309363 (AR)BUILDING PERM , t DEMENT OJEABU1LDING 8 SAFETY .
PERMIT NO; COUNTY OF RIVERSIDE
- F` J
3Q963 -.
= t CONSTRUCTION ESTIMATE
1 ST FL' 7 SQ. FT.
2ND FL. SQ. FT.
POR., SQ. FT.
GAR. SQ. FT.
CAR P. SQ. FT.
WALL SQ. FT. @' '
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION
• NOTE:.Not to be used as property tax valuation
NO. I ELECTRICAL FEES
UNITS
MOBILEHOME SVC.
POWER OUTLET
FIELD OFFICE
NO. PLUMBING FEES
YARD SPKLR SYSTEM
BAR SINK -
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
001
PERMITNO.
1309363
MECHANICAL FEES
SWIM POOL, COMM
Owner ..
WATER SOFTENER
-
VENT SYSTEM , ❑ FAN &EVAP.'000L ❑ HOOD
SIGN
WASHER (AUTO) ( DISH) t
F.C. ••
APPLIANCE ❑ DRYER
MH Permit Fee $
Micro Film Fee
GARBAGE DISPOSAL
Use of Permit- �`/
4a, . T�i'v I�j4" G jr4eoar,2•rryv � /
.'' a,!/` y� 7® `�ll�
FURNACE ' ❑ UNIT ❑ WALL ❑ FLOOR -❑ SUSPENDED
Use No.
Ck. by
LAUNDRY TRAY
PI. Ck. Fee $ —
AIR -HANDLING UNIT CFM
IDLE METER.
Construction Fee Dbl $
ama
KITCHEN SINK
F �.d
ABSORPTION SYSTEM 0 B.T.U.,
TEMP USE PERMIT SVC
WATER CLOSET
Zone
COMPRESSOR HP
POLE, TEMP/PERM
Unit
LAVATORY
SMI Fee $ /2.
HEATING.SYSTEM ❑ FORCED ❑GRAVITY
AMPERES SERV' ENT'
Bond Amt.
$
SHOWER
Plan Checker -
BOILER E=� B.T.U.
SQ. FT. p ¢
BATH TUB
Demol. Fee
$ -
SQ. FT. O ¢
Registr. Fee $.
WATER HEATER
Witness Fee $-
Reinsp. Fee
73aSQ. FT. RESID p 11/.¢
r
SEWAGE DISPOSAL
Total Fees
SQ. FT. GAR @ Y.c
Address�- "c
HOUSE SEWER
M.O. ❑ N.C. ❑ Cosh ❑ C k W
!
'-
Contractor
•
Tel.
GAS PIPING
Trees required
PERMIT FEE
0 0
PERMIT FEE
0
PERMIT FEE
THIS PERMIT SHALL BECOME VOID 7F WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF ver-hed by: ~
WORK FOR 120 DAYS $HALL ALSO CAUSE PERMIT TO BECOME VOID,
DBL
- .TOTAL FEES
/.9.?-
MOB. HM. FEE
MICROFEE
, MECH. FEE PL: CK. FEE
G =" =n
CONST. FEE
Sj _o
ELECT. FEE
/� ��
SMI FEE
/!=
FEE PLUMB. FEE
PERMITNO.
1309363
Supp. Permit
Job Address SpaceZip
Owner ..
•
Community
611 /j/
Valuotionn .. -
$ A /z7
DateDist.
;�4 77
Off.
F.C. ••
MH Permit Fee $
Micro Film Fee
Cop. $ •
Use of Permit- �`/
4a, . T�i'v I�j4" G jr4eoar,2•rryv � /
.'' a,!/` y� 7® `�ll�
Parcel No.
Use No.
Ck. by
Mech. Fee Dbl $
PI. Ck. Fee $ —
Set Backs -
Lot Size
0
Construction Fee Dbl $
ama
Legal Description�
% S �� �vQ 13,LAC OF
F �.d
S
Electrical Fee Dbl $
Zone
Grp
Type
Unit
SMI Fee $ /2.
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No'
Plan Checker -
Ins
Fin�a[I JDf9��g �/C/.�
p ector
Sp. Insp. Fee $
Demol. Fee
$ -
Const. Lender Branch 'I terrify that in the performance of the work f./which this permit is issued I shall
- • - not employ any person in any manner so as toe subject to the workmen s com•
pensation laws of California. „
Address ` '^�) City Zip - ` `Owner Signature
�; Budder Stgnorure -
Registr. Fee $.
Mileage Fee - $
Witness Fee $-
Reinsp. Fee
$ •
Owner/Agent- /�4.,5,/� -� -. /c�y,�.
;4 A. 11
Tel. t lam. Zip
.Jtr7�l�"T7/�
Total Fees
$
Address�- "c
j
City Zip I
M.O. ❑ N.C. ❑ Cosh ❑ C k W
Received by
'-
Contractor
•
Tel.
License q -
I
Trees required
Sewage System
T
LL P
Address
City ZipWorkers'
Comp.
'yes ❑ ,no ❑
THIS PERMIT SHALL BECOME VOID 7F WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF ver-hed by: ~
WORK FOR 120 DAYS $HALL ALSO CAUSE PERMIT TO BECOME VOID,
Sewer District i
.-i HEREBY..AGREE THAT ALL,WORK INCONNECTIONWITH TH15,PERMIT WILL BE DONE IN ACCORDANCE l
t• WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
1 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
Form 284.208 IRev. 4.77) Os CALIFORNIA. -