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384381, 387326 (SFD)PERMIT NO. 384381 DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD CONSTRUCTION ESTIMATE Job Address �' �""' Space Zip Owner Commun{' Valu n Doe sl. f. C: C. $ NO. ELECTRICAL FEES. NO. PLUMBING FEES IST FL 2ND, FL.SQ. POR GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ: FT. j,( $ K.N UNITS Mach. .Fee Db[ $ FT. YARD SPKLR SYSTEM SQ FT @ . J �, G OBILEHOME SVC. BAR SINK Sq, FT, POWER•OaTLET ROOF DRAINS SQ. FT. DRAINAGE PIPING SQ. FT. ® / DRINKING FOUNTAIN SQ. FT. ® URINAL VALUATION $ c -*u WATER PIPING NOTE: Not to be used as property tax valuation •Registr. Fee S SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES Reinsp. Fee s _ SWIM POOL, COMM -WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD Total Fees : "� M. 0, N. C: Cash Chec ' SIGN WASHER (AUTO)(DISH) APPLIANCE - DRYER Contractor.�+' //' f/ _X{ �C,.•°f _tr. .7^`:--+-fi¢"j`"'r�� Tel- - _ GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED System Sewage 5 _ 9 Y - Add if - - I 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 BOILER B.T.U. SQ. FT. Q t BATH TUB SQ. FT.. @ C WATER HEATER • SQ. FT. RESID e 1 v, c: SEWAGE DISPOSAL SQ. FT. GAR @ 's/.s HOUSE SEWER l.t GAS PIPING PERMIT FEE •i. PERMIT FEE' PERMIT FEE DBL -• TOTAL F}EEErS�� MOB.HM.FEE MICRO FEE MECH. FEE PL.,CK. FEE'• '`CONST FEE' :.:ELECT: - FEE SMI FEE FEE PLUMB. FEEL V PERMIT NO. 3.84381 t Job Address �' �""' Space Zip Owner Commun{' Valu n Doe sl. f. C: C. $ MH.Permit.Fee $ Micro Film Fee Cop, $ ermit Lego Descnpho^-i- t� �7 �r r lip - - 7 J.�` �% 1 Portal No. - Use/Cas o, Ck._ By Mach. .Fee Db[ $ PI. Ck. FeeAL Construction Fee D61 $ Set Backs Lot Size F S S R -9 Zo^e Restrictions Group`T Electrical Fee Dbl $ SMI Fee Plumbing Fee Dbl f Bond At.,. 9 '),_~`. _ •Plan.No. �. r b Plan Abecker Final Date '�-� �? • Inspector Unit Sp. Insp. Fee $ Demol..Fee $ Const. Lender Branch SuppltmemaI ermit Numbers •Registr. Fee S Mileage Fee s Address City Zip - Witness Fee $ - Reinsp. Fee s _ OwnerWnt / f vii Tel. Zip Total Fees : "� M. 0, N. C: Cash Chec ' ddress f- f✓f l G. L.' �'j rJ City Zip ;l 6 "w" i ! 1,4 Received by Contractor.�+' //' f/ _X{ �C,.•°f _tr. .7^`:--+-fi¢"j`"'r�� Tel- - _ LicenseA Trees required System Sewage 5 _ 9 Y - Add if - - I City Zip T LL P f Sewer District Form 284-208 (Rev.8/78) ©s 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 �THEtLA VS OF RIVE RSIDE COUNTY AND THE STATE OF CALIFORNIA. I HEREBY. CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE.SO IN �A 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 Bock 33 Ventilation System 2 Figs & Frms 34 Plenums & 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 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. C] 43 ' Final JOA Fireplace T. 0. OP'N NO. ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Loth 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 18 Vents 19 Sewage Disposal 20 Sewer 21 Water Heater 22 Water Softener 23 Water Service 24 Gas Test ' 25 Final Tank Pit L. Line REAR OF PROPERTY LINE PSL P) ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME BUILDING PERMIT PERMIT NO, 384381lvah,llhn-" NO: Job Address DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST Zip Owner , Date Dist. r^14 r 1PERMIT 384 1 MH -Permit FeeS COUNTY OF RIVERSIDE ' U o .ermit CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES � � ^CN UNITS Mach. Fee Dbl $ IST FL SQ, FT. @ Set Backs Lor Size 2ND, FL SQ. FT. @ ,Legal Description �� n� i. -- YARD SPKLR SYSTEM POR. SQ. FT, @ F MOBILEHOME SVC. BAR SINK GAR-. SQ, FT, @ J� C)� POWER OUTLET ROOF DRAINS CAR P: SQ. FT. @ D_bl $ Bond Amt. $ DRAINAGE PIPING WALL 5a. FT. @ Plan eck r r , DRINKING FOUNTAIN SQ FT @ Inspector Unit URINAL ESTIMATED CONSTRUCTION VALUATION Demo]. Fee $ WATER PIPING NOTE: Not to be used as property tax valuation Branch- e 'SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD Fee _ $ SIGN WASHER (AUTO)(DTSH) APPLIANCE DRYER rlz1 ,v � GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Zip LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION:SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP M.O. N.C.Cash_ ' . Chee POLE,.TEMP/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. @ C BATH TUB Trees required: Sewage System SQ. FT. @ C WATER HEATER SQ. FT. RESID @1 t/.S SEWAGE DISPOSAL Zip. SQ. FT. GAR @ '/4.0 HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MOB. HM. FEE MICRO FEE MECR. FEE PL CK. FEE CONST. FEE ELECT.. FEE SMI FEE FEE PLUMB. FEE J-0 I "r� I PERMIT NO, 384381lvah,llhn-" Job Address e-17— $ Space Zip Owner , Date Dist. r^14 r F:C.C. MH -Permit FeeS Micro Film Fee Cop $ U o .ermit Parcel No. Use/Cost 140. Ck. By Mach. Fee Dbl $ PI. Ck. Fee $ _ Set Backs Lor Size Construction Fee DbI $ ,Legal Description �� n� i. -- F S S R. - Electrical Fee Dbl S Zone Restrictions Group Type SMI Fee S ;Plumbing Fee D_bl $ Bond Amt. $ Plan No. Plan eck r r Final Dote Inspector Unit -Sp. 'Insp. Fee Demo]. Fee $ Const. lender Branch- e Supplimentol Permit Numbers Registr. Fee $ -Mileage Fee $ Addrdss City Zip Fee _ $ 1tWitness Reinsp.'Fee $ Owner/_ ant rlz1 ,v � ..tee Tal. Zip r. Total Fees ddress s"' ` �d 4 X y/'i (�J 'T y 'City, (X �/W /� Zip M.O. N.C.Cash_ ' . Chee Received'by C ntracior Tel. License# Trees required: Sewage System Add" i City Zip. i T U. P 'ewer District (� gal ezt_ 11-1 /Form 284=208 (Rev.8/78) ©s 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 ANDSPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. BUILDING PERMIT PERMIT NO, 3,973H DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD Dsr CONSTRUCTION ESTIMATE_ NO. ELECTRICAL FEES NO. PLUMBING FEES I ST FL. 2ND. FL. FOR. r�yy�.yy GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ SQ. FT. @ SQ. FT. @ SQ. FT. @ SQ. FT, @ SQ. FT. @ SQ. FT. @ VALUATION zi UNITS YARD SPKLR SYSTEM 1� CS •�' MOBILEHOME SVC. BAR SINK - �' ° POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL .� .' WATER PIPING 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 y: SIGN / WASHER (AUTO)(DISH) F,PPLIANCE DRYER GARBAGE DISPOSAL FURNACE 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 j HEATING SYSTEM FORCED GRAVITY t ;'i •' AMPERES SERV ENT " • SHOWER BOILER B.T.U_ SQ. FT. @ C } BATH TUB i SQ, FT. @ C WATER HEATER V •j Q. FT. RESID @ 11/4 t SEWAGE DISPOSAL SQ. FT. GAR @ 3/4 HOUSE SEWER !i GAS PIPING „( PERMIT FEE t PERMIT FEE PERMIT FEE } DEL TOTAL FEES MOB. HM. FEE MICRO FEE ECH fEE-: PL. CK. FEE 5T, FEE„ 1 ELECT FEE SMI FEE FEE l PLU¢6B� F,EE Job Addrom r Space Z� P Owper P f PERMIT NO. Corrlmunity �r� 1 , ` _ r_I "y Valuation "• 1 $ •.�� 7 r� Date DI`1s4 ` Off. F Cr 1 MH Permit Fee b Micro Film Fee Cop j ,Use of Permit y.�J ..—_ - ,--I 1 Parcel No. / 4'1! Y Use/Case No C4. By Mech. Fee Dbl b i PI. Ck_ Fee $ Set Backs Lot Size I Conslrualon Fee Dbl $ ` `�� Legal Description '7 ) ^ 1 Ly i , _j j ck.. 1 Electrical Fee Db $�� Zon! sirir,tipnt Grnup Type SMI Fee S Plumbing Fee Dbl $ Bond Amt. $ Plan No. Plan Checker Final Date - ( 3 Inspect Unit Sp- Inap Fee $ Demol. Fee $ Consi Lender Branch Supplimental Permit Nu J Regilitr. Fee $ Mileage Fee $ Address City Zip Witness Fee •6 Reinsp. Fee ;6 Owner/Agent Tel. Zip Total Fees - Address 1 Ctly Zlp M O- Lj N C Cash Ch�r-1- Received y Contractor y (. 