360169 (SFD)IT
- -
PERMIT. NO.
360169
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD
-
DST
F
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
I ST FL.
2ND. FL.
POR.SQ.
GAR.
CAR P.
WALL �
ESTIMATED CONSTRUCTION
SQ. FT. @
UNITS
.
SQ. FT. @
YARD SPKLR SYSTEM•
FT. MOBILEHOME SVC.
BAR SINK
POWER OUTLET
SQ. FT. @
ROOF DRAINS
6* 10 X •
SQ. FT. @
DRAINAGE PIPING
- - -
SQ. FT. @• •
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION
WATER PIPING
NOTE: Not to be used as property tax valuation 29
* SWIM POOL, PVT
t FLOOR DRAIN -
MECHANICAL FEES,
SWIM POOL, COMM
WATER SOFTENER
'*ENT SYSTEM FAN EVAP. COOL HOOD
SIGN t
WASHER (AUTO)(DISH)
APPLIANCE DiRER
IAN
• _ • • , •
GARBAGE SAL00
FURNACE UNIT WALL AOR SUSPENDED
7,
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 SYSTE FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER �+ B.T,U.SQ.
FT. @ t
BATH TUB
Use/
SQ. FT: @ c t
WATER HEATER
Mech. Fee Dbl $
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL 2 VU
SQ. FT. GAR @ s/. c
HOUSE SEWER VV
Lot Size
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
AON.%W PL. CK. FEE
CONST. FEE EL
SMI FEE
FEE PLU40.
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- PERMIT NO.' -
Job Address
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Space
Zip
Owner
3'6-0169
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Mech. Fee Dbl $
PI. Ck. Fee $
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Lot Size
Construction Fee Dbl $
L gal escnp io
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F
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Electrical Fee Dbl $
_
Zone -Restrictions
Group
ype
SMI Fee $
_
Plumbing Fee Dbl $37
Plon No. $ on Checker
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Fina Date
Inspector
ni
Sp. Insp. Fee $
$
Z` , k<�
Dental. Fee b
Const. Lender
. Branch
-
Supplimynt9hpermit Numbers
Regist, Fee $
Mileage Fee j '`
Address City Zip
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-,Witness Fee - S
Reinsp. Fee f
Ower/ gent
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el.
Zip
Total Fees E
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Cit'
Zip,
M.O. 0 N.C. Cash Chec
Received by— �,..
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License#
Trees requir
Sewage System
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City
Zip
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T L P "TH MI L BECOME VOID IF WORK IS NOT COMMENCED 1 �SA ION verified by;
Sewer Dist t FOR 120 DAYS SHALL ALSO WSE PERMIT TO BECOME VOID. L
+ I HEREBY AGREE THAT O 10p1.tM1TH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE C TY AN . HE STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN g,
ACCORDANCE WITItSECTION 55,41 OF TME BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Form 284.208•(Rev.88j� - -
NO.
OPERATION DATE
INSPECTOR'
NO.
OPERATION
DATE
INSPfrJTOR
BUILDING'APPROVALS
MECHANICAL APPROVALS
1
Set Back
C _ 7 ?J�(
_
33
Ventilation System
2
figs & Frmsv
��
34 Plenums & Ducts
2A
Slab Grade
7
J
_
35
Furnace Comport.
3
Steel
36
Inlets & Outlets
4
Grout Blocks
37
Combustion Air
•5
Bond Beams
38
Compressor T •€Zi 1y�jjp,ZY
6
Roof Deck
D_
39
Appl. Clearance Z��—��j 73wrSrJ2%
7
Framing
.r?
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
Z
yY�Tt
42
Commercial Hood
10
Fireplace
P. L. ❑
43
Final
10A
11
Fireplace
Exterior Lath
T.O.
FI
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ADDITIONAL INFORMATION
�� Cis -
t
SEWAGE SYSTEM SIZE & LOCATION
12 internal Lath
12A Drywall
13 Finish Grade_„
INSULATION Thick R
Value
7A Walls (Botts) 5 /
12B Ceiling (Batts)
12C. Ceiling (Blown) Z
14 Final 1:5—,P)—,V147_
PLUMBING APPROVALS
15 Ground Plumb
O
M Water Piping
17 Rough Plumb . Z �,q
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater LVLI
22 Water Softener
23 Water Service Z—ZP %Yfq
24 Gas Test
25
Final
Tank 10 0'0 Pit X 1 L.Line
P/L
—&
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
"
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26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 • Fixtures
31 Service �9 Si+'/yfj►'
32 Final
STREET NAME
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE DATE TIME PERMIT NUMBER
-,V91 /0,-o INSPECTION
ADDRESS SPACE NO.
