SFD (335007)BUILDING PERMIT Am DEPARTMENT OF BUILDING & SAFETY ,ft FIELD OFFICE
PERMIT NO.
335007<'i��,I
PERMITNO.
335007
Job Address
-
COUNTY OF RIVERSIDE
Zip
a�s3
Owner
1,141" "j
DST
//
ESTIMATE
Valuation �
Is JJ
/ t 7 L� t
'
NO. ELECTRICAL FEES
}Dist.
! /
NO.
PLUMBING FEES
MH Permit Fee E
/CONSTRUCTION
1ST FL. % SQ.
2ND FL.
POR. 0 SQ.
GAR. 4/)/9 SQ.
CAR P. SQ,
WALLEE] SQ.
ESTIMATED CONSTRUCTION
FT. @ ILA" $
UNITS
`t t r { -.J t < !" �'
Parcel No.
Use No.
� by
SQ. FT. @ YARD SPKLR SYSTEM
PI. Ck. Fee E ..,..•+-�
FT. @ f ? MOBILEHOME SVC. BAR SINK
Lott Size
J X�
FT.Cia e S POWER OUTLET ROOF DRAINS
Legal Description,/
FT, DRAINAGE PIPING
FT. DRINKING FOUNTAIN
S t�
SQ. FT. URINAL
R173
y
VALUATION $ / S WATER PIPING
ifJ
NOTE: Not to be used as property rax valuation
Type -
Unit ,
SWIM POOL, PVT
SMI Fee E`
Plumbing Fee Dbl E
FLOOR DRAIN
`'P;j
Bond Amt.
E
MECHANICAL FEES
Plan Checker
�9/ P �- es
Final Date Ins
C,Z-��%-%Q
SWIM POOL, COMM
Sp. Insp. Fee E
WATER SOFTENER
Const Lender
Address
VENT SYSTEM 'J FAN ❑ EVAP. COOL )�J HOOD
Registr. Fee E
..
SIGN
Reinsp. Fee E
I
WASHER IAUTOIdiITH)
Owner/Agent
6` V
Tel, Zip
APPLIANCE rJ DRYER
Total Fees E..
e
✓��
Address .
GARBAGE DISPOSAL
M.O. ❑ N.C. ❑ Cash ❑ Check`)
Received by e e /
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
/1/0 G t-
Tel. !•} �j
.y ! 7/
license pT
Trees required
Sewage System
} r A
LAUNDRY TRAY
. - `
Address
f, / 5 /4 /3 5 v! / ��,,; /3'] .
City Zip
11r 'j F r dr. Tr'
AIR HANDLING UNIT CFM
IDLE METER
%
KITCHEN SINK
ABSORPTION SYSTEM O B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR 7j HP
7
�G
POLE, TEMP/PERM
a
LAVATORY
L
�`
HEATING SYSTEM K FORCED ❑ GRAVITY
AMPERES SERV ENT
d0
SHOWER
e/a
BOILER B.T.U.
SQ. FT. Ga ¢
I
BATH TUB
0-0
SQ. FT. Ga ¢
WATER HEATER
0-0
SQ. FT. RESID Qa 1'/k
SEWAGE DISPOSAL
Q
0t}
SQ. FT. GAR 6 1/.¢
HOUSE SEWER
(.
GAS PIPING
6ti
PERMIT FEE '
��
PERMIT FEE
3
PERMIT FEE
Q �}
DBL.I
TITALIE11
1111B, 11.. FEE
MICRO FEE
��H. J
PM+CK. FEE
%
CT E
�MI F_E
FEE
PLUMB. FEE
PERMIT NO.
335007<'i��,I
Supp. Permit
Job Address
-"s'f ,
Space
Zip
a�s3
Owner
1,141" "j
Communityf`1,^
I
' r �f Z f'•
Valuation �
Is JJ
/ t 7 L� t
'
Date
r
// �
}Dist.
! /
•
F.C/./
• C "
MH Permit Fee E
Micro Film Fee Cop E
Use of Permit
% `
`t t r { -.J t < !" �'
Parcel No.
Use No.
� by
Mech. Fee Dbl E1
PI. Ck. Fee E ..,..•+-�
Set Bock$
Lott Size
J X�
Construction Fee Dbl E %
Legal Description,/
!
FG
S t�
S -6
R173
Electrical Fee Dbl E
Zone t
Grp
Type -
Unit ,
SMI Fee E`
Plumbing Fee Dbl E
i 7
`'P;j
Bond Amt.
E
Pian No.
3 ���
Plan Checker
�9/ P �- es
Final Date Ins
C,Z-��%-%Q
Por
Sp. Insp. Fee E
Demol. 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 any manner so as io become subject to the workmen's com-
pensohon laws of Cahfornw.
City Zip Owner Signature
Builder Signature
Registr. Fee E
Mileage Fee E
Witness Fee E
Reinsp. Fee E
Owner/Agent
Tel, Zip
Total Fees E..
1, `f
✓��
Address .
City Zip
M.O. ❑ N.C. ❑ Cash ❑ Check`)
Received by e e /
Cant roctqoi
r F
/1/0 G t-
Tel. !•} �j
.y ! 7/
license pT
Trees required
Sewage System
} r A
.
. - `
Address
f, / 5 /4 /3 5 v! / ��,,; /3'] .
City Zip
11r 'j F r dr. Tr'
Workers' Comp.
yes ❑ no ❑
T« LL Pf, X 7 (,
Sewer District (� � • s
Form 284.208 (Rev. 477) Os
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSAT16h OF ve"I'edby.
WORK. FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
r•
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIVEQSIDE COUNTY AND THE STATE OF CALIFORNIA.
1 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.