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413961 (SFD)PERMIT NO. 41,3 9 61 Job Address - -�._ �� - gape Space Zip _ Owner y Community .' L !/J�/ iy�/1 s�... �. s Vnluations - 4?. S ., / lr.:�' Lf .�.-' Data / _d.f� ,/ Dist % Offff•.-- F.C.C. :.Oy✓! MH Permit Fee S Micro Film Fee Cap $ Use of Permit e 1 Parcel No. '/ „� ,� J.^• '/ Use/Case No. „ Ck. By �� Mech. Fee Dbl "1 �- PI. Ck. Fee S Set Backs Lot Size r`; `;Legal r Construction Fee Dbl S f � L Description L ,�r F 11 5 .- S R /!�s Electrical Fee ; Dbl S .± �� :r L- Zone RestrictionsGroup Type - SMI Fee Plumbing Fee Dbl S �./ . Bond Amt. $ Plan No. Plan Checker Final Dote 4 Z (,� Insp ctor Unit Sp. Insp. Fee S Demol. Fee 5 Const. lender Branch Supplime�t Numbers r . . ' , - Registr. Fee S Mileage Fee $ Address City Zip !v - Witness Fee $ Reinsp. Fee $ Owner/Agent 1 / f 12Y-�4"'� �r••"� , Tel. Zip Total Fees S •-C r r •; Address_ ^ �,•! City �� M.O. N Cash Check Received by Contractor ' Tel, license# Trees required Sewage System {Q Address r City Zip (A LL PA .g THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: Sewer District Ii {' f FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO. BECOME VOID. s� + I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THItPERMIT.N;ILL BE DONE IN ACCORDANCE WITH A THE LAWS OF RIVERSIDE COUNTY Ahl,Z, THE STATE OF CALIFORNIA. 2� I EREBY CERTIFY (THAT AIE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO I Form 484-208 (Rev. 1/80) r NCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. NO. I OPERATION I DATE I INSPECiF R I NO. I OPERATION I DATE I INSPECTOR J BUILDING APPROVALS F� MECHANICAL APPROVALS I Set Back 2-1—Si 33 Ventilation System 2 Ftgs 8 frms 7-3-91 34 Plenums 8 Ducts ,V�) 2A Slab Grade 8( 35 Furnace Comport. 3 Steel 36 Inlets & Outlets 4 Grout Blocks 37 Combustion Air 5 Bond Beams 38 Compressor 6 7 Roof Deck Framing ��/ _ ' �Q �O 39 40 Appl. Clearance Fire Damper 8 Vents 41 Smoke Detection Device 9 Garage Fire Wall /_ �.Z �2 CJ .J 42 Commercial Hood 10 Fireplace P. L. 43 Final l0A 11 12 12A 13 7A 12B 12C 14 Fireplace Exterior Lath Internal Lath Drywall Finish Grade INSULATION Walls (Batts) Ceiling (Botts) Ceiling (Blown) Final T.O. rI ADDITIONAL INFORMATION NO.$1 00 W.e12 -n r-% r M_ 10-L�_a t Thick R Value 3,/z jI t 3-�-�8�1 -6-- ` -1 3=6__ im_ (0_Z3-qa PLUMBING APPROVALS t$VItUllVtd YtKMII PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD DST ) 413.9 61 I ; COUNTY OF RIVERSIDE ! / CONSTRUCTION ESTIMATE,�,,��^^ NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. % 2ND. FL. C%� FOR. ° Ct GAR. L� 0 CAR P. WALL ESTIMATED CONSTRUCTION SO. FT. @ 7 -� $ C ^I l! 1 UNITS SO. FT. @ 1�' �') z YARD SPKLR SYSTEM SQ. FT. @ !.I t ri J MOBILEHOME SVC. r BAR SINK SQ. FT. @ �� �' `-� POWER OUTLET ROOF DRAINS SO. FT. @ DRAINAGE PIPING 50. FT. @ - DRINKING FOUNTAIN SQ. FT. @URINAL ,� VALUATION $ •. % - 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 ) av SIGN Z WASHER UT ISH Q0 APPLIANCE f�r. a �, -- CDRY5R*l �r�r{ (� (Jp / GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK 5(J ABSORPTION SYSTEM B:T.U. TEMP USE'PERMIT SVC WATER CLOSET COMPRESSOR '3 1/Z, HP /U POLE, TEMP/PERM •q'r.