OWNER
BUILDING
REMARKS:
IT
L
PLUMBING ELECTRICAL MECHANICAL
as 13a I /3
OWNER/CONTRACTOR TEL.NO
REUUESTED
FOR:
a A. M.
F] P.M.
aMON
TUIES
WED
THUR
5FRI
284-" 11/15
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE DATE TIME
Q PERMIT NUMBER
l � U ''�� INSPECTION
ADDRESS
OWNER
BUILDING
REMARKS:
sy- /)?
PLUMBING
OWNER/CONTRACTOR TEL.NO
E NO. REQUESTED -
SPACE
I
COMMUNITY O
ELECTRICAL MECHANICAt
R A.M.
P.M.
�01J
TUES
WED
THUR
FRI
28446{1/YS
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE DATE TIME PERMIT NUMBER Y
ADDRESS
5-� I
OWNER
BUILDING
1 /. R
REMARKS:
!Z,_S' 1D',1,3�
PLUMBING
OWNER/CONTRACTOR TEL.NO.
SPACE NO.
I
COMMUNITY
ELECTRICAL MECHANICAL
INSPECTION
REUUESTEQ
FOR:
A.M.
P.M.
�MON .
TUTS
❑ WED,
LNTHUR
FRI
284-66 11/75
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE DATE) TIME PERMIT NUMBER
INSPECTION
REUUESTED
ADDRESS I SPACE NO. FOR:
I
OWNER COMMUNITY
BUILDING PLUMBING ELECTRICAL
REMARKS
OWNER/CONTRACTOR TEL.NO.
MECHANICAL
❑ A.M:
0 P.m.
TUES
EWE
THUR
M FRI .
284-" 11/75
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE
DATE
TIME
PERMIT NUMBER
INSPECTION
REUUESTED
ADDRESS
I SPACE NO.
FOR:
`
I
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1 !
I
A.M.
-.11,
OWNER
COMMUNITY
r
BUILDING PLUMBING
1 P
REMARKS:
OWNER/CONTRACTOR
ELECTRIGAy I MECHANICAL
or v
nsp . Ae...
P.M.
I�
1.
,a TUES
❑ WED .
THUR
FRI
281-61 ti/75
a
NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT
APPLICATION TO CONSTRUCT Permit No
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
r ,
Owner Architect Contractor —
Address— j.Address —. Address_
City. City City__ �� +
Phone _ Phone Phoneoil
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(er Dedication of right of way is required by the County of Riverside,nthe Riverside County Department of Building and Safety
3
shall not make a Final Inspection until said requirements have been met. I am alslb aware that no work is to be done within the County R/W
O
without an. en:roachroant 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 Stale of California governing said property.
_
DATE _ SIGNATURE OF OWNER AND/OR AGEN1 _
Approval by •Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
I SPACE N0.
USE OF STRUCTURE
JOB ADDRESS ----. _-_--_ _._ . SI GL FgM:ILY DUPLEX []
Z ►-
LEGA-: D.ESCRIPTION,.OFPROPERTY `
i r f -- AP RTMENTS AGRIC. [�
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— - COMMERCIAL INDUSTRIAL
j '^
COMMUNITY ALTERATIONS73 ❑
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NO. OF SUBMITTED PLANS ____—_ USE OF PERMITus
a
CASE NO.
Z
NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING -
. 7,
Q
ZONE SETBACKS: FRONT SIDE REAR
J m
GRADING PERMIT REQUIRED? YES .�:] NO ❑ LOT SIZE - -
SETBAC ORDINANCE # OF FEET REQUIRED ON - _ STREET
DATE f
SIGNATURE OF LAND USE OFFICIAL
F
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET __--
W
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ ___ — _ . ` �' __ _STREET
,
t-
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
W
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HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRiVVAY ND STREET
CIMPROV
ENT? YES �NO ❑
O°
DATE [ f SIGNATURE OF ROAD DEPT. OFFICIAL
-Z -J
WSEWAGE
DISPOSAL r + `
WATER, POLLUTION REMARKS
�n FLOOD CONTROL
W AIR POLLUTION
DIV OF HWY
c < "� YOUR PROPERTY MAY BE SUBJECT TO
d
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199 9174 CANARY —FILE, PINK —APPLICANT
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APPLICATIOWFOR 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 responsibility should(( trees have to be removed due to lot line errors.
