369387 (SATT)I•
PERMITNot.
r_ .' ' '.
DEPARTMENT: 0F'BUOLDINC'& SAFETY
FIELD
'
DST
x
36938::7
-
- COUNTY'OF RIVERSIDE .'
-
5 ace
P
Zip
Owner
�•y>
36"9387=
t°
CONSTRUCTION 1 Ate'-^^,
NO ELECTRICAL FEES
NO. PLUMBING FEES'
IST FL. ' SQ. FT. @
p
UNITS Tr
> I
F.C.0
;:
2ND. FL.' SQ. FT. @
«"n ! .. �„ ..•
I'. i
YARD SPKLR SYSTEM ti
POR. .'FT. @
MOBILEHOME SVC.
BAR SINK "
"• t"
_
GAR. A '' SQ. FT. @ ' '
f
t POWER OUTLET
ROOF DRAINS
:•,- ,i r: s :.
'CAR'P. . FT.
SQ @
Mech. Fee n
Dbl $:
DRAINAGE PIPING
'L Y, T •p p �}�'` t�v•��f�Ytp
LL�ti�w iAFv'!f►� '�SZtltsJS
- WALL SQ. FT. @
E"*L� •� '
DRINKING FOUNTAIN
$
Gi
- ! • d-_ , T v`•`'"'{ .�
Le of Descri'tion. -
9 P - '
1 r ` URINAL
Lot Size
_'- .ESTIMATED CONSTRUCTION VALUATION. _ .
Electrical Fee
Dbl $
WATER PIPING
r N;
btTg`4AG�6�''
' NOTE: Not to be used as property tax vgluatton''-
_.
a r t
' SWIM POOL, PVT ,
"FLOOR DRAIN
$
MECHANICALFEES a
�=
r SWIM POOL,' COMM
!').
WATER SOFTENER
V'IiA45TEM FAN EVAP. COOL- '-' HOOD
'_ ` "'-
:° SIGN +
" WASHER (AUTO)(DISH)
' •.:
APPLIANCE . DRYER ;'-
h
l'
GARBAGE DISPOSAL
FURNACE ' UNIT WALL FLOOR SUSPENDED'LAUNDRY
•+ -
Sp: Insp.,: Pee
TRAY
$
Al R, HANDLING UNIT CFM`
Const. Lender '�._ �� Branch
t -
IDLE METER
-KITCHEN SINK
ABSORPTION_SYSTEM B. T.
Registr. Fee $
TEMP USE PERMIT'SVC'
(WATER CLOSET
r == •'.:r .
COMPRESSOR. HP
$
$
POLE,TEMP/PERM'MeR
?' "LAVATORY
Tel.
' HEATING SYSTEM FORCED "GRAVITY
Zip ,
` AMPERES SERV ENT
" SHOWER ' L •'
, "
BOILER - B. T. U..,
@ s; C` '
BATH TUB`
n
Toiol
"SQ..•FT..@ ' C *'
WATER HEATER
ys
"67">
•3
SQ. FT. •RESID-@.FhC �"
a r't.` '.SEWAGE DISPOSAL
;• t�IS'
Cash Chetk
7 '_SQ.•F1.'GAR @
HOUSE SEWER
[
E -
-
Receivedby
* , .GAS PIPING_
�..
