366991, 369103 (SFD)36'6991
DEPARTMENT OF BUILDING 8.'SAOETY" -.
COUNTY OF RIVERSIDE
FIELD
CONSTRUCTION.
ESTIMATE
NO. ELECTRICAL FEES'
NO. PLUMBING FEES
IST FL.
21 FL.
POR.
GAR..
CAR P.
WALL
.ESTIMATED CONSTRUCTION
SQ. FT., � $
Q UNITS
'
:YARD SPKLI2 SYSTEM '
SQ. FT. ®.
SO. FT.. ® 4 ft MOBILEHOME'5VC: " • , a; .::.• ,.. -': +BARSINKrA. a
,16D d :ydl POWER OUTLETw.-... , q*.ROOF,DRAINS ,.
SQ. FT.
DRAINAGE PIPING
SQ. FT.
DRINKING FOUNTAIN
SQ. FT: ® -
SQ. FT:
URINAL
VALUATION $ O WATER PIPING
NOTE: Not tobeused as property tax valuation
SWIM POOL, PVT
FLOOR'DRAIN
MECHANICAL FEES"
'SWIM POOL, COMM
WATER:SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL, -:, FLOOR SUSPENDED
":Ia :iii-. .•�- i'..
LAUNDRY TRAY y, -
AIR HANDLING. UNIT' CFM
IDLE METER
IKr1CHEN SINK : 'rt
ABSORPTION SYSTEM B.T.U.
TEMP USEiPERAALT}SVC'•
;• '1NATERCLOSET' _
COMPRESSOR HP
POLE, EMP/PERM'
-
HEATING SYSTEM FORCED GRAVITY
AMPERES SEW 'T `-
BOILER B.T.U.SQ
.F[i, ®" •<'
BATH.TUB
_
SQ. 0.4 4 '-t>
WATER HEATER
PI. Ck. Fee j
SQ. FT:
'SEWAGEsDISFQSgL . `.
SQ;. FT. GAR`S :3.;E :.
HOUSE SEWER
ConsttudioaFee
GAS PIPING
PERMIT FEE
/i,- ?`,y
PERMIT FEE `' .r
PERMIT'FEE
DBL.
TOTAL FEEESr��y
MOB:HM.FEE
MICRO FEE
MECH. FEE }yPi Ci FEE l
'CONSTi- -'ELECT., FEE ; SMI FEE-_
2L
",4
_ - -FEE PLUMB.''FEE
? mL L ♦�
PERMIT NO.
Job'Address — _
— -
- - • — r *'Space
Z.
Owner'
Community
Valuation
$-I.,
Dalejf - _ •yD.�1
-�
' -
_3669-91�fr
-
MH.Permit,Fee
$ _
":Ia :iii-. .•�- i'..
:%. '`,1► -I
Micro,Film.Fee
Cop $
Use of,Permit
,`;"-
-
Parcel No use/Case No._ -
Ck. By• ..
Mech. Fee
Di $
�j
_
PI. Ck. Fee j
- ' _ t Flacks -
;Lot Suri i
ConsttudioaFee
D61 S -
Legal Description
Ali %� ff
/i,- ?`,y
:/��`
�^'S. �.
% ' 7•'
'
Electrical Fee Dbl fi,f.�
Zone,'Restrictions _
Group ,Type
-
-.
r
SMI Fee
S
Qlumbing, fee
Dbl i
Bond Amt
'Pla�in�RN�oy�
n e
Finml/l'Dote/ - //-
'Inspector
Unit
Fee'
Sp: insp.
$
$
']?' `FD
Demol. Fee
$
Const. Lender
Branch
Supplimentbl'Permit.Numbeis
' ' ' d( - - ^•. - ',r� .- ,,
' ^''
Registr, Fee
Mileage Fee Z
Address - ''City Zip
Wltness:.Fee,-
Reinsp. Fee
$
Owner/Agen
�
,t(. • t
N."tri=f•'.r'
A '�"�.•°Y x _
Tel. - - - -
Zlp
Total Fees
i '.�� _
AddresG` _
..-•
s
_ ,.
� i •p� .' a4
_ ,City ...;a.. ;+ nn : w _ hr..
• Zlp,_ cu_
WO. N:C. , Cash Chgck,
Received'by
_ .i
Contracto_i.
", -
Tel-.
License#
Trees required
Sewage System
Adieaa
City - zip.
.
