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DEPARTMENT OF BlD1LD)tdG & SAFETY FMD ..
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AliCkyVR11Q - :;' _ WAT[R CLOkT'
.:`"SF` •�' tPtr%%:",Y�'' • s - RANO[ ANQ/OM OV[N LAVATORY
kl .li:j!>T`•,1�'tr.�"Si•.� WATER N[AtRN etrOwiR -
i=� a: •Yetif,',Et; sis Ta MOLW"-r`ti'•[11A►:•C'00L IZ lIAC[ NCAT[R _ •AT" TUB .:r:'- ,�- `•i .
•� � ��f' "^ �'• ;?: �• 1. •' C0NbTR9tT10N rOLt WATER N[ATlR 77.�:.`;
'v't r+r: k[f • ti`. :s �i�,•' -�'�: L'! %U41C[E INTMAWC6• etKA0t e181'0SAL
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GARAGE It
60, FT. 'pAb PIPING
MlMdIITIlR ' i+ ' PaMwIT FCL~� PERMIT ft!
CONSlN. !"A A vent. • ELECT, torgiA,r. PLUMS, T TOTAL .t10 PLAN G1CCIC"
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• •..• ;~•=• �EII �A�YQ•I pO�RMATION• J00 ADOREbb
IM lit 11QirLAc!
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eLo.R' !RA RTUCiq aAl� GONG. METAL OTA'CR i I / ,IY • f��+j•- -- a�A.!
C NITY OCTOIITRr.c. UNITS VALUATION 111*r
euittti tact FALL M05F.covaelNs eo. Rws. -/-�-�� �sj. %
LfAA df SC ON •` r ( PCM IT e R
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• � • �� _ �• ►i�iRwFrtI�T
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112[ 7 �%/`. C_ � �•l�aj
_ •ACK MINALL AT[ IN�*Meftoup TVPt SONO BOIaD CASH
6 9
•°'Pt.AN CNEC% "it CONTRACTOR �- AILQASK BOND
• i Lice Nit-TYPE OATa
'MeCN ICAL FEE In accordance with Sec. 302-0 of the Uniform Building Code, this permit shall
: expire if worn is not eommeneed within 60 days. If work Is suspended or abon•
�� c� i r doned for o period'of T20 days, this permit shall automatically became null
t0NSTRUCTION FEE i � ” r and void.
oThis permit Is Issued, and shall continue in ioffect, pursuant to the forme and
ELECTRICAL FEE conditions of.Soc. 3900 of the Business and Profession• Code and as a candi•' ,
=� lion of the issuance hereof the following certificate is executed.
y It j
rt u1sslNo Fee `„'. OWNER-BUILDER CONTRACTOR
I hereby certify that In performance I hereby cattily that in pirformonce
f� of the work for which this permit is of the work hit which this permit is
TOTAL FEE i dr• sued I shall not employ any person issued 1 have complied ivlth Title 0,
in any manner whotsoeve, as, to be. Article 3, See. 3800 of the Labor
'BASH .Cl- w.o. N e. come subject to the Workmen's Com. Code, and o cartiileata or eonlfied-,
!Y—k
PLAN rIL[ pensotion Laws of tote of Copy is on file with the- Riviiside'
Coliform f County Building Department. - 0 Owner Contrictor
Alto VOLU 39PTIC TANK LEACH LINE SEEPAat
PIT Address Address
GAL. so. rT. GAL. Tel_ephol � To
6TTWit C] FILE 0 �C r
f 0 �
H
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Route
•:':::,_ -�a:. ;L.uid•lls�:•Div. NOTICE: TN1S L11".41Ut[,91NG PI:ltAA1T D st.O ct:.�.
:Road D6pt. AFFLICAtlOti 4O• C104MUCT Permit No
OVAi TMENT Of lUILDIHQ AND .S1!@lW
?�c 8ulldl t pt. COUN Y - QF RiVEkibt' Del: De
owmr A.ddress'.0 a 00T o e afire .,gyp +J►��'id
5�: a �lrcttitt Address Ptla»ti
'``r; ```aoritractor!''Y_ Address
!'tais6 tfn : C*M 'arw aekrwwt lfut 1. taei haws isad thf kation u.d :Nii:-if Curb •and .Cu ttve ani4 `
undea�jncd;.f h � •oo! +c�N.
af.,d li `0 Wi! 13'NgtgrQd fyr thi Coimty.of Rhr 9010, tiff f2lrfnlda C6Untv,v40*trwsAf , f9 uitdlna,.iiid.$afpty.
