334726 (SFD)BUILDING PERMITDEPARTMENT OF BUILDING & SAFETY
PERMIT NO. ' COUNTY OF RIVERSIDE
k
NO. I ELECTRICAL FEES
UNITS
MOBILEHOME SVC.
POWER OUTLET
SWIM POOL, PVT
FIELD OFFICE
NO. I PLUMBING FEES
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
CONSTRUCTION ESTIMATE
Job Address Space
IST FL.
Owner
SQ. FT.
@ C
$ 02s
2ND FL.
VENT SYSTEM C] FAN ❑ EVAP. COOL i;g HOOD
SQ. FT.
SIGN
POR.
'bo
SQ. FT.
@
l
GAR,
02
SQ. FT.
@
3
CAR P.
Legal Description
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�[/ ��� / �� //I AI 4! I /
SQ. FT.
SS
WALL
Electrical Fee Dbl E3�
SQ. FT.
Cia
Ty�,�...�..
AIR HANDLING UNIT CFM
SQ. FT.
Cai
*j 5,p
ESTIMATED CONSTRUCTION
VALUA
TION
$ e�
NOTE: Not to be used os property tox voluotion
TEMP USE PERMIT SVC
NO. I ELECTRICAL FEES
UNITS
MOBILEHOME SVC.
POWER OUTLET
SWIM POOL, PVT
FIELD OFFICE
NO. I PLUMBING FEES
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
PERMIT NO.
334726
MECHANICAL FEES
Job Address Space
SWIM POOL, COMM
Owner
WATER SOFTENER
Voluation
9 / V
Doi /
VENT SYSTEM C] FAN ❑ EVAP. COOL i;g HOOD
3
SIGN
MH Permit Fee E
WASHER fAUT(*DISH)
dlg lip
Use of Permit 411'
�/ ' /�� t
(// �
APPLIANCE) DRYER
No. b y.
Meeh.Fee Dbl E a p
Ck. Fee E
Set Backs
GARBAGE DISPOSAL
.Construction Fee Dbl E Aa 7
Legal Description
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�[/ ��� / �� //I AI 4! I /
FURNACE ❑ UNIT 0 WALL 0 FLOOR [:] SUSPENDED
SS
J
Electrical Fee Dbl E3�
LAUNDRY TRAY
Grp
!�
Ty�,�...�..
AIR HANDLING UNIT CFM
IDLE METER
Plumbing Fee Dbl E
*j 5,p
KITCHEN SINK
A;�,gw
PIl/o"�'r7�eQcke,
Alec
a�./ e.'"'�,
ABSORPTION SYSTEM � B.T.U.
Inspector
TEMP USE PERMIT SVC
Dental. Fee E
pZ
WATER CLOSET
'Registr. Fee E
Mileage Fee E
COMPRESSOR .3�y. %� HP
% -
POLE, TEMP/PERM
Owner/ t
Tel. Zip
LAVATORY
Total Fees E
1
HEATING SYSTEM O FORCED C] GRAVITY
City�� / j / < Zip
AMPERES SERV ENT
p
SHOWER
Tel.
License N
BOILER � B.T.U.
Sewage System
SQ. FT. Qa ¢
Address
a
BATH TUB
fa
SQ. FT. Ga ¢
WATER HEATER
VOV SQ. FT. RESID Ga 1 t/.¢
17 Z)
SEWAGE DISPOSAL
SQ. FT. GAR @ 1/.¢
,,�j
HOUSE SEWER
GAS PIPING
PERMIT FEE
—3 ow
PERMIT FEE
evPERMIT
FEE
3
DBL.7TALFEES
IM08. HM. FEE
MICRO FEE
MECH. FEE
s�
PL. CK. FEE
CONST. FEE
ELECT. FEE
SMI FE£
FEE
PLUMB. FEE
PERMIT NO.
334726
Supp. Permit
Job Address Space
�3
Owner
Com/^}unity
/G.�' //�
Voluation
9 / V
Doi /
Dist.
F.C.
MH Permit Fee E
Micro Film fee Cop E
Use of Permit 411'
�/ ' /�� t
(// �
Parcel No.�h/ ..y^{Use
3 C/s /a ks /PI.
No. b y.
Meeh.Fee Dbl E a p
Ck. Fee E
Set Backs
Lot Size
,
.Construction Fee Dbl E Aa 7
Legal Description
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�[/ ��� / �� //I AI 4! I /
d�O
SS
J
Electrical Fee Dbl E3�
Zone
Grp
!�
Ty�,�...�..
Unit
/
SMI Fee E a
Plumbing Fee Dbl E
*j 5,p
Bond Amt.
E
PlanNo
/^
✓ 7 /V
PIl/o"�'r7�eQcke,
Alec
a�./ e.'"'�,
Final Dote y�
Inspector
Sp. Insp. Fee E
Dental. Fee E
Const. Lender Branch 1 certify that in the per . one ih- or w J s permit n rssued i,hall
nut employ any person to a ty m s s a co ble t .e -a kmenh com
pensation lows of CoWorn —
Address City Zip Ownar Sigric ._ s
x2, Budder S,gnoture
'Registr. Fee E
Mileage Fee E
Witness Fee E
Reinsp. Fee E
Owner/ t
Tel. Zip
Total Fees E
1
Ad res/,��//� p i
City�� / j / < Zip
M.O. C] N.C. Cash -0 Ch/
Received by
Contractor
Tel.
License N
Trees required
Sewage System
Address
City Zip
Workers* Comp.
yes O no ❑
LL 47/v -r
I. Sewer District
Form 284.2081Rev. 4771 Os
5t
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIVEJSIDE COUNTY AND 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.
vented by