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SFD (00021892)52145 Avenida Martinez 00021892 gAFPLLII:AN I NAMMt (L• h. MI) AN HORW VMS 1-6.13 WAONu159N,f t' UA 922600000 8.6LjE,gQ@RESSISPACE ryryP.p NVZ AVEPY `tl P'i KCAt A iR C922530000 Q2253 ,1.a C6 V ;Y ($TpT JZIP .F. f4V 11 1Yi81! 0 0 0 0 h d '67N 010 trV S V9W6 V , ,1gF0- V yµi a {YV0/ wd SB• A . B}L K+".9/bn I QS (JJWl,E Yf AI®41AV'6t* /y FY . "IMgqE0p,PM S9 Eg6E Ty DEV b J PHONE p pip D7 T91'1 OV M4 N fi R N g L'S 5 3 E. 9 70 19OW 1638 CA 922600000 A 48 0 S V A BLDG. INSPECTOR FINALDATE ARC/ENG FIRMNAME i t LICNC It ADDRESS CITY/COMMUNITY/STATE/ZIP I• 'PLAN # XAMINER ANSEXAMINER DATE ppjFCE . LUP.,ATT ZQ N .PL V J+Uw WUPS y$O Q 5 ZONEORD# ,'- LOT'SZra t0 01$yE>, 0PV1 Ti G ^P N/ A J E L 39566 I TOTAL . FEE ' CA CK NC I COUNTER B.I. COUNTER L.U.T. AP1<'LICA'Y'ION FOR STRUCTURAL. PLAN REVIEW s,? T M 1 9 1 S A N A P P L I C A T I U N n N L Y . ; Yau must eeot the following Departments (if listed) for concurrence BEFORE s' a Permit can -be issued i 1...--- Description De t to e iULUYRt GaD, N AL Tbi LA9D USE: 'FORM 284.208)1L81) INSPECTOR NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs & Frms 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 39 Appl. Clearance 7 Framing 40 Fire Damper 8 Vents M Smoke Detection Device 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P. L. C] 43 Final _ IDA Fireplace T. 0. OP'N NO. ADDITIONAL INFORMATION . ` 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) 12C Ceiling (Blown) 14 Fin 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 ELECTRICAL APPROVALS P/L P/ 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31• Service 32 Final STREET NAME PERMIT APPLICATION t County of Riverside -' Department of Building and Safety 4080 Lemon St. 2nd Floor 135 N. Alessandro Rd. Rm. 203 880 N. State Street 227 North "0" Street 46.209 Oasis SI. Rm. 310 160 N. Broadway Riverside, CA 92501 Banning, CA 92220 Hemel. CA 92343 Perris. CA 92370 Indio. CA 92201 Blythe. CA 92225 Ph: %7 6146 Ph: 849.7312 Ph. 658-4464 Ph: 657.3898 Ph: 342.8271 Ph: 922.2670 This perrim becomes void it work not commenced within 180 days from dale of issuance. OR, it work has beei45uspended or abandoned for a period of 180 days. ❑ CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be com- LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commenc- pleted if the permit is for one hundred ($100) or less. I certify that in the performance of the work for which this. ing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Permit is issued. I shall not employ any person in any, manner so as to become subject to the Workers' Compensa- tioe n Laws of California. O Date _ Applicant _ p RV.Cr `g'Vq''A .. Ar yKw--96/y t-' r'I iRK" L'k SERT' DEV e1J NOTICE TO APPLICANT: If, after makingthis Certificate of Exemption. you should become subject Io the Workers' OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law for the Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to con- deemed revoked. struct. alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant [or such BLDG. INSPECTOR permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is ex- Of hereby certify that no excavation live (5) or more [eel in depth into which a person is required to descend. will empt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a per- be made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, mit subjects the applicant to a civil penalty of not more than five hunderd dollars ($500).): or demolition or dismantling thereof. will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2. Sec 341, ❑ 1, as owner of the property. or my employees with wages as their sole compensation, will do the work, and the Title B. C.A.C. ). structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License ❑ As owner -builder. I will not employ anyone to do work which would require a permit from the Division of In - Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or dustrial Safety. as noted above. unless such person has a permit to do such work from the division. through his awn employees. provided that such improvements are not intended or offered for sale. It. however. g ® 71517 the building or improvement Is sold within one year of completion, the owner -builder will have the burden of prov- ❑ Division of Industrial Safely Permit No. ing that he did not build or improve for the purpose of sale.) ZONEORDfl ❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the perfor- 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of properly who mance of the work for which this permit is issued (Sec. 3097. Civ. C.). builds or improves thereon, and who contracts for such projects with a conlractor(s) licensed pursuant to the Con- Lender's Name tractor's License Law.) Lender's Address of am exempt under Sec. B.