354537, 359690 (SFD)BUILDING PERMIT
PERMIT NO.
354537
DEPARTMENT OF BUILDING & SAFETY
-. COUNTY -OF RIVERSIDE • I .
FIELD
C.0 RUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
�•$
IST FL. SQ. FT. low f
/ -� UNITS
2ND. FL. SQ.! FT. (a} '
a + ^ A J "�, srk� : • •
YARD SPKLR SYSTEM
POR. SQ. FT. '
;♦ ++- MOBILEHOME SVC.. , ,
BAR.SINK, .- • .
+�^ POWER OUTLET
ROOF DRAINS
GAR. SQ. FT.
F.C.G.
.MH.Permit Fee E
J
Cop E
DRAINAGE PIPING
CAR P. + SQ. FT. @
f
774-
tf
Use/Case No.
DRINKING FOUNTAIN
WALL SQ. FT. @
Mech. Fee Dbl E
PS. Ck. Fee
As ` `
Set Socks
lot Size
SQ. FT. @URINAL
_)FF
Legal Description
y rr�
t i2
ESTIMATED CONSTRUCTION VALUATION $
"•
WATER PIPING
NOTE: Not tq be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
f; /MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM j FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
•
GARBAGE DISPOSAL
FURNACE UNIT, WALL FLOOR SUSPENDED
Unit
/
` LAUNDRY TRAY
AIR HANDLING UNiT CFM
IDLE METER i
KITCHEN SINK
}'
ABSORPTION SYS M B.T.U.
4EMP USE PERMIT SVC -
WATER CLOSET
COMPRESSOR I. f HP
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED '- GRAVITY
- AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT @ c
BATH TUB
I, '1
SQ. FT.' @ c
WATER HEATER- -
i
SQ. FT. RESID @ 1'/4 c '
SEWAGE DISPOSAL
SQ. FT. GAR @ ?/4 c
HOUSE SEWER
Total Fees
E
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL,
T AL F�FE�
MOB,HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONSTJEE ELECT. FEE
SMI FEE
FEE PLUMB. FEEol -. a
Tel.
LicenseM
Trees required
Sewage System
/1'i,td��U. THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
' Sewer District 4 Z FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
4
' 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.
1 HEREBY CERTIFY THt4T THE INDIVIDUAL WHO PREP/BRED PLANS AND SPECIFICATIQNSJ�AS DON IN r L- .. •,
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Form 284-208 (Rev.8/78) E
.N. .•.w..�.,�._:.._.�+�:._r.. ..<.:.�,..,ter.........•--._..�.`:z.,_..�� -z.:.r
Job Address
53-145 Avenida Mat,
Space
Zip Owner
2 R11119 4021111h-:-
PERMIT NO.
,f 3 5 4 53 7
Community
L& s uiQta
Valuation
E
Date Dist.
Off.
F.C.G.
.MH.Permit Fee E
A�icro Film Fee
Cop E
Use of Permit
u a{ & Att. Girt!
f
774-
Parcel No.
lli-42
Use/Case No.
IBS—
a. By
Mech. Fee Dbl E
PS. Ck. Fee
As ` `
Set Socks
lot Size
,Construction Fee Dbl E e
Legal Description
y rr�
t i2
I
�
S
•Electrical Fee Dbl E
Zone Restrictions
o -
Gr u 3
P
W.
4yJ�
SMI Fee E.'
Plumbing Fee
Dbl E
Bond Amt. iign o ,,/
E /(,L C [�,
T
PlanChFinal
I67C
rtG�E,j+
Dat?
t� ,—, —
Inspector _
Unit
/
Sp. Insp. Fee E
Dental. Fee
E
Const. Lender
or
BronchSupplimantal
Permit Number .'
,•
_
Regisir. Fee ' E
Mileage Fee E
Address City Zip .•
` ,� _✓'
Witness Fee E
Reinsp. Fee
E
C�er/Agent ��yfr. r
. - ii •
-
. t
r .
Tel.
Zip
Total Fees
E
-y..
'Addres`s• ` '
2Wraba Dr.
' '� '
`
City • ' • '
Zip
{ M. 0. .C. Cash 0 Ch
�eceived b'
Contractor
����tFii7i�
AM • r
Tel.
