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369226, 375242 (SFD)BUILDING PERMIT PERMIT NO, 13692261 DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD�/ CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES Qs13jEj Com unitty ry �, (,.�/�.� UNITS Da 7 IST FL. SQ. FT. @ F.C.C. MH. Permit Fee $ 2ND. FL. SQ. FT. @ Parcel No. f,e/Cose No. / �`/ 1—�- G.,r� 113-5:S^ YARD SPKLR SYSTEM POR. SQ. FT. @ KJ� C MOBILEHOME SVC. BAR SINK GAR. SQ. FT. @ ' r POWER OUTLET ROOF DRAINS CAR P. SQ. FT. @ Group Type DRAINAGE'PIPING WALL SQ. FT. @ Band Amt. $ Pion No. ✓v DRINKING FOUNTAIN SQ. FT. @ Inspector Unit 1 URINAL ESTIMATED CONSTRUCTION VALUATION $ Const. Lender Branch Supplimental Permit Numbers WATER PIPING NOTE: Not to be used as property tax valuation Address Cit Zi y P SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES Tel. Zip SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD City Zip SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER ToJ.-.�- y� .P•'~I / r% License# GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Address /.:.� 0 t�1 .s Ci / .G. �L C /'O' - hi Z p 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 SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. @ c BATH TUB SQ. FT. @ c WATER HEATER SQ. FT. RESID @1'/.c SEWAGE DISPOSAL SQ. FT. GAR @ 1%c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TW L FEES MOB. HM. FEE MICRO FEE MECH. FEE PL C FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 369226 Job Address Space'p 3- Ila �lae<) ctu-)eve, X453 Own iISaA_)�. Com unitty ry �, (,.�/�.� Valuation $ Da 7 Diy� �/ F.C.C. MH. Permit Fee $ Film Fee Cop S Use of Permit /�C�C11 C/Gy _��,{� IZ( '�i _ /� /-��"G. /^ 'a te, / '�," („� ` C. Parcel No. f,e/Cose No. / �`/ 1—�- G.,r� 113-5:S^ Ck. BMicro Mech. Fee Dbl $ PI. Ck. Fee $ Set Backs Lot Size , / , 5-O X /— v ii,VVV Construction Fee Dbl $ legal Description / �i / / �7 / %!. �oS� 13 1mK 4q 7 F ,/� S �+..� S �"� R C / ,J •5- Electrical Fee Dbl $ Zone /Re/e►�ficlions Group Type SMI Fee $ Plumbing Fee Dbl $ Band Amt. $ Pion No. ✓v Plan ecker Final Date $ �`297 Inspector Unit 1 Sp. Insp. Fee $ Dental. Fee $ Const. Lender Branch Supplimental Permit Numbers Registr. Fee $ Mileage Fee S Address Cit Zi y P Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip Total Fees Is S Address i City Zip M.O. N C. Cp,h Check Received byntr C a, ,Y / �� �� �� / ToJ.-.�- y� .P•'~I / r% License# Trees required' Sewage System Address /.:.� 0 t�1 .s Ci / .G. �L C /'O' - hi Z p T LL P Sewer District Form 284-208 (Rev.8/78) THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: 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 STATE OF CALIFORNIA. I 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. NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System s' 2 Ftgs 8 Frms 34 Plenums & 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. Cj 43 Final 10A Fireplace T.O. E] OP'N NO. ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Loth 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 16 Water Piping 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 REAR OF PROPERTY LINE P/L Pi u ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 - Service Entrance 29 Wiring 29A Grounding Wire 4"� 29B Bonding 30 Fixtures 31 Service 32 Final STREET BUILDING PERMIT PERMIT NO. 13692261 DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD OFFICE i CONSTRUCTION ESTIMATE Job Address Space 3- 0 i-se0 owee, NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. I -Ile 51e 2ND. Fl. POR. GAR. CAR P. WALL ESTIMATED C014STRUCTION SQ. FT. @ IeY, ID Z 7/ f^fS/,(7 UNITS F.C.C. SQ. FT. @ YARD SPKLR SYSTEM .