RPL (344064)BUILDING PERMIT ,ask DEPARTMENT OF BUILDING & SAFETY mk FIELD OFFICE
PERMIT NO.
3440 64
PERMIT NO.
344664
1W COUNTY OF RIVERSIDE
Space I Zip
Owner J
7///�
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
Date
9/
NO. PLUMBING FEES
Off. �F.C.j�
/J//i
I ST FL. SQ.
2ND FL.
FOR.
GAR. SO.
CAR P.
W/� L
Of
ESTIMATED CONSTRUCTION
FT. ® $
UNITS
MH Permit Fee $
Micro Film Fee Cop $
SQ. FT. Ga YARD SPKLR SYSTEM
SQ. FT. ® MOBILEHOME SVC. BAR SINK
Use No.��/)
5h- opo, R
V V
POWER OUTLET ROOF DRAINS
FT. (a}
Mech. Fee Dbl $
SQ. FT. @ DRAINAGE PIPING
Set Backs
SQ. FT. Q DRINKING FOUNTAIN
Construction Fee Dbl $ D
SQ. FT. 8 71 URINAL
F �
VALUATION $ %ggeo 400 .0 WATER PIPING
NOTE: Not to be used as property tox voluotion
SWIM POOL, PVT
Z
FLOOR DRAIN
Unit
MECHANICAL FEES
SWIM POOL, COMM
Dbl $
WATER SOFTENER
Bond Amt.
Plan No.
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
SIGN
Inspector
WASHER IAUTOI (DISH)
Sp. Insp. Fee $
Demo]. Fee
APPLIANCE ❑ DRYER
Const. Lender Branch 'l certify that in the performapce of th ark for which this permil is issued I shall
not employ any person in any manner so a to become subject to the workmen's com•
pensotion lows of California."
Address City Zip Owner Signature
Builder Signature
GARBAGE DISPOSAL
Mileage Fee $
Witness Fee $
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
$
LAUNDRY TRAY
el. Zip
AIR HANDLING UNIT CFM
IDLE METER
Ch
KITCHEN SINK
City Zip
Received by
ABSORPTION SYSTEM O B.T.U.
TEMP USE PERMIT SVC
Contractor
L�✓/ ���
WATER CLOSET
licensell
/�
Frees required
COMPRESSOR HP
POLE, TEMP/PERM
Address
7 -jO/
LAVATORY
Work❑] no Comp. ❑
yes
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
AMPERES SERV ENT
SHOWER
BOILER � B.T.U.
SQ. FT. Ca, ¢
BATH TUB
SQ. FT. Ca ¢
WATER HEATER
SQ. FT. RESID @ I %a
SEWAGE DISPOSAL
SQ. FT. GAR @ V.
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DEL
I TO;&MOB.
HM. FEE
MICRO FEE MECH. FEE
PL. CSC. FE CONS -T. FEE
It
CT. FEE
SM}
FEE
PL B. FE�
PERMIT NO.
3440 64
Supp. Permit
Job Address
Space I Zip
Owner J
::Z.nity ,,II
[+(►�/V/ IJ'
Valuation
$ ��0�
Date
9/
Dist.
�/
Off. �F.C.j�
/J//i
MH Permit Fee $
Micro Film Fee Cop $
Use of Permit
5�Pl.
6/-, ��A::��l 4
Parcel No.
,73 � �
Use No.��/)
5h- opo, R
V V
Ck.byy
I�
Mech. Fee Dbl $
Ck. Fee $
Set Backs
Lot Size
Construction Fee Dbl $ D
legal Description
/D� / /"/
//�• /TL J /^ J
F �
S `
Electrical Fee ON $
SMI Fee $
Z
kpType
Unit
Plumbing Fee
Dbl $
..►
Bond Amt.
Plan No.
Plan Checker
Final Dote
--�//
!J
Inspector
Sp. Insp. Fee $
Demo]. Fee
$
Const. Lender Branch 'l certify that in the performapce of th ark for which this permil is issued I shall
not employ any person in any manner so a to become subject to the workmen's com•
pensotion lows of California."
Address City Zip Owner Signature
Builder Signature
Registr. Fee $
Mileage Fee $
Witness Fee $
Reinsp. Fee
$
Owner/Agent
el. Zip
ratol Fees
M.O.
$
.C. Cosh ❑
Ch
Address
OV� r
City Zip
Received by
Contractor
L�✓/ ���
Tel.
T(/�i���
a•, GV/
licensell
/�
Frees required
SewogeSystem
Address
7 -jO/
CitiiJJ
A4 Zip
Work❑] no Comp. ❑
yes
M
fewer District
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by:
WORK FOR 120 DAYS SHALL ALSO U TJ�ZECOME VOID.
I HEREBY AGREE THAT ALL IN C NEE''.•CTlTIIIO((N//WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIVERSIDE 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.