360165 (SFD)- T Nd
;PERmITNO.
'3ob Address
DEPARITMENT OF BUILPING &.SAFXT.T
Owner
36016,51
6 016
VRIll' Alloeakwlewt
"
CO.UNTf,`OF RIVERSIDE
FIELIJI
DST
CONSTRUCTION
ESTIMATE
NO:. tLECTRICAL'FEES
NO. PLUMBING I US
)ST�FL,Sz $
sq. FT, a
UNITS
It
.
Irv;—
YARD SPKLR S?STEM
2 ND. SQ. FT. (9
",PbR. SO. Fr @
M OB(LEHOME'SVt;! -
BAR SINK
GAR. SQ. Ft
E OUTLET
PO k
ROOF DRAINS
11 _kW ,
CAR P. �: ' I ' I . -
sa., Fr. @
, T�
DRAIN AGE PIPING
(L- SQ.'FT: @
Group-,
T
_VA
DRINKING FOUNTAIN
Sq- FT. @
Plumbing Fee DbI
URINAL
ESTIMATED CONSTRUCTION VALUATION $
aw
an Plan Checker.
WATER PIPING
Not io-,be.6sed os -Property tax. wiluatiorf
SWI'm POO L, PVT
FLOOR DRAIN
MECHAN(CAL FEES
swim'POO1, COMA
WATER SOFTENER
14N, TEM'- it -!-FAN,`. EVAP. 606L HOOD
SIGN,:
WASHER (AUJO)(DISH)'
APPLIANC PRYE
'�OSAL
GARBAGE A
FOR"NACE ' 'UNIT WALL', FL06R SUSPENDED
4
LAUNDRY TRAY
AIR'HkN PLINGAINIT CFM
IDLE METER
KITCHEN SINK
A RPli6N* B.T.-U. .
TEMP USE PERMIT SVC-'�,,
WATER CLOSET
COMF,RE!SSOR' HP
POLEJtA6i?/PERW.,
LAVATORY
HlEkUING' SYSTEk��, FORCED GRAVITY
[AMPERES SERV ENT,
SHOWER
BOILER-
'SQ. FT.,
slit;
BATH TUB
SQ.'FT:"._ld
WATER HEATER
Zip
6 A SQ. FT. RESID '@IV,
SEWAGEDISPOSAL
SQ. FT,.' GAR'(R�
�A�AA% MA_
HOUSE TSEWER
'C,,Y
GAS'PIPIN6
PE"T FEE
PERMIT, FEE
kRAMT FEE
RgAi6e3A
TOTAL FEES
&HlA.FEEj
MIC90 FEE PL: CK. I'M
CONST. FEE ---E*.
OASMI FEE.
FEE PL
_0111 A. lad
]MO
t9F2 dn AI Ah
Licensef
- T Nd
'3ob Address
�7=.=77777774. Spb�e Zip
Owner
36016,51
VRIll' Alloeakwlewt
1�.Iuatlon Date
Off
F.C.C.
MWPerri,ll Fee I .-
$
,Micro Film Fee capis
0
It
Ck.
Irv;—
Mecn.jeti DbI
fil. Ck. Fee $
—Sei7gucls
For, - sit
Lot Size
5 R
41 9
008 100
G66struction Fee Dbl $
. - I ! - .."-p
fleoncofFee DbI $
33
` � Rest
4011 , 0 frictions
19L—
Group-,
T
_VA
—
SmCtee
Plumbing Fee DbI
=El -n At;"*
aw
an Plan Checker.
F iiql
�14
Insp. Fee $
go,
$
ConstAender
-Branch
4
'Supp Permit Numbers
R6�iijm Fee $
I eag,e F e e
Address
city
zip
Witnesi 1�60 $
Reinsp.� F ee- $
*nail Fr
Zip
Total Fees
Address
'C,,Y
Zip
'C,6.h
M:04f] N; �C 0 'Cash [71
C�h
RgAi6e3A
Raffials'CA
'Rkei;,.d b Y
lfont�_actor
Licensef
L
,�evv-tl. iyil-rn
Address
City,
Zip
PAIUL D"effift.
CA 92260
XA,� THIS PERMIT'SHALL BEC,OME'VOID IF WORK IS NOT COMMENCMWITHIN 120 DAYS. CESSATION OF WORK
FOR i 2o bAys SHALL ALSOC&LISEPERMIT T�D'BECOW VOID.