PERMIT FEE 'a c' "
`-, t ''. PERMIT FEE r PERMIT FEE
Licenseq
DBL ;^
TOTAL FEES
FEE'
' MICRO FEE r MttEg'PL
CK FEE 2
iS
CONST FEE ELEC
E
Y f
FEE
1' l
Trees required
JMOB.HM
._
A
'
Sewage System
S
Address',
'Ciiy - ''•"
t LL P ''.THIS'PERMIT;SHALL-BECOME,VOID IF4000S.NOT, COMMENCED.WITHIN 120 DAYS. CESSATION OF WORK- " verified by:
er District ! p, iU"t FOR,126,DAYS .SHALL ALSO CAUSE PERMIT TO BECOME,VOID.-
1. n THEREBY AGREE THAT'ALL WORKIIN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH >r r
y..q ), /• �Or THE LAWS OF_RIVERSIrE'COUNTY AND THE STATE nF CALIFORNIA. a
e P HEREBY CERTIFY THAT•TH7 'NDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO Ill
' t r ' ' ACCORDANCE WITH SECTION 55.11 O, THe BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
sae zoa IR�� ena) + fJZ
p
' �"_- -_-"`"?�. � gj xt t- � `�� �. `� .%.:..,.3�'�'k}T�:.., �:.-,...a_�.�'.. �,•�. w���'a','s�„ �i.:.... -,_..-_1.,..�*�.-.�...-o..,-....<-_..�� ._ yS-:..... ,-,.-. _ .,�.__..,-. _ �I.n�.._. 3 .- _ •4ejl .
-i •
- PERMIT NO.r � � �
Job Address' �.
5 ace
P
Zip
Owner
�•y>
36"9387=
-
r
Community * W ^Y--+• ` '`k�`n,,% Voluationt
i '' • # e. Dote �>~ t
Dist. -Off
F.C.0
- - 'y
-
MH Permit Fee
$"���
Micro Film Fee
Cop $ F•
` se of P mit:yr S`, '• ,'
'Port o i 1r .,� e. -*x) u /Cose
�b
Mech. Fee n
Dbl $:
'L Y, T •p p �}�'` t�v•��f�Ytp
LL�ti�w iAFv'!f►� '�SZtltsJS
'� MJGT A
E"*L� •� '
PI: Ck. Fee
.4^i•
$
Gi
- ! • d-_ , T v`•`'"'{ .�
Le of Descri'tion. -
9 P - '
""r =', et Boc suc*'
r' F'•. > t S•,� 5-,, R
Lot Size
Construction Fee Dbl $
Electrical Fee
Dbl $
r N;
btTg`4AG�6�''
ZoneiRestr Uioris — Group
Type:
SMI Fee
$
.
Plumbing' Fee•.`.I?T
Dbl•$ '
""
'Bond Amt.
Plan'N..'
Plan Checker
r._
Final`DaJ�tle _
Inspector t
it
•+ -
Sp: Insp.,: Pee
Demol: Fee
$
Const. Lender '�._ �� Branch
t -
Suppbmental Permit Numbers
,
^ -
Registr. Fee $
.Mileage Fee $
Address _ Cit Zi���'-`
_ Y - ,., .P
.. if
ht
Witness. Fee
Remsp: Fee
$
$
�r,i .
Owner/Agent /,' �f
Tel.
Zip ,
-Fees.
Toiol
$ :� '?P'
-'Address-
"67">
•3
Zip'
M.O. N.C.
Cash Chetk
}f -
[
E -
-
Receivedby
contractor -,, ..elr
�.r .. .-v
Licenseq
�+
Trees required
- '•
'
Sewage System
S
Address',
'Ciiy - ''•"
- " •'
`
t LL P ''.THIS'PERMIT;SHALL-BECOME,VOID IF4000S.NOT, COMMENCED.WITHIN 120 DAYS. CESSATION OF WORK- " verified by:
er District ! p, iU"t FOR,126,DAYS .SHALL ALSO CAUSE PERMIT TO BECOME,VOID.-
1. n THEREBY AGREE THAT'ALL WORKIIN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH >r r
y..q ), /• �Or THE LAWS OF_RIVERSIrE'COUNTY AND THE STATE nF CALIFORNIA. a
e P HEREBY CERTIFY THAT•TH7 'NDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO Ill
' t r ' ' ACCORDANCE WITH SECTION 55.11 O, THe BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
sae zoa IR�� ena) + fJZ
p
' �"_- -_-"`"?�. � gj xt t- � `�� �. `� .%.:..,.3�'�'k}T�:.., �:.-,...a_�.�'.. �,•�. w���'a','s�„ �i.:.... -,_..-_1.,..�*�.-.�...-o..,-....<-_..�� ._ yS-:..... ,-,.-. _ .,�.__..,-. _ �I.n�.._. 3 .- _ •4ejl .
