349302 (SFD)BUILDING PERMIT Am DEPARTMENT OF BUILDING & SAFETY Am FIELD OFFICE
PERMIT NO.
349302
PERM 1
349302 1
�
GUUIV I T Ut KI V tKJ1Ut
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Communi/ty /�//�
4 "T h �NTy"T
DST
CONSTRUCTION ESTIMATE
Dist.
A
NO. ELECTRICAL FEES
F.C.
NO. PLUMBING FEES
1 ST FL. SQ.
2ND FL. SQ.
POR. l SQ.
GAR. SQ.
CAR P. SQ.
WALL SQ.
ESTIMATED CONSTRUCTION
FT. Q $ a+7
P&
UNITS
Use of Permit
So- .Q.._..
/', �I
s
Parcel No.
Use No. �Ck. by
FT. Car YARD SPKLR SYSTEM
PI. Ck. Fee $
p
FT. @ N MOBILEHOME SVC. BAR SINK
Lot Size
FT. Q40-17-- Ki POWER OUTLET ROOF DRAINS
Legal Description
mo -
FT. Cai DRAINAGE PIPING
5 S b
FT. (a, DRINKING FOUNTAIN
Electrical Fee Dbl E
SQ. FT. C3 URINAL
Grp Type
VALUATION $ �7 WATER PIPING
NOTE: Not to be used os property rax valuation
Plumbing Fee
SWIM POOL, PVT
FLOOR DRAIN
Plan No.
�/ �(.+e�
Plan C/h�ecc-ker
t L//✓S
MECHANICAL FEES
Inspector
/.k
SWIM POOL, COMM
Sp. Insp. Fee E
WATER SOFTENER
$
VENT SYSTEM .M FAN ❑ EVAP. COOL JZ HOOD
Registr. Fee E
SIGN
Witness Fee E
WASHER IAUTOHI%ISHI
b
APPLIANCE g DRYER
Tel. Zip
Total Fees
GARBAGE DISPOSAL
A ess
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
M.O.❑ N.C.❑ Cash ❑ec
Received by
LAUNDRY TRAY
Contractor
Tel.
AIR HANDLING UNIT CFM
Trees required -
IDLE METER
LL
KITCHEN SINK
Address
City Zip
ABSORPTION SYSTEM � B.T.U.
THIS PERMIT SHALL BECOME VOID 1F WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by:
WORK FOR 120 DAYS SH LL�CRR SE PERMIT TO BECOME VOID.
I HEREBY AGREE T L Y N WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITHTHE LAWS OF RIV6RSIDE COUNT AND THE STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
50IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF
CALIFORNIA.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR 3 HP
POLE, TEMP/PERM
LAVATORY
41.1
HEATING SYSTEM ' FORCED ❑ GRAVITY
41A
AMPERES SERV ENT
0
SHOWER
BOILER B.T.U.
SQ. FT. Ga C
BATH TUB
v?
SQ. FT. Caa, Q
/ WATERHEATER
4/ 'SQ. FT. RESID Ga 1 t/.¢
/
SEWAGE DISPOSAL
�•� SQ. FT. GAR G '/.a
HOUSE SEWER
GAS PIPING
PERMIT FEE
3
PERMIT FEE
3
PERMIT FEE
DBL
[TOTAL- FEES
�/a• t' -
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
o7tE7"—" <f/ao /'S�
CONST. FEE
/�/ "`�
ELECT. FEE
�a Grt
SMI FEE
/ ya
FEE
PLUMB. FEE
?,c��n
PERMIT NO.
349302
Supp. Permit
Job Address .3S5 Space
�3- �,�,�,
Zip
rz�-3
Owner
,� ,
Communi/ty /�//�
4 "T h �NTy"T
Valuation
y 7, 3g/
Dote �r G
'x/ s
Dist.
A
Off.
-7—
F.C.
MH Permit Fee b
-Micro Film Fee
�Mech.
Cop E
Use of Permit
So- .Q.._..
/', �I
s
Parcel No.
Use No. �Ck. by
Fee Dbl b 0 Atgw
PI. Ck. Fee $
p
Set Backs
Lot Size
Construction Fee Dbl b-
Legal Description
mo -
F 0,0
5 S b
R=
Electrical Fee Dbl E
Zone
Grp Type
Unit
SMI Fee b
Plumbing Fee
Dbl E
Bond Amt.
§LIZ
Plan No.
�/ �(.+e�
Plan C/h�ecc-ker
t L//✓S
Final Date
C�D �L/ I
Inspector
/.k
Sp. Insp. Fee E
Denial. Fee
$
Const. Lender Branch 1 certify that to the performance 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-
ensation lows of California." -
ddre ss "- ' G wl� Owner Signature
✓ /
� Builder Signature
Registr. Fee E
Mileage Fee E
Witness Fee E
Reinsp. Fee
b
Ownerf rite
Tel. Zip
Total Fees
y
A ess
City / Zip
M.O.❑ N.C.❑ Cash ❑ec
Received by
Contractor
Tel.
License It
s
Trees required -
Sewage System
T
LL
P
Address
City Zip
Workefs' Comp.
yes ❑ no ❑
THIS PERMIT SHALL BECOME VOID 1F WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by:
WORK FOR 120 DAYS SH LL�CRR SE PERMIT TO BECOME VOID.
I HEREBY AGREE T L Y N WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITHTHE LAWS OF RIV6RSIDE COUNT AND THE STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
50IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF
CALIFORNIA.
[werDistrict
rm 284-208 (Rev. 4.77) Os