The URL can be used to link to this page

SFD (350634)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY ,I&, FIELD OFFICE .1350634-1 PERMIT NO.COUNTY OF RIVERSIDE Job Address - Space Zip Own " Permit Fee ST CONSTRUCTION ESTI ATE NO. ELECTRICAL FEES' Micro Film Fee NO. PLUMBING FEES Use of Permit Parcel No. Use No.Ck.by 1ST FL.. ' SQ. 2ND FL. FOR. SQ. GAR.` SQ. CAR P. SQ. WALL SQ. ESTIMATED CONSTRUCTION / _ SQ z FT.. ,-?- Z75 p07 " UNITS $�� 7 /, ' {,/ !� T' % Set Bocks Lot Size Construction Fee SQ. FT. Oa YARD SPKLR SYSTEM Legal Description - I Ql� FL '� �� MOBILEHOME SVC. BAR SINK Obl $ FT. / �^ POWER OUTLET ROOF DRAINS SMI Fee FT. ® DRAINAGE PIPING -3 FT. @ DRINKING FOUNTAIN Dbl $ SQ. FT. @ URINAL FinalDote (��, VALUATION WATER PIPING SP. Insp. Fee NOTE: Not to be used as property tax valuation $ I� - SWIM POOL, PVT 6 Y w� FLOOR DRAIN $ Const. Lender Branch 'I certify that in the performonce of the work for which this permit is issued I shall • - not employ any person in any manner so as to become subject to. the workmen's com- MECHANICAL FEES $ SWIM POOL, COMM Mileage Fee WATER SOFTENER Address City Zip _ Owner Signature - - Witness Fee VENT SYST&RFAN ❑ EVAP. COOL HOOD Builder Signature SIGN $ WASHER (AUTO) (DISH) ew Total Fees APPLIANCE 4NU DRYER d ess 61 _ 40011p �/ ��-'�.J %� Zip ` M.O. C. GARBAGE DISPOSAL �//�1 !/ �5•,� FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Contractor Tel. - LAUNDRY TRAY Trees required AIR HANDLING UNIT CFM IDLE METER Sewage System KITCHEN SINK .Address City Zip Workers' Comp. ' 1 ABSORPTION SYSTEM O B.T.U. yes .❑ nP- ❑ TEMP USE PERMIT SVC LL GP/�' Z WATER CLOSET Sewer District ' COMPRESS0 HP POLE, TEMP/PERM ' LAVATORY • WITH THE LAWS OF RIVERSIDE COUNKY AND THE STATE OF CALIFORNIA. HEATING SYSTEM FORCED ❑GRAVITY O AMPERES SERV ENT Form 284-208 (Rev. 4.771 ©s SHOWER BOILER B.T.U. SQ. FT. @ ¢ BATHTUB SQ. FT. Ge ¢ WATER HEATER SQ. FT. RESID ® 1'G¢ SEWAGE DISPOSAL' D 19 OE49C& SQ. FT. GAR Cw/.¢ HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE ` PERMIT FEE DBL. TOT EE,S, .� /� 73}x{ MOe. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE / ELEC E SM F . � �C J_ FEE PLUMB. FEE "i%�i PERMITNO. Supp. Permit 3506 31 Job Address - Space Zip Own " Permit Fee /pmjundy CVqluotion . �&;AJyWF�61 -WY�MH ��J � Micro Film Fee Cop $ Use of Permit Parcel No. Use No.Ck.by Mech. Fee Dbl $ ,-?- Z75 p07 " PI. Ck. Fee $�� 7 /, ' {,/ !� T' % Set Bocks Lot Size Construction Fee Dbl $ Legal Description - I Ql� Electrical Fee Obl $ J -1 W T e Unit SMI Fee $ -3 Plumbing Fee Dbl $ Bond Amt. PI {nj`�o PI n hetker �� 141-x-ro FinalDote (��, Inspector SP. Insp. Fee $ $ I� - 6 Y w� Demol. Fee $ Const. Lender Branch 'I certify that in the performonce of the work for which this permit is issued I shall • - not employ any person in any manner so as to become subject to. the workmen's com- Registr. Fee $ pensation lows of California." Mileage Fee $ Address City Zip _ Owner Signature - - Witness Fee $ - Builder Signature Reinsp. Fee I $ er/Age. �.w Tel. Zip Total Fees d ess 61 _ 40011p �/ ��-'�.J %� Zip ` M.O. C. Cosh C �//�1 !/ �5•,� Received Contractor Tel. - License p Trees required Sewage System .Address City Zip Workers' Comp. ' 1 yes .❑ nP- ❑ LL GP/�' THIS PERMIT SHALL BECOME VOID IF'WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF rrifiedby: Sewer District ' WORK FOR 120 DAYS SHA SO USE PERMIT TO BECOME VOID. ' • k ; \ I HEREBY AGREE THA I�'COICRECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE • WITH THE LAWS OF RIVERSIDE COUNKY AND THE STATE OF CALIFORNIA. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE Form 284-208 (Rev. 4.771 ©s SO IN ACCORDANCE WITH SECTION 5541 OF.THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. "