351262 (SFD)BUILDING PERMIT iijg1h, DEPARTMENT OF BUILDING & SAFETY Aft FIELD OFFICE
PERMITNO.Supp.
3 512 6 2
PERMIT NO.
351252
qW
COUNTY OF RIVERSIDE
Community
IA �jy�/1/%�
DST
CONSTRUCTION ESTIMATE
Dist.
//
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ.
2ND FL.
POR.
GAR. SQ.
CAR P.
WALL
ESTIMATED CONSTRUCTION
FT. $ a!eS
SR
UNITS
Use of Permit
��' %rG f�i�
Parcel No.
7-1
SQ. FT. Cai YARD SPKLR SYSTEM
�Mech. Fee Dbl
SQ. FT. MOBILEHOME SVC. BAR SINK
Set Backs
FT. Q J� d*� POWER OUTLET ROOF DRAINS
Construction Fee Dbl E
SQ. FT. CC DRAINAGE PIPING
F d
SQ. FT. DRINKING FOUNTAIN
S
SQ. FT. URINAL
IElectrical Fee Dbl E
VALUATION $ 3 b� WATER PIPING
Grp�L-�
NOTE: Not to be used as property tax valuation
Unit
SWIM POOL, PVT
FLOOR DRAIN
F
VPlumbing Fee
Dbl E
MECHANICAL FEES
Plan No.
Al,? /
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEMZ ja FAN ❑ EVAP. COOL OOD
7z
SIGN
WASHER (AUTOIWISH)
Fee E
iMileoge Fee E
APPLIANCE (a DRYER
I.Reinsp. Fee
E
GARBAGE DISPOSAL
Tel. Zip
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
E a�
Address
LAUNDRY TRAY
City Zip
MO. ❑ N.C. ❑ Cash ❑ Check (a
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
license N
;Sewage System
-41a/!!7
T LL P
ABSORPTION SYSTEM O B.T.U.
City /d Zip
z
TEMP USE PERMIT SVC
WATER CLOSET
!Sewer Distrix
Form 284-208 We, 4.77) Os
COMPRESSOR 3 Z � HP
—
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM $ FORCED ❑ GRAVITY
41
AMPERES SERV ENTSHOWER
BOILER � B.T.U.
SQ. FT. Ga ¢
02 BATH TUB
SQ. FT. 6 ¢
WATER HEATER
SQ. FT. RESID G 1 t/.¢
SEWAGE DISPOSAL
SQ. FT. GAR Ga s/.¢
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL
d�3
MOB. HM. FEE
MICRO FEE
MECH. FEE
PL. CK. FEE
CONST. FEE
ELECT. FEE SMI FEE
FEE
PLUMB. FEE
bit
PERMITNO.Supp.
3 512 6 2
Permit
Job Address Space Zip
si- ago �•�—� �,7lL/r'tiZ%� T=S 3
Owner ,�j
!7� �,/�
Community
IA �jy�/1/%�
Valuation
E
Date
/�G
Dist.
//
' Off.
%
F.C.
v /
iMH Permit Fee E
; Micro Film Fee
Cop E
Use of Permit
��' %rG f�i�
Parcel No.
7-1
Use No. Ek by
�Mech. Fee Dbl
;PI. Ck. Fee ELG
Set Backs
Lot Size
Construction Fee Dbl E
Legal Description
//�J
73
F d
5
S
Y
IElectrical Fee Dbl E
Zone
Grp�L-�
Type
Unit
ASMI Fee E
F
VPlumbing Fee
Dbl E
Bond Amt.
E
Plan No.
Al,? /
Plan Checker
Final Dote Insp�ti
ISp. Insp. Fee E
!Demol. Fee
k
E
Const. Lender Branch t 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 cornIRegistr.
pensotion lows of California."
Address City Zip Owner Signature
Builder Signature
Fee E
iMileoge Fee E
{{ Witness Fee E
I.Reinsp. Fee
E
Owner/Agent
Tel. Zip
ITotol Fees
E a�
Address
City Zip
MO. ❑ N.C. ❑ Cash ❑ Check (a
;Received by
-rees required
Contractor
Tel.
license N
;Sewage System
-41a/!!7
T LL P
Address
City /d Zip
z
Workers' Comp.
yes no ❑
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by
WORK FOR 120 DAYS SHA SO�PERMIT TO BECOME VOID.
I HEREBY AGREE TH .4 TION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
ITH THE LAWS OF RIVERSIDE COUNT AND THE STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPEGFICATIONS HAS DONE
SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF
CALIFORNIA.
!Sewer Distrix
Form 284-208 We, 4.77) Os