NO.
OPERATION DATE
INSPEBTOR
NC'
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS i
I
Set Back
jr_7-61-
33
Ventilation System
2
Ftgs & Frms
�_ 3_
34
Plenums & Ducts =�d
2A
Slab Grade
D 3 _ /f �9'
35
Furnace' Comport.
3
Steel
36
Inlets & Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
a�oZl-�
39
Appl. Clearance
7
Framing
:{ GQ
o•' O
40
Fire Damper
8
Vents
41
Smoke Detection Device Z
9
Garage Fire Wall _
42
Commercial Hood
10
Fireplace
P. L.
43
Final
10A
Fireplace
T.O.
No ADDITIONAL INFORMATION
�
v 7 r Sel,--- --dI 12 /4(.ES>iF
7
I
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior � /���L�ll 6— a2%t�(J
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Botts) ,! �a�% 0
12B Ceiling (Botts) s
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 ZO
25
Final
Tank Pit L.Line
REAR OF PROPERTY LINE
PSL P/
ELECTRICA'- APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
F�
OFFICE DATE_ TIME PERMIT NUMBER
INSPECTION
ADDRESS SPACE N0. REUUESTED
FOR:
�Z— Z
OWNER COMMU TY A.M.
F] P.M.
BUILDING PLUMBING ELECTRICAL MECHANICAL
MON
TUES
a
REMARKS:
®.WED
THUR
FRI
OWNER/CONT CTOR TEL.NO.
281-61 {175
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE DATE I TI\IC ---7--
ADDRESS
--T
ADDRESS
OWNER
BUILDING
REMARKS:
OWNER/CONTRACTOR TEL.NO. _
INSPECTION
REQUESTED
FOR:
A.M.
P.M.
MSN
El TUES
WED
e
111 tl/ir3
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE
DATE
TIME
PERMIT NUMBER
INSPECTION
DFf�I IFCSCf1
ADDRESS k SPACE NO. FOR:
A.M.
OWNER COMMUNITY
BUILDING PLUMBING ELECTRICAL— MECHANICAL.
INOTI
. TUES ,
1A b WED
REMARKS: _ i
THUR
Norm
-- - ElFRI
OWNER/CONTRACTOR TEL':NO.
29446 11/75
{
DEPARTMENT* -OF BUILDING.AND�SAFETY • COUNTY OF RIVERSIDE
OFFICE DATE _ TIME %� PERMIT NUMBER
`{' ,INSPECTION,
ADDRESSSPACE N0. REQUESTED
1 FOR:
l
.A.M.
OWNER MM TY
. :P.M.
BUILDING PLUMBING ELECTRICAL MECHANICAt ,
�II
c10N
TUES
r :
REMARKS: If
��' C:` � �, o 1 i �THUR
Ex,F!
Rt
S
OWNER/CONTRACTOR TEL.NO
2 'CwO '11/75:
OWNER/CONTRACTOR TEL.NO.
_ P�. ZYMw 1��5, f.
DEPARTMENT OF BUILDING AND`SAFE,TY . COUNTY OF RIVERSIDE j
OFFICE
DATE TIME 'S7
PERMIT NUMBER
INSPECTION
REQUESTED
FOR:
ADDRESS I SPACE NO.
I
A.M.
OWNER
(k/
COMMUNITY
BUILDING
PLUMBING
ELECTRICAL
MECHANICAL
F-1
a TUES
WED
THUR
REMAR
FRI
OWNER/CONTRACTOR TEL.NO.
_ P�. ZYMw 1��5, f.
V ob,926�20
PPILICAtION FOO Ir'ktE PLANTiNG,
(w`e)",the'ij`nder:fijn`ad: h'are'by -certify and Zicknowledge that I (weihdvii read the apoli ca tio'��a_nd- agree thavif,trees a4required under -River.