�/� JA -
Owner's Name / Building Permi -3
Mailing Address 7 City �t9to _-Zip
Job Address � �G r`�'L 'g % Z— Community
Legal Description �a / (+..�-O ��/ a15""
Assessor's Map, Book &Page / ( v Type Structure1�/G
Type of Soil Ic Is water available Road Dept. Plot Plan No.
Type of existing trees in road right-of-way
Trees preferred by applicant (1) .�J� Il/l (2) (3)
Date C� Owner's Signature xe
Planning Commission Case No. v v
ROAD DEPARTMENT APPROVAL
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 Dept.
Concur ❑ Non -concur M Explanation
Date Signature
Road Dept.
Concur Non -Concur Fj
Date Signature
REQUEST FOR HEARING AND COMMITTEE DECISION
Date hearing established
Approved ❑ Disapproved
Date Building & Safety notified .
J
Date hearing notice mailed to owner
Date Owner notified of decision
Signature
ly-
N�j
PERMIT NO.
PERMIT No.
360169
DEPARTMENT OF BUILDING 8 SAFETY
COUNTY OF RIVERSIDE
rtLw Vff1%.0
DST
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES,
IST FL. 1443
2ND. FL.
POR. 79
GAR.
CAR P.
'
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ 19. 40$
UNITS .
Dole
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. MOBILEHOME SVC.
BAR SINK
POWER OUTLET
SQ. FT. ® 12. 00
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT.. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuotiori
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES.
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE D ER44
3 011
GARBAGE MPOSAL
FURNACE UNIT WALL FLOOR SUSPENCED
-
LAUNDRY TRAY
AIR HANDLING UNIT t CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE,TEMP/PERM '
LAVATORY
HEATING SYSTE Pil FORCED GRAVITY
00— AMPERES SERV ENT
SHOWER
BOILER ok B.T:U.
SQ. FT. @ c
BATH TUB MW
SQ. FT. @ c
WATER HEATER
Final Dote Inns ector`
S0. FT. RESID @ 1114 C
SQ. FT. GAR @ 3/4 t fte
SEWAGE DISPOSAL
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
00—
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MCH. FEE PL. CK. FEE
CONST. FEE ELE
SMI FEE
FEE PLU
PERMIT NO.
Job Address
+
'_ SpaceZip Owner
13601691
- ..
omrttuni y
.. . Valuation
- E
Dole
isS.
Oif. F.C.C.
MH Permit Fee E
Micro Film Fee
Cop E
9',;'.f Fre--7
Dwellbig
Apt.
Parcel No.
.y
Use/ ase No.
I Ck. By
Mech. Fee _Lb I_ E
PI. Ck. Fee E
Set Backs
Lot Size
Legal Description F
S
5 R
Construction Fee
Dbl E
-
Electrical Fee Dbl E
Zone Restrictions Group
Type
SMI Fee
Er
—
1
Plumbing Fee
Dbl EBond
Amt.
Plan No. Plan C cker
Final Dote Inns ector`
Unit
'
I
Sp. Insp. Fee
E
E
Demol. Fee
E
Const. Lender
Branch
Supplimental Permit Numbers
'
,
Registr. Fee E
Mileage Fee E
Address City Zip
Witness Fee
E
Reinsp. Fee
E
OwpeP1Agent
A&
e e
Tel,
Zip
Total Fees E 219 98
City
Zip
M.O. N.C. n cshn ch.ckqWrt
Received by
Co ct "'
Tel.
License#
trees required
iewage System
Acloress
city
Zip
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L P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
Sewer Dis ct FOR 120 DAYS SHALL ALSO��SE' PE IT TOBECOMEVOID.
• ' I HEREBY AGREE THATR�QIO�NfVEL�Tfb}C'PITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY A THE STATE OF CALIFORNIA, ,
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208IRev.8l78) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.