341109BUILDING PERMIT
DEPARTMENT OF BUILDING & SAFETY
FIELD OFFICE
PERMIT NO.
341100
PERMIT NO.
341109
� COUNTY OF RIVERSIDE
DST
,/
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
Community
Valuation
NO.
PLUMBING FEES
Off.
F.C.
1ST FL.
SQ FT Q
$
E-
UNITS
Micro Film Fee
Cop
E
Use of Permit % T
^1�,f / ,�f�
ie�A. /.. 41 CFft/'
Z -
Parcel No.
2N0 FL
SQ FT @YARD
Mech. Fee
Dbl
$
��
'-i
�Z
PI. Ck. Fee
SPKLR SYSTEM
et Backs
POR.
SQ FT 8
S
S,3
MOBILEHOME SVC.
Construction Fee
Dbl
BAR SINK
e.�
legal Description
-
2 2,' f /''� C— �5 3/ j-e-l�t%7c%')C!'
•
GAR.
SQ FT Ga
$-
/Z.--)“.;--
POWER OUTLET
�j—
G p
Type !!!
Unit
ROOF DRAINS
SMI Fee
CAR P.
SQ FT Ca}
Plumbing Fee
Dbl
$ G
/
��
Bond Amt.
E
Plan No.
DRAINAGE PIPING
Fjp01 qat 2) J�Q
'7-// 79i`.
Insp tor
WALL
SQ FT (a}
$ C
Demol. Fee
$
DRINKING FOUNTAIN
Const. Lender Branch I certify that in the performance oft cork for which this permit is issued I shall
not employ any person in ony manner • s to become subject to the workmen's corn.
pensotion lows of Colifornia.
Registr. Fee
5Q FT ®
Mileage Fee
$
Address City Zip Owner Signature
URINAL
Witness Fee
ESTIMATED CONSTRUCTION VALUATION
$
Reinsp. Fee
-
$
Owner/Ag t
.7s,, T
WATER PIPING
NOTE: Not to be used as property tox valuation
SWIM POOL, PVT
E
Address
73 - ^ / z.-=/ .1101;r4-1,,- ics -
FLOOR DRAIN
M.O. O N.C. 0 Cosh IC Check Ea.
Received by �
L
Contractor
MECHANICAL FEES
License #
SWIM POOL, COMM
r
I
WATER SOFTENER
Address
1111111VIIIIIIIIII 01
111111111111111111111111
I E
1
VENT SYSTEM 0 FAN 0 EVAP. COOL 0 HOOD
City Zip
Workers' Comp.
yes ❑ no 0
TH S PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by
WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
SIGN
WITH THE LAWS OF RIVSCSIDE COUNTY AND THE STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
50 IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF
CALIFORNIA.
WASHER IAUTOI 1 DISH)
APPLIANCE 0 DRYER
GARBAGE DISPOSAL
FURNACE 0 UNIT 0 WALL 0 FLOOR 0 SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT _ - CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM 1 1 B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR 1 1 HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM 0 FORCED 0 GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ® ¢
BATH TUB•
SQ. FT. Ga ¢
WATER HEATER
SQ. FT. RESID 1j 1'/.¢
SEWAGE DISPOSAL
SQ. FT. GAR @ 3/4¢
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
laak
/1/2,
TOTAL FEES -
/e/. !•---
MOB. HM. FEE'
MICRO FEE
MECH. FEE
/e9 ..V-ZP
PL. CK. FEE,
CONST. FEE -.
l�✓.rie r--42
ELECT. FEE
-..r`.
SMI FEE
FEE
PLUMB FEE
As -5Y!
PERMIT NO.
341100
Supp. Permit
3�3 -may_"5.
Job Address/Space
4.49/e „",
Zip
Owner
-pe/J •'&,
Community
Valuation
Dote
Dist.
Off.
F.C.
MH Permit Fee
E-
Micro Film Fee
Cop
E
Use of Permit % T
^1�,f / ,�f�
ie�A. /.. 41 CFft/'
Z -
Parcel No.
Use No.
Ck.by
Mech. Fee
Dbl
$
��
'-i
�Z
PI. Ck. Fee
$
et Backs
Lot Size
F`_7/J
S
S,3
R42
Construction Fee
Dbl
$
'
e.�
legal Description
-
2 2,' f /''� C— �5 3/ j-e-l�t%7c%')C!'
•
IElectricol Fee
Dbl
$-
/Z.--)“.;--
Zone
�j—
G p
Type !!!
Unit
SMI Fee
$
Plumbing Fee
Dbl
$ G
/
��
Bond Amt.
E
Plan No.
Plan Checker
Fjp01 qat 2) J�Q
'7-// 79i`.
Insp tor
Sp. Insp. Fee
$ C
Demol. Fee
$
Const. Lender Branch I certify that in the performance oft cork for which this permit is issued I shall
not employ any person in ony manner • s to become subject to the workmen's corn.
pensotion lows of Colifornia.
Registr. Fee
$
Mileage Fee
$
Address City Zip Owner Signature
Builder Signature
C---20._...._?VC
Witness Fee
$
Reinsp. Fee
$
Owner/Ag t
.7s,, T
Tel. Zip
— �/
foto) fees
E
Address
73 - ^ / z.-=/ .1101;r4-1,,- ics -
City Zip
�
..,A.1/i,/ L:.t0." ?�
M.O. O N.C. 0 Cosh IC Check Ea.
Received by �
L
Contractor
Tel. `"�
License #
Trees required
r
I
Sewage System
%Ch?e t�0 X /4
T LL P
Address
1111111VIIIIIIIIII 01
111111111111111111111111
I E
1
City Zip
Workers' Comp.
yes ❑ no 0
TH S PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by
WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
Sewer District n
c�\\
li
Form 284.208 IRev. 4-771 ®S
WITH THE LAWS OF RIVSCSIDE COUNTY AND THE STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
50 IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF
CALIFORNIA.