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353954, 360412, 387560, 398755 (SFD)'t I BYILDIIVG PERMIT y '. •� ST 5 ,PERMIT NO. DEPARTMENT OF BUILDING B SAFETY. FIELD ';•, 3 53954' .+y • COUNTY,10E.RIVERSIDE /,..., PERMIT NO. CONSTRUCTION ESTIMATE k _ NO. -ELECTRICAL FEES NO. PLUMBING FEES ' I ST FL. t d $ SQ. FT. @ �.� UNITS >� - 2ND. FL. ): POR., GAR. r1 w • +i,:Lry. ►u. 4 K,. `/N' SQ. FT. @ "+ + "1. •,�� >wti ( „e ..., . �. ~,.L YARD'SPKIR SYSTEM COMMunyty ,,:� - { +� MOBILEHOME SVC. BAR SINK $Q. FT.' Q -s i.•[ . --K r.. r r.: "+,..4+•• ws r,s:�-v...xo,s� .x , POWER OUTLET 3 } ROOF DRAINS SQ. FT. @ P�t I CAR P. t SQ. FT.' @0 Micro Film Fee Cop E DRAINAGE PIPING Use of Permit - 1y/•✓ f•! -i,: - t= I.r WALL SQ. FT. @ I. SQ. FT.• @ ESTIMATED CONSTRUCTION VALUATION'. S • Use/Case No 1 e DRINKING FOUNTAIN , URINAL•: i WATER PIPING` Mech. Fee NOTE: Not to be used os property tax,valuation. SWIM POOL, PVT FLOOR -DRAIN +- '• MECHANICAL FEES',. Lm S'kM, SWIM POOL, COMM •' WATER SOFTENER Construction Fee Dbl E VENT SYSTEM FAN EVAP. COOL HOOD f `a SIGN WASHER (AUTO)(DISH) ! APPLIANCE DRYER .r-uka.....;1 `' d�z :.{a .. C.. .e►;yr•.�•w .r•a-sa�Nr: ✓'.,'9C . GARBAGE DISPOSAL i 'Y...i.r• V!:W FURNACE UNIT WALL FLOOR SUSPEN[)ED ,� Plan Checker f3cL cam, T r : "LAUNDRY TRAY 7, 4 Unit AIR HANDLING UNIT( ryCFM' .r: I �. IDLE METER, KITCHEN SINK ABSORPTION SYSTEM j; ' `'•ti .B.T:U' '' ' TEMP,`USE PERMIT SVC WATER CLOSET - q,OMPRESSOR $ . , HP' ^• °' :' POLE,TEMP/PERM LAVATORY _ {y HEATING SYSTEM FORCED +GRAVITY �', • ' ` AMPERES SERV ENT', - t ° ' : SHOWER Regisir. Fee BOILER B. TW. " '� . ` _ d �r t T, SQ. FT! @ t �. �L ' BATH TUB Mileage Fee E _ Address - ..City Zip i Witness Fee SQ. FT'r'@ c WATER HEATER + A irr, Zi �; •. �. Reinsp. Fee SQ. FT. RESID 61'hc SEWAGE DISPOSAL w,i Owner/Agent.s,••� I I J •� si , Tel. _ t,[..,. v '7 l ,r - 'i - i,r �,- - • . 4 SQ. FT. GAR @ °/. c HOUSE SEWER .'►..R x"!•►R+er,.tiTl� vs. w R y,wi! i.A .. we .. iia... j! : r �•, v . r GAS PIPING w .- PERMIT FEE , f. f PERMIT FEE PERMIT FEE T _` C k DBL. TOTAL FEES 4TiCea.-. MOB. HM. FEE ' MICRO FEE r< MECH. FEE /QLD`. CK r` . CONST. FEE ELECT. FEE `r.^�r�•' ' •�..,i,.-.� • a SMI FEE ,,1�..- a.. w,: �r .�. FFEE ` �.., ^„��y �a i EE PLUMB. PERMIT NO. t i� { Job Adore s -i I r �� AV Space ip2, :� L O e /' j”' ,/,•. `� Iyyy/ �� 353954 ��,f,„r�=. - COMMunyty ,,:� - { +� Valuation, 'I� Do{ �`• P�t F.CC:r•• MH.Permit Fee E Micro Film Fee Cop E Use of Permit - 1y/•✓ f•! -i,: - t= PorcellN'o. / Use/Case No 1 Ck. By F•' Mech. Fee Dbl E „/ �'�r r/ r- +- Set. Bocks Lm S'kM, Pl. Ck. Fee E .F--' .- , Construction Fee Dbl E legol Description ”' -+'' �a . ��• `"��on;,FR F a' S ,�, S 'Z - R Electrical FeeDbI 1$ iclins K �T ! r SMI Fee E� v� Plumbing Fee Dbl E. _ Bond Amt. Pon No.� 11-i�, �' Plan Checker f3cL cam, Finol Dat 4-1p_7i Inspector Unit Sp. Insp. Fee E E 7. - Demol. Fee E Const. Lender Branch Supplimental Permit Numb` 4 .' Regisir. Fee E = t s r + a .r ,. �. f • -" ,4. ' :•_ ' Mileage Fee E _ Address - ..City Zip i Witness Fee E Reinsp. Fee E Owner/Agent.s,••� I I J •� si , Tel. _ t,[..,. v '7 l ,r - 'i - Zip .'►..R x"!•►R+er,.tiTl� vs. w R y,wi! i.A .. we .. iia... �.H r e . o+., _s. :,. Woe -*:e 41-•N.+.t/rik',t,.tir Totol Fees .. E w .- Address'F ! a _ -�P.r k�p; vsc�y.. .. , • l' • /' City a.,jr at' - +. j •.