-No",457 the agplic6nt agrees to instaWsaid trees prior to firi'al ins ppcti,on.- It 15 uKderstood that no f" I inspection
-,�side County Ordinanca ino
ill be given until,said,,.re�tiire�ent ove been-mei.,'or
w -biert t
has d b County., Now,'-theref6i4,
exception grante � y a it'ii�ogreed that the prop.
eirty ownar shall cou se,the'pro party I i -n 03 to. be; s`uivayed i n th a, e'�en t no su;rv4e'y' stokes' con,.be1,foun-d,.Furth'er,' it is dgreed._th6t-th'.e-Co'unty of
-
Riversi'de shall,'6seume�no responsibility should trees'havejalbe'i ' 0 ' . .. I - -
am ved, due,to lof linei errors.
Owner s'Name LDERS,,,'�
W, H� BUI _B6iI�in'9*.rmit* Nci:,'�
7� S Ca' . z i P92262.
klailing,Addres-s'-- 4�6-4ella:Roadl. ,alm' �ring!§,',
J Aveiiid8 � objrek'on Qiiinta
06 Addrei� Commun i ty,�,_
n i C meliti�,` t 4"'
L49al JDe plia Lot Ie
sc,i Blk -44 .,"S5 ta�l a.r
he
Aisessor's,-Map, Book' K, P a a e a Structure
'Typ-
LU
4z
g
e qn..No.."
Type of Soil -Is water available. Y S Road Dept. P I o P.I.
0
Tyipe'of existing trees ii-, ra.d.right -of W?y
Trees prefe . tied by applicant 'Olive 2) Pajo� Via�,des-�f, 'I - - '�Biazilli�n Peppe�
Daie Owner's'$ignat re
1 W7.4 u
j 4A
C ROBERTSON Goikz�- SiTt
117�
Plbnning Commisiion Case No.
APPROVAL�
n+ e%V�4 M ;v, mi -x. c, a ri f an'j� Nutbe e
Approve IAI 2 'e k+ P
speci,� r of tre s__��,
.d
16 ta'n'c6: f iom, lot lin ..Rlw,.� Side4.
'40acing-.6f trees, es.: Front 2 in,
Wo
Additio"nal re0frements, 'wifl.-bei .
r�� P1 otin an,nn-rp Pr
_e
-,wjthjn!'L1'b'! rl.vewus
of'd
-
Date 8iii1diiig and 'SAf eiY .,notified A474' Signatuie.
REQUESTFOR,EXCERTION
Reason
'A
z
U,
LL
01
�(ottach additional page if necessary)
to
Requait.for hearing: YES
Owner's Signat6re
(Iccirwaid qppli�ation to Planni V
ng,,De caption requested)
A' --'�NO RE QUEST FOR:HEARING-l'
Planning Dept.
IL
ncur Exp14'ation
-Co -,Non�-c;Wcur
LU
0 -
Date, Sidnature
z
Z. a'.
Rood'Dept.
0:
Concur M -Non-CoKl�u r�
Date ignature
REQUEST FOR.HEARINGAND COMMITTEE DECISION
z
Z IL
D a t4s,hearing established D ate h6oring-hotice mailed to ov;n er
i sapproved h
App ioved D' Date Ow I er notified ofidecision
% � . . �. - i '.� . '. , 1 , '�; , . ,
Date Bui.1ding &��Sqfaty notified Sig-Kiatu;e,'t
V-1
F.
4
llcir-
e5K
•
SLOTr` �{ 926-20
.PL.AN Owner Job No.
LEGAL DESCRIPTION: LOT: 8 BLOCK: 44
TRACT: Santa Carme-lita at Vale La Qu nta #4 51180 Avenida. Obregon
'-e1.WCOUNTY: La .QUinta Mversi.de._ La Quinta, Ca
House Plan 412 /Y1 /9 Rev
.5
` Finish Fl
Pad Elev.: (and finish grade elev, at house croners) oor Elev:: Garage Floor Elev.;
,xSewage Disposal: Install one 1200' gallon septic tank and:
one 6ft. diameter seepage 'pit feet deep a•T
(,) lineal ft. of 3 foot wide leach line with. 3 feet of rock beneath pipe
ti 0 Zti
NORTH (� Cy Ca..
