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353852 (RIV CNTY)48865 Avenida Anselmo BUILDING PERMIT 1PERMIT NO. 3538521 DEPARTMENT OF BUILDING & SAFETY FIELD VXT 4 COUNTY OF RIVERSIDE • , CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES t 1ST FL. 2ND. FL POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ Valupl' J '^j $ _,: UNITS i F.C.C. YARD SPKLR SYSTEM , SQ. FT. @ Micro Film Fee _ MOBILEHOME SVC. BAR SINK SQ. FTC POWER OUTLET ROOF DRAINS SQ. FT. @ P el ./ -s ` /,/J/ SQ. FT. ( Ot%D DRAINAGE PIPING 777 DRINKING FOUNTAIN SQ. FT. @ PI. Ck. Fee S SQ. FT. @ URINAL E' Q VALUATION P t WATER PIPING F Legal Descripti 'J i hJ/ j > fj Y J/{ / NOTE: Not to be used as property tax valuation Electrical Fee Dbl S SMI Fee S SWIM POOL, PVT FLOOR DRAIN Type MECHANICAL FEES Dbl $ SWIM POOL, COMM WATER SOFTENER Plan No. VENT SYSTEM FAN EVAP. COOL HOOD i Date 1g.— ✓ -Z SIGN WASHER (AUTO)(DISH) Sp. Insp. Fee $ APPLIANCE DRYER I $ GARBAGE DISPOSAL Supplimemal Permit Numbe`p!:?& . w rt • . - . s .a ' FURNACE UNIT WALL FLOOR•n t!."SUSPENDED.."- !v- v Address City Zip I LAUNDRY 'TRAYJ«.- ,I •C•. AIR HANDLING UNIT CFM ! • IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. t a. TEMP USE PERMIT SVC WATER CLOSET I _ .. ,Q .. Ztp' COMPRESSOR HP a Received by POLE,TEMP/PERM 'LAVATORY Contractor Address ! I IIIIIII VIII III VIII IIII 64 I IE HEATING SYSTEM FORCED GRAVITY License# AMPERES SERV ENT SHOWER U. _ P BOILER B.T.U. = City Zip SQ. FT. @ c' BATH TUB Sewer District 1 N. SQ. FT. @ c WATER HEATER ' SQ. FT. RESID @Tr/.0 " SEWAGE DISPOSAL ' SQ. FT. GAR @ 3/. c HOUSE SEWER i GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. 01A?FE MOB.HM..FEE MICRO FEE 7 MECH. FEE PL. CK. FEE - STd1 y ELECT. FEE • SMI FEE FEE PLUMB. FEE PERMIT NO. 353852 Lf K/ iy v` 7i✓ ,Space ' - Cory i y u4/ % _ ) •L // + ♦Y , .j tel/ % 7 Valupl' J '^j $ _,: D - /+ i F.C.C. MH. Permit Fee $ Micro Film Fee Cop $ Use of Permit ' „ . P el ./ -s ` /,/J/ Use/Casa No. Meth. Fee Dbl $ u PI. Ck. Fee S Set Backs Lot Size Construction Fee Dbl S F Legal Descripti 'J i hJ/ j > fj Y J/{ / 5 S R Electrical Fee Dbl S SMI Fee S Zone pion Group Type Plumbing Fee Dbl $ Bond Amt. $ Plan No. Plan Checker ,Final Date 1g.— ✓ -Z Inspector Unit " Sp. Insp. Fee $ Demon. Fee $ Const. Lender Branch l Supplimemal Permit Numbe`p!:?& . w rt • . - . s .a ' Registr. Fee $ Mileage Fee S Address City Zip I Witness Fee S Reinsp. Fee $ /Aggnt Tel. // ") -73 % Zip Total Fees $ " 'Addrg+t+ ...:j. ,r a ... ,. r_ .. +... i, w... I _ .. ,Q .. Ztp' M.O. ash Chpck Received by Contractor Address ! I IIIIIII VIII III VIII IIII 64 I IE Tel. License# TreeSewn a Sewage System System Al f T U. _ P City Zip THIS PERMIT SHALL BECOME VOID OR OT JF CID WITHIN 120 DAYS. CESSATION OF WORK verified by: FOR 120 DAYS SHALL ALSO CRUS I I HEREBY AGREE THAT ALL WORK IN CONNE ON WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THESTATE OF CALIFORNIA. I UCDCGV IDTI[V TUATu[ Iktntvtnl tet \.IUn* DDCDADCn THE DI AAIc Akin cpEr•I[Ir'AT1r1Nc HAS DINE SO IM YT Sewer District 1 .ACCORDANCE WITH SECTION 5541,OF •T.HE BUSINESS AND PROFESSIONS CODE OF THE STATEOFCAH RN1A) • - NO. OPERATION DATE BUILDING APPROVALS INSPECTOR NO. OPERATION DATE INSPEfT DR MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs & Frms C� 34 Plenums 8 Ducts 2A Slab Grade 35 Furnace Comport. 