1-1 A r_ -A WIT DONCIN ACCORDANCE WITH
I HEREBY . GRtE,THAT��Cfj AtAbAiTHAISME WILL BE
THE LAWS OF 'F El T�A,., TATE (9 cApFoRMA..
A
,q I HERE6Y CERT' fr)( 'THAT TAPMVIDUAL WHO'PREPARED'THIE PLAS AND SPECIFICATIONS HA&DONE SO IN
�4b
-'AL RDANCE WITH QCT16N 5541 bF THE BUSINESt'AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by:
NO.
OPERATION
DATE
;INSPECTOR,
NO. OPERATION
DATE
INSPECTOR
RRUOLDONG APPROVALS
oe
FAECHAMOCAL APPROVIus,
I
Set Back
&,�
33 Ventilation System
2
Figs& Fr s
34 Plenums & Ducts
2A
Slob Grode
31 Furnace Comport.
3
Steel
36 Inlets 9 Outlets
4
Grout Blocks
37 Combustion Air
5
Bond Beams
38 Compressor 44V
6
Roof Deck
39 Appl. Clearance
7
Framing
- 117
40 Fire Damper
8
Vents
-k7l
41 Smoke Detection Device
9
Garage Fire Wall ? 19
42 Commercial Hood
10
Fireplace
PA.
43 Final 6t
IDA
Fireplace
T.0
OP'N Ol
NO.
lit -
i
46,04fAft A&4
O�Z
SEWAGE SYSTEM SOZE LOCAVOOM
11 Exterior Loth 1,2
12 Internal Loth
12A Drywall 12-11-79
13 Finish Grade
09—
INSULATION Thick "R" -
Value
7A Walls (Botts)
12B Ceiling (Botts)
12C Ceiling (Blown)
09
14 Final
PLUMOUNG APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
Is Vents
19 Sewage Disposal
20 Sewer
21 Water Heoter
22 Water Softener
23 Water Sorvice
24 Gas Test
25
Final
01
Tank Pit L.Lin.
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
000
PIL P
.
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
298 Bonding
30 Fixtures
31 Service
32 Final
DEPARTMENT OF,BUILDING AND SAFETY e COUNTY OF RIVERS[DE
OFFICE DATE TIME PERMIT NUMBER
?—,5 1 j " c�: 5 1 1 INSPECTION
ADDRESS SPACE NO.
5-s
OWNER COMMUNITY
BUILDING PLUMBING ELECTRICAL MECHANICAt
REMARKS:
OWNER/CON TRACTOR TEL.NO,
REQUESTED
FOR:
A.M.
P.M.-
TUES.
[]WEID�
THIUR"
DEPARTMENT OF BUILDING AND SAFETY o COUNTY OF RIVERSIDE
PERMIT IUMBEk
9 3(p (9 16 INSPECTION
OFFICE DATE TIME
-j
REUUESTED
ADDRESS 'I SPACE NO. FOR:
I
I
C&� A.M.
OWNR P.M.
BUILDING PLUMBING V ELECTRICAL MECHANICAt
TUES
52-
FIWED
REMARKS: 6
THUR
R FRI
OWN ER/CON TRACTOR TEL.NO.
DEPARTMENT OF BUILDING AND SAFETY e COUNTY Of'RIVERSIDE
OFFICE DATE :ITIME I PERMIT NUMBER
31 2 -"s -s- INSPECTION
REQUESTED
ADDRESS I SOACE. No. FOR:
I
ao e
OWNER CO I MMUNITY A.M.
p . m.
BUILDING, f—PLUMBING ELECTRICAL MECHANICAL
REMARKS:
OWNEF/CONTRA.CTOR TEL.NO.
MON.
TUES
WED
THUR
FRI
DEPARTMENT OF BUILDING AND SAFETY � COUNTY OF RIVERSIDE
OFFICE DATE TIME, PERMIT NUMBER
J0 0 INSPECTION
ADDRESS
I --
ER
.BUILDING I PLUMBING
REMARKS:
Iq
OWNER/CONTRACTOk 7TNQ.
SPACE NO.
COMMUNITY
ELECTRICAL MECHANICAL
REQUESTED
FOR:
A.M.
F).m.
TUES
WED
THU9
I fj]JFRJ
/7S
DEPARTMENT OF BUILDING AND SAFETY COUNTY'OF RI.VERSIDE
OFFICE DATE -ERMIT NU I IVIBER'
ITIM IP
INSPECTION
REQUESTED
ADDRESS ',-SPACE No. FOR:
I
I
53 -7 b'5- 42: A.M.