-•Ws r`4f�K�r`.y"1�'X,'P+t�li'. f (! • - •+ r • Zip.,M-*� M.O. N.C. Cash C k r ' I ' Received by •7 Contractor t.. ' s - - Tel. - - , - License# "- Trees required Sewage System "' Address city Zip I T LL p THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK— verified by: Sewer District I 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 RIVERSIDI .000NTY_AND-THE STATE OF CALIFORNIA. aati d HEREBY, CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE' PLANS AND`SPECIFICATIONS`HAS`DONE -.SOIN a''T ":L: `:•'+ y ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. Form 284-208 (Rev.8/78) . ... r.•+~".�r _ .. .. , _ `. :.. ... ,.. . r ... ,.- - - . NO. OPERATION DATE INSPECTOR NO. OPERATION DATEINSPECTOR 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 IDA Fireplace T. 0. OP'N NO. ADDITIONAL INFORMATION f 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 PSL P/ ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME `BUILDING PERMIT PERMIT NO. DEPARTMENT,OF. BUILDING 8 SAFETY_ !; OUNTY OF.RIVERSIDE, ;36,041`2,, - C FIELD �1 CONSTRUCTION ESTIMATE 'Job Address �'t• «"+.* '^ + •a ak r w . ,.,.,, « i • rfi. - •lt: Space NOS- .F ELECTRICAL FEES NO. PLUMBING FEES �. • IST FL.; '� � SQ. FT.`@ & UNITS_ - � - A ,2N ' FL SQ. F7. @ - ; YARD SPKLR SYSTEM 15'� -D. _ POR.!' SQ. FT. @ �� " Dist. MOBILEHOME SVC. ? BAR SINK GAR. ... SQ, FT, @ 6r `J s $ E PQWER OUTLET. ♦♦)) /`a.. «++r 117`x' ROOF DRAINS CAR P. r s SQ. FT. @ _ ' DRAINAGE PIPING r' WALL'gQ. FT'Q+,r',. a,s� q. .. w'. .. y r' - �,:i+: r'5+.� .x ► •.:4y w .,:5.,. Ck. By DRINKING FOUNTAIN ^ SQ. FT. @ Lot Size PI. Ck. Fee r URINAL ESTIMATED CONSTRUCTION'VALUATION =i' $ _' Legal Description 1/ �'/ •- - M'' = WATER PIPING Zone Restrictions NOTE: No[,to be used as property tax valuation Type T SWIM POOL, PVT ' ' 1 EG FLOOR DRAIN MECHANICAL FEES" SWIM POOL, -COMM- - Dbl E WATER SOFTENER Bond Amt. r VENT SYSTEM' "OZ'FAN �'' EVAP."COOL" ' " OOD !C0 " `!+ SIGN.- ^ + ` -t '-. s Unit / WASHER (AUTO SH) Sp. Insp. Fee APPLIANCE a DRYER y p/J E ,Lender c r, GARBAGE DISPOSAL ✓ / FURNACE UNIT WALL •,_'FLO R SUSPENDED. Dental. Fee E a, LAUNDRY TRAY Supplimentol Permit Numbers _•� ,r • AIR HANDLING UNIT + CFM �- ' IDLE METER i° F KITCHEN SINK ra' E ` ABSORPTION SYSTEM iB.T.0. ` ^ 'y , TEMP USE PERMIT SVC! ;; ; WATER CLOSET Owner/gent/ �r �r ./ COMPRESSOR, HP y a'l POLE,TEMP/PERM, ,• :;} LAVATORY HEATING SYSTEM, FORCED GRAVITY_ �' " c7� 225: AMPERES SERV ENT' `" c!J SHOWER Address = ' , • �� , BOILER B.T,U. `c +r + Zip SQ. FT. @ c ! BATH TUB"J :.:C.•+.�d'r-.:iS3:•Ilr`r` +�t4vlrt r.. Mr. tt.c k_►*ry.. T. .,Iat �: .r,,.,:r i.' . '�:}'.».. '3a-«; .SQ.'Fi'�@,s.ii{, .... WATER HEATER .,••' O 1,,. F / Received by SQ. FT. RESID @1'hc n SEWAGE DISPOSAL Tel.' { . LicenseX Trees reqIt uired • • .- SQ. FT. GAR @ '/. c HOUSE SEWER Sewage System,' . Address �• • - City r' - Zip GAS PIPING PERMIT FEE •MICRO C PERMIT FEE d PERMIT FEE Q9 DBL. TOTAL FEE$MOB.HM.fEE ' T FEEM CH. F,E.E,.�, PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE I HEREBY'AGREE THAT' ' NTe(}I'iO1�WITH THIS PERM T WILL BE DONE IN ACCORDANCE WITH STATE THE LAWS OF RIVERSIDE O AND HE OF CALIFORNIA. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED, THE PLANS AND SPECIFICATIONS HAS DONE SO IN ( ' ACCORDANCE WITH SECTION S5dl OF THF BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA ` PERMIT NO." ' ' ` `.l.�r{ 'Job Address �'t• «"+.