3 Steel _ 36 Inlets 8 Outlets 4 Grout Blocks 37 Combustion Air 5 Bond BeamsJwt/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. ❑ No ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Loth 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 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 t REAR OF PROPERTY LINE PSL P/ ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE DISTRICT Permit No A. 284 199A 9/74 ` • CANARY—FILE, PINK—APPLICANT Owner ArchitecContractor 127?F/eJ_ A --J nn C Address!?�A5 y �Address_ Addres�� City / �� City City -Vi Phone¢ S Z �% Phone — 2&4Zr__ Phone— Q Z 7 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. NOW, therefore, it is agreed that I (we) will not occupy said property and will not cause said property to be occupied un it I (we) have complied with all laws of thegCounty of Riverside and the State of California governing said y. 9 -2r 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. ISPACE NO. A ✓L:T- I USE OF STRUCTURE I JOB ADDRESS _—_ _ —_ SINGLE FAMILY DUPLEX -3 3,2--d0 O LL LEGAL1DC�IPTIL OF PROPERTYw�31 - /�•y�_ , APARTMENTS � AGRIC. �� '^ LA- R ✓ �r COMMERCIAL INDUSTRIAL >_ COMMUNITY � ALTERATIONS ❑ 0 Z USE OF PERMIT NO. OF SUBMITTED PLANS d %� 3� L - U3�✓ wA'C-L VW CASE NO. p-sgQ 0 Z NO. OF PKINN,,G SPACES REQUIRED _— NO. OF BUILDINGS NOW EXISTING Z ZONE SETBACKS: FRONT SIDE REAR J m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE OF FEET REQUIRED ON STREET DATE SIGNATURE OF LAND USE OFFICIAL S� - DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET_ - H W CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET 09i !!i CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ 0 HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET Q IMPROVEMENT? YES ❑ NO ❑ O cc DATE SIGNATURE OF ROAD DEPT. OFFICIAI = SWIMMING POOLS PUBLIC QW SEWAGE DISPOSAL I 0 FOOD ESTABLISHMENT WATER POLLUTION REMARKS vt FLOOD CONTROL H Z, AIR POLLUTION _ DIV OF HWY 0 a — YOUR PROPERTY MAY BE SUBJECT TO a c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199A 9/74 ` • CANARY—FILE, PINK—APPLICANT IIIIIIIIIIIIIIIIIIIIIIIII 65 IE DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD OFFICE _ CONSTRUCTION ESTIMAT ELECTRICAL FEES PLUMBING FEES ' lst FI. ' 2nd Fl. Por. Gar. Car P. Wall i Sq. Ft. P NO. NO. CONSTRUCTION FEE Sq. Ft. MEMBRANE Sq. Ft. @ I Sql Ft. POLES FRAME STUCCO Sq. Ft. SIGNS DRAINAGE PIPING Sq. Ft. P, ORAT.S CLK.D/ DRINKING FOUNTAIN Sq. Ft. 0 MOTOR H. P. URINAL MOTOR H.P. WATER PIPING ESTIMATED VALUATION MOTOR H.P. FLOOR DRAIN [N O. MECHANICAL FEES MOTOR H.P. WATER SOFTENER HEAT APPLIANCE