347152 (SFD)BUILDING PERMIT t�_ DEPARTMENT OF BUILDING & SAFETY . FIELD OFFICE
PERMITNO.
3471521
PERMITNO.W,
347152
Job Address �^ �J /.
- l / F/
COUNTY,OF RIVERSIDE.
Owner
•
F;�
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
Dote
!
NO. PLUMBING FEES
Off.
1ST FL.
2ND FL.
POR.
GAR. SQ.
CAR P.
-WALL
ESTIMATED CONSTRUCTION
SQ. FT. Q $ -
UNITS
NH Permit Fee
Micro Film Fee
Cop $
SQ. FT.. des YARD SPKLR SYSTEM
Ck.b Y
SQ. FT. @ MOBILEHOME SVC, BAR SINK
N.17
. Ck. Fee $
FT. (a} POWER OUTLET ROOF DRAINS
lectricol Fee Dbl $
SQ. FT. @ DRAINAGE PIPING
tlumbing Fee
SQ. FT. @ DRINKING FOUNTAIN
Bond Amt.
$
SO.. FT. Cel URINAL
Plan Checker
�BLG✓A/
VALUATION$ a WATER PIPING
inspector
V, G//�--
NOTE: Not to be used os property tox valuation
SWIM POOL, PVT
ketol. Fee
FLOOR DRAIN
Const. Lender Branch' " I certify that in the performal+ce of the work for which this permit is issued I shall
not employ any person in any manner so as tobecome subject to the workmen's com-
; pensation laws of California."
Address �..^ .. City Zi
p Owner Signature
r r 7 Builder Signature
legistr. Fee $
MECHANICAL FEES
iNitness Fee $
SWIM POOL, COMM
$
WATER SOFTENER
Tel.
---.% Z,
VENT SYSTEM ❑ FAN' ❑ EVAP. COOL HOOD
SIGN
$
WASHER (AUTO)CISH)
City
ir•>.
`��/T
APPLIANCE DRYERGARBAGE
M.O. ❑ N.C. ❑ Cash ❑ Ch k
leceived by
'rees required
DISPOSAL
Tel.
FURNACE ❑ UNIT ❑ WALL C] FLOOR ❑ SUSPENDED
iewoge System
,10 -;P -d
.. G Xis _
LAUNDRY TRAY
City Zip
AIR HANDLING UNIT CFM
Comp.
no.0
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM � B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR S Z HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM IRL FORCED C] GRAVITY
MPERES SERV ENT
0�
SHOWER
BOILER � B.T.U.
SQ. FT. p it
ft
BATH TUB
SQ. FT. a
WATER HEATER
SQ. FT. RESID 8 I1Aa
SEWAGE DISPOSAL
SQ. FT. GAR Cot 14 (1
HOUSE SEWER
GAS PIPING
ery
PERMIT FEE
Py
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
.MICRO FEE.
MECH. FEE
PL. CK. FEE
CONST. FEE
ELECT. FEE
SMI FEE
FEE PL B. FEE
PERMITNO.
3471521
Supp. Permit
Job Address �^ �J /.
- l / F/
�✓o �` G6 j Space Zip
'v
Owner
Community
Valuation
$
Dote
!
Dist.
Off.
F.C.
NH Permit Fee
Micro Film Fee
Cop $
Use of Permit Parcel No / Use No.
_. %i ��� cF�6/L
�7 Set Backs Lot Size
legal Description Z g Z L / I 0
Lo N �� C V F S SSS
Zone Grp - Type Unit
Ck.b Y
IAech. Fee Dbl $LG
N.17
. Ck. Fee $
.onstruction Fee Dbl b
lectricol Fee Dbl $
iMl Fee $
tlumbing Fee
Dbl $
Bond Amt.
$
Plan No.
���
Plan Checker
�BLG✓A/
Final Date
`� �a""�'7�
inspector
V, G//�--
ip. Imp. Fee $
ketol. Fee
$
Const. Lender Branch' " I certify that in the performal+ce of the work for which this permit is issued I shall
not employ any person in any manner so as tobecome subject to the workmen's com-
; pensation laws of California."
Address �..^ .. City Zi
p Owner Signature
r r 7 Builder Signature
legistr. Fee $
Mileage Fee $
iNitness Fee $
leinsp. Fee
$
Owner/Agent °
/
fI%
Tel.
---.% Z,
Zip
btal Fees
$
Addre,ir
City
ir•>.
`��/T
Zip
M.O. ❑ N.C. ❑ Cash ❑ Ch k
leceived by
'rees required
Contractor
Tel.
License P
r
iewoge System
,10 -;P -d
.. G Xis _
Address
City Zip
Workers'
yes p'
Comp.
no.0
M
sewer District
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by>
WORK FOR 120 DAYSj�ijALL A�CAU E PERMIT TO BECOME VOID. `
I HEREBY AGR(/�P�p�jT�LA'^[/1 OR NECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIVERSIDE UNTY 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.