* '^ + •a ak r w . ,.,.,, « i • rfi. - •lt: Space Zip 4 Owner 3,60412- f - c ve l,� � - A Commuunityiy - r • h� Vo ation Ea•'�`- '� 15'� Date 1� Dist. .C. - MH.Permit Fee E ♦♦)) /`a.. «++r 117`x' — Micro Film Fee Cop E Use of Permit - w C�• ' /) ( JAY 12 Parcel No. �/`)// 00 41 Use/Case No. Ck. By M ech. Fee Cbl E Set Backs Lot Size PI. Ck. Fee E I� r ,f, j ,7T'l.l r v �r «••/� e, Construction Fee Dbl E f Legal Description 1/ �'/ •- - M'' S R Electrical Fee. Dbl E r` Zone Restrictions Group Type SMI Fee' _ EG Plumbing .Fee Dbl E Bond Amt. r Plan No. ' . i•• - - Plan Checker ♦ D.a�tei' �— �jo•? qJ�—�`L L ns r Unit / ; Sp. Insp. Fee E E ,Lender r Dental. Fee E Const. sBronch ; Supplimentol Permit Numbers _•� ,r • 3 Registr. fee $ Mileage Fee y Address s ' City Zip + : ` Witness Fee ra' E ` ` ti' f ' Reinsp. Fee ` E ♦ Owner/gent/ �r �r ./ Zip Total Fees $ Address = ' , • �� , City'. %� Zip M.O. n `N. C. CashCI Check fC9 �'�/'�•lQr( 1,,. F / Received by - Contractor -� - —• Tel.' { . LicenseX Trees reqIt uired • • ` r ..._ Sewage System,' . Address �• • - City r' - Zip ' T �IioLL ) P ,� THIS PERMIT SHALL. BECOME VOID'IF WORK IS NOT COMMENCED FOR 120 DAYS SHALL ALSO SE PERMITrTOO BECOME VOID. WITHIN 120 DAYS. CESSATION OF WORK � -4 verified by: Sewer District t' r +'% 4 -�*g ! ' +F'* •' t a'• I HEREBY'AGREE THAT' ' NTe(}I'iO1�WITH THIS PERM T WILL BE DONE IN ACCORDANCE WITH STATE THE LAWS OF RIVERSIDE O AND HE OF CALIFORNIA. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED, THE PLANS AND SPECIFICATIONS HAS DONE SO IN ( ' ACCORDANCE WITH SECTION S5dl OF THF BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA Form284-208 (Rev.8/78) 1. r• °. NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Figs 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. 43 Final 10A Fireplace T. 0. NON _ 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 (Botts) 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 ELECTRICAL APPROVALS PSL P/ 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final _ STREET NAME NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT f r APPLICATION TO CONSTRUCT Permit No DEPARTMENT OF BUILDING AND SAFETY .� COUNTY OF RIVERSIDE 284 199 9/74 _ '' CANARY — FILE, PINK—APPLICANT Ownersf/� r Architect Contractor Address Address Address - city Ciry - City City - 'Phone Phony Phone C i (we) 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. '4 -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 1 (we) will not occupy said property and will not cause said property to be occupied until I (we) have complied with all laws of the County of Riverside and the State of California governing said property. ` ,I �T f DATE SIGNATURE OF OWNER AND/OR AGENT �y.�d✓✓/ Approval by Signature from the Following Departments Listed Below Must Be Obtained Prior to the Issuing of a Construction Permit. SPACE NO. S Z/, Soo f„ ..i »ft. USE OF STRUCTURE JOB ADDRESS. J qv a\• — SINGLE FAMILY �] DUPLEX El � 'J >_ Z 1— "f` LEGAL DESCRIPTION OF PROPERTY � — APARTMENTS AGRIC. U6 COMMERCIAL INDUSTRIAL ✓t0 /,Y i ❑ Z Y COMMUNIT_ ALTERATIONS n NO. OF SUBMITTED PLANS USE OF PERMIT'S Q _ .i 7 CASE NO. us 43 - z NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING -- a ZONE f SETBACKS: FRONTG SIDE REAR y J m GRADING PERMIT REQUIRED? YES''0 NO ❑ LOT SIZE ' SETBACK ORDINANCE N _— OF FEET REQUIRED ON 1 n STREET DATE —. SIGNATURE OF LAND USE OFFICIAL --- t„ DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET— , W CURB AND GUTTER REQUIRED: YES ❑ NO ❑ `�,-Oe!'