A009241 (CPWU):;
L DEPARTMENT OF BUILDING & -Aft
IT TYPE
PERMIT NO. - PERM`COUNTY OF RIVERSIDE t' g
A09241"�
ditional Information
FIELD
FACTORY BUILT HOUSING
MOBILE HOME INSTALLATION
Manufacturer
MH Manuf.
New ❑
Model Designation
Size _
Relocated ❑
Qhit Serial .No.
Total Fees $
.,Ion Approval No.
l6Sig, Serial No.
Wving
ewoge System
T 1 1
p
Permission is hereby granted to move the
structure, described below, in
Width Length
Height
otal Fees $
GRADING
t j
#1
h umber
of #2
Sections
#3
Cut
Fill
Total Fees $
P`esent Location
Community County
RELOCATION INSPECTION
Cestinotion
resent location
ommunity
County
Total Fees
$
fgtal Fees $
�=- Per it No.ob
dd ess
SP # Zip
Owner
Plan Check
Communi
Valuation
D tei,
:2 JFlnr -
Di t-
//
Off
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P. C.
Reinspection�UeGtV5,�/'Q�
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Parcel Ni
ar�.�'dl'i% V✓
Lot Size
Factory-
Built
Set backs
Use Permit #
Leal Descri on
40 —71r
de k /.27
14"'
Grading
V
��
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Bond zone
$
'Grp
I Type
I Unit
ck by
Mobile home
Engineer License
#
Final Date
\����Q-p
Inspector
Env. Assmt.
Requirement
lZs�r
Relocations
Escrow Company
BrarlUch
Total Fees
$
G
Address
City
Zip
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P
Check
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wneer/A gent �j/j��
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Zip
JRelated Permit(s) '
Contractor/ Mover
Tel.
workers' comp.
yes ❑ no ❑
Address
City
Zip
L,"coertify that in the performance of the work for which this permit is This permit shall 3ecome void if workis not commenced within 120 days. Cessation of work for 120 days
I sholl not employ any person in any manner so as to become sub- shall also cause permit to become void.
the workers' compensation laws of California. I hereby agree H.ot all work in connection with this permit will be done in accordance with the lows of
Riverside County Dnd the State of Colifornio.:1 hereby certify that the individual who prepared the plans and
« Owner Signature specifications ho=_ done so in accordance with Sutton 5541 of the Business and Professions Code of the
Builder SignatureState of California.
FORM 284-208A 5-77 (2)M
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & Frms
34
Plenums & Ducts
2A
Slob 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 Detention Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L. E]
43
Final
10A
Fireplace T.O.
NON
ADDITIONAL INFORMATION
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SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Botts))
12B Ceding (Botts)
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
PSL
REAR OF PROPERTY LINE
P/
1
ELECTRICAL APPROVALS
26 Power Pole
27- Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
,32 F:dcl
STREET NAME
NOTICE: THIS IS NOT A IBUILDING PERMIT DISTRICT /
APPLICATION TO CONSTRUCT Permit No l
i DEPARTMENT OF BUILDING AND SAFETY
1 COUNTY OF RIVERSIDE
284 199 9/74 CANARY—FILE, PINK—APPLICANT
Owner A_ Iff A U 1'- Architect O WA2D AU(IC-Ag-ZQontractor
Address -3 +? o 6 J 43,11--v C Address Address- e�
City 'Ll {0 M 1 /-Ar(,-E City City_
Phone Q < y 8 Z 3 Z Phone Phone
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I (we) the undersigned, hereby certify and acknowledge that 0 (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. r
NOW, therefore, it is agreed that I (we) will not occupy said property and will not cause said prop y to be occupied until I (we) have
complied w' all laws of tthe County of Riverside and the State of California governing said property
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6
DATE SIGNATURE OF OWNER AND/OR AGEN _,4"
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Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
p}OJ3 I SPACE N0.
4
I
( USE OF STRUCTURE
��
JOB ADDRESS 7_���zlei
SINGLE FAMILY DUPLEX
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LEGA DESCRIPTION OF PROPERTY. - AP RTMENTS [� AGRIC.• [�
- #� /LSC 773�Q 3� ��/ a�
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IT— COMMEkIAL INDUSTRIAL L�
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COMMUNITY .
16N ❑
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NO.' OF SUBMITTED'PLANS ---_ USE F PERMIT
CASE NO.
