348853 (SFD)FIELD OFFICE
NO: I PLUMBING FEES
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
BUILDING PERMIT
DEPARTMENT OF BUILDING & SAFETY'
. • "
_ PERMIT NO. .
348853
r w COUNTY OF RIVERSIDE
Community
Ar 7,1
- CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES.
GARBAGE DISPOSAL
1ST FL. -
SQ. FT. Q: $
UNITS
LAUNDRY TRAY
SQ. FT.,,@
r
IDLE METER
2ND FL.
SQ. FT. -@
MOBILEHOME SVC.
TEMP USE PERMIT SVC
;POR.
SQ. FT. @
POWER OUTLET .
POLE, TEMP/PERM
' GAR"'
CAR P.
SQ. FT.
AMPERES SERV ENT
SHOWER
SQ. FT. 8
BOILER ,� B.T.U:
SQ. FT. C ¢
WALL
SQ. FT., @
Electrical Fee $ I
SMI Fee $
SQ. FT. Ga ¢
WATER HEATER
VALUATION $
Unit
SQ. FT. RESID p 1 t/.¢
ESTIMATED CONSTRUCTION
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
SQ. FT. GAR Cq '/.a
FIELD OFFICE
NO: I PLUMBING FEES
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
PERMIT NO.
-
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
.Ow�nevr
VENT SYSTEM- ❑ FAN ❑ EVAP: COOL ❑ HOOD
SIGN
WASHER fAUTO) (DISH)
Community
Ar 7,1
APPLIANCE ❑ DRYER
GARBAGE DISPOSAL
Dist.
FURNACE' C] UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
F.C.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM O B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
Portel No.
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
Set Boclfkkss���
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
AMPERES SERV ENT
SHOWER
BOILER ,� B.T.U:
SQ. FT. C ¢
BATH TUB
Electrical Fee $ I
SMI Fee $
SQ. FT. Ga ¢
WATER HEATER
Type ^
Unit
SQ. FT. RESID p 1 t/.¢
SEWAGE DISPOSAL
-
SQ. FT. GAR Cq '/.a
HOUSE SEWER
Pion Checker
Final Date_
t.-
-
sp
r
GAS PIPING
Demol. Fee $
PERMIT FEE
PERMIT FEE
PERMIT FEE
Mileoge Fee $
Witness Fee $
TOTAL F'EE$,
IMOB. NM. FEe
.MICRO FEE .'MECH, FE6.
PL, �CK, FEE
CONST, FEE� ELECT.
SMI FEE
FE
PERMIT NO.
-
Supp. Permit
3/
Job Address � Zi
/��'4y� o
.Ow�nevr
�//,,348853yid
Community
Ar 7,1
Valuation
$
Dae L '^�
�/6� /
Dist.
Off.
F.C.
-
MH Permit Fee $
Micro Film Fee Cop E
Use of Permit - /��
r i �/�K{/�' +e
Portel No.
Use No. Ck.b
Mech.Fee
PI. Ck. Fee $
Set Boclfkkss���
I Lot Size
yJO a
,�-r
Construction Fee 2 $
Legal Description
ffL, S I/�
� <. T;J�. !�✓ v C�� Y�
Electrical Fee $ I
SMI Fee $
Zone
`'0
Grp
Type ^
Unit
I?lumbing Fee 2 $
-
Bond Amt.- -.
$
PIon No.
Pion Checker
Final Date_
t.-
-
sp
r
5P. Insp. Fee 8
Demol. Fee $
Const Lender Branch • "I certify ihat.in the performopce of the work four which thispermit is issued I shall
- not employ any person in any manner so as to become subject to the workmen's com--
pensotion lows of California."
Address _ City Zip Owner Signature
Builder Signature
Regist, Fee $
Mileoge Fee $
Witness Fee $
Reinsp. Fee $
Owner gent1
Tel. Zip
royal Fees - $
AM4Address
• • _ -• - --
City Zip
- - - - • - .. ,-
M.O. ❑ N.C. ❑ Cosh ❑. Chec
41
Received b
-
Contractor /
{.:.0/r
Tel.
977
License q
Trees required//
Sewage System
/��jj§§
_ A&OLL
Address
Tip
w
-Workers' Comp.
yes ❑ no
THIS PERMIT. SHALL BEC ME VOID IF WORK IS. NOT COMMENCED WITHIN 120 DAYS: CESSATION OF verified by:
WORK FOR 120 DAYS SH LS SE'P IT TO BECOME VOID.
�*
F HEREBY AGREE TH K COFINECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIVU61DECOUNT 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
CAL FORNIA. - -
Sewer District
G- - -
Form 284.208 IRev. 4-77) Os