� LAVATORY Z HEATING SYSTEM FORCED GRAVITY ' Q 04) AMPERES SERV ENT 60 R SHOWER Z SO BOILER B.T.U. SO. FT. @ a Z BATH TUB 1� SO. FT. @ a WATER HEATER ( L i -7 50. FT. RESID @ 1144 �� jt SEWAGE DISPOSAL L S0. FT. GAR @ 3/aa ) (te HOUSE SEWER , GAS PIPING PERMIT FEE ©3 PERMIT FEE 73 PERMIT FEE C/ o DBL.TOTA/L -•ri/ FEES�j MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEES.; ELECT.;F E j SMI „FEE %� FEE PLUMB. FFEE- 15 Ground Plumb 16 Water Piping 17 18 Rough Plumb Vents — _ 8' 19 Sewage Disposal -MA _-zs .:,E( 20 Sewer 21 Water Heater (� _. Z3 • O 22 Water Softener Service Entrance 23 Water Service �a Z3 O I 24 25 Gas Test Final SEWAGE SYSTEM SIZE 8r. LOCATION REAR OF PROPERTY LINE ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding _z -81 30 ': Fixtures f_ _Z3_Qg�I 31 Service _ 32 Final �� •9 .0I — n SEWAGE SYSTEM SIZE 8r. LOCATION REAR OF PROPERTY LINE IK LU z 3 O 0 oCL 1zo z� O LL J Q N CD ad e8 F o a z w Z z o J O a= 0 z Z~ za Q W J � IL APPLIgT1_QN 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. / ! Owners Name d� � Building Permit No. �i 76 Mailing Address — City tatpl�eZip�� Job Address / Legal Description ,,/ Assessor s Map, oak & Page 71;z .3 Type of Soil Is water available Type of existing trees in road right—of—way Trees preferred by applicant (1) Road Dept. Plot Plan No. (2) Type Structure i Date — 0— _%j Owner's Signature Planning Commission Case No. ROAD DEPARTMENT APPROVAL �yf A/Q,- Approved species l�nnU Number of trees Spacing of trees Distance from lot lines: Fr n ` �/ L.Side o7�/�& A14— Additional requirements Ii V Date Building and Safety° notified (9=/A/ Signature /J,*79JI. REQUE Reason Date hearing established Approved Ej Disapproved ❑ Date Buildina & Safety notified OPM11=CT FAD WrADIkIr_ Akin r'n\IiIITTOC mcricin►I Date hearing notice mailed to owner Date Owner notified of decision $ionature (attach additiondl page if necessary) Request for hearing: YES ❑ Owner's Signature (Forward application to Planning Dept. if exception requested) NO REQUEST FOR HEARING Planning Dept. Concur ❑ Non -concur 0 Explanation Date Signature Road Dept. Concur n Non -Concur Date Signature Date hearing established Approved Ej Disapproved ❑ Date Buildina & Safety notified OPM11=CT FAD WrADIkIr_ Akin r'n\IiIITTOC mcricin►I Date hearing notice mailed to owner Date Owner notified of decision $ionature 0 N-3 To RIVE -RS -16E COUNTY DEPARTMENT OF BUILDING AND SAFETY ICORkVECTION NOTICE Permit No Address: J/- Q�'s- Date: C3 _41-PAtl FRAME INSPECTION - U.B.C., 1976 EDITION 1. Approved plans shall be on job for inspection. [302(b)] . 2• Changes from approved plans must be made on all plans and approved in Plan Check. [302(a)] . 3. Add shots where indicated per Research Recommendation Card. 4. Maximum spacing of studs 24" o.c. [2518(f)31 . 5. Horizontal stabilizing blocks to be placed in all stud walls over 6' in height to conform to Ordinance 457. 6. Double top plate joints at least 4' apart. [25181 . 7. Ceiling joist overspanned. [2518(h)21. 8• 3-8d nails joist to plate. Nail top prates together- 16d 16" o.c. [25181 Table 25-P. 9. 3-8d nails rafters to plate. [2518] . Table 25-P. 10. Nail corner studs 16d - 24" o.c. [25181 . Table 25-P. 11. Rafters overspanned at [2518 (h)21 12. Purlin overspanned at [2518 (h)51. 13. Slope of struts not to be less than a 45° angle from the horizontal. [2518(h)5) . 14. Add backing at [4706(c)) . 15. Rafters do not fit ridge - fix. [2518(h)3 ) . 16. Nail ceiling joist to rafters. -Add cross ties, Max. 4' o.c. (2518(h4)] . 17. Add brace at [2518 & Ord. 457). 18. Shim and nail trimmers. [2501(b)) . 19. Metal strap on studs and plate where pipes -are located. [2518(9)81 . 20. Install windows as per approved plan. [14041 . 21. Fasten post to concrete. Use "T" strap post to beam. [ 2310(e)] . 