360413 (SATT)BUILDING PERMIT, .r. * r i+Y v '
PERMIT NO. - � -� , ; ,DEPARTMENTS:OF_,BUILDING 8 SAFETY � FIELD � DST
3 6 0 4 13 COUNTY OF RIVERSIDE '
••�`'CONSrRUCTION ESTIMATE
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:NO.
ELECTRICAL -FEES
NO. PLUMBING FEES
IST FL.,
SQ. FT., @
iv a
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UNITS
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2ND. FL.
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YARD SPKLR SYSTEM
Community -
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POWER OUTLET `t.
ROOF DRAINS
GAR.
CARP
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Zone Restrictions
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URINAL
ESTIMATED CONSTRUCTION VALUATION.
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WATER PIPING 1.
NOTE: Not to'be used as property, tax valuation'
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SWIM POOL, PVT A `,
FLOOR DRAIN
• 2 MECHANICAL FEES:
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Unit
SWIM POOL, COMM.s 'icy
WATERSOFTENER
VENT SYSTEM ..r�. FAN' 'EVAP.'000L" '''HOOD
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WASHER (AUTO) ISH)
APPLIANCE DRYER G
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GARBAGE DISPOSAL
FURNACE UNIT WALL" -.-FLOOR , ,� SUSPENDED
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Vit. 7 s. �J
LAUNDRY TRAY
AIR HANDLING UNIT k + CFM
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IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.'
Address
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TEMP USE PERMIT SVCS '�
WATER CLOSET
COMPRESSOR, HP,POLE,TEMP/PERM
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LAVATORY
HEATING SYSTEMFORCED GRAVITY,
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BOILER B.T.U.
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City ' "'� Zip '
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SQ. FT. RESID @1'/.t
SEWAGE DISPOSAL
M.O. N.C.
El Cash El Check,
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HOUSE SEWER
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. 1Contractor,
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GAS PIPING
PERMIT FEE *
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Treesrequired u.•r. : i'••
PERMIT FEE
PERMIT FEE
DBI.
TOTAL FEES
MOB.-..iM.FEE
.MICRO FEE
4, - NiEc . fEE
,+ PL. CK. FEE
CONST. -FEE' -• ; ELFCf.
SMI FEE
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:Job"Address
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Valuation
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Dist.
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MH.Permit Fee $
Micro Film Fee
Cap $
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Parcel No:,� - Use/Case No.
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lot Size '
Construction Fee Dbl
Legal Description . �; .• i
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Const. _lender
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Supplimentol Permit Numbers
Registr. Fee
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Total Fees - --
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M.O. N.C.
El Cash El Check,
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Received by
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Treesrequired u.•r. : i'••
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Sewage System ;•
Address
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City s{ Zip
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'r-- THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS.” CESSATION OF WORK verified by:
FOR 120 DAYS SHALL ALSO USE PERMIT TO BECOME,VOID. -'
t= I HEREBY AGREE FHOQITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH s?
t LL P
Sewer District 44
r'• ' �'•' tt ' " i ^ ^ • �'t
tiSu:r
THE LAWS
OF RIVERSI O NTY A THE'.STAT OF CALIFORNIA.
I HEREBY
CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANSrAND SPECIFICATIONS HAS DONE 50 IN -
_ moo. qno `
,r "
ACCORDANCE
WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
Service
BUILDING APPROVALS
Final
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets 8 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.
43
Final
IDA
Fireplace T. 0.
OP'N
NO.
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Batts)
QC 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
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A
Grounding Wire
29B
Bonding
30
Fixtures
31
Service
32
Final
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P/L P/L
STREET NAME
Ir
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
c
DISTRICT"
Permit No
284 199 9/74
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CANARY—FILE, PINK—APPLICANT
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Owner Architect Contractor
7;r' It ' %&_ ' `9
Address; Address Address_ �/f
f} ��� �rJc� '
City City City -
Phone Phone Phone
1 (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/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
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..
l
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.
/ A- `'' •� I SPACE NO
USE OF STRUCTURE
JOB ADD6€S 3 - SINGLE FAMILY t DUPLEX
® ❑
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LEGAL DESCRIPTION OF PROPERTY '� / `Z �`�r
- APARTMENTS AGRIC. El
0 116
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1 �r COMMERCIAL Ej INDUSTRIAL rE
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COMMUNITY l-�
,�,�� ALTERATIONS LJ
NO. OF SUBMITTED'PLANS - USE OF PERMIT
W Q
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.
CASE NO.
L7
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NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING
I' r / . j - 5 /C.> ...
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ZONE - SETBACKS: FRONT ' SIDE REAR
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GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE t Y r J
SETBACK ORDINANCE, II, _— OF FEET REQUIRED ON STREET
, I
DATE _y SIGNATURE.OF LAND USE OFFICIAL
F-
DEDICATION REQUIRED: YES ❑ NO ❑ NO OF FEET ___
-
W
CURB AND GUTTER REQUIRED: YES ❑ NO �❑ --�' ` —STREET
d
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ,❑ NO ❑
HAS ANw ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMITif= R 'DRIVE ND STREET
Q
IMPROVEM T?�YE�]w., 0 El, '
°C
DAT ��� SIGNATURE OF ROAD DEPT. O
zPOULZI
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SEWAGE DISPOSAL
W
F MENT
S
WATER POLLUTION REMARKS
Vn FLOOD CONTROL—
z AIR POLLUTION
= F, DIV OF HWY
Ry
YOUR PROPERTY MAY BE SUBJECT TO
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199 9/74
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CANARY—FILE, PINK—APPLICANT
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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 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/`reespons�ibility should trees have to be removed due to lot line errors.
