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385011 (SATT)' DWILYII41V rE11M11 PERMIT NO. DEPARTMENT OF BUILDING & SAFETY 35 Cl 1 1 COUNTY OF RIVERSIDE FIELD MIDST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES PERMIT NO. IST FL. + Lj `� 2N1). FL. POR. GAR. CAR P. 1 WALL SQ. FT. @ ) }I,. ) $ rl t: v UNITS SpaceZip t Owner ~ �. 1,38501 YARD SPKLR SYSTEM - SQ. FT. @ SQ. FT. @ MOBILEHOME SVC. BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS SQ. FT. @ l! t ! `"' DRAINAGE PIPING f'�1�1 ;�,n,�►„�� DRINKING FOUNTAIN SQ. FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $' �T(.1 tam Com/m/unity H URINAL WATER PIPING �^�7 0 � ' ' NOTE: Not to be used as property tax valuation F. --.C. SWIM POOL, PVT MH.Permit Fee FLOOR DRAIN i• %si MECHANICAL FEES SWIM POOL, COMM �.. j WATER SOFTENER n Micro Film Fee VENT SYSTEM FAN EVAP. COOL HOOD [ , '� SIGN _ WASHER (AUTO)(DISH) Use/Case No.Ck. APPLIANCE DRYER ;_� Dbl E �; J^, -, r-. 1 GARBAGE DISPOSAL rj y v i `J "' lJ�� i FURNACE UNIT WALL FLOOR SUSPENDED PL Ck. Fee $ ~ �• LAUNDRY TRAY �\ �` L 1 L;ti i AIR HANDLING UNIT CFM Lot Size IDLE METER Construction Fee KITCHEN SINK ( _ '� Legal Descri ton` g P i ' ABSORPTION SYSTEM B.T.U. F f S � S �+ TEMP USE PERMIT SVC i WATER CLOSET << Dbl $ (1 e COMPRESSOR <` HP r POLE,TEMP/PERM Zone Restrictions ' fj LAVATORY .-A HEATING SYSTEM FORCED GRAVITY SMI Fee AMPERES SERV ENT , , SHOWER " BOILER B.T.U. SQ. FT. @ C Dbl $ BATH TUB Bond Amt. 6' Plan No. flan Checker SQ. FT. @ C Inspector WATER HEATER !� ; $ )r( ^t S0. FT. RESID @1 t'A ^l SEWAGE DISPOSAL ^' 7—S—C�a� 1 S0. FT. GAR @ 1%< -;t ;. HOUSE SEWER Const. Lender B'anch Supplime�if Numbers Registr. Fee .W GAS PIPING -•., PERMIT FEE PERMIT FEE $ PERMIT FEE Add Cit Y Zip P DBL. TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE I CONST. FEE 'ELECT. FEE. SMI FEE FEE PLUMB. =EE I Jr PERMIT NO. Job Address �'� fir• �..-:�.i�t... SpaceZip t Owner ~ �. 1,38501 1 (_�' e`1. J�'. � n ' .1. f'�1�1 ;�,n,�►„�� Com/m/unity H Valuation E,r �^�7 0 � ' Date Dist Off. F. --.C. MH.Permit Fee $ i• %si i .f. t,.,�•��'' r d 1 CI �.. j �.� n Micro Film Fee Cop $ Use of Permit _ Parcel No. Use/Case No.Ck. By Mech. Fee Dbl E �; J^, -, r-. 1 rj y v i `J "' lJ�� PL Ck. Fee $ ~ �• �\ �` L 1 L;ti c+ '"�"�" Set Backs Lot Size Construction Fee Dbl E e � ( _ '� Legal Descri ton` g P i ' .�y,/� � `O F f S � S �+ t • a Type Electrical Fee Dbl $ (1 e �`•` "` Zone Restrictions ' Group t ..• SMI Fee /^ EI. Plumbing Fee Dbl $ Clk Bond Amt. Plan No. flan Checker Final Dote Inspector Unit Sp. Insp. Fee $ $ ^' 7—S—C�a� Demol. Fee $ Const. Lender B'anch Supplime�if Numbers Registr. Fee is , Mileage Fee $ Add Cit Y Zip P r . Witness Fee $ Reinsp. Fee $ O /Agent Tel. Zip. Total Fees $ Addr,ss \'S.Q - ' ' • ` v� G—�+.T lr'.../ �'ii Q - City _tf I 11. .1 r\t;�r �.J ltU1, ZiF 4 J'•`'1 M.O. 0 N.C. Cash 0 Check w Received by i y't g A Contractor Tel. License# Trees required SewagQ_Systep. Address City e Zip 1 ryry ��. c LL P/ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS CESSATION OF WORK " verified b Sewer District 8o Form 284-208 Rev.8/78) P s FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORE IN C(NNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. IHEREBY CERTIFY THAT THE L- WIDUi+i WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION ;041 OF THE BUSINESS AND EROFESSIOIvS CODE OF THE STATE OF CALIFORNIA. 1! 11 NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back _ 9— g 33 Ventilation System 2 Ftgs & Frms _ O 34 Plenums & Ducts - _ y 2A Slab Grade k d�35 Furnace Comport. 3 Steel 36 Inlets & Outlets 4 Grout Blocks 37 Combustion Air 5 Bond Beams 38 Compressor — 7 . 