^ _- STREET t- ae s CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W.. HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT AOR-DRdVEWAY AND STREET Q a,,- IMPROVEM T? . /YESNO C3 DATE �S 2— SIGNATURE OF DEPT. OFFIC A"tet --ROAD QW SEWAGE DIS OSAL� _ S T WATER POLLUTION REMARKS �n FLOOD CONTROL`", + W AIR POLLUTION _ DIV OF HWY p < — a YOUR PROPERTY MAY BE SUBJECT TO c FLOOD. .RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. V 284 199 9/74 _ '' CANARY — FILE, PINK—APPLICANT 1Z UA Z O OW 0:o O >- Z � -w LL J Q mN .6 � F a z w Z Z O J O CL IX 0 Z Z F- Za aw J � a t, >- Z f" LU U. J_ Q � N m .6 r r 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 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 should trees have to be removed due to lot line errors. v �/ Owners Name� //- C Building �o.� Mailing Address `r 733 ZIQ ; Rd) —Cit yG T riT State L Zip z3 Job Address Community Legal Description,46 7— y/ d�� '��-5?410-A e4/L07;'f/2-1J 115�7 Assessor's Map, Book & Page '77 q ^ Of Type Structure /t/� Type of Soil N D Is water available 'S Road Dept. Plot Plan No. v Type of existing trees in road right—of—way Trees preferred byappli/an�t (1) (2) (3) Date cs /`r Owner's Signature Planning Commission Case No. ROAD DEPARTMENT APPROVAL Approved species Washingtonia robusta (Mexican fan palm) Number of trees 1 Spacing of trees Distance from lot lines: Front 2' in R/W Side Additional requirements Per'plot plan on reverse. 9 99 Date Building and Safety notified 5/79 Signature REQUEST FOR EXCEPTION Reason (attach additional page if necessary) Request for hearing: YES ❑ Owner's Signature (Forward application to Planning Dept. if exception requested)_ Planning Dept. Concur ❑ Date NO REQUEST FOR HEARING Non -concur ❑ Explanation Signature Road Dept. Concur ❑ Non -Concur ❑ Date Signature REQUEST FOR HEARING AND COMMITTEE DECISION Date hearing established Date hearing notice mailed to owner Approved p Disapproved ❑ Date Owner notified of decision Date Building & Safety notified Signature Final Date Inspector _ Job Address Requirements for tree, planting complied with Remarks APPROVAL BY BUILDING INSPECTOR Building Permit No. Community (Detach and forward above information to Road Department Riverside) 284-230, REV. 1/74 GAPR 01979 SAFETY DEPARTMENT OF. BUILDING AND CO UNTY-- R-IVtRSID CLAIM OF: Y�, r DATE: ADDRESS: Cly AND STATE. Arm7> G ,�/7 GAG '�� ON THE.TREASURER. OF MV -THE COUNTY. OFI�,RIV,ERSIDE, STATE OF`,. CALIFORNIA Instructions: Perm'ittee will furnish the folloWin'- informafion.' Aj,l, N (1) Permit Number '--- 7-o (2) Date Issued (3)'Total Fees Paid $ (4) Reason for Refund.' 72 I CERTIFY THAT THIS CLAIM IS. TRUE,AND CORRECT, BEEN PREVIOUSLY PAID BY THE -COUNTY OF RIVERSI 0, (Do not write below this line) T NO PART"HEREOF HAS Ciall Date: At�guet' 30 FROM:. DEPARTMENT OF BUILDING I'ND SAFETY TO: AUDITOR -CONTROLLER COUNTY OF RIVERSIDE Please issue to the above indicated claimant a*refund of $ 'Ila ta permit deposited under Treasurer's Receipt: No.- J, AUTHORITY: Ordinance No. 457, Sectign 7, Subsection E Approve4-pA=—;,q;pM S �e,dfo.r the following (strike out word " 1n No inogetions giade. (Ow.ner d�c*idedngt, ig ball j 11 lef Building 284-188 REV. 10/227/69' nt's Signature: Geh"eral Fund- 10'01-284-1231° ., ed 0'6'12284-1231,'- ed A� on the ab6 e h pig q applicable)pQIp 1 I �p BUILDING PERMIT PERMIT NO.DEPARTMENT OF BUILDING & SAFETY DST 387560-1 COUNTY OF RIVERSIDE FIELD 1111 CONSTRUCTION ESTLMAT Job Ayd_�dress r ,..�, �. ; (f��. ��:> .�. NO. ELECTRICAL FEES NO. PLUMBING FEES ::1 ST FL. .1^ �4 2ND. FL. FOR. SQ. FT. @ `' C - 1, ��` . UNITS DateDist. SQ. FT. @ YARD SPKLR SYSTEM SQ. FT. @ `^ ,� MOBILEHOME SVC. BAR SINK _ GAR. _) SQ. FT. @� ~, CAR P. SQ. FT. @ WALL SQ. FT. @ SQ FT @ ESTIMATED CONSTRUCTION VALUATION !:A 1 �'� �'��✓dt POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation Parcel No.' ! �•ft.