388030, 397777 (SFD)PERMIT NO.
388030
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
t%CONSTRUCTION
EST TE
fo; NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. 'J ->SQ.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
FT. @ — $
UNITS
Valuation
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ r MOBILEHOME SVC.
BAR SINK
SQ. FT. @ r ' POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $ -', I
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Zone Restricti/o�s /
I f .•' / -
V, r
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Type
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. @ t
BATH TUB
Supplimental Permit Numbers
SQ. FT. @ C
WATER HEATER
Mileage Fee $
SQ. FT. RESID @l he
SEWAGE DISPOSAL
Reinsp. Fee
S0. FT. GAR @ s/. <
HOUSE SEWER
OwA 4Age/t \ /C `
Tel.
J• `� Zip
GAS PIPING
PERMIT FEE
=
PERMIT FEE
PERMIT FEE
DBL.
TOTAk+E --..'_
MOB.HM.FEE
MICRO FEE
MECH. FEE P147;7EEE �
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
.138 8 0 3 0
,MH
Job Address -7--I "- J Space
p
.Owner
Con � + ' .r�
\\..,+1]S` T .
�`
Valuation
jDp �
• 16
Of¢�'
F.F.C.C.C.
Permit Fee $
Micro Film Fee
Cop §Qis(
of
Usef Pit {
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I _ _ h
k" "�' ` 5 }t-�-
Parcel No.
t �%
i ��/ _ /
Use/Case
No.
Ck.
'Meth. Fee Dbl $
PI. Ck. Fee $ •r �"'
_ Set Bpcks
Lot Size —Vol
%�.� ✓J
Construction Fee Obt $
Legal Description
may_ S •,� /'1
V �y+' t
r
F •J S S/ R
!.
Electrical Fee Dbl $
Zone Restricti/o�s /
I f .•' / -
V, r
Group
Type
SMI Fee j
Plumbing Fee
Dbl $
Bond Amt.
$
PlanNo.
J (p 7
PI(%//J}he/c,/�e�r
`L.,O at.
Final Date
G( " ( V' e
Inspector
Unit-
Sp. Insp. Fee $
Demol. Fee
E
Const. Lender Branch
Supplimental Permit Numbers
I
r
Registr. Fee $
Mileage Fee $
Address City Zip
l
1
Witness Fee $
Reinsp. Fee
$
OwA 4Age/t \ /C `
Tel.
J• `� Zip
Total Fees
=
Alt—
City
Zip
M.O. n N.C. ash Check
�5—
Received by N1140
Contractor 1 /fit j
Y 7r Q {!� �y" l�•i
Tel y
"� ��' !� 6
License#
Trees required
�ewoge System
Addrew—, (J�; /()
`l � ��rG- �..i i.J 7
Ci _
Y'�.)\ �k." `•'� •'V �-
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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 J
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
I
Set Back
33
Ventilation System
2
Figs 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.
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) i
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/
26Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
SME
PERMIT No. DEPARTMENT OF BUILDING & SAFETY
977 7 7 COUNTY OF RIVERSIDE
D3] rAaC►sr37n
FIELD os+
CONSTRUCTI E MATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST Fl. 277Ct SQ. FT. @ $
Owner
UNITS
77
2ND. FL. SO. FT. @
"
YARD SPKLR SYSTEM y
T
POR. 4, F SQ. FT. @
MOBILEHOME SVC.
BAR SINK
Community
T 11111 -Ili T A
GAR. 417C SQ. FT. @
{ i I ^ o
POWER OUTLET
ROOF DRAINS >:
Micro Film Fee
CAR P. SQ. FT. @
se'of mit
DWELLING AND
Yar AJ 37�1Y la1` ATT.
DRAINAGE PIPING
arca •o.
3 � �'
WALL SQ. FT. @
Mach. Fee Dbl E stsjx
PI. Ck. Fee
DRINKING FOUNTAIN
s
SQ. FT. @ i�
Q1RAl7
at ck to Si -
F SOM ? E R
URINAL
Electrical Fee
ESTIMATED CONSTRUCTION VALUATION $
ge
�1 �{ '((^�yy ��++ n 4
O[2^^�„WliiFlTl
WATER PIPING
s
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN �•
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
T
VENT SYSTEM FAN EVAP. COOL HOOD
Bond Amt.
