335044 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
PERMIT NO. 0.COUNTY OF RIVERSIDE
3350441. DT
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES
1ST FIL 6 SQ FT Q &!V $ CA- Z S UNITS
2ND FL.
POR. - 3SQ.
GAR. 4
CAR P.
.WALL
ESTIMATED CONSTRUCTION
SQ. FT. (a)
Job Address
-�"17.1
SWIM POOL, COMM
YARD SPKLR SYSTEM
FT. (a} ely) 7c po MOBILEHOME SVC.
BAR SINK
SQ. FT. @ `+'r W �L POWER OUTLET
ROOF DRAINS
SQ, FT. ®
DRAINAGE PIPING
SQ. FT. Q
DRINKING FOUNTAIN
SQ. FT.
URINAL
VALUATION $ ,3Q y s
WATER PIPING
NOTE: Not to be used as property tax valuation
DRYER
SWIM POOL, PVT
FLOOR DRAIN
PERMIT NO.—
335044
MECHANICAL FEES
Job Address
-�"17.1
SWIM POOL, COMM
Owner
P-/xf /,-,"
WATER SOFTENER
Commu W ///5;
-
VENT SYSTEM •FAN ❑ EVAP. COOL N HOOD
✓ 2
SIGN
Off.
F.C.
WASHER (AUTO) (iMHI
�-tI
MH Permit Fee $r�.
APPLIANCE
DRYER
-3
Parcel 7No.
Use No. -
r.byech,
GARBAGE DISPOSAL
PI. Ck. Fee$ .+�`^�'
Backs
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
`Construction Fee Dbl $
legal Descrip ions P 3
5
j
,ttrq„�.. 0.
F�
LAUNDRY TRAY
S�
IR/5-
AIR HANDLING UNIT CFM
Z e le-
IDLE METER
Type{—^"-'
i,.r..•
Unit
KITCHEN SINK
SMI Fee $
IPiumbing Fee Dbl $'
ABSORPTION SYSTEM
B.T.U.
Plan No.Ply
\l -'� '9X
TEMP USE PERMIT SVC
Final Dote
In
p
WATER CLOSET
i:Sp. Insp. Fee $
Demol. Fee
COMPRESSOR
HP)
Const. Lender -
Address
-
POLE, TEMP/PERMrel'
'Registr. Fee $
,
LAVATORY
L
$
HEATING SYSTEM FORCED 0GRAVITY6
Owner/Agent
AMPERES SERV ENT
_5"-
SHOWER
$
�
BOILER B.T.U.
SQ. FT. @ ¢
M.O. .C. CO3, Cash Chec
C)_ N Ca
II
2eceived by E�.- Cr
BATH TUB
4
Tel. /
License #
Tees required
iewage System
`T100
SQ. FT. @ ¢
�/ /i
P64` 0
Add ess �/` ] ;
d 61fQ i s !�[XWBF�j
WATER HEATER
Work s'C omp.
Y no
THIS PEg1 , BE ME VOID IF WORK. IS NOT COMMENCED WITHIN 120 DAYS, CESSATI N OF—,f.edby:
WORK FOR 1 7 A QiCAUSE PERMIT TO BECOME VOID.
t NFDF.V Al.tF TNAT AI I \A/nOW IAt rnfJNLrTInN \A/ITN TNIC DFDAA IT 1A/111 0.F nnmr IN ArrncnAAIrr
t:ewer Distrix
Y�
SQ. FT. RESID p 11/.¢
SEWAGE DISPOSAL ,
Q
SQ. FT. GAR Cai Y.
3
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE.
PERMIT FEE
3
-
DBL
TyeO�TAL FEES -•
MOB. HM. FEE
MICRO FEE
MMECCH..FEE
PL. CK, FEE
. CONST. FEE
ELECT.!g
SMI�FE.yE
FEE
PLUMB. FEE
PERMIT NO.—
335044
Supp. Permit
Job Address
-�"17.1
ti�J� . Space
le(,��o1�f-'r3
Owner
P-/xf /,-,"
Commu W ///5;
-
Valuation*''
y7 % ��V
Date Q�
Dist.
•..
Off.
F.C.
MH Permit Fee $r�.
Micro Film Fee Cop $
Use of Permit `
.�7
� 't !(/ l
f
Parcel 7No.
Use No. -
r.byech,
Fee Dbl $ �'
PI. Ck. Fee$ .+�`^�'
Backs
Lot Si e
`Construction Fee Dbl $
legal Descrip ions P 3
5
j
,ttrq„�.. 0.
F�
{Set
S v
S�
IR/5-
Electrical Fee Dbl $ a,
Z e le-
Grp7
J
Type{—^"-'
i,.r..•
Unit
SMI Fee $
IPiumbing Fee Dbl $'
.rV
Bond Amt.
g
Plan No.Ply
\l -'� '9X
Necker
Final Dote
In
p
i:Sp. Insp. Fee $
Demol. Fee
$
Const. Lender -
Address
-
Branch "I certify that in the performance of the work for which this permit is issued I shall
not employ any person in any manner so as to became subject to the workmen'scom-
pensaaon laws of California.
City Zip Owner Signature
Builder Signature
'Registr. Fee $
Itileoge Fee $
F
Witness Fee $
'geinsp. Fee
$
Owner/Agent
Tel. Zip
--otal Fees
$
�
Address � �
E
City Zip
M.O. .C. CO3, Cash Chec
C)_ N Ca
II
2eceived by E�.- Cr
�At
ContractorA
! Vi
Tel. /
License #
Tees required
iewage System
`T100
LL
�/ /i
P64` 0
Add ess �/` ] ;
d 61fQ i s !�[XWBF�j
Ci �[ Ste^ Zip
-.'. Edi/" �d �J
Work s'C omp.
Y no
THIS PEg1 , BE ME VOID IF WORK. IS NOT COMMENCED WITHIN 120 DAYS, CESSATI N OF—,f.edby:
WORK FOR 1 7 A QiCAUSE PERMIT TO BECOME VOID.
t NFDF.V Al.tF TNAT AI I \A/nOW IAt rnfJNLrTInN \A/ITN TNIC DFDAA IT 1A/111 0.F nnmr IN ArrncnAAIrr
t:ewer Distrix
Y�
Lorm 284.208 IRev. 4.771 Os
L WITH THELAWS OF RIVGgSiDE 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,