346776 (AR)BUILDING PERMIT ' DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
PERMIT NO. -' COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
1 ST. F L. SQ. FT. Q $
2ND FL. SQ. FT. (a}
FOR. SQ. FT.
GAR. SQ. FT.
CAR P. SQ. FT.
SQ. FT. Q -
G i SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
NOTE: Not to be used os property tox voluotion
NO. ELECTRICAL FEES
UNITS
MOBILEHOME SVC.
POWER OUTLET
SWIM POOL. PVT
NO. I PLUMBING FEES
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
j .PERMIT NO.
346776
MECHANICAL FEES
SWIM POOL, COMM
WATERSOFTENER
Owner
��
VENT SYSTEM ❑ FAN Q EVAP. COOL ❑ HOOD
SIGN
WASHER (AUTO) (DISH)
Date
/Q /Q,r-7?
APPLIANCE ❑ DRYER
Off.
GARBAGE DISPOSAL
FURNACE C] UNIT ❑ WALL C] FLOOR [3 SUSPENDED
MH Permit Fee $
LAUNDRY TRAY
Cop $
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ech. Fee Dbl $
ABSORPTION SYSTEM O B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
Fonstruction Fee Dbl 8
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
S
HEATING SYSTEM C] FORCED C] GRAVITY
AMPERES SERV ENT
SHOWER
Grp
BOILER � B.T.U.
SQ. FT. Ga ¢
BATH TUB
6Ml Fee $
plumbing Fee
SQ. FT. Ga ¢
WATER HEATER
Plan No.
Plan Checker
SQ. FT. RES ID Ga 1 t/.¢
SEWAGE DISPOSAL
6p. Insp. Fee $
SQ. FT. GAR 6, s/.¢
HOUSE SEWER
Const. Lender Branch. .. "I cecertifythat in the performance of the wfor which this permit is issued I shall
not employ any person in any monner so as to come. subject to the workmen's com-
- pensation laws of California."
Address City Zip
Owner Signature _
Builder Signature
Registr. Fee $
Mileage Fee $
GAS PIPING
leinsp. Fee
PERMIT FEE
♦ PERMIT FEE
PERMIT FEE
DBL.
I TOTAL FEES
1100B. HM. FEE
MICRO FEE
MECH. FEE .PL. CK. FEE
CONST. FEE ELECT. FEE
�37
SMI FEE
FEE PLUMB. FEE
j .PERMIT NO.
346776
Supp. Permit
Job Address Space Zip
s.3- .��e a62� d,�>
Owner
��
Community y�
III ZAI-/IjJ/
oluation
$ 316410
Date
/Q /Q,r-7?
Dist
//
Off.
..
F.C.
�a
MH Permit Fee $
Micro Film Fee
'
Cop $
Use of Permit
/jRG/�O
Parcel No.
2,0
Use No. Ck. by
+�J
ech. Fee Dbl $
PI. Ck. Fee 8
Set Backs
Lot Size
�11J
Fonstruction Fee Dbl 8
Legal Description r
F
5
S
R
Electrical Fee Dbl $
Zone
Grp
Type
Unit
6Ml Fee $
plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
Plan Checker
FinalD Inspecto
31L
6p. Insp. Fee $
)emol. Fee
$
Const. Lender Branch. .. "I cecertifythat in the performance of the wfor which this permit is issued I shall
not employ any person in any monner so as to come. subject to the workmen's com-
- pensation laws of California."
Address City Zip
Owner Signature _
Builder Signature
Registr. Fee $
Mileage Fee $
Witness Fee $
leinsp. Fee
$
Own /A en(�t
V •
(/�
Tel. Zip
total Fees
$ S
Address 7
p _
�^ `/G O��Ce Q /Vj
City Zip
.-,�
M.O. C] N.C. 0 Cash Chec
Received by
Contractor
Tel.
License #
[rees required
[swage System
T LL P
ewer District
t
Form 284.208 (Rev. 4-771 OPS
Address
City Zip
-
Workers' Comp.
yes 0 no O
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by:
WORK FOR 120 DAYS SHALL'ALSO S P MIT�ME VOID.
I HEREBY AGREE THAT All C N I WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIV6RSIDECDUNTY A 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
CALIFORNIA.