347598 (SFD)FIELD OFFICE
PERMIT NO.
347598
DST
10. PLUMBING FEES
Zip
gr
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
IL
FLOOR DRAIN
WATER SOFTENER
WASHER fAUTOYDISH1
GARBAGE DISPOSAL
LAUNDRY TRAY
KITCHEN SINK
WATER CLOSET
LAVATORY
SHOWER
BATHTUB 05
WATER HEATER
SEWAGE DISPOSAL
HOUSE SEWER
GAS PIPING
PERMIT FEE
SMI FEE
/
FEE PLUMB. FEE
/lam
PERMIT NO.
347598
Supp. Permit
Job Address !� ^�w,�� f"f Space
CT /�( /V
Zip
gr
Owner
Community
Volu Date
+
Dist.
Off.
F.C.
00/
-MH Permit Fee E
Micro Film Fee Co E
Use of Permit
Dwelli Attached GarageSer
Parcel No. Use No.
774-22PORl'
Ck.b
IBS
'Mech. Fee Dbl E
Pl. Ck. Fee >
Backs
Lot Size
1/V
50 x lM
Construction Fee Dbl E ��
Legal Description
F 20
5/5
S
g �f
AL
Electrical Fee Dbl E -
Zone
R-1
Grp
ei
Type
Unit
/
SMI Fee E
Plumbing Fee Dbl E
Bond Amt.
g
Plon No.
�/3
Planjh�ecker '
W//�/�„V
Final Date > Ins cror
� —��
Sp. Insp. Fee E
Demol. Fee E
Const Lender Branch 'I certify that to the performance of the Aork for which this permit is issued I shall
not employ any person in any manner so os to become subject to the workmen's com
t pensation laws of California."
Address City Zip Owner Signature
Builder Signature
Tiegistr. Fee E
'Mileoge Fee E
Witness Fee b
Reinsp. Fee b
Owner/Agent
{16-4
Tel. Zip
Total Fees E a
Address
City Zip
M.O.0 N.C. C3 Cash 0 Chec
Received by
Contractor
S
Tel.
License #
3
Trees required
Sewage System
Gt�JfD LL P
Address
/e
City Zip
Workers' Comp.
yes no O
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF ve fred by:
WORK FOR 120 DAYS SHALL AL§UAGJ RMIT BECOME VOID.
1 HEREBY AGREE THAT AL/L�A�i)dICN NN O WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIVERSIDE COUNTY AN THE STATE OF CALIFORNIA.
HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
SO I N ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF
CALIFORNIA.
jSewer District
Ik
,Form 284.208 1Rev. 4.771 @s