C Z
NO. SPACES REQUIRED NO. OF BUILDINGS NOW EXISTI
QZONJ
D�F�RKIG
ETBACKS: FRONT SIDE REAR
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GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACX ORDINANCE # _— OF FEET REQUIRED ON STREET
DATESIGNATURE OF LAND USE QFFICIAL90
t•
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET__
W
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
i
CAN CURB AND GUTTER FEASIBLY BE INSTALLED?-, YES ❑ NO ❑
W
•
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT FOR DRIVEWAY AND STREET
_PERMIT
IMPROVEMENT? YES ❑ NO ❑
of
DATE __ SIGNATURE OF ROAD DEPT. OFFICIAL
S
SWIMMING POOLS PUBLIC
QW
SEWAGE DISPOSAL _
_
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
Pn FLOOD CONTROL
W AIR POLLUTION
W DIV OF HWY
I-YOUR PROPERTY MAY BE SUBJECT T'0
<
0 —
to
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199 9/74 CANARY—FILE, PINK—APPLICANT
r
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT
Permit No
284 199 9/74 CANARY—FILE, PINK—APPLICANT
�d
Owner / • Architect Contractor
Address — Address Address -
City City City_
Phone - Phone Phone
I (we) the undersigned, hereby certify and acknowledge that I :we) have read the application and agree that if Curb and Gutter, and
W
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Paving, and/or Dedication of right of way is required by the Count•w of Riverside, the Riverside County Department of Building and Safety
3
shall not make a Final Inspection until said requirements have beer 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 1 (we) have
complied with all laws of the County of Riverside and the State of California governing said property.%, _.
DATE ,le r. > SIGNATURE -OF OWNER AND/OR AGENTf 1 "rf'
, rl ! r
Approval by Signature from the Following Departments Listed Below f
Must Be Obtained Prior to the Issuing of a Construction Permit.
I SPACE NO.
r ' 1 USE OF STRUCTURE
JOB ADDRESS ,.t`S NGLE FAMILY DUPLEX
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LEGAL DESCRIPTION OF PROPERTY
- - APARTMENTS AGRIC. E]
— — i COMMERCIAL INDUSTRIAL ❑
H <
GC
COMMUNITY ____�"ALTER,ATIONS ❑
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NO. OF SUBMITTEWPLANS — USE OF PERMIT
No QCASE
�
NO. — _ . z
J.y r
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NO. OF PARKING SPACES REQUIRED MO. OF BUILDINGS NOW EXISTING'-- • r~
.
`
Q
ZONErL -� SETBACKS: FRONT SIDE REAR
J m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ _OT SIZE
SETBACK ORDINANCE # -- OF FEET REQUIRED ON STREET
DATE SIGNATURE OF LAND USE OFFICIAL -
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET ---
H
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CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
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d
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
W
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HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
Q
IMPROVEMENT? YES ❑ NO ❑
' O
°C
DATE SIGNATURE DF ROAD DEPT. OFFICIAI
=
SWIMMING POOLS PUBLIC
f
W
SEWAGE DISPOSAL
s W
FOOD ESTABLISHMENT
_
WATER POLLUTION REMARKS
�n FLOOD CONTROL—
z AIR POLLUTION
oc
_ DIV OF HWY
t -
c YOUR PROPERTY MAY BE SUBJECT TO
.4 —
s
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199 9/74 CANARY—FILE, PINK—APPLICANT
You will needappr;lvals from the following agencies:
COUNTY AND STATE OFFICES I ,
Riverside Offices
County of Riverside
Administrative Center
4080 Lemon Street
Planning Commission
Road Department
Building and Safety
land Use Division
Health Service Building
357511th Street 92501
Environmental Health
Flood Control District
1995 Market St. 92501
Weights and Measures
2950 Washington 92504
Regional Water Quality Control Board
6809 Indiana, Suite 200, Riverside 92506
Transportation Dept. of Calif. CALTRANS Dist 8
247 W. 3rd St., San Bernardino, CA 92401
State Fire Marshal
303 W. 3rd St.
San Bernardino, CA 92401
South Coast Air Management Dist.
22850 Cooley Drive
Colton, CA.
Indio Offices
Administrative Center
46-209 Oasis 92201
Planning Commission
Road Department
Environmental Health
Air Pollution Control
Building and Safety & Land Use Div.
Coachella Valley Water District
85-820 Coachella Hts. P,O. Box 1058
Coachella,CA 92236
Water Quality Control Board (State)
73.271 Hwy 111, Palm Desert 92260
Calif. Division of Forestry
46.209 Oasis, Indio, CA 92201
Hemet Offices
Administrative Center
880 N. State St., Hemet, CA 92343
Building and Safety
Health Department
Perris
California Division of Forestry
210 San Jacinto St.,
P.O. Box 248, Perris 82370
San Diego
Transportation Dept. of Calif-CALTRANS, Dist 11
4075 Taylor, P.O. Box 390 92212
Regional Water Quality Control Bd. M9
(State) 6154 Mission Gorge Rd.
Sacramento
Dept. of Aeronautics
Sacramento Executive Airport
Sacramento, CA 95822
Room k
Phone
Land Use
Requirement
Bldg Div
Requirement
9th Floor
787-6181
8th Floor
787-6111
9th Floor
787.6146
9th Floor
787.2011
Basement
787.6543
787.2015
787-2620
684-9330
383-4536
282
888.9255
824-2660
304
342.8277
313
342.8267
203
342-8287
205
342-8402
310
342-8271
398-2651
346.7491
308
347.1929
658.4464
658-5102
657.3183
297-4501
286-5114