MOTOR M.P. WASHER (AUTO) (DISH) I INLETS — OUTLETS FIXTURES GARBAGE DISPOSAL M. SO. FT. — UNIT HEATER OUTLETS O LAUNDRY TRAY M. SQ. FT. — PERF. CEILING MAT. SUB -PANEL KITCHEN SINK APPLIANCE VENT WATER CLOSET GAS PIPE RANGE AND/OR OVEN LAVATORY REPAIR OR ALTER WATER HEATER SHOWER VENT SYSTEM ❑ HOOD Cl EVAP. COOL ❑ SPACE HEATER BATH TUB COMPRESSOR CONSTRUCTION POLE WATER HEATER COMPRESSOR SERVICE ENTRANCE SEWAGE DISPOSAL COMPRESSOR RESID. 10 SO. FT. HOUSE SEWER GARAGE iQ SQ. FT. GAS PIPING PERMIT FEE PERMIT FEE A PERMIT FEE E M5 I 511 4 REN DBL. PLN CHK FEE CONSTR. FEE- / fp HEAT B VENT ELECT. FEES. efr/„(�fi► PLUMB. FEE TOTAL F$F�S�.. / 7 PLAN CHECKER A S In .. N_.. BUILDING INFORMATION JOB ADDRESS j WOOD CONCRETE FIREPLACE CONCRETE CONSTRUCTION FEE PIERS MEMBRANE USE OF��NG I BLOCK FRAME STUCCO BRICK CONC. METAL OTHER $ PLUMBING FEE CO MUNITY TOTAL FEE PLASTER DRY WALL ROOF COVERING BD. RMS. LEGAL DESCRIPTION {,ZONE I SET FRONT BACK i PLAN CHECK FEE ZONING CHECKED BY I PERMIT USE NO. DI STRICf/IF.� ow DATE 7 UNITS VALUATION �U OF� /r SUPPLEMENT TO PERMIT REAR LOT SIZE - , 9 Q FINALED DATE INSPECTOR GROUP TYPE BOND BOND ICASH $ "�?v S F $ t MECHANICAL FEE $ CONSTRUCTION FEE I $ I ELECTRICAL FEE $ PLUMBING FEE TOTAL FEE $ CASH CHECK M.O. OECEIVEW91 PLAN FILE NATER VOLUME SEPTIC TANK LEACH LINE GAL. SO. FT. ' ETTER F-1 FILE G / CONTRACTOR RELEASE BOND LICENSE -TYPE DATE In accordance with Sec. 302-D of the Uniform Building Code, this permit shall expire if work is not commenced within 60 days. If work is suspended or aban- doned for a period of 120 days, this permit shall automatically become null aU and void. This permit is issued, and shall continue in effect, pursuant to the terms and conditions of Sec. 3800 of the Business and Professions Code and as a condi- tion of the issuance hereof the following certificate is executed. OWNER -BUILDER CONTRACTOR I hereby certify that in performance I hereby certify that in performance of the work for which this permit is of the work for which this permit is % Y© issued I shall not employ any person issued I have complied with Title 8, in any manner whatsoever as to be- Article 3, Sec. 3800 of the Labor N. C. come subject to the Workmen's Com- Code, and a certificate or certified pensation Laws of the State of copy is on file with the Riverside CaliforniaCounty Building Department. Owner )'h If Contractor SEEPAGE PIT Address j`1�5� fo Address GAL• Telephone tls Tel. . Lic. # v IIIIIIIIIIIIIIIIIIIIIIIII 66 FINALED DATE Z -a -�8 INSPECTORGROUP //rte ITYPE-�T .u. BOND $ BOND CASH DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE IE COUNTY OF RIVERSIDE RELEASE SONO DATE -E: CONSTRUCTION ESTIMATE ELECTRICAL FEES PLUMBING FEES ;lst FI. 2ff ZICO Sq. Ft. NO. NO. In accordance with Sec. 302-D of the Uniform Building Code, this permit shall expire if work is not commenced within 60 days. If work is suspended or aban- 2nd FI. Sq. Ft. @t doned for a period of 120 days, this