.t_
Sewer District
Farm.281-208 (Rev.B/78j'
THIS.P . MIT SHALL BECOME VOID IF WORK IS NOT COMMENCED' WITHIN 120 DAYS '..CESSATION OF WORK
FOR`i2OI: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 STATE OF CALIFORNIA..
(HEREBY CERTIFY THAT THE INDIVIDUAL WHO'PREPARED THE PLANS AND SPECIFICATIONS:HASDONE SO IN
CORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF 5 THE.STATE OP CALIFORNIA. Yf •Y-<Y.�, C 1'\•� -
verified by:
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
SUOLDING APPROVALS
AAMCHANICAd APPROVALS
1
Set Back
33
Ventilation System
2
Ftt s 8 Frms
34 Plenums 8 Ducts
2A
Slab Grade
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. E]
43
Final
l0A
Fireplace T.O. F]
ONP''N
- - -
- - - - - - - - - - - -
SIEWAGE SYSTEM SIZE & LOCATION
it Exterior loth
12 Internal lath
12A Drywall
13 Finish Grade
INSULATION Thick
R
Value
7A Walls (Batts)
1213 Ceiling (Batts)
12C Ceiling (Blown)
14 Flnal
PLUMBONG_APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
113 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
Ell BUILDING PERMIT .
PERMIT NO
366 9 91
PERMIT'NO.
3 6 6 9 91
DEPARTMENT OF BUILD .ING &SAFETY
COUNTY OF .RIVERSIDE
r1�w.vrrt�� , -DST
� r
CONSTRUCTION
ESTIMATE=
Qote
NO. ELECTRICAL' FEES
NO.' PLUMBING FEES
F:C:E_
IST FL.: 42 �f :SQ.
2ND. F.L.
Pqr
G,R..
&R" P.
f
'WALL
t_ ESTIMATED CONSTRUCTION.VALUATION
FT. @Z�� �
a�
,UNITS
'Us-d'A ase No,
Ck. By: -
$(- FT- YARD'SPKLR'SYSTEM,
NPI. Ck Fee _
SQ. FY. .@ MOBILEHOMESV ,' t • „ r • BAR•SINK- - , .� ;
�
SQ. Ff. @ 42 ey i POWER OUTLED. ' u r • - . • "ROOF DRAINS'
Electrical Fee D6i s-
DRAINAGE PIPING _
SQ. 'FT. @
Group •Type
SQ. Ff. @ DRINKING FOUNTAIN'
BMI; Fee
URINAL
Bond Amt.
$ 02 -WATER PIPING
-Plb,Checker•- / �.FInalDote
NOTE:.Not'to: be used as property taz valuation
Inspector
swim POOL, PVT
FLOOR -DRAIN
'6einol. Fee s'
MECHANICAL FEES
$uppllmeMol%Permit Numbers ,•
_ - _ • - . r'-... .. .
swim POOL, COMM
WATER SOFTENER
Address - - City-, . ,Zip '� .'
VENT SYSTEM FAN EVAP. COAL HOOD
-Reinsp. Fee s
SIGN
WASHER. (AUTO)(DJSH)
APPLIANCE DRYER
Addressyy ..
6J o /37L:tiQ
.City 4.-•. .,'•....r - Zip
GARBAGE DISPOSAL
P ecefved'by
- required
FURNACE UNIT WALL FLOOR SUSPENDED
Tel;_- - 'Lice.nseF,
-
..
LAUNDRY TRAY
.Address _
t AIR HANDLING UNIT CFM
IDLE ,METER
KITCHEN SINK r
ABSORPTION' SYSTEM B.T.U.
TEMP USE 'PERNILT SVC , .
WATEO.CLOSET
COMP,RESSQR HP
,POLE,TEMP/PERM ,
: 'LAVATORY
HEATING6YSTEM FORCED GRAVITY
AMPERES'SERVr",T"
SHOWER
BOILER' B.T:U:
SQ.'FY, .IR= '.Si
BATH TUB
SQ. FT @ S' ;;
WATER HEATER
SO. FF, RESfD Q:l:�/.t°•, •. si'. ,.� F,WAGEaDISPOSAI-. a
�
SQ. FT.:60:0, '1% c.
HOUSE SEWER
l
:GAS -PIPING
;
{ PERMIT FEE
PERMIT ;FEE r'
PERMIT FEE
DBL
TOTAL FEES,
' �
�3✓i _"
MQB:HM.FEE
MICRO: FEE
MECH. FEE -
-
PL.,;Ckk.'FEE
'�J,'
CO 9z FEE', + ELECT, FEE ,.
t •�'✓{�, a.Ci: r n ..'l..
