359781 (SFD)BUILDING PERMIT —
PERMIT NO COUNTY OF RIVERSIDE
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
359181 MDT
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
'Pin,7— 'PL
IST FL.
2N6. FL.
.
FOR. � . �,
GAR.
CAR P.
, WALL
`�
ESTIMATED CONSTRUCTION
SQ, FT. @ i 4!)
yr'
UNITS
Community
IL� u y
SQ. FT. @ YARD SPKLR SYSTEM
Date
SQ.. Ff. @ 4� %Q MOBILEHOME SVC, BAR SINK
Dist.
SQ. FT. @ 0- 7C Sv POWER OUTLET ROOF DRAINS
F.C.C.
Qb
SQ. FT. @ DRAINAGE PIPING
Micro Film Fee
SQ . FT. @ DRINKING FOUNTAIN
SQ.. FT.,@ URINAL
VALUATION $ 7 WATER PIPING
G 4
`' NOTE:'Norio'be used ds property tax valuation
Meeh. Fee Dbl E .r
SWIM'POOL, PVT' '
FLOOR DRAIN
Lot Size
'50/1 I dV
Construction Fee Dbl E ,r
MECHANICAL FEES
F S
SWIM POOL, COMM
WATER SOFTENER
Electrical Fee , Dbl E -S .-i7
Zone Restrictions
- .Qi —
VENT SYSTEM EVAP. COOL
00
SIGN
WASHER (AUTO)(DISH)
Plumbing Fee
Dbl E A C
APPLIANCE DRYE
dty
Plan No.
GARBAGE DISPOSAL
Final Pate
/-/—') —,f)
Gr7
FURNACE WALL FLOOR SUSPENDED
Unit
LAUNDRY TRAY
Demol. Fee
E
AIR HANDLING NIT CFM
Const. Lender
IDLE METER
I KITCHEN SINK
. .
Oq
ABSORPTION SYSTEM B.T.U.
,Mileage Fee E
TEMP USE PERMIT SVC
4 WATER CLOSET
Reinsp. Fee
KJ
COMPRESSOR T HPA
{3p
POLE,TEMP/PERM
LAVATORY
00
HEATING SYSTEM ,,r"FL�RZ) D GRAVITY
Total Fees'
M.O. N.C.
AMPERES SERV ENT
SHOWER
A res • �L
dds
(�
Z' 'P
Received by
frees required
Contractor '
W f
t
Tel.
License#
Sewage Syslem
Address
City•'•,
Zip
7 a.- ....... • - ... a..s .. . - �.e.x ,n•r.a.t.4
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
I Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THA6if�liGAdN WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
t THE LAWS OF RIVERSIDY D THE STATE OF CALIFORNIA.
i. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev.8/78 ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by:
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD MD359781 COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO.
PLUMBING FEES
Space
IST FL. t ' SQ. FT. @ { ' ` t $ ^
r "
UNITS
Community
7
2ND. FL. SQ. FT. @ =
Date
Dist.
YARD SPKLR SYSTEM
F.C.C.
POR. SQ. FT. @ i
Micro Film Fee
MOBILEHOME SVC.
BAR SINK
Use of Permit
{�
1/' .36.•t.L' lf. i 1��" .,, ^�L.-
GAR. SQ. FT. @ a
4 N
POWER OUTLET
Mech. Fee Dbl S
ROOF DRAINS
Set ocks
CAR P. ... SQ. FT. @
:?')
Construction Fee Dbl S �'
Legal Description
T
J
DRAINAGE PIPING
F S S
.-
WALL SQ. FT. @
Electrical Fee Dbl $
Zone Restrictions`
- -
Group
•••,
DRINKING FOUNTAIN
'
SQ. FT. @
Plumbing Fee
Dbl $
r
URINAL
Bond Amt.
$
ESTIMATED CONSTRUCTION VALUATION $ -7
Plan Checker
r
Final Date p�/•� Insp
O V
WATER PIPING
NOTE:. Not to be used -as property tax valuation
Demol. Fee
SWIM POOL, PVT • +
t
FLOOR DRAIN
i
Const. Lender r
MECHANICAL FEES
Suppliment Permit Numbers
SWIM POOL, COMM
WATER SOFTENER
Mileage Fee $
VENT SYSTEM EAN EVAP. COOL /,H
Witness Fee f
SIGN
$
WASHER (AUTO)(DISH)
APPLIANCE rrD mk
r t
Tel.
r�
GARBAGE DISPOSAL
J0
FURNACE UWfT WALL FLOOR USPENDED
$
...
LAUNDRY TRAY
/yam
- '
City
`-
Zip
M.O. N.C. Cash ,,C6e—ck "
Received by
Contractor
+n
Tel.
LicenseN
Frees required
Sewage System
two
41
Address �-
' `'"� �`
City
Zip
' r T . LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WFTHIN 120 DAYS. CESSATION OF WORK
Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
r THE LAWS OF RIVERSID A T OF CALIFORNIA.
I HEREBY CERTIFY THAT THE IND IDUAL 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 (Rev.8/78)
' verified by:
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE ;INSPECTOR
`
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
< X3 —7Q:t-
33
Ventilation System •
2
2A
Ftgs 8 Frms
Slab Grade
!
lP
34
35
Plenums 8 Ducts .' "'_',9 ��, o
Furnace Comport. "'-
3
Steel
36
Inlets & Outlets
4
5
6
7
8
9
Grout Blocks
Bond Beams
Roof Deck R, l _
Framing —
Vents `
Garage Fire Wall
37
38
39
40
41
42
Combustion Air
Compressor
Appl. Clearance
Fire Damper
Smoke Detection Device
Commercial Hood
10
Fireplace
P. L.
43
Final
10A
Fireplace
T.O. Cj
OP'N
NO.
