351563 (GRD)BUILDING PERMIT
PERMIT NO.
351563
CONSTRUCTION ESTIMATE
1 ST FL. �%!CSQ. FT. @001K �+
2ND FL. SQ. FT. Cia
FOR. SQ. FT. Cai
GAR.
Q. FT. @4&�a
CAR P. SQ. FT. @^
WALL SQ. FT. @^
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION
NOTE: Not to be used as property tax valuation
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
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.
3 515 6 3
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
Owner
11a41V4=�•
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
SIGN
WASHER IAUTOI (DISH)
Dist.
APPLIANCE ❑ DRYER
F.C.
GARBAGE DISPOSAL
iMH Permit Fee E
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
Use of Permit
./q A" Gl�Q�
C/ /J
�aG[/� i F /)`"%%�i
LAUNDRY TRAY
Use No. Ck.by
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
Lot Size
� �l%"Q
ABSORPTION SYSTEM O B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
S �
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
Grp
^ —3
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
AMPERES SERV ENT
SHOWER
'.SMI Fee E
BOILER � B.T.U.
SQ. FT.
BATH TUB
Plan Checker
Fina tey �'jf�
�' �`"
SQ. FT. ¢
WATER HEATER
.Sp. Imp. Fee E
;Demol. Fee E
SQ. FT. RESID @ 114(r
SEWAGE DISPOSAL
+Mileage Fee E
Witness Fee E
SQ. FT. GAR Ca, IAA
HOUSE SEWER
Tel. Zip
Total Fees E
Address
GAS PIPING
M.O. ❑ N.C. ❑ Cash ❑ Check
PERMIT FEE
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PERMIT FEE
PERMIT FEE
dTrees required
DBL.
WFE S
o
MOO. HM. FEE
MICRO FEE
MECH. FEE PL. K. FEE
o -
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
3 515 6 3
Supp. Permit
Job Address Space Zip
s - � 9�
Owner
11a41V4=�•
Com unity Valuation
�� Q�.�N( E
Date
Dist.
Off.
F.C.
r'
iMH Permit Fee E
'.:Micro Film Fee Cop E
Use of Permit
./q A" Gl�Q�
C/ /J
�aG[/� i F /)`"%%�i
Parcel No.
77y -a� oa Tr
Use No. Ck.by
Mech. Fee Dbl E
PI. Ck. Fee S
Set Backs
Lot Size
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Construction Fee Dbl E
Legal Description
/I _ 7� �y .e���` ,� �] ��
iZ J O d KT GY
FpZtt7
S �
S 3
.i Electrical Fee Dbl EAv,7
Zone
Grp
^ —3
Type
�
ct2V
Unit
'.SMI Fee E
.'Plumbing Fee Dbl E
Bond Amt,
S
Plan No.
.,(�
/ 7
Plan Checker
Fina tey �'jf�
�' �`"
inspector
!ClC n tl
.Sp. Imp. Fee E
;Demol. Fee E
Const. Lender Branch I certify that to the performopce of the work forlmhich this permit is issued I shag
not employ any person in any manner so as to beconfe subject to the workmen's cam.
pensotion laws of California.'
Address City Zip Owner Signature
Builder Signature
'Reg istr. Fee E
+Mileage Fee E
Witness Fee E
yReinsp. Fee E
Owner/Agent
Tel. Zip
Total Fees E
Address
City Zip
M.O. ❑ N.C. ❑ Cash ❑ Check
Received by�
ContractorTel.
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License #
dTrees required
'Sewage System��,.y�
T LL P
Address [ ^,
City -yy> Zip
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 SHALL ALSQi5AUSE P�E MIT TO BECOME VOID.
I HEREBY AGREE THAT A 4nd'Ci7DQiJ BA—WFF THIS PERMIT WILL BE DONE IN ACCORDANCE
` WITH THE LAWS OF RIVERSIDE COUNTY AND HE STATE OF CALIFORNIA.
1 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.
,Sewer District
\
Form 284.208 (Rev. 477) 0s