334633 (ELEC)BUILDING PERMIT (& DEPARTMENT OF BUILDING & SAFETY 140 FIELD OFFICE
PERMITNO.
334633
PERM IT NO.
334633
COUNTY OF RIVERSIDE
FDST
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES
1ST FL. SQ.
2ND FL.
POR.
GAR. SQ.
CAR P.
WALL
ESTIMATED CONSTRUCTION
FT. @ $ UNITS
SQ. FT. @ YARD SPKLR SYSTEM
SQ. FT. �— MOBILEHOME SVC. BAR SINK
FT. . 8 POWER OUTLET ROOF DRAINS
SQ. FT. @ DRAINAGE PIPING
SQ. FT. -57 JIV4 DRINKING FOUNTAIN
SQ.. FT. @ URINAL
VALUATION $ WATER PIPING
NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN
MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH)
Micro Film Fee
APPLIANCE ❑ DRYER GARBAGE DISPQSAL
Use of Permit - -
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FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY
AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK
Use No.
I
ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET
Mech. Fee Dial $
COMPRESSOR HP POLE, TEMP/PERM LAVATORY
HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER
Backz
BOILER � B.T.U. SQ. FT. Qct ¢ BATH TUB
I Lot Size
SQ. FT. G ¢ WATER HEATER
Construction Fee Dbl $
SQ. FT. RESID @ 11/4 SEWAGE DISPOSAL
SQ. FT. GAR 6 '/.¢ HOUSE SEWER
F
S
GAS PIPING
R
PERMIT FEE
PERMIT FEE PERMIT FEE '
Grp
DBL.
I TOTAL FEES
1M08:HM.FEE
MICRO FEE MECH. FEE PL. CK. FEECONST.
FEE ELECT. FEE ' -SMI FEE
FEE PLUMB. FEE
PERMITNO.
334633
Supp. Permit
Job Address
Space Zip
Owner
�/V/,Community-
L/I/j�
ation
r$v
Dote •
Dist.
Off.f.C.
MH Permit Fee E
Micro Film Fee
Cop $
Use of Permit - -
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Parcel No. -
7 /G -4945b?
J
Use No.
I
k.by
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Mech. Fee Dial $
Pl. Ck. Fee $
Set
Backz
I Lot Size
Construction Fee Dbl $
legal Description
.73_ J
-`R
F
S
S
R
/
Electrical Fee Dbl $��,
Zone
_/
Grp
Type
Unit
SMI Fee $
Plumbing Fee
Dbl E
Bond Amt.
$
Plan No.
Plan Checker
Final Date 1/
—( �' G
Inspect
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender Branch
Address City
z7Budder
' I certify that in the performance of the rk for which this permit is issued I shall
not employ any person in on; monnerso as id become subject to the workmen's com.
pensation laws of California.'t
Zip Owner Signature
S,gnoiure
Registr. Fee $
Mileage Fee $
Witness Fee $
Reinsp. Fee
$
Owner/Agent `v
J`
L
Tel.
'//
Zip
Total Fees
$ ��
Address
- S
City
Ci
4�j�y✓rj�%
Zi P
M.O. ❑ N.C. ❑ Cash ❑ Check
Received by
Contractor
'
Tel.
License #
Trees required
Sewage System
w
Address
City Zip
Workers' Comp.
yes ❑ "'no ❑
T LL P - THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by:
Sewer District
WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID,
ti
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT'WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIVE4SIDECOUNTY 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
Form 284-208 IRev. 4.771 0S CALIFORNIA.