6 Roof Deck Tu Y 39 Appl. Clearance 7 Framing _ l Z7•d � 40 Fire Damper 8 Vents 41 Smoke Detection Device 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P. L. 43 Final -5--7-k11 10A Fireplace T. 0. No ADDITIONAL INFORMATION r��04?e 1;1,,r 4 �L � k ZS=BD C a SEWAGE SYSTEM SIZE & LOCATION ' 11 Exterior Lothe�V 12 Internal Lath (/_ f/, ?o 12A Drywall 13 Finish Grade •,R^ INSULATION Thick Value 7A Walls (Batts) �� �� 12B Ceiling (Batts) ik� 12C Ceiling (Blown) 14 Final PLUMBING APPROVALS 02 15 Ground Plumb 16 Water Piping 17 Rough Plumb �! •� Z� ���j 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 P/L %� P/ / f/ �e ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME5,3��� yd*0' R lit . r NOTICE: -THIS IS 14Ofi A BUILDING PERMIT DISTRICT APPLICATION'TO CONSTRUCT Permit No DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE 284 199 9/74 CANARY—FILE, PINK — APPLICAAT Owner �^ -��� f nU r, Architect J < fl ,',� i / l CXu l-( Contractor k a � y i 0 Address-� a�Q-51(-rt LUQ ✓ Address 1111 i ► r� I C1 L R 1)(.4 Address,!' �1 -i. fr r City/�� City �C�%ifi Citycrn.f �!^3�t17!T� .0/Mif�lC-t�1y^i�F 16 '..J Phone hone Phone— or or W I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and 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. I. am also aware that no work is to be done within the County R/VV 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, 111104 1 1 y_� l 4 7T%a Approval by Signature from the Following Departments Listed Below Must Be Obtained Prior to the Issuing of a Construction Permit. SPACE NO. J7 -P - - i, r ✓ � ,I/-/ L— `J USE OF STRUCTURE 1 JOB ADDRESS f - SINGLE FAMILY DUPLEX - Z LEGAL DESCRIPTION OF PROPERTY r � I - APARTMENTS � AGRIC. OU6 N QCOMMERCIAL INDUSTRIAL '� '^ � C COMMUNITY. I-� 7` 1` ALTERATIONS LJ Z N0. OF SUBMITTED PLANS -- USE OF PERMIT _ J' CASE NO. p Z NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS 'EXISTING -- Q a_ SNNOW ZONE.- ' SETBACKS: FRONT SIDE / REAR , Co GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE # _— OF FEET REQUIRED ON '' - STREET DATE /—_ ' ' SIGNATURE OF LAND USE OFFICIAL IM- DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET___. _ zCURB AND GUTTER REQUIRED: YES ❑ NO ❑ '----STREETa� IL CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ ' W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET IMPROVEMENT? YES -0 NO ❑ °L DATE/_ Z SIGNATURE OF ROAD DEPT. OFFICIAL = SWIMMING POOLS PUBBLIC. J W SEWAGE DISPOSALaA,&,0. tis eje . e�go/,� _ 1 FOOD ESTABLISHMENT WATER POLLUTION REMARKS �n FLOOD CONTROL— z AIR POLLUTION S F DIV OF HWY 0 —YOUR PROPERTY MAY BE SUBJECT TO % — c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199 9/74 CANARY—FILE, PINK — APPLICAAT C UA z 0 0 t - O ku Wo 0 >- Z � W o LL J Q N m 06 06 F o a z w — o Z z o J O CL jr a z . z� za aw J IL r i t APPLICATIOR} 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 inspect on will be given until said requirements hove 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 Count,, of Riverside shall assume no responsibility should trees have to be removed due to lot line errors. Owners Name / U Mailing Address Job Address Legal Description Assessor's Map, Book fk Page Type of Soii is water available' Road Dept. Plot Plan No. Type of existing trees in road right—of—way ^ Trees preferred by applicant (1) - C , L/ (2 Date Planning Commission Case No. Owner's Signature ROAD DEPARTMENT APPROVAL T C CQ Approved species Ceratonia siliqua (Carob) Number of trees 1 Spacing of trees Distance from lot lines: Front2' 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 1/80 Signature REQUEST FOR EXCEPTION Reason (attach additional page if necessary: Request for