346929 (SFD)'I
BUILDING PERMIT DEPARTMENT'OF BUILDING & SAFETY,.,FIELD OFFICE
PE RMIT NO.
3469291
PERMIT NO.
346929
Job Address -
^` COUNTY OF RIVERSIDE
4
J.
DST
CONSTRUCTION ESTIMATE
Date
NO. ELECTRICAL FEES
.
NO. PLUMBING FEES
1ST FL.
2ND FL.
POR. MA
GAR.. SQ.
CARP. .
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ZA10 $
Micro Film Fee
UNITS w
Use of Permit *rte _t /I7� Parcel No. Use No.
Set Backs
- ` Lot SizeIJ
Legal Description F p%,; S y S J V'
L d% a`I�a. Zone Grp Type Unit
Bond Amt. - Pion No. Plan Checker Final Date _? N
$
Ck.by
SQ. FT. Q YARD SPKLR SYSTEM
PI. Ck. Fee $-
SQ. FT. Ito M MOBILEHOME SVC. BARSINK
Electrical Fee Dbl $ 3a-5��
FT. @ POWER OUTLET ROOF DRAINS
Plumbing Fee Dbl $
Sp. Insp. Fee_ $
SQ. FT. DRAINAGE PIPING
$
SQ. FT. 8 DRINKING FOUNTAIN
Const. Lender Branch "I certify that in the performance of the wo or which this permit is issued I shall
not employ any person in any manner so as to become subject to the workmen's corn.
/ pensotion laws of California."
Address City - f ip / Owner Signature .
Builder Signature
SQ. FT. @ URINAL
Mileage Fee $
VALUATION $ OiD WATER PIPING
77
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
Tel. �/
FLOOR DRAIN
Zip
MECHANICAL FEES
Total Fees
SWIM POOL, COMM
:,23,0 7
WATER SOFTENER
City
/ /'sem
VENT SYSTEiV,,,7 M FAN ❑ EVAP. COOL !0 HOOD
M.O.❑ N.C.❑ Cash "eck,�
SIGN
WASHER (AUT ISHI
Contractor
APPLIANCE DRYER
License N
GARBAGE DISPOSAL
Sewage System
/��ij%•
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
:Jc.7 !/
Address ,.
w^.
City
LAUNDRY TRAY
Workers' Comp.
yes ❑ no ❑
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM O B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR 01' HP
'7. ge
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED ❑ GRAVITY
O�AMPERES
SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. (a} ¢
BATH TUB
SQ. FT. ,,Ga ¢
WATER HEATER
FT. RESID Gn 1 t/.¢
_
SEWAGE DISPOSAL
4,0 SQ. FT. GAR Ca, 1/.¢
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
d3��'�
r.5oe. Htt. FEEJ
MICRO FEE
MECH. FEE
a
PL. CK. FEE
CONST. FEE
/33,x,
ELECT. FEE
SMI FEE
FEE
PLUMB. FEE
PE RMIT NO.
3469291
Supp. Permit
Job Address -
Space ZipOwner
4
J.
Community
fff2
Valuation
$
Date
Dist.
Off.
F.C..
MH Permit Fee $01711
Micro Film Fee
Cop $
Use of Permit *rte _t /I7� Parcel No. Use No.
Set Backs
- ` Lot SizeIJ
Legal Description F p%,; S y S J V'
L d% a`I�a. Zone Grp Type Unit
Bond Amt. - Pion No. Plan Checker Final Date _? N
$
Ck.by
Mech. Fee Dbl $
PI. Ck. Fee $-
Construction Fee Dbl $ �. 3
Electrical Fee Dbl $ 3a-5��
SMI Fee $
Plumbing Fee Dbl $
Sp. Insp. Fee_ $
Demol. Fee
$
Const. Lender Branch "I certify that in the performance of the wo or which this permit is issued I shall
not employ any person in any manner so as to become subject to the workmen's corn.
/ pensotion laws of California."
Address City - f ip / Owner Signature .
Builder Signature
Registr. Fee $
Mileage Fee $
!Witness Fee$
fteinsp. Fee
$
wner/A2b—)^
Tel. �/
Zip
Total Fees
$
:,23,0 7
Address
--TVA)
City
/ /'sem
Zip
M.O.❑ N.C.❑ Cash "eck,�
Received by
Contractor
Tel.
License N
frees required
Sewage System
/��ij%•
-
:Jc.7 !/
Address ,.
w^.
City
Zip
Workers' Comp.
yes ❑ no ❑
District
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by:
WORK FOR 120 DAYS SHALL ALCAUERMI;.40BECOME VOID, I HEREBY AGREE THAT WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITHTHE LAWS OF RIVERSIDE CHE STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
50 IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF
CALIFORNIA.