22. Attic access minimum 22" x 30" [3205(a)] . 23. All plywood exposed to weather to be exterior grade [32021 . 24. Replace short trimmers in [2518(g)71. 25. Foundation ventilation. [2517(c)61. 26. Install sway braces in garage. [ 2312(a)) . 27. Provide flashing and counter -flashing at junction of roof and vertical surface. [32081 . 28. Secure chimney straps at ceiling line to frame [3704(c)] . 29. Install solid sheathing and 15 Ib. felt between masonry and wood studs at planter. [2517(c)7] . 30. Plumb all walls [:2309(a)1 . 31. Install screened attic ventilation ratio 1 to 150. [3205(c)) . 32• Bath requires vent to outside air.[1405(a)] . 33. Provide adequate space for comfort heater. 'C I Az� tlap J�, 284-231 REV. 3/77 11-7rc /& uwner Address DEPARTMENT`roFua �Le4NG-AND SAFETY COUNTY OFr-.R'I°VERSI.D.F:: OWNER -BUILDER VERIFICATION r. Cor�S' An "owner -builder" building permit has been applied for in, your name and bearing your signature. ' Please complete and return this information in the envelope provided at your earliest opportunity.to avoid unnecessary.delay in processi:ng;�and issuing your building permit. No building permit will be issued untilth'verification is r received. "'`• S ^ ' 1. I personally•plan to provide the major labor and materials for con- struction of the proposed property improvement (yes or no) 2. I (have /have—no-t) fit) If signed an application for building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the pro- posed construction: Name Phone _ Address City Contractors'License No. - 4. I plan to provide portions of the work, but I have hired the following person.to coordinate, supervise, and provide the major work: Named N 4-' -Phone Address City Contractors License No. 5. I will provide some of the work but I have contracted (hired) the -fol- lowing persons to provide the work indicated: Name Address. Phone Type of work A Signature Property Owner _ . . Social Securfty"Nu!�ber 1 �J 284-2002 7/80 - r 30 Date DEPARTMENT OF BUILDING AND SAFETY a COUNTY OF RIVERSIDE OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as owner -builder you are the responsible party of re- cord on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the pro- per permit in his or -her name. Contractors are required by taw to be licensed and bonded by the State of California and, where required, to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware "of the following information for your benefit and protection. If you employ or otherwise engage an persons other than your immediate family, and the work (including materials and other costs is $200 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemploy- ment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to -perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner - builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, DEPARTMENT OF BUILDING AND SAFETY e o p o I do Rojo, r. Director t . 284-2001 7/80 DEPARTMENT OF BUILDING ASN SAFtr APPLICATION CERTIFICATE COUNTY OF RIVERSIDE ��='"+e�.,,`� PERMIT N Effective July 1, 1980, Chapter 1301, Section 1982 ofne „ ±� nd Safety Code requires the execu- tion of the following applicable declarations prior to the issuanc%n!,, axbuilding permit. Please print'or type .and sign,below: [� LICENSED CONTRACTORS DECLARATION. I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code and my license is in full force and effect. License Class �� ` — { 0 License o. � Z-? 