S
— SIGN
, WASHER (AUTO)(DISH)
APPLIANCE DRYER
Inspector
Unit
GARBAGE DISPOSAL
Demo]. Fee
FURNACE UNIT WALL FLOOR SUSPENDED
Const. Lender
LAUNDRY TRAY
AIR HANDLING UNIT CFM
trry /I� ryn
"5 % r r r
IDLE METER
KITCHEN SINK
r
+
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
, WATER CLOSET
O Or
COMPRESSOR HP
T
POLE, TEMP/PERM
LAVATORY
�a
HEATING SYSTEM .+ FORCED GRAVITY
5y
AMPERES SERV ENT
SHOWER
C
BOILER B.T.U.
SQ. FT. @ a
, BATH TUB
Receivedb
i� .
SO. FT. @ a
WATER HEATER
Li<anseR
Trees required',
r n
�
!�
S0. FT. RESID @ 1 t/aa
SEWAGE DISPOSAL
City .
!3
r S0. FT. GAR @ 3/44 r, ti
HOUSE SEWER
°
w
GAS PIPING
r G M
PERMIT FEE
ot
PERMITFEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. MM. FEE
MICRO FEE
MECH. F E
PL. CK. FEE
CONST. FEE EIEC . E
SMI FEE
FEE PLUMB. E
r
'x
PERMIT NO.
Job Address 19-V5
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Spec Zip
Owner
1-3977
77
-� �t
w,;
T
Community
T 11111 -Ili T A
Valuation
Doteest.
I. F.C.C.
MH Permit Fee E
Micro Film Fee
Cop E
se'of mit
DWELLING AND
Yar AJ 37�1Y la1` ATT.
b {� �+1
C7 r`u
GARAGE
arca •o.
3 � �'
se/Gose N . Ck. y
Mach. Fee Dbl E stsjx
PI. Ck. Fee
E
s�
Description
Q1RAl7
at ck to Si -
F SOM ? E R
Construction Fee Dbl SLegal
ry
Electrical Fee
E
�1 �{ '((^�yy ��++ n 4
O[2^^�„WliiFlTl
/1 ^T'�1r{g,.(Zone
VVJ}l GST
astrictions
#1Q
Group peSMIFee
E
Plumbing Fee
[Db
E
Bond Amt.
S
Pion No.
Pion Checker
F n --% to
(^ / r C/ C.J
Inspector
Unit
Sp. Insp. Fee E
Demo]. Fee
E
Const. Lender
Bronch
Supplimentol Permit Numb
�j Q/y ryryy
di 17 W ( T' s!
trry /I� ryn
"5 % r r r
Regisir. Fee E
S
Address 'L % City Zip
, +�
E
gn
E
O Or
Tel.
Zip
Total fees
5y
Address
Zip
O. . ❑ Cash ❑ Check
Receivedb
i� .
Controctor
Li<anseR
Trees required',
STTSSiy
�
!�
Address
City .
Zip
'J T LY P 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. °- C
Sew ; District A
I HEREBY AGREE THAT ALL WQRK IN CON ECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
J J THE LAWS OF RIVERSIDE COUNTY' AND 7,!-E ST,ATE OF CALIFORNIA.
c
1 HER Y CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284208 (Rev. 1/80) ANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
�- -f7-8o
—ibed by: 4
P.
9"W
NO.
OPERATION
DATE
' IFISPECTOR
NO.
lOPERATION
DATE
INSPECTOR
I
Set Bock
BUILDING APPROVALS _
s_ 7—
33 -
MECHANICAL APPROVALS
Ventilation System
`
2
Ftgs 8 Fnns
9 ,- S%O
34
Plenums 8 Ducts
2A
Slab Grade -
t ��`�Q_O1/)
C, / V v
35
Furnace Comport.
3
Steel
36
Inlets & Outlets _q=l /
4
Grout Blocks
37
Combustion Air r
5
Bond Beams
38
Compressor
6
Roof Deck
r l 3 .�
39
Appl. Clearance
7
8
9
10
I0.4
11
Framing,
Vents
Garage Fire Wall -—!
Fireploce ,. P.L.
'Fireplace' T.O.
Exterior Lath
``t
I I — -- —
V— —�
C�- , 2a ��
40
Fire Damper
41
42
43
NO.
Smoke Detection Device
uu
Commercial Hood6
Final
ADDITIONAL INFORMATION
r
! I
t 1
t
SYSTEM SIZE & LOCATION
12 Internal Loth
A �T
12A Drywall &"j�.—]
13 Finish Grade �"`///`.$O
INSULATION
Thick Value
7A Walls (Botts)
;z`r G,��{ Ii'.