permit shall automatically become null i Por. Sq. Ft. @ and void. This permit is issued, and shall continue in effect, pursuant to the terms and $ Gar. Sql Ft. @ POLE 7 y Car P. .Sq. Ft. P SIGNS DRAINAGE PIPING �f TRANS OWNER -BUILDER CONTRACTOR 7 dJ Wall Sq. Ft. OR CLK.D/ DRINKING FOUNTAIN /� issued I shall not employ any person issued I have complied with Title 8, in any manner whatsoever as to be- Article 3, Sec. 3800 of the Labor come subject to the Workmen's Com- Code, and a certificate or certified Sq. Ft. IMOTOR H.P. URINAL PLAN FILE Colifo""rniaa l County Building Department. # Owner Trki /G ^I ! Contractor / J' + Address w i' V • Address LEACH LINE SEEPAGE PIT%"�f _ 0 MOTOR M.P. / WATER PIPING Teleph-.�oonnne" ' Tel. Lic. k t ESTIMATED VALUATION $ MOTOR H.P. FLOOR DRAIN No. MECHANICAL FEES MOTOR H.P. WATER SOFTENE�Ry HEAT APPLIANCE MOTOR H.P. WASHER (AUTO) 7iDISM) (If0 INLETS - OUTLETS FIXTURES ' GARBAGE DISPOSAL s M. S0. FT. - UNIT HEATER OUTLETS / LAUNDRY TRAY M. SO. FT. - PERF. CEILING MAT. SUB -PANEL KITCHEN SINK APPLIANCE VENT WATER CLOSET GAS PIPE RANGE AND/OR OVEN LAVATORY REPAIR OR ALTER WATER HEATER SHOWER ©U VENT SYSTEM ❑ HOOD ❑ EVAP. COOL ❑ SPACE HEATER BATH TUB COMPRESSOR CONSTRUCTION POLE WATER HEATER QQ COMPRESSOR SERVICE ENTRANCE SEWAGE DISPOSAL /O dCi COMPRESSOR RESID. IC SO. FT. HOUSE SEWER GARAGE iC SO. FT. 73 GAS PIPING .c 3� PERMIT FEE , PERMIT FEE / 00 PERMIT FEE ®u E M M REN DBL. PLN CHK F E CONSTR. FEE HEAT & VENT ELECT. FE PLUMB. FEE TOTAL FEES PLAN CHECKER IE 7 J F M A J J A. S 0 N D J F M A M, J J A S O _ N D e BUILDING INFORMATION Joe ADDRESS ��'�N a: OWNER WOOD CONCRETE X FIREPLACE I x CONCRETE PIERS MEMBRANE USE OF BUILDING DATE BLOCK FRAME STUCCO BRICK CONC. METAL OTHER I _141 )C� X COMMUNITY DIS�T.RRIICCT F.C. UNITS VALUATION OFFICE PLASTER DRY WALL ROOF COVERING RMS. 1 a 1 46 a JBD. // •ZONNEE�.�..��y LEGAL DE GRIP ION PE I N M R 79 ZONI®_NJ,/y,�CHECKEEDD B PERMIT USE NO. /)s �J�s� j//s SUPPLEMENT TO PERMIT SET 1FRONT SIDE BACK n 4- PLAN CHECK FEE V MECHANICAL FEE V CONSTRUCTION FEE F ELECTRICAL FEE PLUMBING FEE TOTAL FEE CASH CHECK ECEIVE BtY it'ATER VOLUME SEPTIC T GAL .ETTER ❑- FILE t EAR ILOT SIZE - FINALED DATE Z -a -�8 INSPECTORGROUP //rte ITYPE-�T .u. BOND $ BOND CASH $ CONTRACTOR LICENSE -TYPE RELEASE SONO DATE �( t v $ In accordance with Sec. 302-D of the Uniform Building Code, this permit shall expire if work is not commenced within 60 days. If work is suspended or aban- $ doned for a period of 120 days, this permit shall automatically become null / / 0 and void. This permit is issued, and shall continue in effect, pursuant to the terms and $ 7 conditions of Sec. 3800 of the Business and Professions Code and as a condi- tion of the issuance hereof the following certificate is executed. $ �f OWNER -BUILDER CONTRACTOR 7 dJ 1 hereby certify that in performance I hereby certify that in performance f the work for which this permit is of the work for which this