+ E O SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES PI. Ck. Fee E („C "I ;i SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD Legal Description r t t'� ' / t C, 1 rf Lk.lj"�Ir! '✓ SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER Zone RestrictionsGroup �. �.. `• i GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED SMI Fee E 'Plumbing Fee LAUNDRY TRAY AIR HANDLING UNIT CFM Bond Amt. $ IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. Unit TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE,TEMP/PERM + LAVATORY HEATING SYSTEM FORCED GRAVITY Registr. Fee $ AMPERES SERV ENT SHOWER BOILER B.T.U. Reinsp. Fee SQ. FT. @ c BATH TUB Owner/Agent +✓✓✓" Zip Total Fees $ . r_ J Address� y � (} �r' `�! _ .� + �J r.iC .1 t,� - City. / �'_-�1/"�•` Zip �•�„( M. 0. N.C. Cash Check Received by �;�' 1�,,. �,,��„ Contractor y Tel. LicenseN Trees required Sewage System Address City Zip 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 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. verified by: 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 10A Fireplace T. 0. NP'N 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 PSL P/ ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME PERMIT NO. 1.387560 DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE i . COUNTY OF RIVERSIDE , CONSTRUCTION ESTIMAT,9 Job Address �� Space C)o NO. ELECTRICAL FEES NO. PLUMBING FEES I ST FL. r SQ. FT. @ $ S C7 p . UNITS F.C.C. 2ND. FL. SQ. FT. @ Use of Permit W (" ' (� � !YO �<� ��,-�,yr•�,x Q��}{,,.�,,/', ��i'" C 1^...+tii +� • \ +.�(.ii'1.. C•w""' .)%_,'..A/1\ d) cl-, 6©9 S•(.1/'n # f >� Parcel No. `.. � 1 ' (I.., 20 i ©�� 1 `^� V Use/Case No. ��}� "^ r�"'� t YARD SPKLR SYSTEM Mech. Fee Dbl $ �r PI. Ck. Fee 0`7 $ Set Backs Lot Size 9� Of / 1 (ti MOBILEHOME SVC. BAR SINK GAR. Ll �-� �S CAR P. WALL SQ. FT. @ Zone Re\trIonti, \I p�, POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION �•'�1 $ A J (�` `+•f®1s Demol. Fee $ URINAL ' WATER PIPING NOTE: Not to be used as property tax valuation Regisir, Fee $ SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES Reinsp. Fee $ Owner/Agenn)t. SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD City,/ ,., \ Zip SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER Tel. License# ' Trees required GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED City Zip LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVCiy� . WATER CLOSET COMPRESSOR HP POLE,TEMP/PERM `e LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. @ C "k BATH TUB SQ. FT. @ c WATER HEATER SQ. FT. RESID @ 1/, 6 '•.� t ` ' 'r SEWAGE DISPOSAL S0. FT. GAR @ %c '';7°#It; HOUSE SEWER ;.., GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE j PL. CK. FF,, CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 13875. Job Address �� Space C)o 'p Owner" CorZr Onity ' ff'`�j ' '� �^�r�.�liv�i• Valuation •art, $ Date ` �.. Cn \Dist. 1 Off. .:r F.C.C. MH.Permit Fee E Micro Film Fee Cop $ Use of Permit W (" ' (� � !YO �<� ��,-�,yr•�,x Q��}{,,.�,,/', ��i'" C 1^...+tii +� • \ +.�(.ii'1.. C•w""' .)%_,'..A/1\ d) cl-, 6©9 S•(.1/'n # f >� Parcel No. `.. � 1 ' (I.., 20 i ©�� 1 `^� V Use/Case No. ��}� "^ r�"'� t Ck. By �J Mech. Fee Dbl $ �r PI. Ck. Fee 0`7 $ Set Backs Lot Size 9� Of / 1 (ti Construction Fee Dbl E Legal. Desai do„ ...