OWNER COIJUV!TY
6er
0 F -X,
BUILDING PLQMBING
REMARKS:
OWNER/CONTkACTOR TEL.NO..
ELECTRICAL
PON;
2TUIES
WED
THUR
FRI
DEPARTMENT OF BUILDING AND SAFETY e COUNTY OF RIVERSIDE,
OFFICE DATE
ADDRESS
�ss --?
OWNER
BUILDING
7) -
REMARKS:
T
PERMIT NUMBER
PLUMBING
INSPECTION
REQUESTED
NO. FOR:
I TY
o
ELECTRICAL I MECHANICAt
AX
P.M.
D MON
TUES
INED
THUR
tgiffl '
OWNER/CONTRACTOR- TEL.NO. A
1264-" 11,75
DEPARTMENT OF BUILDING AND SAFETY o COUNTY OF RIVERSIDE
OFFICE DATE IME 7 y' PERMIT NUMBER
IT- //-15- f L INSPECTION
ADDRESS
-5-3 - 7 �y �5- G�O
OWNER
BUILDING PLUMBING
X(,
REMARKS:
C-�
OWN ER/CON TRACTOR TEL.NO
— REQUESTED
SPACE NO. FOR:
CO MM*Tvf) A.M.
P.m.
ELECTRICAL MECHANICAt
NFON
TUES
P THUR'
FR I
284-46 0/75
DEPARTMENT OF BUILDING AND SAFETY o COUNTY OF RIVERSIDE
OFFICE DA T.E TIME PERMIT NUMBER
2-A5- INSPECTION
ADDRESS ; SPACE NO.
57 3 -2 F 5-- (fe 4,-tle
OWNER COMMUNITY
BUILDING PLUMBING ELECTRICAL MECHANICAL
? / 2 2-.�
REMARKS:
OWNER/CONTRACTOi� TEL.NO.
REQUESTED
FOR:
F] A.M.
n P.M.
ims
THUR
28446 11/7S
DEPARTMENT OF BUILDING AND SAFETY e COUNT
OFFICE DATE IE PERMIT NUMBER
374
OF RIVERSIDE
ADDRESS SPACE NO.
OWNER COMMUNITY
BUILDING PLUMBING ELECTRICAL MECHANICAt
I --
INSPECTION
REQUESTED
FOR:
E-1 A. M.
P 0 m.
TUIES
REMARKS: 6--j
[:] THUR
M FRI
OWN E R/CON TRACTOR TEL,NO.
284-" 11/75
DEPARTMENT OF BUILDING AND SAFETY 9 COUNTY OF RIVERSIDE
OFFICE DATE TIME PERMIT NUMBER
lb-( INSPECTION
REQUESTED
ADDRESS -FSPACE NO. FOR:
I
1
-S-3 Gw I FIA.M.
OWNER N RV.,
P.M.
BUILDING PLUMBING ELECTRICAL MECHANICAL 06N
R E�R IK S: 04 E]iwtD
OTHUR
FRI
OWN ER/CON TRACTOR TEL.N
264-" 11/75
DEPARTMENT OF BUILDING AND SAFETY 9 COUNTY.OF RIVERSIDE
OFFICE
DATE
TIME
PERMIT NUMBER
?,c)
-
c
INSPECTION
nmrO Ire'reft
ADDRESS SPACE NO.
OWNER COMMUNITY
BUILDING
REMARKS:
PLUMBING I ELECTRICAL
OWNER/CON TRACTOR TEL.NO.
MECHANICAt
n A.M "
P.M.
MON,
WED
THUR'
FRI
294-"
DEPARTMENT OF BUILDING AND SAFETY 9 COUNTY OF RIVER$IDE
OFFICE
DATE
TWE
PERMIT NUMBER
INSPECTI011
ADDRESS
OWNER
BUILDING PLUMBING
REMARKS:
OWNER/CON TRACTOR TEL.NO
SPACE NO. FOR:
MECHANICAL
A.M.
P.M.
mo�
TUE�
THUR
FRI-
2M-" W14S
DEPARTMENT OF BUILDING AND SAFETY e COUNTY OF RIVERSIDE
OFFICE DATE TIME PERMIT NUMBER
T-';771 INSPECTION
r REQUESTED
ADDRESS I SPACE NO. FOR:
OWNER COMMUNITY J
1, BUIL
REMARKS:
PLUMBING
m'.
OWN E R/CON TRACTOR TEL.NO.
P.M.
ELECfRICAL MECHANICAl-
TUES
WED.