Owner `// � s Name //R X 10^` Building Permit No.
Mailing Address G� n� R,D Cit�T,"' &r)!� State L Z'ip 9
Vt �' ate^ I/ r GAS C�
Job Address Community
Legal Description
Assessors Moe, Book & Paged 3 �6 Type Structure
Type of Soil ILP Is water available Road Dept. Plot Plan No.
Type of existing trees in road right-of-way /
Trees preferred by applicant (1) 01,11.8. (2) 6_ (3) 111!7,4lDL-49=
Date '�� 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 plot plan on reverse.
Date Building and Safety notified 5/79 Signature
Reason
Request for hearingc
Owner's Signature
YES ❑
REQUEST FOR EXCEPTION
(attach additional page if necessary)
(Forward application to Planning Dept. if exception requested)! t
NO REQUEST FOR HEARING `� M
Planning Dept.
Concur ❑
Date
Road Dept.
Non -concur M Explanation
Signature
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
Final Date Inspector _
Job Address
Requirements for tree planting complied with
Remarks
APPROVAL BY BUILDING INSPECTOR.
Building Permit No
Community
(Detach and forward above information to Road Department Riverside)
284-230, REV. 1/74
APR 3'0 1979
4
e7)d ,
..DEPARTMENT OF BUILDING AND SAFETY
h COUhbTY•0-9 RIVERSIDE
"-,CLAIM OF:?' Zy ' DATE: 7
'ADDRESS:'/3
CITY AND STATE
ON THETREASURER. OF THE COUNTY OF RIVERSIDE, STATE OF'",.` ;
CALIFORNIA.
Instrlk-tions: Permittee will furnish the following information:
'�- (1) Permit Number
(2) . Date Issued
elf
(3) Total Fees Paid
(4) Reason for Refund IA4' 72
I CERTIFY THAT THIS CLAIM IS TRUE AND CORRECT, AND THAT NO PART HEREOF HAS
BEEN. PREVIOUSLY PAID BY THE COUNTY OF RIVERSIDE.
n Claimant's Signature
(Do not write below this line)
Date}3uust 14a GeneralFund: 1001-284-1231
FROM: DEPARTMENT OF BUILDING AND SAFETY 4,1111
TO: AUDITOR -CONTROLLER, COUNTY OF -RIVERSIDE
Please issue to the above indicated claimant a refund of $108.47 on the above
permit deposited under Treasurer's Receipt.No.07267 dated "-,24,.711
AUTHORITY: Ordinance No. 457, Section 7, Subsection E
ApprovqWjRkr for the following reason: (strike out words not applicable)
No inspections made. (denier decided not to 'build.)
'" ChiefGBuilding lnsp�c
24
(, irec•� of Bul iy5 Safety
284-188 REV. 10,159
�r+'r"•OWNER"
PER NO.
30413
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Job Address •'S'pace
Zip
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Owner
Ale Itf mz�
.Community
Sate
Dist.
Off.
F.C.C.
MH.Permit Fee
Micro Film Fee Cop E •
Use of Permit :
�' . �Cs-� ����•
O�a�o --"��'rrTi• s
Legal Description '
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Parcel No.
Use/Case No.
Ck. By
Mech. fee Obl E
t
Pl, Ck. fee S ,
' -
Construction Fee Dbl E
Electrical Fee • Dbl E"
SMI Fee S�
et Backs
Lot Size
+S1i
F
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R
1*7
Zdne Reshictions
Group
Type
t/•
Plumbing Fee. Dbl E
Bond Amt.
E
r
Plan No.
_+'O
Plan Checker'
Final Date
Inspector
Unit
$p. Insp. Fee E
Demol. Fee E -• -
Const.",Lender-
''Branch
• ...
-: Supplimental
Permit Numbers
'Registr. Feb E
Mileage Fee E
Address 'City. Zi77
p '
-
Witness Fee E
Reinsp: Fee', E
Owner/Agent
"_: '�'
14
Tel.-•_
?»
Zip
Tocol Fees E
- M.O.'0 N.C. Cash C Fk&LL
14
Address
s� -
City•'"^
-�✓`''
Zip
Received by - -
Trees required ..
Controctor
.W,..a +.• w,. '.e!,:,
Tel.:
.t•� "';^.
License#
Sewage System -
Address
City ..A
Zip
Oo" LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
Sewer District r FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID,'
r. -.-.-•r - - •-+;•,r`. I HEREBYAGREE-THAT ALL •ORK-IN CONNECTION WITHJAIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY,AND THE STATE OF CANFORNIA;'^7
" 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.
Form 284.208.IRev.8/78j