354216 (SFD)PERMIT NO. DEPARTMENT OF BUILDING & SAFETY DIT]
354216 5 4 216 COUNTY OF RIVERSIDE FIELD
1
CONSTRUCTION
ESTIMATE
Address
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST Fl.
2ND. FL.
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WALL
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ESTIMATED CONSTRUCTION
SQ. FT. @ $•
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Mech.'Fee Dbl E
DRAINAGE PIPING
SQ. FT. @
Construction Fee Dbl E Legal
DRINKING FOUNTAIN
SQ. FT. @
URINAL
SQ. FT. @
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VALUATION is .J d WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
Plumbing Feb
FLOOR DRAIN
MECHANICAL FEES
Plan No.
SWIM POOL, COMM
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Mileage Fee E
GARBAGE DISPOSAL
Witness fee E
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BOILER 'r B.T.U.
Trees required
SQ. FT. @ t
BATH TUB
Address
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SEWAGE DISPOSAL
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HOUSE SEWER
GAS PIPING
PERMIT FEEr
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PERMIT FEE
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PERMIT FEE
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TOTAL FEES
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MOB. HM. FEE
MICRO FEE
MECH. FEE
PL. CK. FEE
I CONST. FEE
ELECT. FEE
SMI FEE
FEE PL
B. FE
PERMIT-NO.Job
Address
Space Zip Owner
1
35421692
Community
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Demol. Fee
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Const. Lender -
Branch
Supplimental Permit Numbers
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Mileage Fee E
Address City Zip
Witness fee E
Reinsp: Fee
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Contractor
Trees required
Sewage System
h
Address
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Zip
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T r LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer District I FOR 120 DAYS SHALL ALSO SEkkibl&<TH
T ECOME VOID.
1 HEREBYtAGREE THAT IN THIS PERMIT WILL BE DONE IN ACCORANCE WITH
� U5 •.2S �,�rc /' �� THE'LAWS OF RIVERSIDE,COUNTY AN ST� TE OF CALIFORNIA, - .� ••. ., r .. w .... ti .
I
R 0 -// -1 %'} � � (�.% C CI 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 (Rev.8g8)
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verified by:
t
NO.
OPERATION DATE
INSPECTOR
NOaT ."rlf OPERATION
DATE h~ INSPECTOR
BUILDING APPROVALS
.. MECHANICAL APPROVALS\-�
1
Set Back
7
33
Ventilation System
2
Ftgs 6 Frms
_22- .)et
_
34
Plenums 8 Ducts,
2A
Slab Grade
_ Z 2 _ j
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
10A
Fireplace
T. 0. Q
N�
ADDITIONAL INFORMATION
T
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)
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7- ,3
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping. 7
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
P/L
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/
26 Power Pole
27 Conduit
-28 Service Entrance
29 Wiring
—29A Grounding Wire
29B Bonding
30 ' Fixtures
31 Service
32 Final
STREET NAME
NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT
APPLICATION TO CONSTRUCT
Permit No
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
Owner Architect. _ — _ -._ Contractor. . _ --
_Address — Address- _ _ — Address_
City _ City- . City_—
Phone Phone I Phone
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/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.
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.
92253 1 SPACE NO. USE OF STRUCTURE
JOB ADDRESS
- SINGLE FAMILY
DUPLEX
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LEGAL DESCRIPTION OF PROPC RTY
}APARTMENTS
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AGRIC.
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COMMERCIAL
INDUSTRIAL
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COMMUNITY -
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ALTERATIONS
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NO. OF SUBMITTED PLANS --�
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USE OF PERMIT r
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CASE NO.
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NO. OF PARKING SPACES REQUIRED
NO. OF BUILDINGS NOW EXISTINGz
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in
ZONE �l SETBACKS:
FRONT
20 _ SIDE 5'/5f REAR24'
m
GRADING PERMIT REQUIRED?
YES ❑
NO ❑ LOT SIZE _Wx100�_
SETBACK ORDINANCE _____
OF
FEET REQUIRED ON __—
STREET
DA
SIGN*-TkkRE OF LAND USE OFFICIAL
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET
CURB AND GUTTER REQUIRED: YES ❑ NO ❑
_. _ _. _ _STREET
d
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑
NO ❑
W
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HAS AN ACCEPTABLE APPLICATION BEEN �`,A.-�DE FOR ENCROACHMENT PERMIT FOR DRI%'E%AIAY AND STREET
IMPROVEMENT? YES 9--110 ❑ 4 r
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DATE / '— SIGNATURE OF ROAD
DEPT. OFFICIAL J'
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SWIMMING POOLS PUBLIC
WSEWAGE
DISPOSAL
_ 3
FOOD ESTABLISHMENT
WATER POLLU.TI,ON
REMARKS
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FLOOD CONTROL
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AIR POLLUTION
W DIV OF HWY
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YOUR PROPERTY MAY BE SUBJECT TO
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FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199 9 74 CANARY —FILE, PINK —APPLICANT
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APPLICATION FOR TREE PLANTING TN'
I (we), the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if trees are required I<;?der River-
side County Ordinance No. 457, the applicant agrees to install said trees prior to final inspection. It is understood that no final iryry'sPaction
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 tol bbe/ removed due to lot line errors. /
Owner's Name
S -d- �3 N' 6 M T l L- t B ildi P rmit No.3 S�� `
Moiling Address City
Job Address Q
Legal Description r�
Assessor's Map, Book 8 Page. % � 7/ "-0 0.
Type of Sf' ggZZ- s water available Road Dept. Plot Plan No.
Type of existing trees in road right -o -waZ
Trees preferred by applicant (1) �') V
Date / —�� Owner's Signature
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y �xaT State do/• Zip
Community / 11Q :J f N ra
Type Structure
Planning Commission Case No.
ROAD DEPARTMENT APPROVAL
(3)
Approved species 9 Olea europaea (Olive), Number of trees_L
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 3/79 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)
Planning Dept.
Concur ❑
D ate
Road Dept.
Concur M
Date
NO REQUEST FOR HEARING
Non -concur 0 Explanation
Signature
Non -Concur
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
APPROVAL BY BUILDING INSPECTOR
Final Date Inspector _
Job Address
Requirements for tree planting complied with
Remarks
Building Permit No.
Community
(Detach and forward above information to Road Department Riverside)
284-230, REV. 1/74
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2 3 1979
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