THUR
FRI,
DEPARTMENT OF BUILDING AND SAFETY e COUNTY OF RIVERSIDE
65 - PERMIT NUMBER INSPECTION
OFFICE DATE'. TIME — 1 1
1 t5r
ADDRESS�,�
OWNER 'Rt
COMMU
4
BUILDING PLUMBING ELECTRICAL
e--,
REMARKS:
OWNER/CONTRACTOR TELAIJ.
REQUESTED
NO. FOR.
A.M.
P.M.
TbEs
[3 WqD -
�ThUllt
FRI,,
I
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE DATE TIM�4r, PERMIT NUMBER
INSPECTION
REQUESTED
ADDRESS 'I SPACE NO. FOR;
5-2
A.M.
OWNER COMMUNITY
P.M..
BUILDING PLUMBING ELECTRICAL MECHANICAt
am
TUES-
WdD
REMARKS:
THUR
F� FRI
OWNER/CONTRACTOR TEL.NO-
DEPARTMENT OF BUILDING AND SAFETY 9 COUNTY OF RIVERSIDE
OFFICE
DATE
TIME
PERMIT NUMBER
7-Z,3-7�1
//f
INSPECTION
REDUESTED
SPACE NO.
ADDRESS FOR:
A.M.
OWNER COMMUNITY/
P.M.
BUILDING' PLUMBING ELECTRICAL MECANICAL
Mw
TUES-
REMA
#S:
THUR
F� FRI
OWNER/CONTRACTOR TELNO.
DEPARTMENT OF BUILDING AND SAFETY o COUNTY OF RIVERSIDE
OFFICE PERMIT NUMBER
JDATE ITIME C
JD INSPECTION
REQUESTED
ADDRESS SPACENO. FOR:
F� A.M.
OWNER COMMUNITY
cl P.M.
BUILDING PLUMBING ELECTRICAL MECHANICAt
1:1 IWON
TiiE S
WED
R&ARKS:
Fl �Rl
OWN EWCON TRACTOR TELAO.
DEPARTMENT OF BUILDING AND SAFETY COUNTY OF R
OFFICE DATE TIME PERMIT NUMBER
ADDRESS .1SPACE.No.
VERSIDE
INSPECTION
REQUESTED
FOR:. �
i A -.M.
OWNER COMMUNITY
P.M.
BUILDING P LUMBING ELECTRICAL mECHANICAt
AO'
0I,#k -W AED—s
REMARKSI Fee Aa-c� M-fHUR
7-17--77
'r .a E].Fkl
OWNE R/CON TRACTOR TEL -NO.
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO �CON STRUCT
DEPARTM64T OF BUILDING ANDo.4AFETY
COUNTY OF RIVERSIDE -
i TRICT
A
o Smit No
-7 v
, -, — -.� I ... �, 4
?0,4. 1,09-- 9/74
CANARY—FILE, PINK—APPCICANT
OwnerKt ArEhitect Contractor
/
Addr -q Address—
/,Address
Ci ky. c4ty City -
Phone— Phone
at
I Ore) !he .de,-�ig�,.,�,'-!wr-ety\certify and acknowledgie that I (we) have read the application and'agree that if Curb and Gutte r, and
Paving, and/or Dedication of right of way is reCl4ired by the County of Riverside, the Riverside County Department of Building and Safety
�ha#;not mike a firial inspection until said requirements have btlen met. I am also aware that no work is to be done wittiin the County R/W
0
without an encroachment permit.
21
I (we) will not occupy said property and will not cause said property to be oc upied until I (wel have
NOW ther�i- re, it is agreed c
Ciehat
complied �ith.ell laws of the -ty of Riverside and *the State of California governing said propeity�
DAT SIGNATURE: OF OW E R AND/OR AGENT
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to.the Issuing _of-; Construction Permit.
ASPACE NO.
'c,�' A USE OF STRUCTURE
5 .
JOB ADDRESS I E`F DUPLE -X
%YG
LEG SCRTWF ?R,?PIERTY E] AGRIC.
0
;; 4
. ; , "t , COMME - RCIAL INDUSTRIAL Ej
in
;
-COMMUNITY,.. - i -t -A
ALTERATIONS
z
U,
NO. OF SUBMITTEWPLANS SE ERMIT
CASE NO.
