347392 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY
PERMIT NO. COUNTY OF RIVERSIDE
FIELD OFFICE
NO. I PLUMBING FEES
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
VAI
347392
SWIM POOL, COMM
Space
_ «-
WATER SOFTENER
Owner /34)0
—
CONSTRUCTION ESTIMATE
SIGN
NO. ELECTRICAL FEES
,o $
1ST FL. SQ. FT. (a}
b
UNITS
' 2ND FL. SQ. FT. Cia
Off.
—Z—
GARBAGE DISPOSAL
POR. SQ. FT; 8
�_
MOBILEHOME SVC.
_GAR. SQ- FT. �
dt
POWER OUTLET
_ -CARP. SQ. FT. Ca3
IDLE METER
Use No.Ck.by
WALL SQ. FT. do
ABSORPTION SYSTEM � B.T.U.
SQ. FT. @
Set Backs
WATER CLOSET
ESTIMATED CONSTRUCTION VALUATION $
d0
POLE, TEMP/PERM
NOTE: Not to be used as property tax valuation
LAVATORY
SWIM POOL. PVT
FIELD OFFICE
NO. I PLUMBING FEES
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
VAI
PERMIT NO.
347392
MECHANICAL FEES
SWIM POOL, COMM
Space
_ «-
WATER SOFTENER
Owner /34)0
—
VENT SYSTEM FAN ❑ EVAP. COOL JR HOOD
SIGN
Community .1.
�� �(��,/1/�i7
WASHER IAUT(:�/.DISHI
Val�uarytio�n
E P�/� t�f?i�j �p
APPLIANCE DRYER
Dist.-
/i
Off.
—Z—
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
Micro Film Fee
Cop E
LAUNDRY TRAY
Use of Permit
/
�L G
AIR HANDLING UNIT CFM
IDLE METER
Use No.Ck.by
KITCHEN SINK
ABSORPTION SYSTEM � B.T.U.
TEMP USE PERMIT SVC
Set Backs
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
C
HEATING SYSTEM FORCED ❑ GRAVITY
MPERESSERV ENT
S.S�
SHOWER
Zone I
/
BOILER B.T.U.
SQ. FT. Ga ¢
Unit
I
BATH TUB
SMI Fee E
9S
Plumbing Fee
SQ. FT. @ ¢
WATER HEATER
Plan No. •-
3� /3
SQ. FT. RES ID @ l t/.¢
Final Date ��/PInspector
SEWAGE DISPOSAL
--SQ. FT. GAR Ca, '/.¢
aemol. Fee
HOUSE SEWER
Const. Lender -
-
Address
Branch "I certify that in the performance of the work for which this permit is issued I shall
_ not employ any person in ony manner so as to become subject to the workmen's com.
pensation lows of California."
City Zip
Owner Signature
- Builder Signature
Registr. Fee E
GAS PIPING
Witness Fee E
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
a
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE
'�
ELECT. FEE
.moo
SMI FEE
/ 4�
FEE P B. FEE
..�
PERMIT NO.
347392
Supp. Permit
Job Address
-s
Space
_ «-
Zip
Owner /34)0
—
Community .1.
�� �(��,/1/�i7
Val�uarytio�n
E P�/� t�f?i�j �p
Date
D� 3� ��
Dist.-
/i
Off.
—Z—
F.C.
ew I
MH Permit Fee E
Micro Film Fee
Cop E
Use of Permit
/
�L G
_
,f �������
Parcel No.
2 41 A-
Use No.Ck.by
Mech. Fee Dal E
PI. Ck. Fee E
Set Backs
I Lot Size
,onstruction Fee
Electrical Fee
Dbl E
ON E
Legal DescriptionS
C
S.S�
j✓S
Zone I
/
Grp
/13
Type
Unit
I
SMI Fee E
9S
Plumbing Fee
Dbl E
Bond Amt.
E
Plan No. •-
3� /3
Pion Checker
-/1-L-L—a
Final Date ��/PInspector
. .
Sp. Insp. Fee E
aemol. Fee
E
Const. Lender -
-
Address
Branch "I certify that in the performance of the work for which this permit is issued I shall
_ not employ any person in ony manner so as to become subject to the workmen's com.
pensation lows of California."
City Zip
Owner Signature
- Builder Signature
Registr. Fee E
Mileage Fee E
Witness Fee E
Reinsp. Fee
E
Owner/Agent
Tel.
Zip
rotol Fees E D
M.O. ❑ N.C. ❑ Cash ❑ Check
Address
Cit
Zip
Received by
—
Contractor
Z�
Tel.
License #
trees required
sewage System
Address
_oayr
Ci ty Zip
Workers' Comp.
yes ❑ no ❑
I T LL P
wer District
Form 284-208 IRev. 4.771 IDS
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by:
WORK FOR 120 DAYS SH LS USEEPPERRMITT TO BECOME VOID.
I HEREBY AGREE TH, L II�tO1QIQEICTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE `
WITH THE LAWS OF RIVERSIDE COU Y AND THE STATE OF CALIFORNIA.
f 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.