The URL can be used to link to this page

335042 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY 4dh FIELD OFFICE PERMIT NO. 3350421 PERMITNO. Job Address - - Space s-�-6 m Zip -Qs COUNTY OF RIVERSIDE Commu ty �'t' " Date "�J 117J� Dist. 6 335042 F.C. O � � � Use of Permit (/ /// / �J/ f/ �.,.:/ ' - - (./' �` (/,�✓_J'��p�, • `/ `�'" PP�arrce'll No. /Use ` f �_ /r�.� - 4 1,7 DST �� CONSTRUCTION ESTIMATE Wtl : Mech. Fee Dbl $ ig' ' PI. Ck. Fee 8 NO. ELECTRICAL FEES Construction Fee Dbl $ - -P.'d NO. PLUMBING FEES F v "" S /Q $ - Electrical Fee Dbl $ � UNITS WJ Typte{•-��"y^/ Unit . SMI Fee $ - 1ST FL. 12 SQ. FT. @ "4 a' Plan No. �C PI o ecke/r/ �� F e 4I Final Date Ins/1pCQ�rctJQQr� v V ' Sp. Insp. Fee $ ! Demol. Fee 2ND FL. SQ. FT.. d Const. Lender '� _ Address •Branch - "I certify that in the performance of the work for which this permit is issued I sholl . not employ any person in any manner so as to become subject to the workmen's com- pensation laws of California." City - Zip Owner Signaiure Builder Signature ,Registr. Fee -$ •Mileage Fee $ ' Witness Fee $ YARD SPKLR SYSTEM 8 POR. SQ. FT. ® " Aft)MOBILEHOME SVC. - $ 6 s.r. BAR SINK -City Zip ' GAR.ATP SQ. FT. Q d�! - CPn !E-. vt POWER OUTLET T :;} ' Tel. 2 �7 - „7 ✓ C% - ,57 7 f ROOF DRAINS Trees required Sewage System CAR P. 'SQ. FT: C�3 ` Add`ess / �•'� .c `. - Cit Zip Workers' Comp. yes ❑ no ❑ DRAINAGE PIPING WALL SQ. FT. .(� " DRINKING FOUNTAIN SQ. FT. ® URINAL ESTIMATED CONSTRUCTION VALUATION Is t;1i ¢ C WATER PIPING„ NOTE: Notfo be used as property tax voluotion SWIM POOL, PVT . FLOOR DRAIN, .. MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN ❑ EVAP. COOL HOOD �O SIGN, WASHER (AUTOIISISHI APPLIANCE ;Z DRYER GARBAGE DISPOSAL FURNACE •❑ UNIT '❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET - COMPRESSOR� HP ©v POLE, TEMP/PERM LAVATORY HEATING SYSTEM FORCED ❑ GRAVITY d D ByJ AMPERES SERV ENT ` SHOWER BOILER B.T.U. SQ. FT. Q ¢ BATH TUB + p SQ. FT. Ca ¢ 4F WATER HEATER' SQ. FT. RESID p 1'/.¢�. /f J SEWAGE DISPOSAL /7 SQ. FT. GAR C '/.¢ 3'�`� HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE 3 yj} % PERMIT FEE DBL.. TOTAL FEES �.. IMOB.HM.FEEI MICRO'FEE' ti MECH. FEE °° .PL. CK. FEE I.CONST.FEES a ELECT. FEE r4 SMkFEE r FEE- • PLUMB. FEE - 177 d —� //S B 37-.� PERMIT NO. 3350421 Supp. Permit Job Address - - Space s-�-6 m Zip -Qs Owner Pfl y 9&/44�S Commu ty �'t' Valuation s4fr,/ $ S G � Date "�J 117J� Dist. 6 F.C. O MH Permit Fee $ Micro Film Fee Cop $ Use of Permit (/ /// / �J/ f/ �.,.:/ ' - - (./' �` (/,�✓_J'��p�, • `/ `�'" PP�arrce'll No. /Use ` f �_ /r�.� - 4 1,7 No. k.by Wtl : Mech. Fee Dbl $ ig' ' PI. Ck. Fee 8 Set Backs Lot Size X `�� Construction Fee Dbl $ - -P.'d Legal Description ,� 1Wk, � 6 S {{ *4".T4_ F v "" S Ss - R E✓ Electrical Fee Dbl $ � one WJ Typte{•-��"y^/ Unit . SMI Fee $ - . Plumbing Fee Dbl $ . Bond Amt. $V Plan No. �C PI o ecke/r/ �� F e 4I Final Date Ins/1pCQ�rctJQQr� v V ' Sp. Insp. Fee $ ! Demol. Fee $ Const. Lender '� _ Address •Branch - "I certify that in the performance of the work for which this permit is issued I sholl . not employ any person in any manner so as to become subject to the workmen's com- pensation laws of California." City - Zip Owner Signaiure Builder Signature ,Registr. Fee -$ •Mileage Fee $ ' Witness Fee $ Reinsp. Fee 8 Owner/Agent Tel. Zip Total Fees - $ 6 s.r. Address f ! -City Zip ' • M.O./❑ N.C.>❑ Cash , Check Received by / 4 !E-. vt Contractor ei- T :;} ' Tel. 2 �7 - „7 ✓ C% - ,57 7 f License # Trees required Sewage System Add`ess / �•'� .c `. - Cit Zip Workers' Comp. yes ❑ no ❑ 1`4r/4 LL F&A Sewer District Form 284.208 (Rev. 4.77) -Os THIS PERMIT SHALL BECOME VOIDIFWORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATrON OF verified by; WORK FOR 12 AL O CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THA ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIV54SIDE COUNTY AND THE STATE OF CALIFORNIA. 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.