1 S •'J - l C .� i Tel- 7" ,� `'- •'.y ' �� -� License# Trees required Sewage System `� Cily �• Zipy i l4v ILL ROXTHIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK Sewer M3bTcl 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. ' f EBY CERTIFY THAT THE INDIVIDUAL MC) PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284-208 (Rev.8/78) 05 COR.OANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. verified by: NO. OPERATION DATE INSPECTOR NO- OPERATION DATE IN '10R BUILDING APPROVALS MECHANICAL APPROVALS Set Back /3 33 Ventilation System 2 Figs & Frms . � L _ s.c 34 Plenums 8 Ducts cT > 02 2A Slab Grade 7 I�' ^• � 35 Furnace Comport. % t C� d 3 Sleel 36 Inlets & Outlets 4 Grout Blocks 37 Combustion Air 5 Bond Beams 38 Compressor 6 Roof Deck _ j% f�',.y���(`'T 39 Appl. Clearance 7 Framing 40 Fire Damper 8 Vents 41 Smoke Detection Device 9 Garage Fire Wall r �i7� . 42 Commercial Hood 10 Fireplace P L 43 Final 10A Fireplace r.o. OP'Noo ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath l �1 12 Internal Lath 12A Drywall L- ( 0 13 Finish Grade G INSULATION Thick R Value 7A Walls (Batts) 12B Ceiling (Baits) a v 12C Ceiling (Blown) 14 Final PLUMBING APPROVALS 15 Ground Plumb tlRr� 16 Water Piping 17 Rough Plumb i z-T -rGl 18 Vents 19 Sewage Disposal 20 Sewer 21 Water Heater 22 Water Softener l 23 Water Service 24 Gas Test 25 Final (7 / Tani• ( 0 tJ Pit G L Line , REAR OF PROPERTY LINE ELECTRICAL APPROVALS PAL /^ l.J 26 Power Pole 27 Conduil 28 Service Entrance 29 1 Wiring 7_7 7 �• 29A Grounding Wire 29B I Bonding 30 Fixtures 31 Service 32 Final A BUILDING PERMIT PERMIT NO. 367326 DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE D5� COUNTY OF RIVERSIDE i j CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL 2ND. FL. POR. GAR. � CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ SQ. FT. @ SQ. FT. @ SQ. FT. @ ss,� -J UNITS YARD SPKLR SYSTEM 11 r fr' MOBILEHOME SVC. BAR SINK � 00 POWER OUTLET ROOF DRAINS DRAINAGE PIPING SQ. FT. @ SQ. FT. @ SQ. FT. @ VALUATION DRINKING FOUNTAIN URINAL t WATER PIPING NOTE: Not to be used as property lax valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD SIGN WASHER (AUTO)(DISH) APPLIANCE LXDRYER �� GARBAGE DISPOSAL J (FURNACE 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 O AMPERES SERV ENT (iQ SHOWER BOILER B.T U- SQ. FT. @ c BATH TUB 5D SQ. FT. @ c WATER HEATER (J SQ FT. RESID @1 /4c 160 SEWAGE DISPOSAL SQ. FT- GAR @ IN c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE +in / PERMIT FEE IDBL LT TOTAL FEES l.-5 MOB HM. FEE MICRO FEE ErC`H.� PL.CK. FEE CO�FEE�.r1 ELECT SMI FEE FEE PLUMB.B'7 Job Address Space '53 6 �� krc ZIP Ow nr pPE`R�MIT NO. � �' Co munity i� Valuation ,ry;, Dale Dist, Off. I F " MH Permit Fee Micro Film Fee Cop $ Use of Permit > �.... LI C.-+ ` e.5?..K !��I�4� s Parcel No. / �� •• �! I -- "r UJ oa Care No- Ck. By Mech. Fee Dbl $ PI. Ck. Fee $ Set Backs LoI Size `� ✓� Construction Fee Dbl $ Legal Description y 1 _ C' _ L i /� + I Jp�/ 6 v� I"' b i �l. lf� ` / 1 F l n S S / R l Electrical Fee Dbl $ f Znntrirtiaru �'r j,,w �' (r•�.