SMI FEE
a .-
- FEE. PLUMB: FEE
d'Ja`.:+�Y s% f,."�,•
PERMIT NO
366 9 91
Job Address - -. - .'�Spnce
�� - ,.•�.�.
Zip -
0.ner -
aeric �:r .
Community,
dA n.,%q
Wiluatfon v
Qote
DDist:
O(f.
F:C:E_
MH'.PermitFee. . {-
,Mi-zwFflm fce Cop $
Use of'Perrhit - - -
e�✓C+C� V -. • '�/ Csi44�/C�
Rorcel No.!
'Us-d'A ase No,
Ck. By: -
Meeh. Fee Dbl.
NPI. Ck Fee _
Set.Baiks - .Lotl`�rp��
�® '.s .. S4;" ge,p,
'/
'Construction Fee Dbl i
Legal Deasriptinn 'F
f ��y-`Zone,Restricti6ns
! /z 'S ;'�
Electrical Fee D6i s-
_
Group •Type
BMI; Fee
plumbing'Fee Dtil's
Bond Amt.
•Plon.,No:
-Plb,Checker•- / �.FInalDote
Inspector
Unit
Sp: Insp:.Fea
'6einol. Fee s'
.Const. Lender Branch
$uppllmeMol%Permit Numbers ,•
_ - _ • - . r'-... .. .
Registr. Fee
.Mlleape Fee s.
Address - - City-, . ,Zip '� .'
Witness Fee
-Reinsp. Fee s
:Owner/Aga -
'Tel. .Zip
Tota_1 Fees
Addressyy ..
6J o /37L:tiQ
.City 4.-•. .,'•....r - Zip
M_.O. N.C. n Cash n 'c
P ecefved'by
- required
Contractor
Tel;_- - 'Lice.nseF,
-
..
y
SaiJggetSystem
.Address _
City - Zip
I' ,44,Aw DistriU
P THIS PERMIT SHALL'BECOME VOID IF'WORK IS NOT COMMENCED WITHIN 120 DAYS.. CESSATION'OF'WORK verified.by;
FOR 120 DAYS SHALL ALSO CAU- RECO E VOID.*
1,HEREBY AGREE'THAT ALL I ,PE&ITWILL BE DONEIN ACCOttDANCE'WITH
THE LAWS:OF RIVERSIDE COUNTY AND THE � ATE OF CALIFORNIA.
1 HERE&Y CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND. SPECIFICATIONS HAS DONESO IN
�CORDANCE'WITH SE&16W,,55A1 OF THE BUSINESS 6y1),PROFESSIONS CODE OF THE STATE O CALIFORNIA:
PERMIT NO.
3691
PERMIT NO,
369103.
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
4.ELECTRICAL
FIELD
S,
CONSTRUCTION
* ESTIMATE
Community
�111NTA
NO, FEES
NOPLUMBING FEES
Date
1ST FL. 261
2ND. FL..
FOR. 52 i
GAR. 4:42
CAR. P.
SQ: FT. OIL - 4
Off.
-5
UNifs,
MI-1.0o'mit Fee $
• Micro Film Fee
YARD' SPKLR SYSTEM
SQ. FT.
_V1A
SQ. FT. @ 4.0 2112.0 MOBILEHOME.SVC. BAR SINK
Use of Permii
DWIELLING AND
.
SQ; FT. @ 62 2879.591 POWER OUTLET ROOF DRAINS
Parcel No:'-
61756001-B-1
SQ. FT. @ DRAINAGE.PIPING
No. Ck. By
BS
WALL SQ. FT. @
SQ . . F.T. @
ESTIMATED CONSTRUCTION VALUATION- -
j;
Set Bocks
an 1,005 1,005,4010455
DRINKING FOUNTAIN
URINAL
WATER PIPING
sm
NOTE: Nor.to be used as prop't I �
q vo dt-6
u i n`
-
8792
SWIM POOL, PVT
FLOOR DRAIN
"MECHANICAL FEES
.1
SWIM POOL, COMM
WATER SOFTENER
Plumbing Fee
VENT SYSTEM 5 FAN NAP. COOL 1HOOD
•10
SIGN
- WASHER (A,UTO)(DISH)
Plan, No.,Plan
APPLIANCE DRYER
_1 00
Final
al Dote
GARBAGE DISPOSAL
1
FURNACE UNIT WALL FLOOR SUSPENDED
Unit
Sp. Insp. Fee =
LAUNDRY TRAY
$
AIRHANDLING UNIT CFM
IDLE METER
KITCHEN_SINK
Supplimental Permit Numbers
q 03
91
ABSORPTION SYSTEM B:T.U.