& P.C. (Attach Certificate). Date Owner CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and state that the information iven is correct I a ree to com I with all state laws and count ordinances relati I WORKERS' COMPENSATION DECLARATION: I hereby affirm Ihat I have a certificate of consent to self -insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3600. Lab. C.). ❑Certilied copy is hereby furnished. ❑Cerlilied copy is tiled with the County Building Inspection Department or County Department. APPLICANT NAME (L, F, MI) DAN HORN WKS1638 Ipw0ru wEWPl CA 922600000 tl0T,y 61UWUREESSS/SSPPpAECE AVE MARTINEZ 1.ii eTAC 1`Ot fM i A/"lP CA 922530000 /til G3 U 67 N f/{JUV liV S RFD 0 0 0 WO 07 071 Is' t',M61 2+ 1j SSI,. p RV.Cr `g'Vq''A .. Ar yKw--96/y t-' r'I iRK" L'k SERT' DEV e1J PHONEN WAWKMR NfJORN LS',75 i'436 L.oux" 16,38 I MOM"'"91 VERT CA 922600000 'f "!"14O.., J6 — 1 0 48 /ARCIENG BLDG. INSPECTOR FINAL DATE FIRM NAME _ LICNC If ADDRESS CITYICOM MUNITYISTATEIZIP PLAN N PLANS EXAMINER APPROVE DATE Yg LKGR% ATT GARAGE CK lR R VN V pli { 0 0 .7 g 0 4j 16+5 g ® 71517 .1.7K4/ pFQ7 ZONEORDfl LOT S2 0r5lh 01 810E T H l 6 You must see the a Permit can be .» Description HOLD -ROAD), HEALTH A .6a, Le U APPLICATION FOR -STR I a A N A P P L following Departments issued ` KJ s IV 6II I NV /LP(dFmut /2 - cz g g 11 u y ng o building construction, and authorize a representative of the County of Riverside. Department of Building and Safety to enter upon the property lot which I have applied for this permit for the purpose of making inspections. X Signature of Applicant or Agent Date Print Applicant/Agent Name VYR612T #8 7 G, A Q I r V 9566_ TOTAL . FEE ' CA CK NC COUNTER B.I. COUNTER VU T4, , :UCTURAL PLAN REVIEW 1 395M I C A T I 0 N 0 N L Y (:if 'listed) for concurrence BEFORE LUD USE 4 ffAjV N TItyffSY ' MI) D E6S I h 'JdE 61fi DORESSISPACE Yi Y9 1 _ ' . ACO A /ZIP C A 724153001D' 00W4 S Vo.b A I SB V-Wt,qlRvtmv(tr*mVlMT VIVOc PHONE N W4WAMMAKA NUI LIG�7•.•161 , EMS 163 Is I •Ok) U 4 . S7Aft P. BA A` t BLDG. INSPECTOR FINAL DATE ARC/ENG FIRM NAME LICNC # ADDRESS CITYICOMMUNITYISTATEIZIP ' PLAN # - .PLANS EXAMINER APPROVE DATE ERMI 1 Pif IM ' N F 1 B) AS ZONE ORDH LOT SZ U UWIDU ff Oq892 Air 09/02P O? 39874 TOTAL . FEE CA .' CK NC COUNTER B.I. COUNTEWL.U.T. ' 4 APPLICATION FOR STRUCTURAL PERMIT T HI s I S A N A P P. LJ C A T 10 N O N L. Y NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs 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. 43 Final IDA Fireplace T. 0. Of'N NO. ADDITIONAL INFORMATION i - - SEWAGE SYSTEM SIZE & LOCATION I 11 Exterior Lath 12 Internal Loth 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 ' PSL 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 rlcNMll AYYLILATIUN County of Riverside Department of Building and Safety �. 4080 Lemon St. 2nd Floor 135 N. Alessandro Rd. Rm. 203 880 N. Slate Street Riverside. CA 92501 Banning. C/%92220 Hemet. CA 227 North -D- Street 46209 Oasis St. Rm. 310 160 N. Broadway 92343 Ph: 787-6146 Ph: 849.7312 Ph: 6584464 Perris. CA 92370 Indio. CA 92201 Blythe, CA 92225 Ph: 657-3898 Ph: 342.8271 Ph: 922.2670 This permit becomes void it work not commenced within 180 days from dale of issuance. OR, it work has beer suspended!Labandoned lot a perioo of 180 days.. ❑ I CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be com- LICENSED CONJRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (comment- pleted if the permit is for one hundred ($100) or less. I cerlify that in the performance of the work lot which this ing with SeClioiN000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. permit is issued. I shall not employ any person in