427387 (SPIN)NOTICE TO APPLICANT
In conformity with the provisiom of Slate of California. Labor Code Section X000, the applicant shall have on file or file with the Riverside County
• .�r5 ' . Depertmool of 9ufldipq and Safely o certificate m de319noted in Items I or 11 bolow, or shall Irdkoto Item 10, N, or V, whichever Is opplknbla.
L
CERTIFICATE OF APPLICANT
ilia;R. rwrk 1119 appropriate block.
[� L Cettifltbte.e! Cemo6i to wif lrauro Isued by Lhe OlrtMor of tndwtrlol Pointless.
❑ Copy*on filo ❑ Crpy submitted
❑ it. Certificate of WoAsw Compensation inwronct Issued Ery an admitted insroer.'
❑ Copy an file ❑ Copy submfn� .
❑ IIL The cool of the work to be parfanntd is 1100 or Ice►.
i
❑ N. I certNy Ihot In the performance of the work for which this permit Is Issued, I %holt not employ any person In any manner so as to betaine
wbleA to the Work6w Compensaf Lon la vs nP CC109Mio. I funher certify thof, In the event l become Subject to the workers, Compema
don pravlsion%of the Labor Cuda that I will comply forthwith with the provisions of Labor Code Sealon 3100. et seq., and understand
that, Y I do not comply, the permit shall be doomed revoked.
O V. 1 COMIFy 03 the owner (or the ager of Ik; owner) that In rhe patrformonce of the work for which this permit is Issue
( have mimed
contractor. (Contractor mwf have on file, or submit :mtaflmro required Uy I or II af»va.)
AppUmnfs Signature
d Owe
--.—Permit —_—. Permit No. '
ass and location where work is ID t,e perfmmea nt,
26
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IOWA .•.w:..: 011PAR'fARM OF BUILDING 6 SAFM .,•.
.7 7 COumv OR QHVER3IDB HEADOUAMR RS O
F
}'e
t.
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t
CONSTRUCTION ESTIMATE
NO. ELECYRICAL FEES
NO. PLUMBING FEES '
131i FL
4N0. FL
30. Fr. G
Dore
� / ��.
Sd R. ®
- YARD
FOA
OAk
SQ fT. °.g
Ah MRtMOME SVG
SPW SYSTEM
RAR SINK '
Sm FT. ® POIYER OUTLET
ROOF
CAR P.
SOL FT. A
Tee. It.tr,Yr.e,r.
DRAW
CRAINAGE
WALL
!Ian. ®
Ifar'btq Fre ppm1
PIPING
DRAIKINO FOUNTAIN
Nen Ir.
SOL Ff. a
C1.1 a..
URINAL
' 9MMATED CONSTp1Y, M VALUATION S
NOTE F/St b tat wed m orepr*i tea .eluaeen
SWIM FOOL PVT
WATER PIANO
FLOOR DRAM
MECHANICAL FEES
SwuA FOOL COMM
WATER SOFTENER
ff J/:rBl MN LVAP. COOL PLOW. �
' Sm
WASHER (AIAO)(DCSHI
ORMI!
awnp/Aeenr
GAR`UGE DLSFMA%
IMEC-7—UNIT WALL FLOOR SUSPCNDED
Tart Few
LAUNDRY TRAY.
upar GM
101E MEETER
KITCHEN SDS>NSiFK
3T.U.
RNP USE PERMIT SVC
WATER OASET'
PCKF..TEMP/PERM
LAVATORY
�H.
FORCED GRAVrrY
AMPK SSERV ENT -
SHOWER50.
FT. a c
PATH TVe
$0.FT. 0 c
WATER KiATER
.
SO: FI. RESOD@I!'.e
5EWA04 DISPOWA
SO. ff. GAR G' .•, c
DOUSE SEWER-- .
GAS P,PINO —_..
WRMITFTE
TOG{ Fos � h"'x "Tf A11CR0 R[
PERMIT TET
MECN 1!f P1. CR. ITE CCWST RF Eucr rtf
PERMIT
iw fEf ADMB. ISE
RWat10. (
427387'
nb Add.. Srerr. I;e
o—,
Y
— LAS•
�ntwen !"
t
Dore
� / ��.