,. Jdw31 iiot :mss s Ftiy! irispeGtlan unH! acid trtgedraneenta I+fetia boon Heel. i sen olta awort tfest ie6 rioilc into b� d46h2 .Within j6 d6ta ty R/W
>,�"'r_ .n"•r 1:;� E;-^ ', .' .em>,iavtoPoiN to be «crwled .t tor.:fmit a•th aCeWy said will no.eaw.sw •
Ni the 5teto M Glirarn+69oven+t++O se
SIGNATURE OF OWNER.
i n,54twitwe sYm4 �7. Eros+ thePellowlTTs 111sPaTtutet+ie LISlai BiE�►
- = ;:1l Sit Elti deaaid .Mw to the Iss'uinq of a talistaul'iTittpl amb.
17atiailpitttis>t;:ia#' tty--� .
1c l sc 23
s APARTMENTS 0 DUPLEX ❑ SINGLE FAMILY 'AGRIC. ❑..
. SE PERMIT NO. Cl • COMMERCIAL ❑ INDUSTRIAL ❑ ALTERATIONS Q
OF NUTTED PE- 4S,-_- __w.___ ADDITIONAL PLOT PLANS
NO. 'OF .PARKING'.SPACE:S REQUIRED NO. OF BUILDINGS NOW EXISTING
ZONE SETBACKS____ FRONT.__ ____SIDE .REAR_
IF 1 - 10 GRADE OR MORE, TOPOGRAPHIC PLOT PLAN REQUIRED. RECEIVED: YES_____ NO_
j
' SETBACK ORDINANCE OF___ FEET REQUIRED ON w _.__STREET
CURB D_GvT�R MIRED: YES C3 NO ❑ _�_ STREET
DAY .�,JJ SIGNATURE OF LAND'USE OFFICIAL
DEDI:.ATIOW • kEQUIREU: YES 0 NO C. NO. OF FEET,_
iF YES, WILL Tl!F. DEED BE SECURED WITHIN 90 DAYS PRIOR TO COMPLETION OF
THE ABOVE CONSTRUCTION? YES Q NO Q
CAN CURB AND GUTTER FEASIBLY 8E INSTALLED? YES ❑ NO ❑
HAS AN ACCEPTABLE APPLICATION BEEN :MADE FOR ENROACHMENT PERMIT FOR DRIVEWAY AND
` A STREET IMPROVEMENT? YES ❑ NO ❑
i �y4
DATE..,_ SIGNATURE OF ROAD DEPT. OFFICIAL
RESIDENTIAL SEWAGE. DISPOSAL-- _�•
w
COMMERCIAL SEWAGE-
_ FOOD ESTABLISHMENT _.._SWIMMING POOLS PUBLIC_
GRADING PERMIT REQUIRED___.,..._
ea PLAN CHECK_
tr� FLOOD CONTROL
tg AIR POLLUTION I
PILE COPY
1
_ DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
COUNTY OF RIVERSIDE
- CONSTRUCTION ESTIMATE
ELECTRICAL FEES PLUMBING FEES
1St Fl.
Sq. Ft. @
NO. NO. a•;a
2nd FI.
Sq. Ft.
Por.
Sq. Ft: @
Gar.
SqI Ft. P.
POLES
'Car P.
Sq. Ft.
SIGNS DRAINAGE PIPING
Wall
Sq. Ft.
OR ANS T._ELK.D/ DRINKING FOUNTAIN
Sq. Ft.
MOTOR H.P. URINAL
MOTOR H.P. WATER PIPING
ESTIMATED VALUATION $
MOTOR H.P. FLOOR DRAIN
vo. MECHANICAL FEES
MOTOR H.P. WATER SOFTENER
- HEAT APPLIANCE
MOTOR H.P. WASHER (AUTO) (DISH)
INLETS — OUTLETS
FIXTURES GARBAGE DISPOSAL
M. SO. FT. — UNIT HEATER
OUTLETS LAUNDRY TRAY
' M. SO. FT. — PERF. CEILINGMAT.
SUB-PANEL KITCHEN SINK
APPLIANCE VENT
WATER CLOSET
GAS PIPE
RANGE AND/OR OVEN LAVATORY
REPAIR OR ALTER
WATER HEATER SHOWER
VENT SYSTEM ❑ HOOD Cl EVAP. COOL ❑
SPACE HEATER BATH TUB
COMPRESSOR
CONSTRUCTION POLE WATER HEATER
• COMPRESSOR
SERVICE ENTRANCE I SEWAGE DISPOSAL
COMPRESSOR
RESID. 14 S0. FT. HOUSE SEWER
GARAGE qQ SO. FT. GAS PIPING
PERMIT FEE ��
PERMIT FEE PERMIT FEE
E MI E
REN DBL.
PLN CHK FEE
CONSTR. FEE
HEAT & VENT
ELECT. FEE
PLUMB. FEE
TOTAL FEES
PLAN CHECKER
J
J
,
N'
D.�
J F M j A
M J J A
S 0.