7-- Date f —1)0 - y6 Contractor L Q OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reasons: �' I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. If I sell within one- year of completion, I understand I will have the burden of proving I did not build or improve for.the purpose of sale (Sec. 7031.5;'B.&P.C.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, B.&P.C.). Q I am exempt under Section / B.&P.C. for this reason: Date f b "� (—Owner Ac Q WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a Certificate of Workers' Compensation Insurance, or a certified copy thereof'(Sec. 3800, Lab. Code). Policy No. Insurance O Certified copy is hereby furnished. Certified copy is filed with the County of Riverside, Department of Building and Safety. Date Applicant Q CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if permit valuation is for $100.00 or less.) I certify that ,in the performance of the work for which this permit is issued, I -shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California. I further understand that if after making this Certificate of Exemption, I should become subject to the Workers' Compensation provisions of the labor code, I must forthwith comply with such provisions or this permit shall be deemed revoked. Date Applicant CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. Code). Lender's Name Lender's Address DIVISION OF INDUSTRIAL`SAFETY PERMIT CERTIFICATION I hereby certify that no excavation five (5) or more feet in depth into which a person is re- quired to descend, will be made i6 connection with work authorized by this permit, and that no building, structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap 3.2, Grp 2, Art 2, Sec 341, Title 8, C.A.C.) As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from that division. 0 Division of Industrial Safety Permit No Date - 3a -7 ( Applicant,} CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY I certify I have read this application and state that 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 tPe,County of verside, D,epar"tment of Building and Safety to enter upon the pro- perty f� 1%veaPPl1eir t�ht' permit fors the purpose off making inspections. ignature of pp itant/A'gentDate a� Print Applicant/Agent Name 284-2000 7/80 + t , NOTICE: THIS ISNOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY r COUNTY OF RIVERSIDE DISTRICT / Permit No 284 199 9/74 CANARY—FILE, PINK—APPLICAN Owner« -(L Architect V-a<TaiO6C Contractor 4� EL Qr�SE: Address& Address Address_ - Phone Phone 3Q ?7 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 to -7c occupied until I (we) have complied with all laws oftheCounty of Riverside and the State of California governing said property. yl3/�aU SIGNATURE DATE OF OWNER AND/OR AGENT Approval by Signature from the Following Departmenh Listed Below Must Be Obtained Prior to the Issuing of a Construction Permit. I SPACE NO. �. 1 USE OF STRUCTURE �� JOB ADDRESS ��'� L! ����-- t; _ LE AL DESCRIPTIqpq OF PROP TY , — O SINGLE FAMILYDUPLEX 5 0il�c f — APARTMENTS AGRIC. O H 11 ! _ COMMERCIAL INDUSTRIAL L� . N G COMMUNITY ALTERATIONS Z ___ rUSE NO. OF SUBMITTED PLANS _ P RMIT N Q CASE N0. C p Z NO. OFyR RKI�G N SPACES REQUIRED NO. OF BUILDINGS !40 '* -EXISTING --^ jJ ZONE ETBAC'KS: FRONT SIDE REAR In GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE # __— OF FEET REQUIRED ON _ STREET DATE —� SIGNATURE OF LAND USE OFFICIA DEDICATION REQUIRED: YES ❑ NO P - <O. OF FEET___. F, iCURB AND GUTTER REQUIRED: YES ❑ NO e--' STREET W CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET CIMPROVEME � YES t<'NO °L ❑ DATE _ z 8U SIGNATURE OF ROAD DEPT. OFFICIAL S SWIMMING POOLS PUBLIC d / SEWAGE DISPOSAL 2 ht.