� ` t s scr! , raj t hLi' /"� •• • ,1,, `-- V L •�1P - t`V l lt�l v F S S Ryrti (• +Op`J� Electrical Fee Dbl $ Zone Re\trIonti, \I TOyp3 SMI Fee $ Plumbing Fee Dbl $ Bond Amt. $ Plan No. Plan Checker Final Date — J(& Inspector ' Unit Sp. Insp. Fee $ Demol. Fee $ Const. Lender . Branch +~ Supplimentol Permit Numbers Regisir, Fee $ Mileage Fee $ Address./ f��' ,., ty //•Zips } Witness Fee $ Reinsp. Fee $ Owner/Agenn)t. Zip Total Fees Is (o O Address �t �•- Y `1r1� (�'�j City,/ ,., \ Zip M. 0. N.C. Cash Check ti Received by Contractor \\ '`...7 Tel. License# ' Trees required Sewage System i Address City Zip 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. RLllll]ING PERMIT PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD Zip - i DST .+omm n ty- r �� L(, i�"✓ 0. �.. 398755 Date • J _ . COUNTY OF RIVERSIDE. Off: F.C.C. i �V • ` MH Permit FeaS'sr Micro Film Fee Cop. S - Use of Permit, y - A. :. r _ •.^•no iJ - Parcel No. � / 3 r� �� Use/Case No.. ; . fi. CONSTRUCTION ESTIMATE. _,- NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. ) ^ ' c SO. FT. @ . i $. ?14041'UNITS SMI' Fee - S f-+ Plumbing Fee Obl S • SO. FT. @ ! - PI A'•Checker~ YARD SPKLR SYSTEM 'BAR �•�' 2ND. FL. @� SO. FT. @_'• /' 4' L'l i MOBILEHOME SVC.. Demol. Fee SINK FOR. POWER OUTLET - ROOF DRAINS Registr. Fee E GAR. 't SQ. SFT, i - E DRAINAGE PIPING ' CAR'P. " - SQ. FT. V". Zip DRINKING FOUNTAIN WALL SQ. FT. @ �.... City ^' J ^ ��! b'% •% L - - .i URINAL Received by ,VALUATION $ •, �'`'`�,",:y; Contractor \ �. WATER PIPING ' ESTIMATED CONSTRUCTION - NOTE: Not to be usedas property tax valuation Sewoge System! SWIM POOL, PVT fI / IV FLOOR DRAIN - MECHANICAL FEES City SWIM POOL, COMM ' WATER SOFTENER VENT SYSTEM .9. •. FAN EVAP. COOL • HOOD '• L J SIGN _ '` -WASHER (AUTO)(DISH) 4 APPLIANCE DRYER z� elf- GARBAGE DISPOSAL FURNACE. UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER �' KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE.PERMIT SVC WATER CLOSET. COMPRESSOR `:f fl HP POLE, TEMP/PERM LAVATORY" " ^T HEATING SYSTEM -, FORCED GRAVITY .•� AMPERES SERV ENT SHOWER BOILER B.T.U. �. , ' , SO. FT. @ a BATH TUB S SO. FT. 9.. a WATER HEATER .••'. a� jSO. FT. RESIDE @lt/aa S'^� SEWAGE DISPOSAL • 'ti�Y t A 73 :'' <w, S0: FT. GAR @..3/4c.`" , w ; HOUSE -SEWER - .` r- - r T.(. •• f. I �. 'GAS -PIPING PERMIT FEE ' 7 4 PERMIT FEE' y %.4y '..� 'PERMIT FEE 4[., L ,DBL. TOTAL FEES MOB.HM:FEE MICRO'FEE •MECH- FEE PL. CK. FEE CONST. FEE £IECT. FEE `' SMI FEES. - - FEE PLUMB. FEE +' - - PERMIT NO. 3 987 . r! Job Address , „ Space Zip - i - Owner , .+omm n ty- r �� L(, i�"✓ 0. �.. Val ation t I.E d.'•/� Date • J _ . Dist. Off: F.C.C. i �V • ` MH Permit FeaS'sr Micro Film Fee Cop. S - Use of Permit, y - A. :. r _ •.^•no iJ - Parcel No. � / 3 r� �� Use/Case No.. ; . Ck. By „„ s ' Mach. Fee Obl S PI. Ck. Fee S, _ Set B-ks'Lot Size •i„y. S. '5-1, f o'bam,f, Zone Restrictions FGrou ^•'�� f' - ;f •r l J. .�- �M - a1 l� /� Type /j I y `I Construction ,Fee Dbl S ^!• �.• Leg of De.sciption s J .�s „9,�„ �n•s '�' r .. Electrical Fee Dbl E SMI' Fee - S f-+ Plumbing Fee Obl S and Ams. S Plan No "r PI A'•Checker~ Final Data '�117— 1 y. Inspector Unit - Sp. Insp. Fee S Demol. Fee E Const. Lender- � `-, 4'. Branch . '~ f Supplimeniab Per it Numbers - Registr. Fee E Mileage Fee $ Address/ ��' City Zip . ✓ J Witness Fee S`r Reinsp. Fee E wrier/.Agent T - / . Zip Total Fees S 2� 2 M.O. N G- "; Cosh Check ❑ ❑ ❑ rAddre,s - ~ •� !'r!7 City ^' J ^ ��! b'% •% L - - .i Zip '„tri. y .n-••. "^ Received by Contractor \ Tel. License# �Y,./ Trees- Sewoge System! fI / IV Address c.. City Zip 14901 LL . Is 'r f " THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK veriUed