346959 (RPL)BUILDING PERMIT svi DEPARTMENT OF BUILDING & SAFETY all, FIELD OFFICE
PERMIT NO.Supp.
3469 5 9
PERMIT NO.
346959
COUNTY OF RIVERSIDE W
Space
DST
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES
1ST FL..
2ND FL.
FOR.
GAR.
CAR P.
WALL
LSQ.
ESTIMATED CONSTRUCTION
SQ. FT. Q $ UNITS
SQ. FT. Cas YARD SPKLR SYSTEM
SQ. FT. MOBILEHOME SVC. BARSINK
SQ. FT.. CaJ POWER OUTLET ROOF DRAINS
SQ. FT, (a3 DRAINAGE PIPING
SQ. FT. @ DRINKING FOUNTAIN
FT. @ URINAL
VALUATION $ WATER PIPING
NOTE: Not to be used as property tox valuation SWIM POOL, PVT ,il FLOOR DRAIN
Micro Film Fee Cop E
MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER
Use of Permit
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VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) I DISH)
APPLIANCE ❑ DRYER GARBAGE DISPOSAL
Use No. SEkk�b
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY
PI. Ck. Fee E
AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK
Lot Size
ABSORPTION SYSTEM � B.T.U. TEMP USE PERMIT SVC WATER CLOSET
Legal Description
`�.,�
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COMPRESSOR HP POLE, TEMP/PERM LAVATORY
HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER
Y.
BOILER � B.T.U. SQ. FT. i•; ¢ BATH TUB
Electrical Fee Dbl E /
SQ. FT. ¢ WATER HEATER
Grp Type
SQ. FT. RESID Ga 1'/.¢ SEWAGE DISPOSAL
SQ. FT. GAR C, 1/.¢ HOUSE SEWER
plumbinq Fee Dbl E
few
GAS PIPING
Plan No.
1
PERMIT FEE
PERMIT FEE PERMIT FEE
Final Date
— / 1?
r�3-L773/
AL FEES
MOB. HM. FEE
MICRO FEE MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE SMIFEE
FEE PLUMB. FEE
PERMIT NO.Supp.
3469 5 9
Permit
Job Address -
- Gos ", Jp,�,�,�.y,�,
Space
p
�Avx---,731
Owner
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Community
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Valuation
E �y SOD f=
Date
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Dist.
ii
Off.
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F.C.
Aja, U
MH Permit Fee E
Micro Film Fee Cop E
Use of Permit
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��� L
Parcel No.
J7
Use No. SEkk�b
Mech. Fee Dbl E
PI. Ck. Fee E
Set Backs
Lot Size
Construction Fee Dbl E
Legal Description
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S 7,7A
Y.
Electrical Fee Dbl E /
Zone
Grp Type
Unit
jiiMl Fee E
40-11
plumbinq Fee Dbl E
few
Bond Amt.
E
Plan No.
1
Plan Checker
1
Final Date
— / 1?
Inspector
k6ai-i
5p.
6p. Imp. Fee E
bemol. Fee E
'
Const. Lender
Address
Branch
City
'I certify that in the performopce of the wo for which this permit is issued I shag
not employ any person in any manner so as to Bikome subject to the workmen's com.
pensation laws of California."
Zip Owner Signature
Builder Signature
Regisir. Fee E
Mileage Fee E
Witness Fee E
Reinsp. Fee E
Owner/Agent
1
Tel. Zip
City IIIIIII VIII III VIII IIII s2 Zipp
IE
E
lotol Fees!3� ,
Address s rt i
`
M.O. ❑ N.C. ❑ Cash ❑ C 'bck�
keceived by
Contractor ` A)< j
t�
Tel.
License #
3041;t 7
rees required
wage System
Address -y -}
City Zip
Workers' Comp.
yesno ❑
m
District
Form 284.208 (Rev. 477) @s
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verif,ed bye
WORK FOR 120 DAYS SHALL Al USE P MIT�iT,O BECOME VOID.
I HEREBY AGREE THAT ALLtGua*�(`ZLCTf6Pd�OYYITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIV15RSIDE COUNTY AN 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.