► �i ,r MOBILEHOME SVC. SQ. FT. @ BAR SINK POWER OUTLET SQ. FT. @ ROOF DRAINS SQ. FT. @ 15RAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL VALUATION S i WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES Plan No. SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD Unit SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER Supplimental Permit Numbers Registr. Fee $ GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Witness Fee $ Reinsp. Fee $ LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. M.O. C. sh Check TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP License# POLE,TEMP/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY Address AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. @ c BATH TUB SQ. FT. @ c WATER HEATER SQ. FT. RESID @I V. c SEWAGE DISPOSAL SQ. FT. GAR @ 'r. c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOJAL EES _ MOB. HM. FEE MICRO FEE MECH. FEE PlK'FEE - lits/ CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 369226 Job Address Space 3- 0 i-se0 owee, Zip ip - Ow ` Som . . Com u , + �� Ul., Ealuation t ID Z 7/ f^fS/,(7 F.C.C. MH.Permit Fee $ Micro Film Fee Cops Use of Permit - ) /7 D4 � I/ ���� Y � / .LLQ✓ Parcel No./� Use/Case No. Ck. By ch.Ck fee Dbl S PI. Ck. Fee = Pl. Set Backs Backs Lot Size `✓Type Construction Fee Dbl $ Legal Description ` ✓ �" +' F O S iJ Electrical Fee Dbl $ Zonee Re',ctionsJ �.. Group SMI Fee S Plumbing Fee Dbl E Bond Amt. $ Plan No. Plan Checker Final Date Inspector Unit Sp. Insp. Fee E Demol. Fee $ Const. Lender Branch Supplimental Permit Numbers Registr. Fee $ Mileage Fee $ Address City Zip + Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip Total Fees s ddress p e'L City Zip M.O. C. sh Check Received by ^tr r V / �� r—• ,% / Te / ,2 License# Frees required k Sewage System jW Address C'ry V ! Zi i T LL P Sewer District Form 284-208 (Rev.8/78) @s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: 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 STATE OF CALIFORNIA. I 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. BUILDING PERMIT PERMIT NO. 375242 DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE RTA AA7rP4P FIELD OFFICE DST CONSTRUCTION ESTIMATE • NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 04 SQ. FT. @ 40 $ 25833.60 UNITS EISENHOWER L22531B. TYSON 2ND. FL. SQ. FT. @ Community YARD SPKLR SYSTEM Dist. Off. F.C.C. POR. 130 SQ. FT, @ 0 520.00 MOBILEHOME SVC. LA QUINTA BAR SINK 5 p0 Micro Film Fee GAR. _ SQ. FT. @ 0 POWER OUTLET ROOF DRAINS Use/Case No. CAR P. SQ. FT. @ Mach. Fee Dbl $,, 20 DRAINAGE PIPING 774171005-0 WALL SQ. FT. @ ,PS P.I. Ck. Fee DRINKING FOUNTAIN • SQ. FT. @ Set Backs Lot Size to �1 URINAL Construction Fee Dbl $ 1y 127 Legal Description 02 005 ESTIMATED CONSTRUCTION VALUATION $ Electrical Fee , Dbl $ S ry pp 28 t 2 20 BL 247 SC y L Q #23 1 WATER PIPING 25 GrouP _29187.60 NOTE: Not to be used as property tax valuation SWIM POOL, PVT E FLOOR DRAIN -OT MECHANICAL FEES R--3 IVN SWIM POOL, COMM WATER SOFTENER Dbl $ L 44 VENT SYSTEM FAN EVAP. COOL HOOD 330 SIGN 2 WASHER (AUTO)(61SH) Ins APPLIANCE DRYER 330 $ 1 GARBAGE DISPOSAL 250 FURNACE UNIT WALL FLOOR SUSPENDED / U PD140 LAUNDRY TRAY 1 Dental. Fee AIR HANDLING UNIT CFM IDLE METER 