. aua,
qt. F.Cc.
NIU\rra tee /
AtbenLe M OPS
ur. er n..n:r - -
y �'�.l = Z
<e11ro u.e.caw wr a er
Ser east. Wr Sue
o S 3 3
Mm, M. Dat1—D/44
R Q M 1
fn pa t
4Re10esrlprow �•–
f�?`%3 / 2 ]
tleltby F.t Cw f
Tee. It.tr,Yr.e,r.
aee,a
1,P.
sAo re. 3
Ifar'btq Fre ppm1
land Mir.
,1
Nen Ir.
oars etrtw
C1.1 a..
b.Vetr>
Ndr '
te. colo• tee
�d r^e
conn. Lender Gain
sumb--al F.raw FAmpwt
SLzra � i7 ..
.
took-, I -
le. t
ACaiW CWF Ea
'
trt.waa lee
eetrrA M 3
awnp/Aeenr
re. Ero
Tart Few
Add—
Gy TIP
N
MQ G Cab Cbl
threlvad
Cen ,oro
iN
lrtenrel
Seeeee Syaer
Adorer.
ah TtD
Saw DrrPrcr
EOR 170 DAYS SWILL ALSO CAUSE PERMIT TOUCNOT ECOME D WITHIN 140 DAYS. CTSS4TtON OF WORK
.aUiod.b,:
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CL
I HER48Y AGREE THAT ALL WORK IN CONKCION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND TIG STATE OF CALIFORNIA
I tiEMY CERTIFY THAT THE INDMDUAL WHO PREPARED THE PLANS AND SPECIFICAMM
ima 284'2w IR.. e'Ta) ()r
HAS OOSO W
NE
ACCORDANCE WITH SECTION SSBI OF THE BUSINESS AND PROFESSIONS CODE OF LME STATE OF CAUFORMA
—j
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NOTICE: .THIS IS NOT A BUILDING•PERMIT DISTRICT
rAPPLICATION
TO CONSTRUCT Permit No
DEPARTMENT OF -BUILDING AND SAFETY
COUNTY Of RIVERSIDE
•j.;
Owner /i .L? - Archll6et� Contractor.
AddLe�s Address_ Acidress..F2d _-�7_�-�
i'Orr� - _-'_ -_ CrtY--r'!�'�L.i.�..
City D�c.C._� i �,�.� City
'�
Phone_ -�,L-
`I - G
phone rw'1i Phone -..--------_ -
t K
I live) the undersigned, hereto cen.fy and acknowledge that I Iwet have read tha iripiscation and agree Ilntt if Grnit and Gma., and
County of Rrverade, the Rrvenlida Canny fkYrartment o) guiNling and Solely
W
3..
!
Paving, and/or Dedication of refit of way is regwred by the
shall nal make a Final Inspection until said itnuirements have.bron met. 1 am oho awaic that it.,work is to be diino within the Calmly R!W
Q
without an en:reachment Pantrt.
NOW. therefore, .t . agreed that I Iwel will not occupy said property and will mit Caine said Property 16 be occupied until 1 lwe) have
s
Stale California gevarn.nq saki Praperl-y t
compiled with all laws of the Countv of Prvers1de and the of ,
I
SIGNATURE OF OWNER AND/OR AGENT . -
DATE
Aporoval br Signature from 11116 Following Departinenta Listed Below
Mutt Be Obtai d Prior to the Issuing of a Construction Permit,
j'SPACE NO.
•; 'J 7J<'/j t USE OF STRUCTURE
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JOB ADDRESS T�L��r - -�N - SINGLE FAMILY DUPLEX
r---IJ� [�
z
LEG DESCRY 10� OF PRO�Tl� APARTMENTSAORIC.
COMMERCIAL [� INDUSTRIAL
i
-
COMMUNITY
O a
N0. OF SUBMITTED PI 4uc rr.r. ny . '�')�" -_ .�= f
r�-F_�r�'- . .- .
