351351 (ELEC)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
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WITH TH-E LAWS OF RIVERSIDE. . .__ COUN.TT_Y A D_THE.__STATE_..—" OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
1 SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF
Form 284.208 1Rev. 4.771 Os CALIFORNIA.
PERMIT NO.
351351,
COUNTY OF RIVERSIDE
DST
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ.
_ 2ND FL. SQ.
POR. SQ.
GAR. SQ.
CAR P. SQ.
WALL SQ.
SQ.
ESTIMATED CONSTRUCTION
FT. @ $
UNITS
FT. (a}
YARD SPKLR SYSTEM
FT. @ MOBILEHOME SVC.
BAR SINK
POWER OUTLET
FT. (a}
ROOF DRAINS
FT. ®
DRAINAGE PIPING
FT.
DRINKING FOUNTAIN
FT..
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used as property rax voluotion
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
SIGN
WASHER IAUTOI (DISH)
APPLIANCE ❑ DRYER
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM O B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. Ga ¢
BATH TUB
SQ. FT. Ga ¢
WATER HEATER
SQ. FT. RESID 6 1 v.¢
SEWAGE DISPOSAL
SQ. FT. GAR 6 Y.¢
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
1-6BL.7AL
FEES
MOB. HM. FEE
MICRO FEE- MECH. FEE PL. CK. FEE
CONST: FEE
ELECT. FEE SMI FEE
FEE PLUMB. FEE
PERMITNO.
3513511
Supp. Permit
3„3�
Job Address
Space
Zip
Owner
9z Z e
Community
I�/9- evil
Voluotion
Date
Dist.
Off.
F.C.
MH Permit Fee $
Micro Film Fee Cop $
Use of Permit
I
Parcel No.
77'1-,07 3-e ,,/
Use No. Ck.by
Mech. Fee Dal $
PI. Ck. Fee $
Ser Backs
Lot Size
Construction fee Dbl $
Legal Description
L�y ' / A
/ �/7 X51 / ✓�- ��J ��>V ��r�
F
S
S
R
Electrical Fee Dal $/
Zone
12
Grp
Type
Unit
:SMI Fee $
Plumbing Fee Obl $
Bond Amt.
$
PIan:No.
.
Plan Checker
Fat%
�p if
Insp or
Sp. Insp. Fee $
:Dental. Fee - $
Const. Lender
-
Address
Branch I certify that in the performoMe oft ork for which this permit is issued 1 shall
- not employ any person in any monner seX to become subject to the workmen's com.
pensat ion laws of California.”
City Zip Owner Signature .
Builder Signature
'Registr. Fee $
,Mileage Fee $
Witness Fee $
Reinsp. Fee $
Own r/A
Tel.
Zip
Total Fees $
Address
City
Zip
M.O. ❑ N.C. ❑ Cash ❑ CXk;?
Received by
Contractor
Tel.
License q
Trees required
Sewoge System
T LL P
Address
City Zip
Workers' Comp.
I yes ❑f no ❑
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF,. verified by: ,
A WORK FOR 120 DAYS SHALL A CAUSEERfMIT�E VOID.'
I UFDFRY Ar:DFF TUAT ti MM u TUt[ DPDAAlT %ArOI oc nn nm tet ArrnonA nirc +�~
Sewer District
v iV.......-_... .. . ... .�..... ... ........�.... .�...� .��
WITH TH-E LAWS OF RIVERSIDE. . .__ COUN.TT_Y A D_THE.__STATE_..—" OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
1 SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF
Form 284.208 1Rev. 4.771 Os CALIFORNIA.