any manner spas to become subject to the Workers' Compensa- tion Laws of California. ❑ - Date Applicant OWNER -BUILDER DECLARATION: I hereby alfirm that I am exempt from the Contractor's License Law for the following NOTICE TO APPLICANT: If. after making this Certificate of Exemption. you should become subject to the Workers' Compensation provisions of the Labor Code. you must forthwith comply with such provisions or This shall be reason (Sec. 7031.5. Business and Professions Code: Any city or county which requires a permit to con- permit deemed revoked. struct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such L�41 nS i 638 permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is ex- +' empl therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a per- Of hereby certify that no excavation live (5) or more feel in depth into which a person is required to descend. will mit subjects the applicant to a civil penalty of not more than live hunderd dollars ($500).): be made in connection with work authorized by this permit. and that no building structure, scaffolding, talsework., ADDRESS or demolition or dismantling thereof, will be more than Ihirly-six (36) feet high. (Chap. 3.2, Grp 2. Art 2, Sec 341, ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the Title 8, C.A.C.). structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License ❑ As owner -builder. I will not employ anyone to do work which would require a from the Division In - Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered lot sale. If, however. permit of dustrial Salety, as noted above. unless such person has a permit to do such work from the division. the building or improvement is sold within one year of completion, the owner -builder will have the burden of prov- Ih I h d'd I b Td ❑Division of Industrial Safety Permit No. ing a e f no ui Or improve Ior the purpose of sale.) ❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of properly who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Con- tractor's License Law.) ❑I am exempt under Sec. . B.& P.C. (Attach Certificate). Dale Owner WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell -insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800. Lab. C.). ❑Certified copy is hereby furnished. ❑Certified copy is filed with the County Building Inspection Department or County Department. DAAPPLN r'{ia (NF, MI) 1638 C��T��GRrs PrA L.ii U"dJ Lw «�C.li'4 CA 92t2i.f.!" 00000 1013 11 AVEMARTINEZ ►'iVG MARTINEZ /A L„HCLLO••Sliijil.d .l.nET/4'iZIP 7A4G•f2530000 aF73 2M1 U1 6 """ cro0 u0 S VA ITO 0 0 0 '610071 1 Wit I BB 11 BLK•-96+�•I� pa"ip:�ji9'N"pMLApQr.�* gyp, SQQ'QQry[F��..i7��Lpppp}'�[/��MggE1lIRR_i.JERI'' y DEV CO PHONE# JqyDpr4®V4$AiVf JNADRN p�(y �y arc LIJ.35436 L�41 nS i 638 FITYI�R°ifUITN'FC i' CA 922600000 P/ 1 'M-5 t- 8— �1 0 118 l"T 47G d U^!iJ BID.. INSPECTOR FINAL DATE M ARCIENG FIRM. NAME LICNC # ADDRESS CITYICOMMUNITYISTATEIZIP If ` PP�L/�rEX t ER A r$iOVEDA'E � 04 IPLAN 7. ATT �/TeV L,.P Mlryit A 1 1 GARAGE GARAGE iDV RT" 05, U 0U,.1 0 S O1V .IND ZONE ORD N LOT SZ 0 d'sc ey 0 y we CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the perlor- mance of the work for which this permit is issued (Sec. 3097. Civ. C.). Lender's Name Lender's Address CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and state Ihal the information given is correct. I agree to comply with all state laws and county ordinances relating to building construction, and authorize a representative of the County of Riverside. Department of Building and Safety to enter upon the property for which I have applied for this permit for the purpose of making inspections. y5i§nature of Applicant or Agent Date Applicant/Agent Name MI. 47UC�87fRRIY2. CR ESTIMATED FLAN 0/ i '0/bL2' REV FEE+ W W 5 V 2 TOTAL�� FEE CA C%NC ,COUNTER 8.1. COUNTER L.U.T. —._---—;.