' BUILDING INFORMATION
JOB ADDRESS �% OWNER
WOOD
CONCRETE FIREPLACE
CONCRETE yl.,'t"
PIERS MEMBRANE
`BRICK
USE F BUILDING ,. �G
DATE
BLOCK
FRAME- STUCCO
CONC. METAL
OTHER
•
r... r
TY �'
DISTRICT
F.C.
UNITS
VALUATION
OFFL
PLASTER DRY WALL
ROOF COVERING
BD. RMS.
`
;72N
/
�"""�^
LEGAL y
IP ON L, jJ7 G
PER ITN B R
ZONE ZONIN ,. KED BY
PERMIT USE NO.
/Jp,ESC
r
a••��
Sb7P_ ftgftWOWMPERMIT
F[__
LOT SIZE
if
/00V ��
SET
'
FRONT SIDE REAR
` >�
VVVV
BACK
FINAL DDD DATE
INSPE TOR
GROUP
TYPE
BOND
BOND
CASH
PLAN CHECK FEE
CONTRACTOR
RELEASE BOND
$
LICENSE-TYPE
DATE
. MECHANICAL FEE
In accordance with Sec. 302•D of the Uniform Building Code, this permit shall
r�
$
expire if work is not commenced within 60 days. If work is susppended or abon-
doned for a of 120 days, this become
�/
.CONSTRUCTION FEE
period permit shall automatically null
and void.
$
his permit is issued, and shall continue in effect, pursuant to the terms and
•
conditions of Sec. 3800 of the Business and Professions Code and as a condi-
ELECTRICAL FEE
tion of the issuance hereof the following certificate is executed.
$
OWNER-BUILDER CONTRACTOR
PLUMBING FEE
�+�^
I hereby certify that in performance I hereby certify that in performance
jj
of the work for which this permit is of the work for which this permit is
' TOTAL FEE
$ / / J
issued I shall not employ any person issued I have complied with Title 8,
l! h+
in any manner whatsoever as to be- Article 3, Sec. 3800 of the Labor
Come subject to the Workmen's Com- Code, and a certificate or certified
CASH CHECK
M. 0.
N.C.
pensation Laws of th. State of copy is on file with the Riverside
RECEIVeEDY
i
PLAN FILE
California. County Building Department.
Owner • Contractor
LUM SEPTIC TANK
LEACH LINE
SEEPAGE PIT
w�..
Address rr Address
GAL. So. FT.
�''�Q FILE �
GAL.Telephone Tel. Lic. H
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mcwffOlOR' Mr. 4PI£ltt3G :.
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77L1bAlDA7f -•r---
'.•� _...�•..._.......� &y.Vt° � it,AH� i1H�?10R s:• - 91tO:VI:R .
WASBR ;IVATM' BAT:. T119
Er'Dr P. ....... . •90, iC _ >1bACS NEJ►rkR. ;•. WATt;it HcATTcA
••..� .....a.�......�....-.-.�
s. $�FcGaq'�i. .. tCfJST161SC�174A t'(111t 1�9d:19F,Dislb9kL
:r:.....M..........r.Sq,Bi.'f.........., t �LRY3C8=.8Er. 9A7lClS :Nr•m t711
alta„ r...,t ,�.,. ,� � a'va�t�fttL'.. ] • aAl< PtF:tt9 _ _ __
l'b'i"* TED VALRAY IST � • IsnetT r^Cf
i'LAgC
canno Y CHU= by t+SC PLaa9 CNSCxSI+ DY FEE
b JCS ADDRESS 1 OWNER ;
t G �Ae=
Ct)pl0ilHITY °t1100L 0147@ICT DATE
PLAN CHEM FEE
R U.-E at vou'Dipu 1—td _ sl+"PLSf9EhT TO fiRK1T '
. c e iiAl
g : 8 /L7' j tdld Aon F.P ' 4 Ta Y1l,tt&rmq i Cfr!C f'ux ftYMAFR
113 1
M"INO m D'tsrEttrrrs ADURh'9a 'II' PRIMIIO.
TOTAL FE@t ?iToAt DxscA+P:talr �onu r�Mr"7�aes,
CASH t CtIZ 3E g. i. 04. j ELMl .Rap .ws[ ILI— RB4WE 20=
t
i •' ••- � � • � DATE
O a' FMALBA DIM I ti.Ton - _ t>s fICATE OF co"PLIAH- CEta7. Eton
j� ' ]RxRO TRS�SP>t3plTPC TAsa SSA4A 4IRR 6�t� ItiT „ - �
DAYS
CCUTRACTOf1 t1 AW t:Ui
�Irr I;
• - •TN3A IIRfiAPT: drMA{J.,/dlA6Pi�'1tOm_Ipr WOAK IN NOT COtytR3NCIM 7Y1't1tIN 40 DhVS, CXXO ►TION Cf
WORK r+Oq IWO OATO-IIPtALL AL*0 "USS MQMT TO OCCOUC VOID,
I WMIXT A9aCtt THAT AU lion =-Calcu fe" tar".1aw ►i31 I YIIC. all OCR& IPI "C" Motcz mi" TN2 '
tAWs qv W4IAMM C,31M", ABP AU4 CTATC 41 C41IP'OOW I ACPP A02919 i0 CAQAr Cof/OM71011 MCISAAMMU
rime or suit tk c cf. ults LAss Or Tog STA?s SW catintixtA MEMO CCRTRI;CTOR to ALP
•�'..' IiQT COttx C C+,la � �
�.7 1 4�T ifoP
.• ton►� �P _:.�;.,.:. `
OW S'
:MQ
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. -4.