Registr.. Foe $
TEMP USE PERMIT SVC
-42 - WATER CLOSET.
Witness Fee
COMPRESSOR�HP
R
POLEJEM �,IPERM
LAVATORY
0
HEATINGSYSTEM FORCED GRAVITY
00
AMPERES SERV ENT
4 SHOWER
Total Fees
BOILER B.T.U.,
SQ. FT: @ c
BATH TUB
x 50
City
BALBOA
Zip
SQ; FT.
WATERMEATER
00
2610 4. FT. RESID @I %.e
SEWAGE DISPOSAL
Tel.LicenseV
SQ. FT. GAR @ -Y4
4 c 43 3:232
HOUSE SEWER
Address
GAS, PIPING
PEWIT FEEPERMIT
.FEE
PERMIT FEE
DBL,
TOTAL FEES
MOB, HM. FEE
MICRO FEE
MECH1. FEE
P.L. CK.'
CONST. FEE, ELECT. -FEET
SMI FEE
FEE PLUMS. FEE
PERMIT NO.
3691
Job Address 7!3�39
qAkC1v1.W_bA
j+&C-1C+30.A
b* 4#t\rr
Space ,
Zip Owner
gg2!i.31 .8LODOMR,
XyL.
Community
�111NTA
'Valuation
$
53045 5,fa
is
Date
Dist.
Off.
-5
F.C.C.
Rol
MI-1.0o'mit Fee $
• Micro Film Fee
cop t
_V1A
Use of Permii
DWIELLING AND
.
ATT -0 G&RAGE
— 'c . I
Parcel No:'-
61756001-B-1
Use/Cose
'Cu
No. Ck. By
BS
_'Wech.-Fee
— _LbI S 31- -
N
Pl.,Ck. Fee $ 1
Set Bocks
an 1,005 1,005,4010455
Lot size -
114 '0,00
• Construction Fee DbI $ E jq 0
gol.Descript ion
6 TRACT
-
8792
Electrical Fee DbI 4! C&OT
Zone Restrictions [Group,
.1
Type
VN
SMI Fee $
Plumbing Fee
Dbb t
Bond Arm.
$
Plan, No.,Plan
2
Che
Checker
eel Mr�
Final
al Dote
Inspectorl)
Unit
Sp. Insp. Fee =
Demob. Fee
$
Const. Lender
Branch
Supplimental Permit Numbers
q 03
91
Registr.. Foe $
M Ieoge•Fee
Address City Zip
Witness Fee
yReinsp. Fee
r/ e I
RD
A"
Zip
Total Fees
$
Address
AOA
1800 E BA•V
BLVD
City
BALBOA
Zip
M.O. [I N.C. El Cash [71 Check W
ReceNed, by Ag
Jreesrequin
Contr6ctor.
Tel.LicenseV
Sewage System
Address
city Zip
T/MTHIS PERMIVSHALL BECOME VOID IPWORK' IS NOTCOMMENCED-WITHIN 120.DAY'S. CESSATION OF WORK ai
Sewer Districl FOR 120 DAYS SHALL ALSQCAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE T4 Ljj)9 r5P6dL;NMTWITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
C
U
UN
THE,LAWS OF RIVER
S
C r D TWk STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE -INDIVIDUAL WHO, PREPARED THE PLANS AND SPECIFICOgIO
N-S'HAS,D0NE-SO IN
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
�Fdrm 294-2
verified by:
NO.
OPERATION
DATE
IN&°ECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
QG
33
Ventilation System
2
Figs & Frms
�_ t
�L
34
Plenums & Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
_/ —%
36
Inlets & Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
1•U--72-39
Appl. Clearance
7
Framing„.
