334776 (SFD)BUILDING PERMIT DEPARTMENT;OF BUILDING & SAFETY FIELD OFFICE
I PERMIT NO.
3347 76
PERMIT NO.
334776
NW
COUNTY OF RIVERSIDE
Owner
Community
�Y`7 (/Ly i+✓
DST
CONSTRUCTION ESTIMATE
Dist.
NO. ELECTRICAL FEES
f.C.
NO. PLUMBING FEES
•,Micro Film Fee
1 ST FL. 49 1; D
2ND FL.
POR.
GAR.v
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. Q / y $
UNITS
Parcel No.Use
21��33 0a/ —
�T
No. Ck.by
Mech. Fee Dbl E
SQ. FT.Cia YARD SPKLR SYSTEM
Set Backs
SQ. FT. C3 MOBILEHOME SVC. BAR SINK
fConstruction Fee Dbl E �'
SQ. FT. Cia d Q POWER OUTLET ROOF DRAINS
F 3Z
SQ. FT. @ DRAINAGE PIPING
`o
SQ. FT.' 8 DRINKING FOUNTAIN
Elearicol Fee Dbl Ea�ry
SQ. FT. Ca! URINAL
Grp
/?3
VALUATION $ 1 WATER PIPING
V
NOTE: Not to be used as property tax valuation
,SMI Fee E 7
/
ti
SWIM POOL, PVT
DblE
FLOOR DRAIN
Bond Amt.
El�1C
Plan No.
MECHANICAL FEES
Final Dote Inspector
/ ^� %
Y/
SWIM POOL, COMM
WATER SOFTENER
Sp. Insp. Fee E
!Demol, Fee
VENT SYSTEM FANC]EVAP. COOL HOOD
S
SIGN
I cceensfy that in the performance of the work for which this permit is issued I shalt
not employ any person in any manner so as to become subject to the workmen's com.
pensaton laws of California.
Zip Owner Signature
Bwtder Signature
/ WASHER IAUTOIRDISHI
O
;Witness Fee E
APPLIANCE DRYER
3
Owner/Agent
GARBAGE DISPOSAL
Tel
Zip
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
!Total Fees
E
/-1
LAUNDRY TRAY
City
AIR HANDLING UNIT CFM
M.O. ❑ N.C. ❑ Cash ❑ •heck
IDLE METER
KITCHEN SINK
oZ Q
ABSORPTION SYSTEM O B.T.U.
TEMP USE PERMIT SVC
frees required
WATER CLOSET
/ v
6 Ik
COMPRESSOR O HP
POLE, TEMP/PERM
Zip
LAVATORY
HEATING SYSTEM ;8 FORCED ❑ GRAVITY
i� AMPERES SERV ENT
S bD
SHOWER
BOILER � B.T.U.
SQ. FT. ¢
BATH TUB
G
SQ. FT. (a, ¢
WATER HEATER
SQ. FT. RESID Ga 1 v.¢
�.j
SEWAGE DISPOSAL
tj�yQ SQ. FT. GAR @ '/.¢
HOUSE SEWER
GAS PIPING
PERMIT FEE
3 Q
PERMIT FEE
p
PERMIT FEE
DBL.
TOTAL FEES
%71111,
111, IEEJ
MICRO FEE
MECH. FEE
PL. CK. FEE
CONST. FEE
ELECT. FEE
�/
SMIFEE
FEE
PLUMB.FEE
I PERMIT NO.
3347 76
Supp. Permit
Job Address�/'1 Space Zip
-53-
Owner
Community
�Y`7 (/Ly i+✓
Valuation
E .> 3Q1W
Date
Dist.
Off.
f.C.
,MH Permit Fee E
•,Micro Film Fee
Cop E
Use of Permit
` J �� /�/���`
fl' iC!
Parcel No.Use
21��33 0a/ —
�T
No. Ck.by
Mech. Fee Dbl E
PI. Ck. Fee E
Set Backs
Lot Sim
Cl,���
fConstruction Fee Dbl E �'
Legal Description
/ 44 / J� t 4V -4C
ii o Jl✓L�7 P
F 3Z
c
O
`o
Elearicol Fee Dbl Ea�ry
Zone
Grp
/?3
TYype
Z
Unit
,SMI Fee E 7
/
ti
:Plumbing Fee
DblE
S
Bond Amt.
El�1C
Plan No.
Plan Checker j�
Final Dote Inspector
/ ^� %
Y/
Sp. Insp. Fee E
!Demol, Fee
E
3Const.
Lender Branch
Address- _ City
`+o
I cceensfy that in the performance of the work for which this permit is issued I shalt
not employ any person in any manner so as to become subject to the workmen's com.
pensaton laws of California.
Zip Owner Signature
Bwtder Signature
IRegistr. Fee E
(Mileage Fee E
;Witness Fee E
iReinsp. Fee
E
Owner/Agent
Tel
Zip
E
r
!Total Fees
E
/-1
Address
City
Zip
M.O. ❑ N.C. ❑ Cash ❑ •heck
Received by
Contraaor
Tel.
License N
frees required
'Sewage System
/ v
6 Ik
Address
�7 ! ,6+ I �/ �%✓�1
City
/�L: �1/'r++L
Zip
Workers'Comp.
Yes ❑ no ❑
T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF tter,fied by
k ewer District WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
it I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIV6�SIDE COUNTY 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
Form 284208 fRev. 4771 (P S CALIFORNIA.