permit is S0 02 /� issued I shall not employ any person issued I have complied with Title 8, in any manner whatsoever as to be- Article 3, Sec. 3800 of the Labor come subject to the Workmen's Com- Code, and a certificate or certified M.0. N.C. pensation Laws of the State of copy is on file with the Riverside PLAN FILE Colifo""rniaa l County Building Department. # Owner Trki /G ^I ! Contractor / J' + Address w i' V • Address LEACH LINE SEEPAGE PIT%"�f _ 0 � So. FT. AL. Teleph-.�oonnne" ' Tel. Lic. k IIIIIIIIIIIIEIIIIIIIIIIII 67 � J C: DEPARTMENT OF BUILDING & SAFETY LOT SIZE's FIELD OFFICE FINALED DATE INSPECTOR GROUP TYPE COUNTY OF RIVERSIDE BOND CASH CONSTRUCTION ESTIMATE40F ELECTRICAL FEES �- �- lG PLUMBING FEES F•1St FI. Sq. Ft. @ NO. NO. ELECTRICAL FEE F' t $ E 2nd FI. Sq. Ft. F PLUMBING FEE ' TOTAL FEE $ Por. Sq. Ft. R. Gar. t Sql Ft. @ POLES M.O. Car P. Sq. Ft. @ SIGNS DRAINAGE PIPING - > Wall Sq. Ft. TRANS. AND/ OR T. cLK. _ DRINKING FOUNTAIN Sq. Ft. MOTOR rnk H.P. URINAL MOTOR H.P. SO. WATER PIPING I ESTIMATED VALUATION o1.137MOTOR H.P. _ FLOOR DRAIN Ivo. MECHANICAL FEES MOTOR H.P. WATER SOFTENER i HEAT APPLIANCE MOTOR H.P. WASHER (AUTO) (DISH) INLETS - OUTLETS % FIXTURES ?_t 2 U GARBAGE DISPOSAL M. SO. FT. - UNIT HEATER OUTLETS ly LAUNDRY TRAY M. SO. FT. - PERF. CEILING MAT. SUB -PANEL KITCHEN SINK APPLIANCE VENT WATER CLOSET j GAS PIPE RANGE AND/OR OVEN LAVATORY REPAIR OR ALTER WATER HEATER SHOWER VENT SYSTEM ❑ HOOD ❑ EVAP. COOL ❑ SPACE HEATER BATH TUB COMPRESSOR CONSTRUCTION POLE WATER HEATER I COMPRESSOR SERVICE ENTRANCE S'EWiIY-E DISPOSAL � �. COMPRESSOR RESID. 10 SO. FT. HOUSE SEWER GARAGE i Q S0. FT. GAS PIPING �. PERMIT FEE PERMIT FEE ....•-- PERMIT FEE -EJ M5 R REN DBL. PLN CHK FEECONSTR. FEE & VENT ELECT. FEE PLUMB. FEE TOTAL FE S PLAN CHECKER 2M6 J J JHtAT I J F M A p I A _ S O 1 N O BUILDING INFORMATION WOOD CONCRETE FIREPLACE CONCRETE PIERS MEMBRANE BLOCK FRAME STUCCO BRICK I CONC. METAL OTHER F I PLASTER [DRY WALL[ ROOF COVERING (ZONE ZONING ,CHECKE BY cut SET FRONT SIDE I R,41 t BACK Jf} PLAN CHECK FEE ADDRESS SE OF BUILDING OMMUNI' BD. RMS. 4 LEGAL DE PERMIT USE NO. 0 j�- (DISTRICT F.C. JUNITS ION �G %J T 40! DAT _ 6 2 VALUATION OFFICE 00 a_ PERJ0IT_PkWV_R_ cam. �e �}' CONTRACTOR /I%�Lh aj 4_17 RELEASE BOND - LICENSE -TYPE 1 3T DATE In accordance with Sec. 302-D of the Uniform Building Code, this permit shall expire if work is not commenced within 60 days. If work is suspended or aban- doned for a period of 120 days, this permit shall automatically become null and void. This permit is issued, and shall continue in effect, pursuant to the terms and conditions of Sec. 3800 of the Business and Professions Code and as a condi- tion of the issuance hereof the following certificate is executed. OWNER -BUILDER CONTRACTOR I hereby certify that in performance I hereby certify that in performance ,' of the work for which this permit is of the work for which this permit is Issued I shall not employ any person issued I have complied with Title 8, in any manner whatsoever as to be- Article 3, Sec. 3800 of the Labor N. C. come subject to the Workmen's Com- Code, and a certificate or certified pensation Laws of the State of Copy is on fie with the Ri ersid California. .,'��+�' County Bui �Depart t�� Owner Contractor SEEPAGE PIT .] Address Address !