—
40
Fire Damper
8
Vents
41
Smoke Detection Device S`
9
Garage Fire Wall ��
42
Commercial Hood
10
Fireplace
P. L, �7
43
Final
IDA
Fireplace
T. 0. C]
N N ADDITIONAL INF09FAATOOM
--——————--—————————————--
SEWAGE SYSTEM SIZE &LOCATIOM
11 Exterior Loth _
12 Internal Loth
12A. Drywall
13 Finish Grade ` O
INSULATION Thick R
Value
7A Walls (Batts) _
128 Ceiling (Batts)
12C Ceiling (Blown)
14 Final �—
PaLUMBONG APPROVALS
--
IS Ground Plumb'
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal —�
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service l r
24 Gas Test, _ 7”' ��
25
Final
— a
Tank 0"o 0 Pit L.Line
' -
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
1
�. r
P/L kj I G'/
_ 26 Power pole
27 Conduit
_28 Service Entrance
29 Wiring 9�
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
284`"1;99 9/7I. _ - _ ;;��;�� L �CANAR,Y--FILE, PINK—:APPLICAfWT'"
Owner ,br/L'f .� t4 %�' Architects X������ = Cgntractorto 6;46 l/<40k
e '
Address ��� �- ' , %Ji-Address�� fY ��1 Address- "
tI
city &z,100,4 , � city, r � /G%/i% . Z. +� City
l
Phony Phone
W
I (%iwe) the undersigned; hereby certify and acknowledge that 1 (we) have read the application and agree that if - Curb and :Gutter, and
Z'
Pavinq;14nd/or Dedication'':of right of way is required by the County of Riverside, fhe' Riverside County Department of Building' and Safety
• '3 _
shall-�not'rt ake- a Final Inspection until said requirements have been- met. I am .also aware that no work is to .be done within the County',RiAly
.O
without an encroachment permit. _
NOW, therefore; it is agreed that ,1 (we) will .riot occupy said property 'and will not cause, said property to be occupied u I (we)' have
--
complied. with 9 Jals of the County of, Riverside; and the .State, of California governing saidpropert -
DATESIGNA�l1RE'OF OWNER AND/OR NT
q
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.
JOB,AD.DRESS._ r 1
'
Y '
SINGLE FAMILY DU_PL.EX. Q.
:
z tFr�
LEGAL DESCRIPTION OF, :PROPERTY
ppf yy APARTMENTS AGRIC. Q
,
: Z COMMERCIAL Q INDUSTRIAL ❑
.ri }
COMMUNITY ALTE RATIONS
NO 1 USE'OF PERMIT
2
+� us
OF.SUBky�ITTED Pc _
CASE NO. i a S F >e �� ♦ j r, a` -
i
NO OF. -PARKING SPACES REQUIRED' J� 'NO OF''BUILDING NOW E-XISTING J
ZONE �./' SETBACKS: FRONT �C� SjE, ,,.�7
" ."REAR.
J m
r GRADING' PERM'I'T REQUIRED? Y:E& ',�- f4 NO 'Q LOT SI `
SETBACK ORDINANCE; OF - FEETREQED ON "STREET
DATE' 1' / -r 7 �` SIGNATURE OF LAND USE OFFICIAL,-
KY
DEDICATION REQUIRED: -YES' [I NO ;❑ � +NO OF.' FEET—
W
CURB' AND: GUTTER REQUIRED. YES❑i NO ❑ STREET .
_
CAN •CURB AND, GUTTER .FEASIBLY BE: INSTALLED? YES*F❑,. NO '❑
_
HAS AN .ACCEPTABLE APPLICATION BEEN MAQE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
IAAPROVENT? YE L� NO .❑ ;'r f 1 '` ,, x,,-
0°
SIGNATURE OF ROAD' -DEPT. OFFICIA( S1
_
Z
�IC
SEWAGE DISPOSAL +
Z
WATER POLLUTION;; REMARKS.
i r�r FLOOD'.CON.TROL- _
W .AIR POLLUTION '
W DI.Y OF, HWY
- ;o:,` — ;°_. Y:OUR PROPERTY MAY BE SUBJECT TO
RIVERSIDE- COUNTY ASSUMES
,FLOW.
- ;NO RESPONSIBI.L]TY' 1N EVENT .OF FLOOD.
284`"1;99 9/7I. _ - _ ;;��;�� L �CANAR,Y--FILE, PINK—:APPLICAfWT'"
ATI.l
'4
APPLICON FOR TRETE PLANTING
I (we), the undersigned, hereby certify and acknowledge Act I (w4have read the application and agree that if trees are required under River-
side County Ordinance No. 457, the appplicant 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 eventno 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.
Edward Globokar 3 ( q i/o
Owner's Name Building Permit No.