LicenseM
Trees required
Sewage System
Address
City Zip
/1'i,td��U. THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
' Sewer District 4 Z FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
4
' 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.
1 HEREBY CERTIFY THt4T THE INDIVIDUAL WHO PREP/BRED PLANS AND SPECIFICATIQNSJ�AS DON IN r L- .. •,
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Form 284-208 (Rev.8/78) E
.N. .•.w..�.,�._:.._.�+�:._r.. ..<.:.�,..,ter.........•--._..�.`:z.,_..�� -z.:.r
7
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE, INSPECTOR
BUILDING APPROVAL'S
MECHANICAL APPROVALS
I
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel s•a yam\
36
Inlets 8 Outlets
4
Grout Blocks r
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
l0A
Fireplace T.O. �.
OP'N
NO.
ADDITIONAL INFORMATION
'
71
"
'
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
.INSULATION Thick. R
V61ue
7A Walls (Batts) u r
12B Ceiling (Batts)
12C Ceiling (Blown)
14 '• t 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
29AGrounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
T BUILDING PERMIT
t
1
PERMIT NO.9:f
3 5 9 6 9 0
i{j4
DEPARTMENT OF BUILDING & SAFETY
1 COUNTY OF RIVERSIDE
Zip
FIELD
Owner
DST
CONSTRUCTION ESTIMATE
•
NO. ELECTRICAL FEES
NO.
PLUMBING FEES
IS7 FL.
2ND. FL. X; 449
POR.
. GAR. -
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @
Community53-7143 X da
UNITS
fir'
W F.C.C.
MH Permit Fee E
Micro Film Fee
i t • YARD SPKLR SYSTEM
SQ. FT. @
SQ. Ff. •Q ` " - MOBILEHOME SVC. BAR SINK
o.
» • POWER OUTLET ROOF DRAINS
SQ. FT. @
Mech. Fee Dbl E
SQ. FT. @ • * * DRAINAGE PIPING
E
DRINKING FOUNTAIN
SQ. FT. @
_
Legal Description
r
SQ. FT. @ URINAL
cks Lot Size
S R
VALUATION $ WATER PIPING
Electrical Fee
NOTE:. Not tq,be used as property tax valuation 30y0wo
"'i SWIM POOL,- PVT, '. � ^ � t• S
•
FLOOR DRAIN
4d. VU
MECHANICAL FEES
E
SWIM POOL, COMM
Bond Amt.
WATER SOFTENER
Plan Checker
VENT SYSTEM FAN EVAP. COOL 20 HOOD
Fi
SIGN
Ins%pye�ct�or�
WASHER (AUTO)(DISH)
Sp. Insp. Fee
APPLIANCE DRY
•
E
GARBAGE DISPOSAL
2 {jQ
FURNACE UNIT WALL FLOOT SUSPENDED
LAUNDRY TRAY
E
AIR HANDLING UNIT CFM
Const. Lender Branch
IDLE METER
Supplf nt Permit
s
KITCHEN SINK
Regist, Fee E
ABSORPTION SYSTEM B.T.U.
Address City Zip
TEMP USE PERMIT SVC
Reinsp. Fee
WATER CLOSET
COMPRESSOR HP
POLE,TEMP/PERM `
Zil
-p
LAVATORY
. `•
Total Fees � ' ' " " S'
23 a
HEATING SYSTEM FORCED GRAVITY
-
AMPERES SERV ENT
Zip
SHOWER
EI Co.hrl Check -0
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
r,
-
Contractor
Address t!
SQ. FT. @ c
Tel.
APa•�
-1—
Cit Y
WATER HEATER
Trees requa _
Sewage System
SQ. FT. RESID @I,/, c
,�.
SEWAGE DISPOSAL
200
Jot SQ. FT. GAR @ 'G c ♦.
HOUSE SEWER
10
ROY •
GAS PIPING
PERMIT FEE •
PERMIT FEE
�.
PERMIT FEE
DBL.
- .TOTAL FEES .
MOB.HM.FEE
MICRO FEE
., r PL. CK. FEE
CONST. FEE
SMI FEE
FEE
PLUf� (V
✓•\IV
PERMIT NO.
