witness Fee $
Rainsp. Fee $ Ow er/ Tel. Zip
Total Fees As AdiJfess - City - Zip
M.O. N.C. Cash eeI f
Received by contractbt Licensel -
Trees required
Sewage System, Address City, Zip
T LL P
Sewer District
- 0
Ir
Form 484408-(Rev:B/78) @s'
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'iHIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
i
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.
verifled by:
T LL P
Sewer District
- 0
Ir
Form 484408-(Rev:B/78) @s'
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'iHIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
i
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.
verifled by:
W.
to
z
3
O
d5 �
V 4
Z w
z
z ❑
a ¢
J 0
a O�
APPLICATION FOR TREE PLANTING
I (we), the undersigned, hereby certify and acknowIadge 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 1s 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 11nes to be surveyed in the event no survey stakes can be found. Further, it is agreed that the County of
Riverside shall assume no responsibilityy should trees have to be removed due to lot line errors. Q
Owners Name 4 -:P .i' Q C40AS ` r C Z�, ey"rC-• y wilding Permit No. --2`/
Mailing Address 64\ City ►^0. Gy&IKNCt state�Zip 321S�J
Job Address __ 5B- 655 K-4eY\%6e, C.Cr Z Community
Legal Description-1, _ 7 251iC (L:" y9sk
Assessors Map, Book & Page 7774 - Lo k 3 Type Structure P%41M \"Ck
Type of Soil Is water available ^S Road Dept. Plot Plan No. _
Type of existing trees, in road right-of-way oAe
Trees preferred by applicant (1) 5► C� (2) � 01-I&X V\ 1'.a� t'e. (3) C)Vk� _
Date % - 31 - -? 9 Owner's Signature
Planning Commission Case No.
ROAD DEPARTMENT APPROVAL
Approved speciesCeratonia siliqua (Carob) Number of trees 1
Spacing of trees Distance from lot lines: Front 2' in R/W Side
Additional requirements Per plot plan on reverse, No street trees will be planted
within 10' of driveways.
Date Building and Safety notified 10/79 Signature
Reason
Request for hearing:
Owner's Signature
Planning Dept,
Concur
Date __
REQUEST FOR EXCEPTION
YES ❑
(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
z - -
ZA Date hearing established Date hearing notice mailed to owner -
Z
JQ Approved ❑ Disapproved Date Owner notified of decision
a Date Building & Safety notified Signature
Z t-
W
6IL
J<
5.n
03 d6
APPROVAL BY BUILDING INSPECTOR
Final Date Inspector
Job Address
Requirements for tree planting complied with
Remarks
Building Permit No,
Community
(Detach and forward above information to Road Department Riverside)
284-230, REV. 1/74
aF `L
t i.
Z7