by: s Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. V I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT'WILL BE DONE IN ACCORDANCE WITH q THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. t Y CERTIFY' THATtiTHE INDIVSUUAL'WHO PREPA.d&THE.PLANS AND SPECIFICATIONS HAS DONE SO INr Fo m 28;208, (Rav_SBO) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF.THE STATE OF CALIFORNIA. a NO. OPERATION DATE INSPE%TOR NO. o OPERATION DATE INSPECTOR. BUILDING APPROVALS _ _ 33 34 MECHANICAL Ventilation System Plenums 8 Ducts APPROVALS- _ !9r_ZS"46 JZ 1 Set Bock"�� _• I 2 Ftgs & Frms jT. Q� u� 2A Slob Grade =% l ((( 35 Furnace Comport. t 3 Steel 36 Inlets 8 Outlets ' -26-Qp' _ 4 Grout Blocks 37 Combustion Air' t 5 Bond Beams 38 Compressor 6 Roof Deck , OO vU 39 Appl. Clearance 1 V 7 Framing O ,•, 7 L� �/� _ 40 Fire Damper/- 8 Vents 41 Smoke Detection Device 2t6-9 f 17-1-6- 9 Garage Fire Wall- =0 —I$:-- -- 42 Commercial Hood 10 Fireplace P.L. U 43 Final wQ i a --zl6-- �� 10A Fireplace T.O. [] °o ADDITIONAL �� . / ` e"�CL INFORMATION peg- /� ��• F� � `� ��'l�/(J J 11 Exterior loth .4.2 .• Interns-(. Loth / ..Dryw 1.2A 13 all'.: Finish Grade �q i- J ego Iz r JJJLJLLJ t INSULATION Thick R Value 7A Walls (Botts) 128 Ceiling (Botts) / X S,. Z Qt--0 GJ ± 6fG) V 1! v 12C Ceiling (Blown) 14 Final � - PLUMBING APPROVALS 15 Ground Plumb /_ � � !Y 16 Water Piping f I t 17 Rough Plumb 9` —2S-.0— _ .c,- 18 Vents 19 Sewage Disposal q. `L R Q0 V (/ 20 'Sewer Q 21 Water Heater 1_Z_6=4 I 22 Water Softener J SEWAGE SYSTEM SIZE & LOCATION 23 Water Service 24 Gas Test 25 Final Tank I oob Pit 6 x 1 T- .L. Line i REAR 1 OF PROPERTY LINE ELECTRICAL APPROVALS t \ F 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire P/L .. ` P/ 29B Bonding _ c 'r 30 Fixtures f G—Q` 1, 31 Service 32 Final q� STREET NAME 4-V-6 W W Z O at. . O yaj Io 0 >- Z Z �- Uj LL J_ Q � N m a6 06 H IL Z W Z Z p J O d M 0 z . z~ za Q W J IL 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 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 should trees have to be removed due to lot line errors. Owner's Name B�ulilding Permit No.�� Mailing Address dr. %� 1117 Cit T/ State Zip Y Job Address `"t% Community 413- 44U1y10S Legal Description- I0 % of !JZl—' .311 - <- & '< , � y Z,111/7/- => > � Assessor's Map, Book & Page X14 - EkQ 1 - OQq Type Structure 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)�G (2) ��y�z (3) Date Owner's Signature Planning Commission Case No. ROAD DEPARTMENT APPROVAL Approved species Wa.shingtonia robusta (Mexican fan palm) Number of trees_ Spacing of trees Distance from lot lines: Front 2' in R/W Side Additional requirements Per plot plan on reverse- No strppt trpps will be planted within t of driveways Date Building and Safety notified 8/80 Signature zw Reason .. Request for hearing: Owner's Signature YES ❑ REQUEST FOR EXCEPTION (attach additional page if necessary) (Forward application to Planning Dept. if exception requested) NO REQUEST FOR HEARING Planning Dept. ' t Concur F-1 Non -concur M Explanation Date Signature Road Dept. Concur ❑ Non -Concur M Date Signature REQUEST FOR HEARING AND COMMITTEE DECISION Date hearing established Approved C] Disapproved Date Building & Safety notified . n Date hearing notice mailed to owner Date Owner notified of decision Signature - � xdl�,wiw:•vS � ' t NOTICE: THIS IS NOT A BUILDING PERMIT I DISTRICT APPLICATION TO CONSTRUCT Permit No DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE Owner �f',k / Architect Contractor