�r GAL- Telephone — el L' .# � J C: SUPPLEMENT TO PERMIT LOT SIZE's FINALED DATE INSPECTOR GROUP TYPE BOND BOND CASH $ �- �- lG h $ i $ ELECTRICAL FEE cam. �e �}' CONTRACTOR /I%�Lh aj 4_17 RELEASE BOND - LICENSE -TYPE 1 3T DATE In accordance with Sec. 302-D of the Uniform Building Code, this permit shall expire if work is not commenced within 60 days. If work is suspended or aban- doned for a period of 120 days, this permit shall automatically become null and void. This permit is issued, and shall continue in effect, pursuant to the terms and conditions of Sec. 3800 of the Business and Professions Code and as a condi- tion of the issuance hereof the following certificate is executed. OWNER -BUILDER CONTRACTOR I hereby certify that in performance I hereby certify that in performance ,' of the work for which this permit is of the work for which this permit is Issued I shall not employ any person issued I have complied with Title 8, in any manner whatsoever as to be- Article 3, Sec. 3800 of the Labor N. C. come subject to the Workmen's Com- Code, and a certificate or certified pensation Laws of the State of Copy is on fie with the Ri ersid California. .,'��+�' County Bui �Depart t�� Owner Contractor SEEPAGE PIT .] Address Address !�r GAL- Telephone — el L' .# $ C: i MECHANICAL FEE $ CONSTRUCTION FEE $ i ELECTRICAL FEE t $ F PLUMBING FEE ' TOTAL FEE $ "CASH CHECK M.O. REC/Ej\I,V,i+,IY B4�Y PLAN FILE _ NATER VOLUME SEPTIC TANK t LEACH LINE GAL. SO. FT. LETTER [:] FILE cam. �e �}' CONTRACTOR /I%�Lh aj 4_17 RELEASE BOND - LICENSE -TYPE 1 3T DATE In accordance with Sec. 302-D of the Uniform Building Code, this permit shall expire if work is not commenced within 60 days. If work is suspended or aban- doned for a period of 120 days, this permit shall automatically become null and void. This permit is issued, and shall continue in effect, pursuant to the terms and conditions of Sec. 3800 of the Business and Professions Code and as a condi- tion of the issuance hereof the following certificate is executed. OWNER -BUILDER CONTRACTOR I hereby certify that in performance I hereby certify that in performance ,' of the work for which this permit is of the work for which this permit is Issued I shall not employ any person issued I have complied with Title 8, in any manner whatsoever as to be- Article 3, Sec. 3800 of the Labor N. C. come subject to the Workmen's Com- Code, and a certificate or certified pensation Laws of the State of Copy is on fie with the Ri ersid California. .,'��+�' County Bui �Depart t�� Owner Contractor SEEPAGE PIT .] Address Address !�r GAL- Telephone — el L' .#