�to•�� !')o �S`t► e! J`c,.�rr •� Cv x 9 r _ FOOD ESTABLISHMENT 'Vo WATER POLLUTION REMARKS r�t FLOOD CONTROL z AIR POLLUTION W DIV OF HWY o a — YOUR PROPERTY MAY BE SUBJECT- TO d o FLOOD. RIVERSIDE COUNTY ASSUMES 9 NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199 9/74 CANARY—FILE, PINK—APPLICAN BUILDING PERMIT 1PERMIT NO. 413961 DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE r DST COUNTY OF RIVERSIDE y 4P1M39 61 CONSTRUCTION Job Address .,r ,S" l - S j c1'� . J r lC� /' c NO. ' ELECTRICAL FEES Zip NO. PLUMBING FEES Valuation /_ S 1ST FL./pp 2ND. FL. 9 FOR. -3-19 GAR. I L C+ CAR P. WALL �—:Ej ESTIMATED CONSTRUCTION - -7 y-7 SO. FT. @ G�v�tl $ f / l!'1� UNITS F.C.C. MH Permit Fee $ Micro Film Fee Cop S Use of Permit 1 ! J�i r J �i �% �r /26 tJ� SO. FT. @ L� i ll Z ../' YARD SPKLR SYSTEM Use/Cose No. SO. FT. @ U + S J ! MOBILEHOME SVC. BAR SINK S'0 SO. FT. @ % �� POWER OUTLET ROOF DRAINS Set Backs SO. FT. @ DRAINAGE PIPING SO. FT. @ DRINKING FOUNTAIN ) Legol Description (J / / SO. FT. @ URINAL 5 5 VALUATION $ S ,' WATER PIPING Z .50 NOTE: Not to be used as property tax valuation Group SWIM POOL, PVT SMI Fee S Plumbing Fee FLOOR DRAIN C Bond Amt. S Plan No. MECHANICAL FEES Final Date SWIM POOL, COMM Unit Sp. Insp. Fee S WATER SOFTENER S VENT SYSTEM FAN EVAP. COOL 1 HOOD OU SIGN Mileage Fee S Address City Zip - Z WASHER UT SH ,00 APPLIANCE D l �- CDwnN nc Jo 2 Q Total Fees $ / GARBAGE DISPOSAL 2 SQ FURNACE UNIT WALL FLOOR SUSPENDED Contractor + Tel. Licensee LAUNDRY TRAY Trees required Sewage System AIR HANDLING UNIT CFM p, IDLE METER City Zip t' KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET % S� COMPRESSOR HP 7 Q POLE, TEMP/PERM S LAVATORY 12_ S HEATING SYSTEM FORCED GRAVITY Ci 00 Zv AMPERES SERV ENT -7 d0 1 SHOWER Z s BOILER B.T.U. SO. FT. @ a 'Z BATH TUB 5 00 SO. FT. @ a WATER HEATER 2 0 Z 1 i,'7 SO. FT. RESID @ 1 'Ac Zt� O SEWAGE DISPOSAL 1'20 SO., FT. GAR @ 3/.a T!-5 HOUSE SEWER GAS PIPING PERMIT FEE ti© PERMIT FEE PERMIT FEE 14 (� DBL. TOTAL FEES 5" 331• � IMOB.HM.FEEI MICRO FEE MECH. FIFE ��.�° PL. CK. 'FEE CONST. BEE li'r°� ELECT. FEE- �� ,'-� SMI,FE --tFEE ? Y� PLUMB. FEE � 4P1M39 61 Job Address .,r ,S" l - S j c1'� . J r lC� /' c Space 4 Zip Owner /)/G a. I , S JL Community fi 0 (�i��(/ � Valuation /_ S Dote Dist. Off. F.C.C. MH Permit Fee $ Micro Film Fee Cop S Use of Permit 1 ! J�i r J �i �% �r /26 tJ� Parcel No. Use/Cose No. Ck. By Mech. Fee Dbl g Pl. Ck. Fee S Set Backs Lot Size Construction Fee Dbl S I CfL ) Legol Description (J / / F /T 5 5 Electrical Fee Dbl $ 3V z Zone Restrictions Group Type SMI Fee S Plumbing Fee Dbl S C Bond Amt. S Plan No. Pion Checker Final Date Inspector Unit Sp. Insp. Fee S Demol. Fee S Const. Lender Branch / Supptimentol Permit Numb rs Registr. Fee S Mileage Fee S Address City Zip - Witness Fee S Reinsp. Fee S Owner/Agent f 1g�' /')' Ole "e � Tel. Zip Total Fees $ ! �' S, Addrressss1 / / �✓�� ..�) Cit "/� Zi p M.O. I] N Cash Q Check Received by Contractor + Tel. Licensee Trees required Sewage System p, Address City Zip VT LL �r THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TCL BECOME VOID. J 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 Farm 284208 (Rev. 1/80) NCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. r1 ' I _ a Ili A Ah