Mailing Address 00 E. Balboa Blvd. CityBalboa,CA state T—Zip
Job Address '76-239 Hacienda La Quin a Community Qulnta
Legal Description lot 15 tract 8792.
Assessora:Mop, Book & Page Type.Structure dwelling
Type of Soil sand Is water available yes Road Dept. Plot Plan No.
Type of existing trees `in road ►fight—of—way none
Trees preferred by applicant ('1) S . Ink (2) d `U (3) �-
Date 5=14-79 Owner's Signature r
Planning Commission Case No.
ROAD DEPARTMENT APPROVAL,
:.Approved species Olea europaea (Olive) Number of trees 1
oWSpacing of trees Distance from lot. lines:. Front 2 in W Side
eco Additional requirements Per, plot plan On reverse.
Date Building and Safety -notified 7/79 Signature.
0®/,
REQUEST FOR EXCEPTION
Reason
O Y
_. y~j
O V.
J <,
(attach additional page if necessary)
m
Request for hearing: YES ❑
Owner's Signature
(Forward application to Planning Dept. if exception requested)
NO REQUEST FOR HEARING
Planning Dept.
IL
Concur 0 Non=concur'
❑ Explanation.
Z O
Date
Signature
J
Road Dept.
C
IL tx
Concur ❑ Non -Concur
❑,
Date
Signature
v
REQUEST FOR HEARING AND COMMITTEE, DECISION
z
zn"
Date hearing established
Date hearing notice mailed to owner
J p
Approved ,❑ Disapproved ❑
'Date Owner notified of decision
IL
Date Building 8'Safety notified
Signature
BUILDING PERMIT FIELD OFFICE
PERMIT No: DEPARTMENT OF BUILDING' � SAFETY D
ST
COUNTY" OF RIVERSIDE
369103 Vim a1zcao4a�
CONSTRUCTION ESTIMATE `
NO: ' • ELECTRICAL FEES
9225
NO. PLUMBING FEES
Community
iT IN"TA
25i 'SQ: 18-2 '$ 48024-00
5301 5...50
UNITS
Dist.
11
OH.
F.E.C.
00
MH.Parmit Fee :
IST FL. FT. 0
Cop ;
,Use;of Permi,I
AND'ATT. ;GAll. A E617560013-6>
PorceLNo.
Use/Gose No.
Cu 11324
2ND. FL, SQ. FT:
@;7�
Mach. Fee Dist : 3 IDWILLIRG
Pl. Ck. ,Fee $ -
Set'.Bocks
YARD' SPKLR SYSTEM
Lot Size - -
065 q 14 600
VType i
Construction Fee - Dbl i 19 0
POR. 82 - SQ. Ft @ 4.0
2112.0
MOBILEHOME°:SVC.
R010
BAR .SINKrl
Zone Restridiosnsrt[J
...
Gsoup
A-3
GAR. SQ. FT. B e
2879.59
POWER OUTLET
D_ bl.
ROOF;DRAINS
Bond Amt.
!P.IIgn No
iy�g
CAR P. SQ. FT.
Fina`Date
1
DRAINAGE PIPING
Unit
Sp.:ln,p. Fee(..d.ff��[/
WAIL SQ. FT:
$
-
Cont, Lender Bmech
-
DRINKINGFOUNTAIN
;Suuppllmental PermitNumbers-
RB0369103
Tel.
'
Zip
Regish: Fes s
Mileage -Fee =
Address CjtyL Zip .
ner/ t _,
BD�ARD rS D SAB
,Wilnesi Fee i '
Reiiisp: Fes $
Total: Fees
-
Address - .
1800 E. BALBOA BLVD-
City
BALBOA
Zip
M.o: ;NX- Cash Ch.ck
Received by
Tfees reguRed.
Contractor -
Tel.
License#
Sewage System
Address.- - -
,Cit -
Zip
rm,2U-208 (Rev.B/Z 03
1
THIS PERMIT SHALL BECOME -VOID IF WORK IS NOT COMMENCED' WITHIN 120''DAYS. CESSATION OF WORK veriftedby:.
FOR 120 DAYS' SHALL A CRUS RMI TO BECOME'VOID.
I HEREBY AGREE Tht 94�WITH THIS PERMIT WILL BE'DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY' D THE STATE OF CALIFORNIA.
1,HEREBY CERTIFY T.HAT:THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS`DONVSO IN r,
ACCORDANCE. WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS..CODE OF THE STATE OF.CALIFORNfA.