1 KITCHEN SINK 250 ABSORPTION SYSTEM B.T.U. $ TEMP USE PERMIT SVC 2 WATER CLOSET 500 COMPRESSOR 35 HP { 750 POLE, TEMP/PERM 2 LAVATORY 5 0 HEATING SYSTEM FORCED GRAVITY 430 100 AMPERES SERV ENT Reinsp. Fee SHOWER Ow Agent - BOILER B.T.U. Tel. SQ. FT. @ c Zip 2 BATH TUB 50 J. D. CONST. SQ. FT. @ c 1 WATER HEATER 2 0 22236 Address 14.0 4 SQ. FT. RESID @1t/.t 17 5, 1 SEWAGE DISPOSAL 10 o Cash Check 436 SQ. FT. GAR @ 3%c 3 7 HOUSE SEWER Received by[ .T ontractor 6 GAS PIPING Tel. PERMIT FEE T rees re u' ed PERMIT FEE 0 PERMIT FEE 4 0 DBL.TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE •PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE 222 20.50 127.70 28. 821 2.04 0 PERMIT NO. Job Address 53840 Space Zip Owner 3 7 5 2 4 2 EISENHOWER L22531B. TYSON Community Valuation Dote Dist. Off. F.C.C. MH.Permit Fee $ LA QUINTA $ 29187.60 108-09-791 11 5 p0 Micro Film Fee Cop $ Use of Permit Parcel No. Use/Case No. Ck. By Mach. Fee Dbl $,, 20 .� WELLING AND ATT. GAP 774171005-0 ,PS P.I. Ck. Fee $ Set Backs Lot Size to �1 Y/ K/ vv 10.0 000 Construction Fee Dbl $ 1y 127 Legal Description 02 005 605 102210.50 Electrical Fee , Dbl $ S ry pp 28 t 2 20 BL 247 SC y L Q #23 Zone Restrictions GrouP Type SMI Fee �r' E 2 -OT R--3 IVN Plumbing Fee Dbl $ L 44 /� 0 Bond Amt. Plan No. Plan Checker Final Date / �X` Ins Unit Sp. Insp. Fee $ $ / U PD140 1 Dental. Fee $ Const. Lender Branch S�uppliment/al Permit Numbers Registr. Fee $ y1�, 03g 5242 U Mileage Fee $ Address City Zip Witness Fee Reinsp. Fee $ Ow Agent - Tel. Zip J. D. CONST. Total Fees $ 22236 Address Zip M.O. N.C. Cash Check A o X 10 1 *City �7 T �ry L 4 Q U I N 1 A Received by[ .T ontractor 6 Tel. LicenseN T rees re u' ed ie ge Sy ' /Address - City Zip T Sewer District Form 284-208 (Rev.8/78) s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: 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 STATE OF CALIFORNIA. I 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. BUILDING PERMIT PERMIT NO. 13752421 DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE RA 0:575242 FIELD DST 1, F1 I PERMIT NO. 375242 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES Owner TYSON IST FL. 04 SQ. FT. o16.40$ ? y� r 33.60 UNITS Date 08-09.79 Dist. 11 ` f 2ND. FL. SQ. FT. @ MH Permit Fee j Micro Film Fee Cop j YARD SPKLR SYSTEM Use of Permit WELLING AND ATT. GAR POR. SQ. FT. @ 0-100 520.00 MOBILEHOME SVC. Mech. Fee Dbl $ 20 0 BAR SINK Set Backs Lot Size 030 GAR. 13 6 SQ. FT. @ v0 634.00 POWER OUTLET ROOF DRAINS 1322 Electrical Fee Dbl $ 28 2 CAR P. SQ. FT. @ Type SMI Fee j 2 4 DRAINAGE PIPING Dbl j 44 U WALL SQ. FT. @ Plan Checker DRINKING FOUNTAIN Inspector Unit SQ FT @ Sp. Insp. Fee j Demol. Fee $ URINAL Const. Lender Branch ESTIMATED CONSTRUCTION VALUATION $ 29187.60 Supplimentol Permit Numbers ' RB0375242 � 1 WATER PIPING 2 0 NOTE: Not to be used as property tax valuation Reinsp. Fee SWIM POOL, PVT FLOOR DRAIN Tel. Zip Total Fees j 2223 Address OX 105Q 1 CCityZip LA Q U71 I Nryl A M.O. N.C. Cash Check Received by r �T ' rif (i \Y" contractor Tel. License# Trees required Sewage Sy )(J// f- 'Address City Zip Sewer District 19° 3 )7 90(q-2 3' ° g;�/ Form 284-2086 (�Rev.B/78) 61 THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK veriSed by: FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. r 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. I HEREBY CERTIFY THAT THE INDIVIDUAL WH(; PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 0 33 Ventilation System 2 Ftgs & Frms & - 34 Plenums & Ducts �. 