ILDiNGS NOw,EXISTING
N
- E - N0. NO..OF
NO Op A KIN SPACES REQUIRED - -='•yj-�j 4'Q REAR
to 9
ZONE LOT FRONT STREET
YES -r NO 1 ! LOT SIZE `. l'-
v
GRADING PERMIT REOUIREO?
FEET REQUIRED ON
f
_ fes# -- Of
SETBA K OROINA \ SIGNATURE OF LAND.USE OPFICIAL'
�.
NO C . NO Of FEET._— STREET
DEDICATION REQUIRED: YES [3 _-
GUTTER REQUIRED: YES O NO ❑
w
CURB AND
<
D? YES
CURB AND GUTTER FEASIBLY BE INSTALL EC:'. N0 ❑ AND. STREET
ENCROACHMENT PERMIT FOR DRIVEWAY
p
CAN
ACCEPTABLE APPLICATION SEEN MADE FOR
O
HAS AN.
N0 ❑
IMPROVEMENT? YES O t7f. ROAD DEPT. OfFICIAL----�-•"
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SIGNATURE
SWIMMING POOLS PUBLIC :�--
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SEWAGE DISPOSAL
FOOD ESTABLISHMENT
REMARKS.--
WATER POLLUTION ------
46
FLOOD CONTROL
AIR POLLUTION
YOUR PROPERTY MAY BE SUBJECT TO .
Div of NwY
RIVERSIDE COUNTY ASSUMES
o
_—~— FLOOD.
IN EVENT OF fL00D.
. _------ NO RESPONSIBILITY
o
CANARY -FILE PINK -APPLICANT
284 199
9/74
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'r. ' ,� _ . -.. ». _ _',� r - • ;NAME 12
1'•�_i ` i AODRE�SS/%
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S�
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F
....r... .� _..._. l CITY. STATE W fi r'r
�t.}i
r ..... i r pHO�/ • � 'DATE a
_
- +_._ CABINETS
.. "t 9 DUAN. MODEL NO. COST
MA D
r. �i � '�°T nr •�'.•V" f �r�►rraft-
rtt
LU
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APPLIANCES
•: � ( ___ � � tis? � � � -rp ..�T'. ��.. . , ........ ... _ ,
i_.: .SCiAL�. l�!2~ 1.: (... .. TOTAL f
i�I _ r i --
AT C ERS. CHECK BOTH �qg �pNO ytPPL7ANC�S F R CIEA�NCE OF N ORS WERB ,c
q" r +.r .•r i_ _.L .�.
tr nes.
DIPAIUMIM OF BUILDING & SAFff%'
Z*
-42738T
CPU"" OF ammlof
FIELD
Cal, Off.
--TDope
CONSTR CTION ESTIMATE
Na. N RECYRICAL FEES
NO. 7 PLUMBING FEES
lum. scL n. ®
Eis
Ufals
4,
ffimnaba
tr nes.
DIPAIUMIM OF BUILDING & SAFff%'
Z*
-42738T
CPU"" OF ammlof
FIELD
Cal, Off.
--TDope
CONSTR CTION ESTIMATE
Na. N RECYRICAL FEES
NO. 7 PLUMBING FEES
lum. scL n. ®
Eis
Ufals
Uts of Pvma
2.,V4 —Ki
LOW Pft*iph*A
;4
so. Ft.
By
YAM, SPKtR SYSTEM
km SQ, FT.
MOCRIHOME Ut.
fv.w ow 3
So. Pr.R=
POWER OUTLET
PAINS
$0. FT.
DMNAGE PIPING
�, FT.
PI- Ne.
a.NG,
OkltFOUNTAN
FT.
P Dqfa
URKU
A,
�-now
WATER WING
WE: Not to be used as property ftx vqIvalfc-n-
Atitee" Vim E
Address Gib zip.
Swim Foot, PVT
FLOOR GRAIN
MECHANICAL FEES
swim Pool. COPAM
w --
S"NER
tv" MUM FAN : EVAF. COOL N=
S*m
WASHER JAUTO)(DISH)
DRYER
GARBAGE SPOSAL
FIIRlFAL -UNIT WAIL, FLOOR SUSPENDED
Tool Rw ..
Addnsp
LAUNDRY TRAY
AM Kk-Zllk; tjNIT CFM
OLE METER.