12B Ceiling (Batts)
-✓ Ii1V�f�
v12C
Ceiling (Blown)
�� 14 Finol,/._,PLUMBING ,APPROVAL----------
�-
15 Ground Plumb
TG
16 Water Piping T�
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
_
21 Water Heater
22 Water Softener
23 Water Service g ff7721-d-
d
24
24 Gas Test q✓I— J 0 — — -
25
FinalSEWAGE
Tank , �/w Pit L. Line
.
REAR OF PROPERTY LINE
.
ELECTRICAL APPROVALS r
,•.
-
P/L 1
'
PrVI. tAtArY
••
' '7
4
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
_
29B Bonding
30 Fixtures
L=)�1 v
-241
31 Service
31
32 Final
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Z
3
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M• � M
7
APPLICATION,F'OR 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-
s
ide 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.
0...:. N.,.. Buildin Permit No l
Mailing Address _ City _
Job Address z✓
Legal Description
Assessor's Map, Book 8 Page
Type of Soil 10 Is water available1V -—Road Dept. Plot Plan No.
Type of existing trees in road right-of-way
Trees preferred by applicant (1) (2)
9
State Zip
—Community r
Type Structure Z '` t
f
(3) r
/ �..
Date Owner's Signature
Planning Commission Case No.
_ ROAD DEPARTMENT APPROVAL
Approved species --Number of trees
oW Spacing of trees Distance from lot -lines: Front Side
=0 Additional requirements No street trees required.
0
Date Building and Safety notified 5/80 Signature
REQUEST FOR EXCEPTION
Reason
0 >-
Z F.
W
O LL
J Q
N
m .6
44
s
a a
z LU
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Z O
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IL W
0
Z
Z~
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Z
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(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
Ti REQUEST FOR HEARING AND COMMITTEE DECISION
Date hearing established Date hearing notice mailed to owner
Approved ❑ Disapproved ❑ Date Owner notified of decision
Date Building & Safety notified Signature
Final Date Inspector _
Job Address
Requirements for tree planting complied with
Remark s
APPROVAL BY BUILDING INSPECTOR
Building Permit No.
Community
0
(Detach and forward above information to Rood Department Riverside)
284-230, REV. 1/74
Rr3l.•
0
MAY 2 21980
MER
F
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a
` 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 rhe prop.
arty 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 responsi 'lity should trees have to -be
r due to lot line errors. -3
Owner's Name � , �� � 'Iding Pe N '
Mailing Addres Cit ^^�� %State_Zip
Job AddressIPF I �!` et l Comm- ity Q `
Legal Description
Assessor's Map, Book & Page 6 / if ^0 69 Type Stru lure ��.L 6 -
Type
Type of Soil Is water available Road Dept. Plot Plan No.
_
Type of existing trees in road right-sof/-wa4"a
hy
Trees preferred by applicant (1) /Tci(:®�'yC (2)
Date / Owner's Signature
Planning Commission Case No.
ROAD DEPARTMENT APPROVAL
Approved species Number of trees
Spacing of trees Distance from lot lines: Front Side
Additional requirements No street trees required.
Date Building and Safety notified 5/80 Signature 4W- eq
REQUEST FOR EXCEPTION
Reason
Request for hearing: YES ❑
Owner's Signature
Planning Dept.
Concur ❑
Date
(attach additional page if necessary)
(Forward application to Planning Dept. if exception requested)
NO REQUEST FOR HEARING
Non -concur 0 Explanation
Signature
Road Dept.
Concur F1 Non -Concur 0
Date Signature
REQUEST FOR HEARING AND COMMITTEE DECISION
Date hearing established
Approved C] Disapproved
Date Building & Safety notified -
701
Date hearing notice mailed to owner
Date Owner notified of decision
Signatu
I
NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT
APPLICATION TO CONSTRUCT Permit No
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
�99 9/74 CANARY—FILE, PINK—APPLICANT
Architect C L `V,..Owner , i �- ✓` s
Address�� ' -7-5 ��' '�-� G Address 3 9 % 4 t ("`, Address_ I )CT�
City c. �� �_+4 City L -In City_
I
'
- Phone - C U Phone._�C
f.
I
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
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 occupied until I (we) have
complied with all laws of the County of Riverside and the State -of California governing said property. r
LI
�.
DATE v,' ' C' 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 SPACE NO.
1 USE OF STRUCTURE'
JOB ADDRESS J~_ �`� ~f%�1� , /,% SINGLE FAMILY Q' DUPLEX
r
LEGAL DESCRIPTION OF PROPERTYi l-�
APARTMENTS AGRIC.