Job Address
- Space
Zip
Owner
359690'
•
Community53-7143 X da
Valuation ITe
E
fir'
W F.C.C.
MH Permit Fee E
Micro Film Fee
Cop E
Use of Permi'�
o.
se/Gose * Ck
Mech. Fee Dbl E
PI. Ck. Fee
E
•tatt,-
_
Legal Description
r
F S
cks Lot Size
S R
Construction fee Dbl S
Electrical Fee
Dbl E
* qq" ���� +� �j ��•y,t��
1h 121' 101k 3-921SO 017
- Restricti
SMI Fee E *
Plumbing FeeDbl
E
« -
Bond Amt.
Pion No. ^•
Plan Checker
Fi
Ins%pye�ct�or�
t
Sp. Insp. Fee
E
E
•�
QZ
Demol. Fee
E
Const. Lender Branch
Supplf nt Permit
s
Numbers
Regist, Fee E
Mileage Fee E
Address City Zip
Witness Fee E
Reinsp. Fee
E
/Awner ent
O 9
T e.
Zil
-p
. `•
Total Fees � ' ' " " S'
23 a
Address "%'�: f '� •
-
City r„
Zip
M.O. N.C.
EI Co.hrl Check -0
Received b,_Q,=62
r,
-
Contractor
Address t!
Tel.
APa•�
-1—
Cit Y
Licensei
Zip
Trees requa _
Sewage System
LL r THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED THIN 120 DA S. C verified by:
*Sewer Dis I f FOR 120 DAYS SHALL ALSO CAU PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALT THIS PERMIT WILL BE DONE IN ACCORDANCE WITH '—
} THE LAWS OF RIVERSIDE CO J1 ND T STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE "INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev.B/78) v
i ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. .
NC3 OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS `+
1 Set Back _
33
Ventilation System
2 Ftgs 8 Frms Z�-� /
���.
34
Plenums 8 Ducts
2A Slab Grade g_Z.-79
Qom.
35
Furnace Comport.
3 Steel
36
Inlets 8 Outlets
4 Grout Blocks
37
Combustion Air
5 Bond Beams
6 Roof Deck -79'
38
39
Compressor
Appl. Clearance
7 Framing 7
40
Fire Damper
8 Vents
41
Smoke Detection Device
�v
9 Garage Fire Wall
42
Commercial Hood
10 Fireplace P. L.
43
Final �L 4-0
10A Fireplace T. 0.
No
ADDITIONAL INFORMATION
C1aNpAer,,`id f %L fed, o.�-�';/�, 1-1-26-7y
S � I. AAA Aw, ►.� VMA^ %,
V 1 � 9
SEWAGE SYSTEM SIZE 8 LOCATION
11 Exterior Le1hI
12 Internal Lath
12A Drywall l�_ 30- %
13 Finish Grade
ITO
INSULATION Thick R "
Value
7A Walls (Batts)
12B Ceiling (Batts) 0-2-6-
12C Ceiling (Blown)
14 Final
APPROVALS_
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal �7
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test J.2.:7,_ %
25 Final a
Tank Pit G L.Line
REAR OF PROPERTY LINE
P/L $ P/
i
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring `f q
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final oZ -.4.7
STREET NAME
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT
(/
Permit No
284 199 9/74 •" �.,, CANARY—FILE, PINK—APPLICANT
• i luLaw
Owner ,Sopgja-P Ar Vct Contr�r�
Addres �ddr Addr
Nw"t But i
a
t►
City City City_ -
Phone Phone W NO 290M Phone
I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and
W
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.
t ef!= e) have
NOW, therefore, it is agreed that I (we) will not occupy said property and will not cause said proiwrtyt_u ' I w
YWrf 7F7
complied with all laws of the County of Riverside and the State of California governing said property.+ -
9 Els X!'ir°� By
DATE 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.
SPACE NO.
- I USE OF STRUCTURE
JOB ADDRESS 5"" hVilMI I
_Dift _
_a SINGLE FAMILY Ell DUPLEX 0
` f V " c�
Z 1-1
W
LEGAL DESCRIPTION OF PROPERTY _ f r /
APARTMENTS AGRIC.