ADDITIONAL INFORMATIOrd
_
SEWAGE SYSTEM SIZE & LOCATION °
11 Exterior Lath /A'L 3 - 7
iT1�r�
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
66Y����lll
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal ^ 9
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test'
25
Final
�
Tank Pit L.Line
REAR OF PROPERTY LINE 7
✓ /0
P/L
AP/
lOp
/ /^ IeGy
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring t
29A Grounding Wire s(_ _ ��
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
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
Owner r O Architect ' 77 Contractor_ C,.J' 1.5. —
Cit Cit y City_
Cit,
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Phone Phone Phone
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I (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 Riversicle, 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
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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 la -s of the County of Riverside and the State of California governing said property. /
14
DATE SIGNATURE OF OWNER AND/OR AGENTi
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
I SPACE NO.
�+ USE OF STRUCTURE
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JOB ADDRESS
r �/! r f r� SINGLE FAMILY DUPLEX L-]
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LEGAL DESCRIPTION OF PROPERTYOr
^RTY / r/ / , APARTMENTS 0 AGRIC. �]
C
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�I COMMERCIAL INDUSTRIAL n
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COMMUNITY
ALTERATIONS n
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NO. OF SUBMITTED PLANS EHUSE OF PERMITus
4
CASE NO. -
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NO, OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING f 7 -
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ZONE SETBACKS: FRONT SIDE REAR
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GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE I
SETBACK ORDINANCE # -- OF FEET REQUIRED ON _ STREET
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DATE —_ % 7 SIGNATURE OF LAND USE OFFICIAL—j_---_
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET___
F
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ —STREET
H
d
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
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HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCR_OACHMENT_.PERM IT- FOR DRIVEWAY AND STREET
IMPROVEMENT? YESNO ❑
99
�f ! `�
DATE __ SIGNATURE OF ROAD DEPT. OFFICIAL
_
-
DISPOSAL `- -
WSEWAGE
_
LISHMENT�
.r
_
WATER POLLUTION REMARKS
�n FLOOD CONTROL
OC W AIR POLLUTION
W DIV OF HWY
c a YOUR PROPERTY MAY BE SUBJECT. TO
o •
c FLOOD. RIVERSIDE COUNTY ASSUMES
35 NO RESPONSIBILITY IN EVENT OF FLOOD:
284 199 9/74
CANARY—FILE, PINK—APPLICANT
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APPLICATION FOR TREE PLANTING e
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 flat 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 ( responsibility should trees have to be removed due to lot line errors. 8/
Owner's Name v' / " l�Q� Building Permit No. —3 ! /
Moiling Address City _ $
Job Address —5 3y� Com mu i1
Legal Description�/7= % BcocF�C- 17Z Llv/ T Ap9;f�/ Z
Assessor's Map, Book & Page,CST lT � I sic—Type Structure
Type
Type
Trees
Date
Planning Commission Case No
ROAD DEPARTMENT APPROVAL
r
Approved species Olea europaea (Olive) Number of trees 1
Spacing of trees Distance from lot lines: Front 21 in R W Side
Additional requirements Per plot plan on reverse.
Date Building and Safety notified Signature
REQUEST FOR EXCEPTION
Reason
(attach additional page if necessary)
Request for hearing: YES ❑
Owner's Signature
(Forward application to Planning Dept. if exception requested)
Planning Dept.
Concur ❑
D ate
NO REQUEST FOR HEARING
Non -concur ❑ Explanation
Signature
Road Dept.
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
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s , 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 onplicant agrees to install said trees prior to final inspection. It is understood that no final inspection
will be given until said requirements Move 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 s0veyed in the event no survey stakes can be found. Further, it is agreed that the County of
Riverside shall assume no
responsibility should trees have to be removed due to lot line errors.
Owners Name v' r /
City/—�
Job Address �i ` ,/! � � ��� ' Community �L--� "o ,7, `T19
Legal DescriptionZai_- % 3coc,4e / ZZ (.v/ 7 -
Assessor's
Assessor's Map, Book & Page :—;2� - '�Z / — 4 / 7 Type Structure
Type of Soil / s water available �V% 5Road Dept. Plot Plan No.
Type of existing trees in road right-of-way
Trees preferred by appli ant (1) (2) !r/
Date Y 'L Owner's Signature
Planning Commission Case No.
ROAD DEPARTMENT APPROVAL
(3)
Approved species Olea europaea (Olive) 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
REQUEST FOR EXCEPTION
Reason
(attach additional page if necessary)
Request for hearing: YES
Owner's Signature
(Forward application to Planning Dept. if exception requested)
NO REQUEST FOR HEARING
Planning wept.,
Concur ❑ �2
Date
Non -concur Explanation
Signature
Road Dept.
Concur n Non -Concur n
Date Signature
REQUEST FOR HEARING AND COMMITTEE DECISION
Date hearing established Date hearing notice mailed to owner
Approved I] Disapproved F-1 Date Owner notified of decision
Date Building & Safety notified Signature
8.kPPROVAL BY BUILDING INSPECTOR
Final Date Inspector
—
Job Address
Requirements for tree planting complied with
Remark s
Building Permit No.
�ommun i ty
(Detach and forward above information to Road Department Riverside)
284-230, REV. 1/74
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