Q
(LI
— b COMMERCIAL INDUSTRIAL
CCOMMUNITY
ALTERATIONS LJ
G��
Z
NO. OF SUBMITTED PLANS USE OF PERMIT -.� i. n Hdr4
Q
CASE NO. i{ /!' �, r/// 1///__6e=C
Z
N0. OF PARKING SPACES REQUIRED NO. OF BUILD NG S44 OW EXI _.
'D
.�
�•s„ r
ZONE. r! SETBACKS: FRONT r� SIDE '� REAR
m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SI /
_
SETBACK ORDINANCE ___ OF FEET REQUIRED ON STREET
/
DATE 1-^ I SIGNATURE OF LAND USE OFFICIAL
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET--
zCURB
AND GUTTER REQUIRED: YES ❑ NO ❑ _' ✓- f STREET
otot
o
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
W
-
CATION BEEN MADE FOR ENCROACHMENT PERMITFORDRIVEWAY AND STREET
HAS AN ACCEPT LE;��NO
<
IMPROVEMENT? E ❑ �� I i '/ //': % .!�!� ✓1 Cl -J _
oc
DATE// ' SIGNATURE OF ROAD DEPT. `OFFICIAL/
r
SWIMMING POOLS PUBLIC
d
SEWAGE DISPOSAL , / t` �Y r D
FOOD ESTABLISHMENT /
WATER POLLUTION
REMARKS
�n FLOOD CONTROL
Z AIR POLLUTION
W
DIV OF HWY
F
a — YOUR PROPERTY MAY BE SUBJECT TO
0
o FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
�99 9/74 CANARY—FILE, PINK—APPLICANT
BUILDING PERMIT
PERMIT NO.
PERMIT NO.
.
DEPARTMENT
OF BUILDING & SAFETY
Owner
3.97777
L
40
FIELD OFFICE •
DST
1
397 -7 177
Commu k
COUNTY
OF RIVERSIDE
r
MH Permit Fee $
CONSTRUCTI E T
Cop S
NO.. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
SO. FT. @ $
A a&n
UNITS
S
•
SO. FT. @
a
c
YARD SPKLR SYSTEM
2ND. FL.
SO. FT. @
Legal Description
MOBILEHOME SVC.
BAR SINK
POR,
GAR.
SO. FT. @ Q F7
i 3• 02
POWER OUTLET
ROOF DRAINS "r
.
SO. FT. @
Dbl S
L V 1 115 T, QU I N TA
DRAINAGE PIPING
CAR P.
SO. FT. @
t
S
DRINKING FOUNTAIN
WALL
SQ. IT. @
Pl.mbingFee
URINAL
Bond Amt.
VALUATION • $
~
ate
WATER PIPING
ESTIMATED COISTRUC§M1
NOTE: Not to be used as property tax valuation
y
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
R-1 %
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
S
SIGN
r WASHER (AUTO)(DISH)
APPLIANCE DRYER
Q
A
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
$
Const. Lender
LAUNDRY TRAY
AIR HANDLING UNIT CFM
}` 20397777
'IDLE METER
KITCHEN SINK r
ABSORPTION SYSTEM B.T.U.
Mileage Fee
TEMP USE PERMIT SVC
WATER CLOSET yj
10 r4d
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
$
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
Zip
PW
SQ. FT. @ a }
BATH TUB xj
S
dereSs
$Q. FT. @ a
WATER HEATER
Zip
O. . Q Cosh Q Check
50. FT. RESID @ 11/4c f
SEWAGE DISPOSAL
S0. Ff. GAR @ 1/aa
HOUSE SEWER
Trees require
J
W3 5
GAS PIPING
e .-
PERMIT FEE
PERMIT FEE
JL PERMIT FEE
D8L.
TOTAL FEESMOB.
HM. FEE
MICRO FEE
MEC'.
PL. CK. FEE
OI204
CONST. FEE ELEE400
-910 4a.29
SMI FEE
j
FEE PLUM wao
PERMIT NO.
Job Address
49375
Space Zip
Owner
3.97777
L
40
A
Commu k
Valuation
S
• . +1 F.C.C.
MH Permit Fee $
Micro Film Fee
Cop S
°I N{r tqp,.tw
r3PTELL NG AND ATT.
GARAGE
••
• /Case N k. '41trV A.
Mech. Fee Dbl s
PI. Ck. Fee
S
c
Lot Size Ds
Consvuctlon Fee
Dial 5 4.
Legal Description
F S S R
�nAIT
Electrical Fee
Dbl S
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i . V t THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sew r District FOR 120 DAYS SMALL 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
Form 284.208 (Rev. 1/80) NCE WITH SECTION 554) OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
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