2A Slab Grade U 35 Furnace Comport. 3 Steel 36 Inlets & Outlets 4 Grout Elocks 37 Combustion Air 5 Bond Beams 38 Compressor 6 Roof DeckIELEH 39 Appl. Clearance 7 Framing (� 40 Fire Damper 8 Vents 41 Smoke Detection Device o_ 9 Garage Fire Wall �� _ 42 Commercial Hood 10 Fireplace P. L. 43 Final IDA Fireplace T. 0. E] No ADDITIONAL INFORMATION ' SEWAGE SYSTEM SIZE & LOCATION I l Exterior Lath 12 Internal Lath 12A Drywall_ 13 Finish Grade ffo INSULATION Thick R Value 7A Walls (Batts) 12B Ceiling (Batts) v 12C Ceiling (Blown) 14 Final PLUMBING APPROVALS 15 Ground Plumb 16 Water Piping -757 V6,La- 17 Rough Plumb -2�. 18 Vents 19 Sewage Disposal 20 Sewer "1 f, _ 21 Water Heater „ l 22 Water Softener 23 Water Service 24 Gas Test 25 Final 1-- �- Tank 0 Pit 6 L.Line REAR OF PROPERTY LINE [, d PSL P/ a r ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding-Wire 29B Bonding -� - 90 30 Fixtures - 31 Service 32 Final STREET NAME " (Si�3 ` 6L)•ti —1 NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE DISTRICT Permit No /f 284 199 9/74 CANARY—FILE, PINK—APPLICANT Owner ✓ Architect_ Contract C� J� Addre/s G X (� S Address Addres/s !.]z City G/2O uz_v fa City City_/— • %{ — ty C, Phone Phone Phone W 7 twe) 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 cc cu ed until I (we) have complied with all lla/aws of the County of Riverside and the State of California governing said property. DATE �L 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. i I SPACE NO. I USE OF STRUCTURE ` ^� IYSINGLE JOB ADDRESS or �� " (I1.4 -al FAMILY DUPLEX Z H LEGAL DESCRIPTION OF PROPERTY _ �� �� � � 7APARTMENTS E] AGRIC. El Yf� f 2 J�j� H Q "` COMMERCIAL Ej INDUSTRIAL C, j to COMMUNITY f -e— ALTERATIONS [] raG Z NO. OF SUBMITTED PLANS USE OF PERMIT ..f i.� -- 6 Q CASE NO. -- V Z NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING Q o ZONE i SETBACKS: FRONT iJ SIDE —REAR 2. J m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE # _— OF FEET REQUIRED ON STREET DATE / —_ �! SIGNATURE OF LAND USE OFFICIAL FEET-- t- zCURB DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF AND GUTTER REQUIRED: YES ❑ NO ❑` f { " �� 'u^'�STREET I- d CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET O IMPROVEME ? YES C9_NO El °G DATES SIGNATURE OF ROAD DEPT. OFFICIA.'''�' Z SWIMMING POOLS PUBLIC i SEWAGE DISPOSAL = O FOOD ESTABLISHMENT Z/77 '0W• /j'' WATER POLLUTION REMARKS �n FLOOD CONTROL— z AIR POLLUTION W I- DIV OF HWY I- 0 a — YOUR PROPERTY MAY BE SUBJECT TO rs FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199 9/74 CANARY—FILE, PINK—APPLICANT WEIGH MASTER'S CERTIFICATE OF WEIGHT AND MEASURE This is to certify that the following described merchandise was weighed, measured or counted by a Private Weighmaster, and his signature is a recognized authority of accuracy as prescribed by Chapter 7.3 (commencing with Section 12740) of Division 5 of the California Business and Professions Code, Administered by the Division of Measurement Standards of the Department of Food and Agriculture of the State of California. MASSEY SAND & ROCK CO. } CONTRACTOR'S LICENSE #271769 PHONE 347.8535 © INDIO PLANT r 38115 MONROE PHONE 347-3232 ❑ 43-850 MONROE MSR Cust. No. 111 ❑ PALM SPRINGS PLANT 21500 INDIAN AVE N. PHONE 325-5222 MSR Job No. GIL Item _ Sub _ SOLD TO ORDERED BY JOB ADDRESS REMARKS: t I i./ I C P� Tare fA;UJ,4 j ♦ } `,D • Net .a I ` , C~ L 3114 (WEIGHT IN LBS.) Gross Cement t I i./ I C P� Tare Sand j ♦ } `,D • Net .a I ` , C~ L 3114 Rock Water at^Plant/ JobRock MASSEY SAND & ROCK CO. Private Weighmaster By. t TN Nil ❑ EL CENTRO PLANT r 51 E. HWY.80 PHONE 352-3152 ❑ OCOTILLO PIT Date PHONE# ❑ BLYTHE PLANT 8560 E. Riverside Dr. PHONE 922-5166 ❑ GOODMAN PIT LA PAZ, AZ. Weighmaster No. 12 - N i Jos" CUST. JOB # Prod. Zn Class Quantity Price Unit Amount [:ode READYMIX c` A) YD CONCRETE • • • • ADDITIVES MINIMUM LOAD I I I I • I I 1 • 1 I 1 • 1 I YD 0 ASPHALTIC c` A) TN CONCRETE • • • • MINIMUM LOAD TN MINIMUM LOAD • 1 1•1 • • ROCK, c` A) TN • { • • • MINIMUM LOAD TN • 1 1•1 • • SAND TN MIMIMUM LOAD TN • 1 1•1 • • Driver Empl # I I I I Truck # LTU 4 Trailer # L, L� Load # II Lett PlantArrive Job Start Pour MIXER DRUM REVOLUTIONS Pour 1 Leave Job 1 Arrive Plant Plant Job Discharge UNLOADING TIME: A maximum- of 5 minutes per yard of readymix ora maximum of 15 minutes per load of dry material will be free. Additional unloading time will be charged at current prevailing rates. WARNING NOTICE: Use of readymix concrete without protective clothing could cause bodily injury. Every effort should be taken to avoid contact with the skin. Also, water or other ingredients added to this concrete may reduce its strength and quality and shall be added only at customer's request. Customer hereby agrees to indemnify MASSEY from any claim arising from such additions. RELEASE: I hereby agree not to hold MASSEY or any of its employees liable for damages inside curb or property line caused by any of their equipment, as I have requested delivery on the property for the material listed and hereby acknowledge receipt of same. CUSTOMER RELEASE SIGNATURE CUSTOMER MATERIAL RECEIPT SIGNATURE ' a w z 3 O T 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 ,der River- side County Ordinance No. 457, the ayplicant agrees to install said trees prior to final inspection. It is understood that no final i�s'pection 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. Owners Name J N Buil ing Permit No. Mailing Address / City State Zip S Job Address r © A Legal Description Assessors Map, Book & Page oZ 40 �— Type of Soil, Is water available Road Dept. Plot Plan No. Type of existing trees in road right—of—way Trees preferred by applicant (1) �f/G (2)�7- Date Owner's Signature Planning Commission Case No. ROAD DEPARTMENT APPROVAL Approved species Washingtonia robusta (Mexican fan palm) Number of trees 1 a CL Spacing of trees Distance from lot lines: Front 2' in R/W Side � c Additional requirements Per plot plan on reverse. No street trees will be planted O} Z F LU DLL JQ 5,n co G6 z "' O z Z a J O CL W Date Building and Safety notified 9/79 Signature To / Reason Request for hearing: Owner's Signature Planning Dept. Concur ❑ Date YES ❑ REQUEST FOR EXCEPTION (attach additional page if necessary (Forward application to Planning Dept. if exception requested) NO REQUEST FOR HEARING Non -concur ❑ Explanation Signature Road Dept. Concur ❑ Non -Concur ❑ Date Signature O REQUEST FOR HEARING AND COMMITTEE DECISION z - ZaDate hearing established Date hearing notice mailed to owner- ) p Approved ❑ Disapproved ❑ Date Owner notified of decision IL Date Building & Safety notified Signature •,�+:, jO�;. Yjj:'rt t',°. ,..`vl'.:..'.:r' :;�) :•�!Ft.(';.vG' N,1,3 - .:i is ,t� - r�'.. 1':3 �,<i.aiix^,F �r `• ''. r,�.i'3 ' _ C,,. 5 •. ----------------------- YZ i