Seale: 1" = 30'
Checked Above z.i¢(4
Date, C _"�-.'�r!/ - Byal���'l (/t.�• � ti -w �� l.. K_`�'�r� �: ...
NOTICE: THIS IS NOT A BUILDING PERMIT : w DISTRICT I
APPLICATION TO CONSTRUCT Permit No `
DEPARTMENT OF..BUILDING AND SAFETY,-' '
COUNTY Of ;RIVERSIDE ;
.. dr`• t.9 - s
H4-1199-
9/74 CANARY—FILE, PINK— APPLICANT ,'
+Owner_ Architect "� W r Contract
�Address Address t^ Aadres'
Sill_
City'Mlw City Cry_
Phone` Phone
ti
"1(we) the undersigned, hereby certify and-acknowtedge !"t 1 (we) have read the,application and agree that if Curb and Gutter, and '
- Z a
TPaving; and/or Dedication of right•of way is required by'the_.County of Riverside, the.;,Rrverside County. Department of Building arid,' Safety �.
.work
y` 3
shall not make a Final Inspection until said requirements have been met. I am also aware•that no is,to be done'-w'rthiii the County R%W ,
O
f without, an encroachment permit.'-
-r 4
' NOW, therefore, if is.agreed that I (we) will not occupy -said property and will note cause -said property, to be occupied until I (we)'. have
`complied with all laws of the County of-Riv$rside and the Stale of California governing said property.,. ' -
V. a f
DATE SIGNATURE OF OWNER ANO/OR AG !!! �.1�, t/ K.• s
�..
Approval by Signature from the Following Departments Listed Below �p
•.; '^�•�
T. f
Must Be Obtained Prior to the Issuing of a Construction Permit. x
rte;
: o-
�e SPACE NO.
1 USE O STRUCTURE
J '
JOBS ADDRESS_ I
SINGLE FAMILY DUPLEX t� _
'APARTMENT AGRIC.
Rr �„gT
O
H Q
'^
'L^.EGSL
V MMERCIAL INDUSTRIAL' %C,
'
O
COMMUNITY.
ALTERATIONS
OF SUBMITTEO'PLANS USE OF PERMIT
Z
uW+ Q
N0. —
-CASE-NO.
O ZNO.
Q
OF PARKING SPACES REQUIRED ' NO. OF BUIL��NGS NO EXISTING
4
ZONF SETBACKS:' FRONTEPR
J m
GRADING PERMIT SQUIRED? YES 0- NO ❑� :r LOT SIZE ! '• _�-`��'`
.SETBACt�ORDINANCE ,•—' 1' OF FEET R.b$[JIRED ON - c STREET
DATE` r SIGNATURE OF LAND USE OFFIC L
`
DEDICATION REQUIRED: YES ❑ NO ❑ - NO:' OF FEET_
W
_ d;
;CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
tx
W
CAN 'CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO O.i•
C'
,'
HAS AN ACCEPTABLE APPLICATION N MA`'DjE FOR ENCROACHMENT PERMIT FOR DRE A►}k AND STREET
C
IMPROV MEN.?'YrE 00 '../. �'
o
DATE'_- __ SIGNATURE O* OAD DEPT'. OFFICIAL
?SEWAGE DISPOSAL 4P4;V
W
Vv I
•+,.WATER POLLUTION
:FLQOD CONTROL Y '� ' r
�n
W •;AIR POLLUTION i s `
_DIV
r OFMWY
c °L _ s` f ' T �' � 't t YOUR PROPERTY MAY BE SUBJECT- TO
W FLOOD.' RIVERSIDE COUNTY^ASSUMES
NO' -RESPONSIBILITY IN EVENT OF FLOOD.,;
H4-1199-
9/74 CANARY—FILE, PINK— APPLICANT ,'
BUILDING PERMIT
cicl n ncnrc
PERMIT NO.
