SFD (348821)BUILDING PERMIT DEPARTMENT.OF BUILDING & SAFETY dgh, FIELD OFFICE .
1PERMITNO.
34-88211
PERMIT NO.
348821
'�
COUNTY OF RIVERSIDE`
_
Community
4 % 41wI
. _
7
CONSTRUCTION ESTIMATE
Dist.
NO. I ELECTRICAL FEES
4F,C .
NO. PLUMBING FEES
1ST FL. 13 ata. SQ.
2ND FL.
POR, O
GAR. ✓� SQ.
CAR P.
WALL.
ESTIMATED CONSTRUCTION
FT. , @A5 $
Cop $
UNITS
Use of Permit
i� G • ff ii �iJzrE=
Parcel No.
33 ^ v
G.�..
Use No. Ck.by
3<
�7
SQ. FT. @ YARD SPKLR SYSTEM
PI. Ck. Fee $ •
SQ. FT. @ ? O MOBILEHOME SVC. BAR SINK
Lot $J�, •
FT.. @ / � POWER OUTLET ROOF DRAINS
Description
/�7
/�
SQ. FT. (a} DRAINAGE PIPING
F CPO
SQ. FT. DRINKING FOUNTAIN
5 S
SQ. FT. @ URINAL
Electrical Fee Dbl 8 30
VALUATION $ WATER PIPING
Grp
L
//3
NOTE: Not to be used as property tax valuation
Unit
SWIM POOL, PVT
SMI Fee $ D
FLOOR DRAIN
Dbl $
MECHANICAL FEES
Plan No.
SWIM POOL, COMM
Plan Checker
WATER SOFTENER
•.'�'
VENT SYSTEN,:,? ef FAN ❑ EVAP. COOL 4ff HOOD
Demol. Fee
SIGN
-
WASHER IAUTQAISHI
- .. Branch "I certify that in the performance of th w rk•for which this permit is issued I shall
not employ, person in any manner so o become subject to the workmen's cam.
• pensarion laws of California."
City Zip Owner Signature
- Builder Signature
Registr. Fee $
APPLIANCE DRYER
3
Reinsp. Fee
$
GARBAGE DISPOSAL
a
FURNACE ❑ UNIT C] WALL [D FLOOR C) SUSPENDED
Total Fees
$Address
LAUNDRY TRAY
... ��
- -
F �%Y�/T7/�L '�Z/L�
AIR HANDLING UNIT CFM
M.O. O N.C. ❑ Cosh O Chec
IDLE METER
KITCHEN SINK
Contractor
ABSORPTION SYSTEM � B.T.U.
License #
TEMP USE PERMIT SVC
Sewage Systtee}m'.�i�
�".v `
d WATER CLOSET
f� X /I/j ..
Address.
COMPRESSOR 0 HP
' IV
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM 0,EORCED 0 GRAVITY
p p AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. Oa ¢
BATHTUB
SQ. FT. 6 ¢
WATER HEATER
FT. RESID p 1'/.¢
3
SEWAGE DISPOSAL
SQ. FT. GAR Ga Y ¢
3
HOUSE SEWER
GAS PIPING
yd
PERMIT FEE
3
PERMIT FEE
PERMIT FEE
DBL.
I TOTAL FEES
jmoB.HM.FEEj
M Y ICRO FEE'
MECH. FEE
PL. CK. FEE
CONST. FEE
ELECT. FEE
SMI.FEE
-' FEE
PLUMB. FEE
1PERMITNO.
34-88211
Supp. Permit,.
Job Address Space Zip
S3-6ov A14 � z 7 ���
Owner
Community
4 % 41wI
. _
Valuaattionn.
Dote /J<
Dist.
Off..
4F,C .
MH Permit Fee , $
Micro Film Fee
Cop $
Use of Permit
i� G • ff ii �iJzrE=
Parcel No.
33 ^ v
G.�..
Use No. Ck.by
3<
�7
Mech. Fee Dbl $
PI. Ck. Fee $ •
Set Backs
Lot $J�, •
Construction Fee Dbl $ 41Legal
Description
/�7
/�
�C�` "&�2
Cf% J
F CPO
S
5 S
Electrical Fee Dbl 8 30
Zone
Grp
L
//3
Type
i•7:T7
Unit
,
SMI Fee $ D
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Final Date Inspectlo••L�•
•.'�'
Sp. Insp. Fee $ ..
Demol. Fee
- $
-
Const. Lender
Address
17
- .. Branch "I certify that in the performance of th w rk•for which this permit is issued I shall
not employ, person in any manner so o become subject to the workmen's cam.
• pensarion laws of California."
City Zip Owner Signature
- Builder Signature
Registr. Fee $
Mileage Fee $
Witness Fee $
Reinsp. Fee
$
Owner/Agent
_
Tel
w Zip.
Total Fees
$Address
p�,
... ��
- -
F �%Y�/T7/�L '�Z/L�
Cit Y Zip
.►!'"�� /G�.
M.O. O N.C. ❑ Cosh O Chec
Received by
Contractor
Tel. - - -
License #
Trees required
Sewage Systtee}m'.�i�
�".v `
•
f� X /I/j ..
Address.
City Zip
Workers' Comp.
Yes 0 no C]
U, F
Sewer District
Form 284.2081Rev. 4.771 0s
IHIb PERMIT bHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by>
WORK FOR 120 DAYS SH�LSO USE MIT TO BECOME VOID:
I HEREBY AGREE TF11GA�l IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIVE4ZSIDE-COUIqTY AND THE STATE OF -CALIFORNIA.
1 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.