KITCHEN VW
ABSOMON SV51,cM
TEMP USE PERM? 5W.
WATER aCW
OUMPREUM. mp
tW/PVA
LAVATORY
FoKm GRAVITY
_fPM.
EM
SHOWER
P.T.U.
So. FT. 0 t
BATH TUB
SO. FT. 0 c
WATER HEATER
citt rp
SQ, FT. 9m0 @f N c
SEWAGE DISPOSAL
$0. FT. GAR Q X c
HOUSE SEWER
GAS PIPING
FEE
PERMIT FEE
PERMIT FEf
IOTAI I= Mo
WfOk FU FL CIL M CWT. In afa. IIE
427387
Job
VIA
Z*
-
Cal, Off.
--TDope
ffikmp!L"fqQ CDP s
Uts of Pvma
2.,V4 —Ki
LOW Pft*iph*A
;4
uso"Ca" No CL
if -
-soloed$ i to sue
F s
Zino RestrkhChS gaup Typo
By
Abets. Ono IV
.
K!CL IftCf
sm-- uman Fd* C%I s
fv.w ow 3
PON OEl
bwW Amt
S . I
PI- Ne.
Can chetwe'.
P Dqfa
A,
tandw eronen
3uVW)mvRl0! Po m;s Humber
3 7
Atitee" Vim E
Address Gib zip.
Tool Rw ..
Addnsp
Cat
Ziss
ftcul..J by 0,0'- .
t1cwtsot
AaG**U
S ti
citt rp
u
3rww Dbww
6-y
- - — "' - 4rvm& V16W w VVVIK 13 NO CCIAWENM WITHIN 120 DAYS. CESSATION OF VAM "mfwbr.
FOR 120 DAYS Wes ALSO CRUS* K%WT TO BECOW VW,
I MEBY AGREE THAT ALL WORK IN CONNECT16WIT" THIS PERMIT WIL BE DW IN ACOMAP0 MP1.
THE LAWS OF RN COUNTY AM THE STATEOF CALWORt;�k ------
I HEREBY CERTIFY THAT THE INDI'VOUAL WHO PREPAW IKE FLANS AND SK-OPICAT;OM FW WNE $0!N
ACCORDANCE WITH SWrION 454t OF TW OU31NM AND PRCFESWNS COU M THIE STATE OF CALIFORNIA.
7
I
STREET NAM
f
L
OPERA1,0N r. DATE F-!w7pf-00R-
NO.
ONRA110N OtiTE INSPECTOR
.No.,
BUILDING APPROVALS
—1
MECHANICAL APPROVALS
I
I sm Bock
33
von4tallon Sysion
2
2A
Figs 8 firm
Stab Grade
U
35
Picaurm L Duch
Formoce, Camptul.
-3
Sleet
36
Inlets & (X-flem
A
Doul flicths
37
Combuslion Air
41
Bond 1109ml.
38
Compramor
6
Rc".4 Deck
39
Appl Viasonco
40
fiff. Damp --sr
a.
vowt
dl
smoke Diptectien Device
9
Gartme Fire Wall
42
Commurcual.40-cif
10
43
Fleml
I
10A
ritep!ace
OPIN ADDITIONAL N%FORMATION
NO.
11
tath
12
internal Loth
12A
Drywall
13*
INSULAPOM. 7hiCK volu
,A Walil. (DOM'
12B Cni!lnly (ftf%)
IX 1 Cokiling (Slawn)
14.— knit+r �� .; ..�
—
PLUI! RIN
PLUMBING APPROVAU
__
i i�,,evpd Pluw.6
'000,0�7
• 16.
17 P.:tugh NuMb
.9 se.09. oarmcl
0
.21 Wow Hnotal
22 Vicrrr 5oN,-nvr
73
24 Gis IGII
01
SEWAGE SYSTUA SIZE LOCATION
Tank Pn L title
REAR OF P110PIRT Y UNI
ELECTRICAL APNOVALS
Fciuref Palo
27 Cond,it
Emmlice
29 Wiring
74A Ckouodinq W,:e f
P,
2911 8,indmq
30
31 i 'servm"
STREET NAM
f
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