PERMIT NO.
Job Address 51180
DEPARTMENT OF BUILDING & SAFETY
""' "' ' " `
DST
1369387
369387
COUNTY OF RIVERSIDE
1
^
CONSTRUCTION I r
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. @
UNITS .
Date Dist. Off.
F.C.C.
MH.Permit Fee
E
YARD SPKLR SYSTEM
2ND. FL. SQ. FT. @
fAb ni 4
Micro Film Fee
Cop E
r.76t MOBILEHOME SVC.
BAR SINK
Porce o. s /Case No, k.
FOR. SQ. F7. @ 01
1 0116
Dbl $
1D�iULING
AND
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. @
w
_
-
Set Backs Lot Size
DRAINAGE PIPING
Construction Fee
CAR P. ISO. FT. @
�
,legal Description
F � S S R
r—A
Electrical Fee
DRINKING FOUNTAIN
+
.
WALL SQ. FT. @
..�Zofne Restrictions Group Type
JCViQ 7
SMI Fee
E
URINAL
SQ. FT. @
r
,Plumbing Fee, y
Dbl b
ESTIMATED CONSTRUCTION VALUATIONWATER
Bond Amt.
PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
Unit
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
. WASHER (AUTO)(DISH)
APPLIANCE ',PRYER
GARBAGE DISPOSAL' ,
FURNACE UNIT WALL FLOOR SUSPENDED
P
LAUNDRY TRAY
$
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
O
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
�e mol. Fee
COMPRESSOR HP
POLE,TEMP/PERM
LAVATORY
Branch
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
r.
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
id 44-
SQ. FT. @ c
WATER HEATERlX
0. FT. RESID @11Ac
SEWAGE DISPOSAL
lick a
$0. FT. GAR @ 1% c r
HOUSE SEWER
GAS PIPING
K
PERMIT FEE
ion PERMIT FEE
PERMIT FEE
Owner/ gent
DBL.
TOTAL FEESMOB.
.�
HM. FEE
MICRO FEE
MEC E PL. CK. FEE
5
CONST. FEE ELE E
121 274
SMI FEE j
FEE PLUMB7FEE
PERMIT NO.
Job Address 51180
Space Zip Owner
1369387
�__
IDA
1
^
,...
Community
Valuation
Date Dist. Off.
F.C.C.
MH.Permit Fee
E
E
ID
fAb ni 4
Micro Film Fee
Cop E
se of P mit
Porce o. s /Case No, k.
y
Mech. Fee
Dbl $
1D�iULING
AND
ATT. GARAGE
— - BS
PI. Ck. Fee
$
_
-
Set Backs Lot Size
Construction Fee
Dbl E
�
,legal Description
F � S S R
r—A
Electrical Fee
Dbl $
+
.
TVR8 BtK 2
..�Zofne Restrictions Group Type
JCViQ 7
SMI Fee
E
ulki
r
,Plumbing Fee, y
Dbl b
Bond Amt.
Plan No.
Plan Checker
al Dote
Inspector
Unit
S.. a
ISp'Inspe
r�/
_yO
P-2
$
_ _
$
fJL
O
�e mol. Fee
$
.-N,
Const. Lender
Branch
Supplimental PermitNuers
Registr. Fee
ER130369:587
Mileage Fee y Address City Zip
Witness Fee
E
Reinsp. Fee
§
Owner/ gent
Tel.
ZIP
1
Y c� N_
Total Fees
E
Address
City v
Zip
M.O. N.C.
Ej Cash
Chec
MSPRING
Received by
i
ontractor
Tele License N.
Trees required
Sewage System
Address
City Zip
t
l-
s
q•,./.t�^� 6J - it �..- ..
T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
I` -Sewer District = ukv, FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. ' • Rr ,
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE'
WITH
h' _r THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. z
r 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.
Form 284-208 (Rev.8/78) P _ - _ _ -