� r . V { Group Ty e SMI Fee 5 w4 Plumbing Fee Dbl :5 { Bond Amt $ Plan No. Plan Checker Fina ale Inspect%((n/,t ryr J� �(9��✓�+-tea uJJ Unit 5p. (nap. Fee ;5 Demol. Fae :5 Const. Lender Branch Supplimental Permit Numbers Reglstr- Fee $ Mileoge Fee $ Address City Zip Wilness Fee '6 Reinsp. Fee $ Owner/Agent Tel- ZIP Total P® $ Addresd j. City Zip M.O- -N.C-El Cash 0 Check Received bN Cior r 'r Q -vs• I Tel. License# Trees required Sewage System A tZip f t- ILL P' THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK Sewer Dlrlricl 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. BY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284-208 (Rev 8/78) ©s ' RDANCE WITH SECTION 55AI OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. verified by. NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE DISTRICT _ ++ Permit No Owner Contractor_ — r- 1 , Address __ _ Address__ -- Address__ _ — - - i_ City _ r � City__—_ City__—___-- �;�v Phone Phorw _ Phone.. — I (we) the undersigned, hereby certify and acknowledge that .1 (we) have read the application and agree that if Curb and Gutter, and W Z 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. 1.6m 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 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 from the Following Departments Listed Below Must Be Obtained Prior to the Issuing of a Construction Permit. SPACE NO. i USE OF STRUCTURE JOB ADDRESS 47 _ y SINGLE FAMILY DUPLEX LEGAL -DESCRIPTION OF PRPPERTY Tr APARTMENTS O U. COMMERCIAL INDUSTRIAL L N COMMUNITY ALTERATIONS C� / Z NO. OF SUBMITTED PLANS - — USE OF PERMIT Q CASE NO.uA — C7 Z NO. OF PARKING SPACES REQUIRED __ NO. OF BUILDINGS NO. EXISTING -- ZONE, SETBACKS: FRONT SIDE /r REAR - J m GRADING PERMIT REQUIRED? YES �D NO ❑ LOT SIZE SETBACK ORDINANCE # T OF FEET REQUIRED ON STREET DATE SIGNATURE OF LAND USE OFFICIAL DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET _ ^' W CURB AND GUTTER REQUIRED: YES ❑ NO [-I = STREET -- I— 01 CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET 10 IMPROVEMENT? Ey' NO ❑ °L DATE-�� SIGNATURE OF ROAD DEPT. OWICIA ` C W � ! SEWAGE DISPOSAL /Orr e5G = p i WATER POLLUTION REMARKS �n FLOOD CONTROL W AIR POLLUTION _ DIV OF HWY f c YOUR PROPERTY MAY BE SUBJECT TO a c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199 9 '74 CANARY —FILE, PINK —APPLICANT 1z w Z 3 O O� oa IXo a} Z W LL J Q m� e6 F- APPLICATION FOR TREE PLANTING f (wa), the undersigned, hereby certify and acknowledge that I (we) have read the oppli cation 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 insA'ection I will be given until said requirements have been met or exception has been granted by the County. Now, therefore, It is a reed that the p-,-- arty 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 ossume no resg_onslbility should trees have tg4e removed due to.lot line errors. - ­7 --? -) V / Owner's Name S 1� F I1uilding Parmlt o. Mailing Address City Stute Zip Job Address -ffl464 LQgal Description �j ry f ,f� all Assessor's Ma Baak & Page ;! = /�/_ C�f Type of Soil tl Is water available ` j &O Type of existing trees in road right -a waty z_ Trees preferred by applicant (1)Lr/ ��1� (2) - � ity Type Structure / o- /�i�7�Ji'�r a Plot Plan No. Date Z1V ��_—` _ _ Owner's Signature Planning Commission Case No. - - ROAD DEPARTMENT APPROVAL Approved species Ceratonia siliqua (Carob) Number of trees 1 Spacing of trees _Distance from lot lines: Front 2' in R/W Side Additional requirements Per lot plan on reverse No street tree b within 10' of driveways. Date Building and Safety notified 1/80 Signature Reason Request for hearing: Owner's Signature Planning Dept. Concur ❑ D ate Road Dept. Concur ❑ Date 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 Non -Concur ❑ Signature 0 z Za Date hearing established Jp Approved ❑ Disapproved ❑ IL Date Building & Safety notified REQUEST FOR HEARING AND COMMITTEE DECISION Date hearing notice mailed to owner - Date Owner notified of decision Signature — -