Leat 12 Mt M iatt 19 - o ❑
o�
N Q
— COMMERCIAL INDUSTRIAL ❑
'^
COMMUNITY
ALTERATIONS n
G�
Z
NO. OF SUBMITTED PLANS �—_ USE OF PERMIT,' f. tom'<<L —--
H Q
CASE NO.G�.i}
p Z
NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING
Q
_ _ _
ZONF�!. tETBAC'KS: FRONT SIDE REAR f
m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE f "
SETBACK ORDINANCE # ___ OF FEET REQUIRED ON --- ` STREET
DATE /7 SIGNATURE OF LAND USE OFFICIAL - _e « /
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET.__ �
zCURB
J-
AND GUTTER REQUIRED: YES ❑ NO ❑ �lEfrGr-ls9r2 STREET
a
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR,DfMVEVVA� D STREET
r
IMPROVEMENT? S Q� NO C3l
°t
DATE ? SIGNATURE OF ROAD DEPT. OFFICI
I SILLILLIC i -23_T
WSEWAGE
SWIMMING go,
DISPOSAL -
_
offF
_
WATER POLLUTION REMARKS
�n FLOOD CONTROL—
z AIR POLLUTION
W DIV OF HWY
I- a — YOUR PROPERTY MAY BE SUBJECT T'0
d
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199 9/74 •" �.,, CANARY—FILE, PINK—APPLICANT
.4:
a
W
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aura
APPLICATION FOR TREE PLANTING Job 925-35
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. 4n
Owner's Name W & H BUILDERS Building Permit No. fJ
Mailing Address 12540 Palm Dr. P 0 Box 818 DesertcHgt Springs State (,a zip 92240
Job Address 53745 Avenida Diaz Community La TUinta
Legal Description Lot 12 Blk 192 Unit 19 Santa Ca
Assessor's Map, Book & Page -77 Type Structure DwPll ina
Type of Soil Sand Is water available yes Road Pept. Plot Plan No.
Type of existing trees in road right—of—way �� ✓%�
Trees preferred by applicant (1) Olive (2) Palo Verde 4 (3) RraZ� 1 i an Peder
Planning Commission Case No.
ROAD DEPARTMENT APPROVAL
Approved species Ceratonia siliqua (Carob) Number of trees 1
Spacing of trees Distance from lot lines:' Front 2' in R/W Side
Additional requirements Per plot plan on reverse.
Date Building and.Safety notified 5/79 Signature
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.
Concur 0 Non -concur O Explanation
D ate
Signature
Road Dept.
Concur F-1 Non -Concur F-1
Date Signature
REQUEST FOR HEARING AND COMMITTEE DECISION
Date hearing established Date hearing notice mailed to owner
Approved
Date Building &
Disapproved n
notified
Date Owner notified of decision
Signature
s•re,�w
BUILDING PERMIT
PERMIT NO. { ; DEPARTMENT OF BUILDING 8 SAFETY Ds
359690 t COUNTY OF RIVERSIDE ', j�
CONSTRUCTION ESTIMATt
NO. ELECTRICAL FEES
NO. PLUMBING FEES
Space Zip Owner
fj
�
UNITS
r
Community (�
`�rn
1ST FL. SQ. FT. @
Valuation �1y� Date Dist. Off. F.C.C.
§ V4V�W rff-ggi
1k?MH Permit Fee §
•' c FtW.?'tW^, ! Cep —�
Cermil�
-
(
Parcel No., Use/Case No. Ck. By
.•.++�•r+ r titer-
_.
. Mfch.'�fee.
Dbl §
YARD SPKLR,SYSTEM
2ND. FL. SQ. FT. @
RA
Set Books Lot Sixe
. Fee
"dr
POR. SQ: FT. @
_7
•� ' 'MOBItEHOME SVC!, ^'
`W'
BAR SINK.
460
Dbl §
POWER OUTLET
iPgol Description
w` ; by,�j yL_�!! q2j �+jq*-�
' INTI—� "1M+F•�'Lf. Wq-'—
ROOF DRAINS
SQ. FT. @
' SMI Fee
k
§
\GAR.