mc
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46
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4 alt
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BUILDING IN
DWARTMEW OF. SUILIDING i
FI QCT tAt . FFFS
FIELD
PLUMBING FEES
CT CALAR611 INFLOC&TE1REGISTER
I TYPE
�•II�/�
LIPE ONE
Wool!
TER REPAIR DEMOLISH SPECIAL
PACE
LINK
RELEASE 80110
DATE
OWNER ARCHITECT MEMBRANE
rVRAF76MAM
1C NSE -TY pt
ENGINEER
Im1 R CERTIFICATE OF COMPLIANCE
CERT. SENT
/ 4
WOOD S CONCRETE, AlFIREPLACE
INSPECTION CALL
DRAINAGE PIPING
WONK FOR DATr VOID.
CONCRETE. PEERS
DRIER
DRINKING FOUNTAIN
K!LOCK
FRAM TUCCO BRICKiCONC. METAL OTHER
MOTOR HA
URINAL
T
-
MOTOR H.P. '
WATER PIPING
Il PLATTER DRY WALLI ROOF COYEAIMOp� BD. RYS.
Y T
MOTOR H.P.
FLOOR DRAIN
•
T. L' 1
.MOTOR H.P.
WATER SOFTENER
ZONEZO N CMECEW
;YRIANCEAPPROVED
FIXTURES
WASHER IAU70) (DISH)
TAILING ADD. /�
MAILING ADD.
,
OUTLET!
GARBAGE DIS►OSAL
FRONT ' i 16EI RLJIR VOTFIXTURE
EEE
LAUNDRY TRAY
BACK G S O "(j
POST_OFFICII
GARBAGE DISPOSAL
KITCHEN SINK
FL 4 Ft. r
„a 1D1. FL Sq Ft. Q
b'='•;' Por 3q, Ft rad
Orr. o...__.. Sq. Ft.
CAW P. Sq Ft. @
Wap Sq, Ft. @
ESTIMATM VALUATION 10,
PIAN CHECK FEE
coNSTitucnoN FEE
ELECTRICAL FEE
PUMOINO FIE
11DTAL FEF
CASH I I CHECK 10 1 Y.O
KITCHEN FAN MATER CLOSET
DISHMASH£0. LAVATORY
RANGE AND/OR OVENSHOWER
WATER HEATER BATH TUB
SPACE HEATER. WATER HEATER
CONSTRUCTION POLE SEWAGE DISPOSAL
SERVICE ENTRANCE HOUSE SEWER
SUB -PANEL GAS PIPING
If PERMIT FEE PERMIT FEE —r
PLANS CHECKED By. r EPLANS CHECKED BT $EE�
M J J Ai S O N D
N J i O
JOB ADDRESS I 0 HER
a- :;',6a Uaeavvw o c lv E A -4,
COMMUNITY SCHOOL DISTRICT DAATH
I ��J� 17- 6,3
OO U, E Of BUIL�1l�G SUPPLEMENT TO PERMIT
-DD;'f.4A4�At Y A�L%4v.Fc, J*"J4SCG
DISTRICT I Coo AA4 i.C. UHITS I VALUATION I OFFICE PERMIT NUMBER
zi 7 e,7 IF 100855
9 40`
11LCEIY Y DAT
1
WATU VOLONS SSPTIC TANK LUCK LINT StRVAiS FIT
GR!t
I TYPE
�•II�/�
LIPE ONE
Wool!
rAr
PACE
LINK
RELEASE 80110
DATE
1C NSE -TY pt
fALED D T9
Im1 R CERTIFICATE OF COMPLIANCE
CERT. SENT
/ 4
jj
I OR
DATE
`
CONTRACTOR .
PLAN FILL
1C NSE -TY pt
• �':::• '
70
THIS PKNNIT SHALL rtr-OWZ VOID IF WORK Ir NOT C:OYIA[NCRD WITHIN DO DAVIS. CsSNATIDH Of
120 WHALE ALaO CAUNS f[RMTT TO rSCOM6
`
WONK FOR DATr VOID.
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