N 0. 0 F PA
ORKI G SPACES REQUIRED NO. OF BUILDINGS NOW EXIS " TING
--) e� �T
ZONE" ETbACKS: FRONT ---� :R' AR
—SIDE E
GRADING.PERM.IT REQUIREDT 4S �El- NO LOT SIZE
SETBACK OR51NtNC.�# OF— FEET REQUIRED ON 7
DATE SIGNATURE OF LAND USE OFFICIAL
DEDICATION REQUIRED: YES NO C] NO. OF FEET
z
REQUIRED: YES NO 7x e ?—STREET
lu
X
CURB AND GUTTER (3. Cj
IL
CAN CURB AND GUTTER FEASIBLY, BE INSTAILtD?� YES [I NO C3
-4T FOR, DRIVEW
HAS AN -ACCEPTABLE APPLICATION BEEN MADE L FOR ENCROACHMENT PERM AY AND STREET
.4
IMPROVEMENT? YES *--NO 0
jeer
-7 ej �/O,t
OAT SIGNATURE OF ROAD DEPT. '0FFICIALt/-
SEWAGE DISPOSAL /h-'" eW,4y-
z
I , I - If
NT 1-4V A -1,0 A
WATER POLLUTION REMARKS.
FLOOD CONTROL
. ' a',
AIR POLLUT.11ON"'— ;go*
X DIV OF HWY
Z 11 -
YOUR, PROPERTY MAY BE SUBJECT TO
FLOOD. RIVERSIDE COUNTY ASSUMES h
NO-RESPONS IBI L.ITY IN EVENT OF FLOOD.
, -, — -.� I ... �, 4
?0,4. 1,09-- 9/74
CANARY—FILE, PINK—APPCICANT
1z
UJI
z
9
APPLICATION. FOR TREE PLANTING
I (-e), the undersigned, hereby certify and acknowl:dge that I (we) have read the application and agree that if trees are required --nder River'
side County Ordinance No. 457, th"' licant agree to install said trees prior to final inspection. It is understood that no final ksuction
rfIl be given until said requirimeni41.pve been met or exception has been granted by the Count is 3reed th t t a proF*
w d _y. Now, therefore, it i : t a County of
owner shall cause th prop:rty lines to be surveye in the event no survey stakes can be found. Further, it is ogre tho the
rside shall ass sp
R . _yme n: re risibility should trees have to be removed due to lot line errors.
Owner's Name
Mailin-9 Address "f I '7f4 : , ^ E-0; ii
Job Address — "S-- __31 9-5- - hlt
Legal Description Aq-'t
As"ssorfs M I Book & Page L(
�T�pq of Soi7_n9_Is water available
Type of existing trees in road right-of-way
Trees preferred by applicant (1) 3Q
inun i ty
S L,
L—Road Dept. Plot Plan No
(2)
Date /I — ?_ q — 19 5� Owner's Signature
Type Structu,r
Planning Commission Case No.
ROAD DEPARTMENT APPROVAL
(3)
ip
0(1
.,.Approved species Jacaranda acutifolia (Jacaranda) Number of trees 1
4 IL Spacing of trees Distance from lot lines: Front 2" in R/W Side
0 Mj
iza Additional requirements Per plot plan on reverse,
Date Building and Safety notified 5/79 Signature %vow—
REQUEST FOR EXCEPTION
Reason
03'-
Z I -
5,W
LL
44 (attach additional page if necessary)
us Request for hearing: YES El
Owner's Signature
as �_'
9L
LU
CA
z a
4C <
_j 0
IL 0:
z
<
_j
CL
(Forward application to Planning Dept. if'exception requested)
NO REdUEST FOR HEARING
Planning Dept.
Concur F-1 Non -concur M Explanation
Dot* Signature
Road Dept.
Concur 1-1 Non -Concur E]
Date Signature
Date hearing established —
Approved E3 D.isapproved
Date Building & Safety notified
REQUEST FOR HEARING AND COMMITTEE DECISION
Date hearing.notice mailed to ownerr_
Date Owner notified of decision
Signature
4
-5"�
72 u 1. 7
MIT NO
3A6R01! '53465-
PERMIT NO.
3 6 0 i� A65
DEPARTMENT OF, BUILDING & SAFETY
COUN7*10FRIVERS169
rmLIJ V
ST
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
'AST Fi. 1A43.
2ND. -FL.
POR. 79 -SO.
qAR, P�
- .. 1
—.ESTIMATED CONSTRUCTION
SQ. FT-. @ MAO $
.26 '!,.20 UNITS
J.Ck� By
Rim
SQ: FT. @
YARD SPKLR SYSTEM
FT� 0 4,00 6. 00 MOBILEHOME SVCi
BAR�S . INK
SQ. FT. @ 6 50 24.00. POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
1
$4. Fr. @
DRINKING FOUNTAIN
SQ;. FL @
URINAL
VALUATION I$
WATER PIPING
NOTE: Not to be used'cis property tax valuatiori
,SWIM POOL, PVT.
