349412 (RPL)BUILDING PERMIT " DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
PERMIT NO. -
3 4 9 4 2
PERMIT NO.COUNTY
34941 .,t
Job Address Space Zip
�a - 7 �--G
OF RIVERSIDE'
Owner
-
i
�..
CONSTRUCTION ESTIMATE
^
NO. ELECTRICAL FEES
Dist.
��
NO. PLUMBING FEES
F.C.
_I ST FL.-
"...2ND FL.-. .SQ.,FT.
FOR.
GAR. SQ.
e
CAR P. ; •
WA/LL
G. �/r
• ESTIMATED -CONSTRUCTION
SQ. FT. Q $
UNITS
MH Permit Fee $
.Micro Film Fee Cop $
® - ' YARD SPKLR SYSTEM
Use of Permit
��%•e�L::C _/��t% �7/.O/
MOBILEHOME SVC. BAR SINK
SQ. FT.,
Use No. Ck. by
.®
POWER OUTLET- ROOF DRAINS
FL
PI. Ck�, Fee - - $
DRAINAGE PIPING
SQ. FT. ® •
Lot Siie
DRINKING FOUNTAIN
SQ. FT. Q
Legal Description
/'; Sw40�Q 17
Y
SQ. FT. ,(� 7�i `� URINAL
VALUATION $ WATER PIPING
NOTE: Not to be used as property tax valuation.
SWIM POOL, PVT
�O VOJ
FLOOR DRAIN
Unit.
•
MECHANICAL FEES
SWIM POOL, COMM
Plumbing Fee - Dbl 8
WATER SOFTENER
Bond Amt: 7
8
Plan No.
VENT SYSTEM ❑ FAN ❑ EVAP. COOL . ❑ HOOD
SIGN
Inspector - -
-
WASHER (AUTO) (DISH)
Sp. Insp. Fee $
•
APPLIANCE ❑ DRYER
Const. Lender - Branch "1 certify that in the performonce of the work for which this permit is issued I shall
• - not employ any person in any manner so as to become subject to the workmen's com-
pensation lows of California."
Address Cit - Zip r Owner Signature
Builder Signature
GARBAGE DISPOSAL
Mileage Fee $
'
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
$
LAUNDRY TRAY
Tel.
Zip
AIR HANDLING UNIT CFM
IDLE METER
$
KITCHEN SINK
Address
42 42
Cit -
ABSORPTION SYSTEM � B.T.U.
TEMP USE PERMIT SVC
Received. by
WATER CLOSET
-'
9 9
Contractor. �(
-� /✓ ✓I�.�/L '.
COMPRESSOR HP
POLE, TEMP/PERM
Trees required
LAVATORY
s P
"-
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
AMPERES SERV ENT
-THIS PERMIT,SHALL BECOME VOID IF -WORK -IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
-,WORK FOR 120 DAYS SHA L SE P M� IT TO BECOME VOID.
ArA ' r
I HEREBY AGREE THA IN .CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE`
WITH THE LAWS OF'RIVBRSIDECOUN Y 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.
SHOWER
BOILER 0 B.T.U.•
SQ. FT. p ¢
BATHTUB
SQ. FT. Ga ¢
WATER HEATER
SQ. FT. RESID p 1'Ac
SEWAGE DISPOSAL
SQ. FT. GAR 6 '/.¢ '
HOUSE SEWER
.
f
GAS PIPING
PERMIT FEE
PERMIT FEE
3 pp
]PERMIT FEE
3
DBL.
I TOTAL FEE
]MOB. HM. FEE
.MICRO FEE MECH. FEEPL.
CONST. FEE
ELECT..FEE
SMI F E
..FEE
PLUMB. FEE
PERMIT NO. -
3 4 9 4 2
Supp. Permit
Job Address Space Zip
�a - 7 �--G
Owner
-
Community
�! Crl�//7i%
Valuation
$ L I ��%
Dote
�.2 ,4�•
Dist.
��
Off.
X_
F.C.
MH Permit Fee $
.Micro Film Fee Cop $
Use of Permit
��%•e�L::C _/��t% �7/.O/
ParcelNo.
7 3 �.. �' � �`��
Use No. Ck. by
Mech. Fee Dbl 8
PI. Ck�, Fee - - $
Set Backs
Lot Siie
Construction Fee Dbl. $
Legal Description
/'; Sw40�Q 17
Y
Electrical Fee. Dbl 8 13
Zone
'�
Grp
Type
Unit.
SMI Fee $
Plumbing Fee - Dbl 8
Bond Amt: 7
8
Plan No.
Plan Checker
Final Dote
Inspector - -
-
-�
Sp. Insp. Fee $
Demo(. Fee
Const. Lender - Branch "1 certify that in the performonce of the work for which this permit is issued I shall
• - not employ any person in any manner so as to become subject to the workmen's com-
pensation lows of California."
Address Cit - Zip r Owner Signature
Builder Signature
Regisir. Fee - $
Mileage Fee $
Witness fee $
Reinsp. Fee
$
Owner/Agent
Tel.
Zip
Total Fees
$
-J 6
Address
42 42
Cit -
Zip
M.O. ❑ N.C. ❑ Cash ❑ hedy&
Received. by
-'
9 9
Contractor. �(
-� /✓ ✓I�.�/L '.
Tel.
- .. 7 r. e3'Gi' 3
G�
License# '
�• sr/ov. 7
Trees required
Sewage System
T LL
Sewer District
Form 284208 (Rev. 4.77) @S
s P
Address -
�71 7H,C'0172-
Cit -
S Zip
,4� "'7'%I2F/✓4'' S
Workers'Comp.
Yes(, . no ❑
-THIS PERMIT,SHALL BECOME VOID IF -WORK -IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
-,WORK FOR 120 DAYS SHA L SE P M� IT TO BECOME VOID.
ArA ' r
I HEREBY AGREE THA IN .CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE`
WITH THE LAWS OF'RIVBRSIDECOUN Y 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.
verified by: .