--
VM
Fee
Dbl §
DRAINAGE PIPING
CAR P. SQ. FT. @
Plan No.
Plan Checker
5, 4
Final Date'
G�
Inspector
`WALL SQ. FT. @
$lumbirig
p. Insp. Fee
§
DRINKING FOUNTAIN
§ /
/
URINAL
+` SQ. FT, •@
Fee
§
Const. Lender
ESTIMATED CONSTRUCTION VALUATION $
Supplimental Permit Numbers
_
'
'11{{yj111F''»D)tmol.
t Re�str. Fee §
IWATER PIPING
NO*E+N-ot to -be used as property tax valuation
Zip
SWIM POOL, PVT
Reinsp�Fee
FLOOR DRAIN
MECHANICAL FEES
:0wn:er/Ag9d1
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM 2 X FAN EVAP. COOL HOOD
> ]
atal Feat'** -
SIGN
p
9i
WASHER (AUTO)(DISH)
APPLIANCE XDRYER 3p
... ....
i ,..
C t Zip
M.'O. , N.C. Cosh ' Che
GARBAGE DISPOSAL
00
FURNACE UNIT WALL FLOOR SUSPENDED
Contractor
}� CORP,G
AM C
+•
LAUNDRY TRAY
AIR HANDLING UNIT CFM
Trees required .
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
r
TEMP USE PERMIT SVC
City Zip
WATER CLOSET
COMPRESSOR HP
WOO
POLE,TEMP/PERM
LAVATORY T
HEATING SYSTEM X FORCED GRAVITY
440
100,AMPERES SERV ENT
SHOWER
6OILER B.T.U.
SQ. FT. @ c
BATH TUB
- SQ. -FT. •@ .c
WATER HEATER
r
•SQ. FT. RESID @1'/.cSEWAGE
DISPOSAL 111% Min
SQ. FT. GAR @ 3/4 cHOUSE
SEWER
'
AELECT,
GAS PIPING
ISEAMIT, FEE
PERMIT FEE
PERMIT FEE
DBL,
TOTAL FEES
MOB. HM. FEE
.+ O FEE
'rNfCH'fEE'"'
21.00.
'PL.-CKo-FEE- -.
—•LO
SMI FEE
FEE PLU
219.66
33p. -
2i�.q
37.00
PERMIT NO.
`359694
J b'Address
Space Zip Owner
fj
�
r
Community (�
`�rn
Valuation �1y� Date Dist. Off. F.C.C.
§ V4V�W rff-ggi
1k?MH Permit Fee §
•' c FtW.?'tW^, ! Cep —�
Cermil�
-
(
Parcel No., Use/Case No. Ck. By
.•.++�•r+ r titer-
_.
. Mfch.'�fee.
Dbl §
t: •
a`77
RA
Set Books Lot Sixe
. Fee
§
_7
.Constri tion Fee
Dbl §
130. .i
iPgol Description
w` ; by,�j yL_�!! q2j �+jq*-�
' INTI—� "1M+F•�'Lf. Wq-'—
_
— Zone Restrictions T
FeStri. '.Fee ,� Dbl §
' SMI Fee
k
§
--
VM
Fee
Dbl §
i
Bond Amt.
Plan No.
Plan Checker
5, 4
Final Date'
G�
Inspector
Unit/
$lumbirig
p. Insp. Fee
§
§ /
/
Fee
§
Const. Lender
Branch
Supplimental Permit Numbers
_
'
'11{{yj111F''»D)tmol.
t Re�str. Fee §
I'Mileage Fee - §
Address City
/ b
Zip
T Witn��s�Fee §
Reinsp�Fee
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M.'O. , N.C. Cosh ' Che
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Tel. License#
Trees required .
Sewage System
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12-54o Palm Dr.
Sewer District [J
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Form 284-208 (Rev. 8/78
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THIS PERMIT SHALL BECOME VC1jP IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
FOR 120 DAYS SHALL ALSO CA TO ME VOID.
I HEREBY AGREE THAT ALL K IN CO E:Tf�NITIHIFTHIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND 7 STORNIA.
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:
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