FLOOR DRAIN
MECHANICAL FEES
SW1_ POOLj, COMM
WATER SOFTENER
,�Ekr�rTEA: �HOOD
FA� 7 E�Xp. CC&
SIGfN
0,
WASHER (A&Y(DISH) 4 00L—
APPLIAWCE 3k DRYER, ;
—LAJ-4 1 1
.
—
GARBAGE DISPOSAL 9 nn
e
FQRNACIE U�IT WA�L TLOOR SUSkNDED
LA UNDRY TRAY
!k I IR`kAN61I)46;UN,_,IT CFM
IDUEM
KITCHEN SINK
A6SG SYSTEM j B.T.U.,
TEMO USE PERMIT SVC,."
s2 WATER CLOSET
o? OROSOR HP
POLE TEMP/PERM
7 ,D--
LAVATORY
-
HtATiNd,sYsTEM`-,. 3g FoRcEb GRAVITY-,
AMPERES SfRV ENT
SHOWER
BOILER &VU.-
TotofFois. V
BA TH TUB
Address
404 uftood- fty..-
SQ. FL @ c
WATER, HEATER
CA'.
SO. FT.'RESID .@.11/4 c
ie 64
SEWAGE DISPOSAL
bI.C.11 ch.,iw
SQ. FT. GAR'(M' 3% e. 3 a
.46—
--
HOUSE�SEWER
ControcIor
a-
7 71,
GAS PIPING
PERMiT'FEE
PERMIT FEE
A_ Iml—
%,_JpERMIT FEE
DSL�
TOTALFEES
MOB. HALIFEE,
MICRO FEE� MECH. FEE -PL. CK1. . FEE-
22, W
TONST - _FEE
127, 00
J. i.
JE
E
A& 0a
FEE
MIT NO
3A6R01! '53465-
Job AddreSSr
AvauiAa Cmi-ea
jfi"
pace, Zip
L2 53
Date
an I jqja�u.7411
Owner
Dist.
I -
Off. F.C.C.
T , -001,
MH,,PermIt Fee $
Micro Film, Fee Cop $
Use 6 Mil .
bi*1 Att.
Legal Descrip.
"p'
Parcel No,
u, F6
J.Ck� By
Rim
Mecti- Feei Obt
Pit Ck_-,Fee
Set Backs
Lot Si.
a tt too -
Construction Fee DbI Is 117
F S
2
R
Electricot'Fee Dbt 1$
Zane Restriciians
G:
w Plu . rnbi�g,,Foe' DbI $
.2
-Plan No.
9-
Plon-Checker
FITiol. D.�,tj, I
g __4q
C
I t
it
Sp.- lnsp� Fee $
DernoL Feet
Con3l. Lender
Branch
Suix plimentol Permit Islumbers
M!IeOge�Fee
city zio
Witn�si-Feiv $
Rains
_p. Fee
.7 ... .
"All ftavo Inv -4
ToL
Zip
TotofFois. V
1I C]
Address
404 uftood- fty..-
City"'
ftfael.,
CA'.
bI.C.11 ch.,iw
R
�ocjved b
'Trees
,- raq4jns
ControcIor
a-
8691.
License#
35414i
Address
Am 2084.
%
-%Im
CA
Zip
0990
4_0 W—L *eW
Sffi%4r'D1,sM,c�
A -
THIS PERMIT SHALVBECOME VOID IF WORK IS NOT COMMENCEDVITHIN 120 DAYS. CESSA71ON OF WORK
FOR, 120 PAYS SHALL AL�SO SE, IT TO BECOME VOID.
I HEREBY AGOEt THM AA"-rwt,H-TRS k0AIT WILL BE DONE IN ACCORDANCE WITH
'W
OUNTY 'T,
THE 1A. S OF ItIVERSibE COUNTY, -THESTATE oP,cAbFo�NA,,,n�
I HEREBY iSERTItY THAT * TWIN151VIDUAL WHjO, PREPAREDTHE PLA14SAND SPEC-l[FICATIONSHAS, DONE SO IN
ACCORDANCE WN SECTION_!�Solf OF THEALISINESS AkbrPROFESSIONS CODE OF THE STATE OF CALIFORNIA.
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