hearing: YES F-1 Owner's Signature (Forward application to Planning Dept, if exception requested) NO REQUEST FOR HEARING Planning Dept. Concur ❑ Non -concur ❑ Explanation Date Signature Road Dept. Concur ❑ Non -Concur ❑ Date Signature REQUEST FOR HEARING AND COMMITTEE DECISION. Date hearing established Approved ❑ Disapproved ❑ Date Building & Safety notified Date hearing notice mailed to owner Date Owner notified of decision Signature { c 1? ._,� •��J ��;����1�..4`'� !,5` � 'ems s -.!s T J s 0� Santa Barbara Ventura Thousand Oaks 963-4428 642-6727 497-2401 . Tract and Lot o,r Address: l Type of Certifigation: G Remarks: Technician or '/ Inspcetor: ' �''/� 1 Date and Time of. Certification: �1 PERMIT NO. DEPARTMENT OF BUILDING & SAFETY Space FIELD OFFICE , Comrqunity. p o q O Valuation $r.�. COUNTY OF RIVERSIDE Date15- Dist. Off. DST CONSTRUCTION ESTIMATE Micro Film Fee NO.. ELECTRICAL FEES NO. PLUMBING FEES /T'1 r�.,�.✓ ' IyT FL. L l.; 2 SQ. FT. @ I k'- •- $ r�1�. Use/Case UNITS Ck. By Mech. Fee Dbl 8 ,. PI. Ck. Fee $ ...• Set Backs 2ND. FL. _ SQ. FT. @ Construction Fee Electrical Fee Ob'$ $ Legal Des ription � �� -� \ L^ YARD SPKLR SYSTEM 5 +� F 6T FOR. SQ. FT. @ Gro p MOBILEHOME SVC. ' BAR SINK Plumbing Fee$ a GAR. SQ. FT. @ Plan No. POWER OUTLET Finnal Date ROOF DRAINS Unit } CAR P. (•- � '1 [� SQ. FT. @ �•; 1 L l) �. Fee$ DRAINAGE PIPING Branch Supplimentol Permit Numbers WALL SQ. FT. @ ' Zip Regisir. Fee $ Mileage Fee $ DRINKING FOUNTAIN Witness Fee $ Reinsp. Fee $ SQ. FT. @ $ ° r 41) Addr ss �Ok. t ''� !` �_ C�3 ,`t�• "N {5L, URINAL ° Zip ESTIMATED CONSTRUCTION VALUATION $ , ,� ~» I /)� WATER PIPING' Tel. NOTE: Not to be used as property tax valuation SWIM POOL, PVT, r t w v LyJI. � FLOOR DRAIN City .. MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD •2 (`n SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK d ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET < COMPRESSOR �Z lz 0 HP ` POLE,TEMP/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY Lq AMPERES SERV ENT (D SHOWER G '" BOILER B. T. U: SQ. FT. @ t BATH TUB SQ. FT. @ c 1 WATER HEATER SQ. FT. RESID @1'/.c SEWAGE DISPOSAL co SQ. FT. GAR @ '/. c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE �� PERMIT FEE' DBL. TOTAL FE fit MOBHMFE . . E MICRO FEE MECH. F PL. Cf. FEE CONST. FEE TLECT. FEE S FEE FEE PLUMB. F EE t ,.- %� 5�✓ �---- PERMIT NO. 3 85 011 Job Address ..- 4 , . e �.: �. � , Space Owner Zip r � � ,,-r) , Comrqunity. Valuation $r.�. - ;� fj Date15- Dist. Off. F.C.C. MH.Permit Fee $ Micro Film Fee Cop $ Use of Permit /T'1 r�.,�.✓ Parcel No. e l `I `� �, �' 3 Use/Case No. 19S Ck. By Mech. Fee Dbl 8 ,. PI. Ck. Fee $ ...• Set Backs Lot Size r f ��� l / .l ,r� l./ (f Construction Fee Electrical Fee Ob'$ $ Legal Des ription � �� -� \ L^ � Tf� 1 ( % E`+ � > �7[? (+�_]vv✓✓(( y4••, C) 5 +� F 6T Zone Rystrictions %q - Gro p T`yJp�el~)1 V ' SMI Fee 8 Plumbing Fee$ a Bond Amt. Plan No. Plan ChecLer Finnal Date Inspector Unit Sp. Insp. Fee$$Demol. Fee$ Const. Lender, Branch Supplimentol Permit Numbers ' Zip Regisir. Fee $ Mileage Fee $ Address ^ City Zip ! O /AgentTel. 41 "74- Witness Fee $ Reinsp. Fee $ Total Fees $ ° r 41) Addr ss �Ok. t ''� !` �_ C�3 ,`t�• "N {5L, City - t. t !!� ° Zip M.O. N.C. Cash Check Received byControctor Trees required Tel. License# $ewa�ce.Syat 6 r t w v LyJI. � Address City .. Zip T LL P THIS PERMIT SHALL BECOME VOID IF WORK I!. NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: Sewer District 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 STAXE OF CALIFORNIA. ^ I HEREBY CERTIFY THAT THE INDIVIDUAL WHO6PREPARED 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 (Rev.8/78) ©s ""•.,,+