346919BUILDING PERMIT
DEPARTMENT OF BUILDING 8 SAFETY
FIELD OFFICE
PERMIT NO.
346919
PERMIT NO.
COUNTY OF RIVERSIDE
Zip
346919
W
DST
1/
CONSTRUCTION ESTIMATE'
NO.
ELECTRICAL FEES
Dist.
//
Off.
s
NO.
PLUMBING FEES
MH Permit Fee
1ST FL. //3/5Z
SQ. FT. Cay.,eT 60
$ 9s-05.0
Cop
UNITS
Use of Permit
r /^'
Q t� 117-74 # 4 -.2R -d--- 1 •
IT
Parcel No.
7711 Z V / - 00
f 'T1 7
Use No.
Ck.by
a-
Mech. Fee
2ND FL
SQ FT ®
>
PI. Ck. Fee /949,1%,
$ /
„co
Set Bocks
YARD SPUR SYSTEM
7R
FdPZg
.y
POR. Fi/
50 FT @ 4111
336,4P'
MOBILEHOME SVC.
$ /17/
Legal D4 ccnption
.ter {� sp S /� %,
4Dl 2 / If k 4iJ `� `V 4.Q 2
BAR SINK
Dbl
$ 2.9.
GAR. T % 7
SQ FT @ {p Sr'
. 11 ai %�
'Tjyppee ,{
Jc A>
POWER OUTLET
.SMI Fee
ROOF DRAINS
90
Plumbing Fee
CAR P.
SQ FT ®DRAINAGE
OQ
Bond Amt.
$
Pion No.
3P'4
Plon^Checker
W //K„f
Final Dote
G
✓�/O X79
lns or
,44,9„,..
PIPING
Sp. Insp. Fee
WALL
SQ FT.
Demol. Fee
$
Const. Lender Branch 'I certify that in the performance of thefor which th-s permit ,s issued I shall
not employ any person in any manner so as to become subject to the workmen's com•
pensotion lows of California.'
Registr. Fee
DRINKING FOUNTAIN
$
Mileoge Fee
SQ FT @
$
Address City Zip Owner Signature
Builder Signature
Witness Fee
URINAL
Reinsp. Fee
ESTIMATED CONSTRUCTION VALUATION
$ �J J' /C� ,, �i
Owner/Agent
A . it v /'_
Tel. Zip
32.?—ek 4
/
WATER PIPING
2.
a Cd
NOTE: Not to be used as property tax valuation I�// /
S3
SWIM POOL, PVT
City Zi
ti Zip
�i' J��'_WGp /�/�p �.L.� rl�7J
M.O. ❑ N.C. 0 Cosh ��Check g
(
FLOOR DRAIN
Tel.
LidFse #
MECHANICAL FEESEEr
Trees required
SWIM POOL, COMM
Address
07 j
IIIVIII IIII.
IE
WATER SOFTENER
Workers' Comp.
yes 0 no 0
VENT SYSTEM FAN 0 EVAP. COOL LD• HOOD
j
,,�)
O
SIGN
WASHER IAUT0 .DISH)
I/
0 0
APPLIANCE DRYER
3
00
/
GARBAGE DISPOSAL
Z,Qd
FURNACE 0 UNIT 0 WALL 0 FLOOR 0 SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
/
KITCHEN SINK
ABSORPTION SYSTEM I j B.T.U.
TEMP USE PERMIT SVC
2_
WATER CLOSET
,2,,00
i/ pU
COMPRESSOR 3A,10". I I HP
7
POLE, TEMP/PERM
Gq _
LAVATORY
7q ao
HEATING SYSTEM IS FORCED 0 GRAVITY
II
`�'
00
/
AMPERES SERV ENT
7
Q
!/
SHOWER
7
BOILER B.T.U.
SQ. FT. aG 4
BATH TUB
4/ 00
SQ. FT. 1 . 4
/
WATER HEATER
Z Ov
/304.,.SQ. FT. RESID @ 11/44
/V
2.Sy
%
SEWAGE DISPOSAL
/0 p0
ff.7 SQ. FT. GAR @ 3/4
3
[
HOUSE SEWER
1
GAS PIPING
PERMIT FEE
3
00
/
PERMIT FEE
3
0O
I
PERMIT FEE
m
DBL.
TOTAL FEES
2J3 -
'MOB. HM. FEE
MICRO FEE
I
MECH. FEE
zZ
PLT. CK.K.FEE
/'', so
CONST. FEE
AZ/ °'
ELECT. FEE
.29 42
SM FEE
/
FEE
PLUMB FEE
37'0
PERMIT NO.
346919
Supp. Permit
Job Address Space
s4( ;3zo Ove. A,4vAeictm
Zip
Owner
/,k ,.
Community
104gv, _
Voluation
$2 7 /9P' '
Date
/0/4Af --
•v
Dist.
//
Off.
s
F.C.
00 /
MH Permit Fee
$
Micro Film Fee
Cop
$
Use of Permit
r /^'
Q t� 117-74 # 4 -.2R -d--- 1 •
IT
Parcel No.
7711 Z V / - 00
f 'T1 7
Use No.
Ck.by
a-
Mech. Fee
Dbl
$
2 Z..s
>
PI. Ck. Fee /949,1%,
$ /
„co
Set Bocks
Lot Size
7R
FdPZg
.y
S
R2Z.
�/
./ `2 74 /0 c)
Construction Fee
Dbl
$ /17/
Legal D4 ccnption
.ter {� sp S /� %,
4Dl 2 / If k 4iJ `� `V 4.Q 2
Electrical Fee
Dbl
$ 2.9.
63
Zone
e-
0 p
/�. '3
'Tjyppee ,{
Jc A>
Unit
/
.SMI Fee
$ /
90
Plumbing Fee
Dbl
$ 37
`
OQ
Bond Amt.
$
Pion No.
3P'4
Plon^Checker
W //K„f
Final Dote
G
✓�/O X79
lns or
,44,9„,..
Sp. Insp. Fee
$
Demol. Fee
$
Const. Lender Branch 'I certify that in the performance of thefor which th-s permit ,s issued I shall
not employ any person in any manner so as to become subject to the workmen's com•
pensotion lows of California.'
Registr. Fee
$
Mileoge Fee
$
Address City Zip Owner Signature
Builder Signature
Witness Fee
$,ter,
Reinsp. Fee
$
Owner/Agent
A . it v /'_
Tel. Zip
32.?—ek 4
Total Fees
$ Z /3
S3
Address
f� Q'
�j �r^'3 3 / -? /e e �+ /f�• �
City Zi
ti Zip
�i' J��'_WGp /�/�p �.L.� rl�7J
M.O. ❑ N.C. 0 Cosh ��Check g
_
Received by J
Contractor1
Tel.
LidFse #
IIIIIIII VIII
Trees required
Sewage
Sewo a System
System
Address
07 j
IIIVIII IIII.
IE
City Zip
Workers' Comp.
yes 0 no 0
/f/vv t
Sewer District
LL
-
Form 284.208 (Rev. 4.771 is
THIS PERMIT SHALL BECOME VOID IF WORK I5 NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
WORK FOR 120 DAYS SHALL .a • CA , PER BECOME VOID.
verified. by:
I HEREBY AGREE THAI" •RK I ONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIVERSIDE COUNTY • D 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.