Address .F'�i? �r4'{ = �� Address Address -- City CA Ti/ C17 % City Gry_ Phone Phone W I (we) 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 be occupied until I (we) have complied with all laws of the County of Riverside and the State of California governing said property. DATE l kr2 SIGNATURE OF OWNER AND/OR AGENTI��`� Approval by Signature from the Following Departments Listed Below i Must Be,Obtained Prior to the Issuing of a Construction Permit. r�s3I SPACE NO. /Ri�%jkQ 1 USE OF STRUCTURE JOB ADDRESS�"F "�� >'1 LEGAL DESCRIPTION OF PROPERTY 4, T �� elg, ?/� SINGLE FAMILY DUPLEX Z — �AP TMENTS AGRIC. a► .}� x r !i t '%�� /i O ?0% cer- '¢ "� ri� t 0 N - l.0 MERCIAL INDUSTRIAL n COMMUNITY/S- A G0 ALTERATIONS n Z NO. OF SUBMITTED PLANS — USE OF PERMIT _ CASE NO. ,. Z 44 0 z NO. OFP KING SPACES REQUIRED NO. OF BUILDINGS OW EXISTING T_ a ZONE��ETBAC'KS: FRONT� SID t REAR m GRADING PERMIT REQUIRED? YES ❑ 'NO ❑ LOT SIZE SETBACK ORDINANCE N __— OF FEET REQUIRED ON STREET DATE SIGNATURE OF LAND USE OFFICIoft_—_ F DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET—_ ` CURB AND GUTTER REQUIRED: YES ❑ NO ❑ ��'/�/�,� l ��tTREET H � r s CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ 0 HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET CIMPROVEMENT? YES JO ❑ °L DATE-/-- � — SIGNATURE OF ROAD DEPT. OF = SWIMMING POOLS PUBLIC 11� Q W SEWAGE DISPOSAL /X esti Moe _ ID-- S 0 FOOD ESTABLISHMENT T 7 ^ lu� WATER POLLUTION REMARKS �n ! FLOOD CONTROL W AIR POLLUTION S DIV OF HWY o'Q — YOUR PROPERTY MAY BE SUBJECT Tb . 0 a " FLOOD. RIVERSIDEXOUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199 9/74 CANARY—FILE, PINK—APPLICANT BUILDING PERMIT PERMIT No. 3 9 8.7 5 5 JO 1 Job Address UtYAK I MCN I Ur BUILUIIV V dz ZoArt I T COUNTY, OF RIVERSIDE ' ' FIELD OFFICE FDST CONSTRUCTION ESTIMATE ^Valuations� NO. ELECTRICAL FEES NO. PLUMBING FEES mmunity 1 .1ST FL. 2ND. FL. .i POR, ` GAR. _ CAR P. WALL • ESTIMATED CONSTRUCTION SQ. FT. @ 9 ,$ MH Permit Fee UNITS t 7-19- " SQ. FT. @ + YARD SPKLR SYSTEM Cop S SO. FT. @ • - "d0 MOBILEHOME SVC. BAR SINK SQ. FT. @ aI� POWER OUTLET - - ROOF DRAINS Use/Case No. SO. FT. - DRAINAGE PIPING Mach. Fee DRINKING FOUNTAIN SO. FT. @ {y� f�/ .r, !+� (/®�94 SO. FT. @ - URINAL VALUATION $ -'r WATER PIPING NOTE: Not to be used as property tax valuation Set Backslot F� Zone Restrictions Gr. SWIM POOL, PVT PI. Ck. Fee •� S' ♦ FLOOR DRAIN Electrical Fee MECHANICAL FEES / [/�•lr SWIM POOL, COMM WATER SOFTENER SMI Fee VENT SYSTEM FAN EVAP. COOL HOOD SIGN WASHER (AUTO)(DISH) Plumbing Fee APPLIANCE DRYER and Amt. Plan No. PI-61>,ecker GARBAGE DISPOSAL FURNACE UNIT .. WALL FLOOR SUSPENDED Unit - ,Sp. Insp. Fee S LAUNDRY TRAY i/ AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK 'ABSORPTION SYSTEM B.T.U. S TEMP USE PERMIT SVC ` / WATER CLOSET COMPRESSOR. ,. ,... rF HP x� POLE, TEMP/PERM • LAVATORY HEATING SYSTEM FORCED GRAVITY aa AMPERES SERV, ENT +City%• !A J SHOWER - BOILER B.T.U. Reinsp. Foe SQ. FT. @ a er gent BATH TUB Total Fees I Address � qty„ r � A - C I`/.•'''''yam Zip M.O. N. Cash Checkp:. , Received by Contractor Tel. License# Trees req Sewage System ('�f,'- ,.� Address, _ • y _ -City '. Zip .. ' LL p THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK vedlied by: FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. Sewer District 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. HE CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284.208 (Rev. 1/80) AC DANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.