-,7Z;t—---------------------------------- —------�� PERMIT FOR STRUCTURAL PLAN REVIEW TOTAL PERMIT COST 1S $151-77 CONSTRUCTION ESTIMATE (NOTEo Not to be used as property valuation) Description FCC Croup Typ e Sy F'•t Rata Valuation PRIMARY DWLG 101 R-•3 V• -W 1211 $27.60 $33423 SUNDRY AIRCON 900 R-3 R 1211 $2,20 $2664 SE'CNDRY PRIGAR 4:36 M WD 320 $9, 10 $29q. ,, Est Man Rev Fee bas ed on Totml Estimated Val'tn of $38999 ist X51.1: ,`l7 -FORM 284.208(11.81) INSPECTOR NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs & Frms 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 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.O. OP'N NO. ADDITIONAL INFORMATION 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) 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 P/ ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service... 32 Final s r ''0 STREET NAME LE Receipt No. District: Riverside ❑ DISTRIBUTION: WHITE - Office File DOH SAN 122 (New 10/81) Issued By Indio 0 Hemet ❑ Date YELLOW - Applicant PINK - Building Dept. GOLDENROD - Attached to Plans RIVERSIDE COUNTY DEPARTMENT OF HEALTH APPLICATION FOR PERMIT TO INSTALL A RESIDENTIAL SUBSURFACE DISPOSAL SYSTEM Applicant: Submit this form with three copies of a scaled plot plan drawn to the specifications required on the attached check list. A non refundable filing fee of $15 is required when the application is submitted. Check must be made payable to County of Riverside. Na1me yet �i! i /Lt� Mailing Address j f' J�+U 1� / / Q O City/" %ly+� /a�� 1i- of ��' State 1 Zip Code Phone 'Property Address 'City or Community 'Legal Description of Property 'Assessors Parcel No. Water Serving jProperty From If f Signature of Applicant r Date ' 'The above information must be verified frofn Building Application Staff Use — Do Not Write Below This Line Initial Date Soils feasibility report required Yes ❑ No ❑ - Detailed boring report required Yes ❑ No LIJ Detailed contour plot required Yes ❑ No LLJ m Z Soils or boring report by Date O V Approved by Date W rn Soils Map Page Soil Type Tract File No. Other Number of Bedrooms Septic Tank Size (gallons) Rate Required (sq. ft./100 gal or gal. sq. ft./day) - Leach line sq. ft. of bottom area trench Leach bed (sq. ft. of bottom area bed) Seepage Pit Diameter Seepage Pit Vertical Feet Number of Seepage Pits Maximum Depth of Pit Location of System Additional Requirements U A permit is approved/denied for the installation of a subsurface disposal system as indicated on the accompanied Z O plot plan using the requirements set forth in Section C above. V ` W U) Signature of Health Official Date Receipt No. District: Riverside ❑ DISTRIBUTION: WHITE - Office File DOH SAN 122 (New 10/81) Issued By Indio 0 Hemet ❑ Date YELLOW - Applicant PINK - Building Dept. GOLDENROD - Attached to Plans K W Z 3 O 0 oCL W a o APPLICATION FOR TREE PLANTING -q (we), the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if trees are required under River side County Ordinance No. 457, the applicant 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 event no survey stakes can be found. Further, it is agreed that the County of Riverside shall assume no responsibility s uld trees have to be removed due tolotline errors. Owner's Name �4 ` —Build in Permi o. Mailing Address -✓ 'y• 11-2X-19 _77,K Job Address v Legal Description _�-474 Assessor's Map, Book & Page Type of Soi water available oad Type of existing trees in road right -of 7 Ci Dept. Plot Plan No. Type Structure rate Sd zip 0 Trees preferred by applicant (1) (2) (3) Date �Z" Owner's Signature i Planning Commission Case No. ROAD DEPARTMENT APPROVAL Approved species Number of trees Spacing of trees Distance from lot lines: Front Side Additional requirements (Date Building and Safety notified Signature I Reason t7 r ZW LL JQ min Request for hearing: YES od Owner's Signature .6 f- IL z W Z Z O J O IL cr 0 z z~ za QW J IL O> - Z_ t' o LL _J Q � N m 06 REQUEST FOR EXCEPTION (attach additional page if necessary) (Forward application to Planning Dept. if exception requested) NO REQUEST FOR HEARING Planning Dept. Concur M Date Road Dept. Concur F9 Date Non -concur f -I Explanation Signature Non -Concur ❑ Signature REQUEST FOR HEARING AND COMMITTEE DECISION Date hearing established Date hearing notice mailed to owner Approved M Disapproved Date Owner notified of decision Date Building & Safety notified, Signature Final Date Inspector — Job Address Requirements for tree planting complied with Remark s 284-230, REV. 1/74 APPROVAL BY BUILDING INSPECTOR Building Permit No Community (Detach and forward above information to Road Department Riverside) .. .. *'R�.. � r