351294 (AR)BUILDING PERMIT
PERMIT NO.
294 1
CONSTRUCTION ESTIMATE
1ST FL.
SQ. FT.
Q
2ND FL. .
SQ. FT.
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
POR.
SQ. FT.
8
GAR.
SQ. FT.
GARBAGE DISPOSAL
CAR P.
SQ. FT.
@
WALLEE]
SQ. FT.
Cia
IDLE METER
SQ. FT.
Co3
ESTIMATED CONSTRUCTION
VALUATION 9
NOTE: Not to be used as property tax valuation
t
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.
351294
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
SIGN
WASHER IAUTOI (DISH)
Valuation
S •_._
APPLIANCE ❑ DRYER
Dist.
/ /
GARBAGE DISPOSAL
.C.
loz l
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
LAUNDRY TRAY
Micro Film Fee
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
Parrccel No.
G —(,r`' fi -O2- L
V
ABSORPTION SYSTEM O B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
PI. Ck. Fee y
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
Legal Description
/ Q 7- L,r G
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
AMPERES SERV ENT
SHOWER
BOILER � B.T.U.
SQ. FT. Ca, a
BATH TUB
Type
Unit
SQ. FT. G 4
WATER HEATER
. Plumbing Fee
Dbl E
SQ. FT. RESID (a, 1'/.¢
SEWAGE DISPOSAL
Pion Checker
Final t fmpector
-� �-11
SQ. FT. GAR Ca, 'art
HOUSE SEWER
Denial. Fee
$
Const. Lender Branch '1 certify that in the performopce of the wor r which this permit is issued I shall
not employ any person in any manner so as to become subject to the workmen's com.
pensation laws of California."
Address City Zip Owner Signature
.n10 Builder Signatur
GAS PIPING
Mileage Fee b
PERMIT FEE
PERMIT FEE
PERMIT FEE
Owner/Agent %Tei.
Y1-.1?--.1?--10(
DBL.
TOTAL FEES
5 L7
MOB. HM. FEE
MICRO FEE MECH. FEE
PL. CK. FEE
CONST. FEE ELECT. FEE
oG
SMI FEE
Q /
FEE PLUMB. FEE
PERMIT NO.
351294
Supp. Permit
3°3��
Job Address
G�� Zo ��Go i �.1
Space Zip
Owner
11,44 AA11
Commmuunity
rG,g N
Valuation
S •_._
Date /
/ 7• %
Dist.
/ /
Off.
.C.
loz l
MH Permit Fee b
Micro Film Fee
Cop E
Use of Permit
Gd- ` 0 6�ta rl
w7 /'�
Parrccel No.
G —(,r`' fi -O2- L
V
Use No.
VW FO
Ck.by
Mech. Fee Dbl b
PI. Ck. Fee y
Set Ba�ck,�Lot
Size
.Construction Fee Dbl E
Legal Description
/ Q 7- L,r G
F
S
Electrical Fee Dbl E
Zone
Grp
Type
Unit
SMI Fee E
. Plumbing Fee
Dbl E
Bond Amt.
$
Plan No..
Pion Checker
Final t fmpector
-� �-11
-Sp. Insp. Fee S
Denial. Fee
$
Const. Lender Branch '1 certify that in the performopce of the wor r which this permit is issued I shall
not employ any person in any manner so as to become subject to the workmen's com.
pensation laws of California."
Address City Zip Owner Signature
.n10 Builder Signatur
Regisir. Fee E
Mileage Fee b
Witness Fee E
Reinsp. Fee
E
Owner/Agent %Tei.
Y1-.1?--.1?--10(
Zip
lTotol FeesS
O
Address
V': -29Z -a e /� a l�6,41'/�
y Zip
P
I i( ���r•- y�
l/
M.O.❑ N.Ca Cash [CD]Check
Received by
Contractor /
2�
Tel.
License #
Trees required
`.Sewage System
Address
City ///%%jam/ Zip
?/-76/47 s�
Workers' Comp.
Y no ❑
T LL P
'Sewer District
Form 284-208 lRev. 4.771 Os
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by:
WORK FOR 120 DAYS SHA�CSEPER4AIT TO BECOME VOID.
I HEREBY AGREE THA j�fSN
W9H THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF R.IV6RSIDE 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.