303714 (SFD)BUILDING PERMIT IAIIIIIIIIIs DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
PERMIT NO.Supp.
303714
PERMIT NO. 303714
Job Address
- -
COUNTY OF RIVERSIDE
Space Zip
Z
Owner
c�2
DST
CONSTRUCTION ESTIMATE
Community
/ ��
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. @ $
2ND FL. SQ. FT. 8
POR. SQ. FT. @
GAR. SQ. FT. ®
CAR P. SQ. FT. @
WALL SQ. FT. (a}
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
�o
o�
UNITS
MOBILEHOME SVC.
POWER OUTLET
F.C.
'no/
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tox valuation
SWIM POOL, PVT
IH Permit Fee $
FLOOR DRAIN
Cop $
MECHANICAL FEES
SWIM POOL, COMM
Parcel No.
77d/—.--40/—
WATER SOFTENER
VENT SYSTEM FAN O EVAP. COOL HOOD
tech. Fee Dal S
I. Ck. Fee $
SIGN
Lot Size
WASHER (AUTO) I DISHI 7L dodo
onstruction Fee
leciricol Fee
MI Fee
APPLIANCE 10 DRYER
Legal Description
GARBAGE DISPOSAL
S
FURNACE ❑ UNIT O WALL ❑ FLOOR C] SUSPENDED
Zone
/ 1/,?
Grp
LAUNDRY TRAY
Unit
AIR HANDLING UNIT CFM
lumbing Fee
P. Insp. Fee
IDLE METER
Bond Amt.
$
KITCHEN SINK
-
ABSORPTION SYSTEM O B.T.U.
Fina ^ t
/ / - ' 7 %
TEMP USE PERMIT SVC
WATER CLOSET 44
COMPRESSOR s O HP
$
POLE, TEMP/PERM
ra^ch
City
LAVATORY
egistr. fee $
HEATING SYSTEM FORCED 0 GRAVITY
Vitness Fee $
AMPERES SERV ENT
$
SHOWER
BOILER B.T.U.
Tel.
SQ. FT. p ¢
Zip
i
BATH TUB
)tol Fees $
M.O. O N.C. O Cash Check
Address
SQ. FT. Ca, ¢
City
WATER HEATER
Zip
eceived by
tees required
SQ. FT. RESID Col I IAC
SEWAGE DISPOSAL
License N
ewage System
SQ. FT. GAR G '/.it
Address
HOUSE SEWER
City
- 4,2
Zip
_
Workers' Comp.
Yes no 0
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE ZZ It -A
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
M H. FEE
PL. C. FEE
CONST. FEE
ELECT FEE
SMI FEE
FEE PL B. FEE
PERMIT NO.Supp.
303714
Permit
Job Address
- -
-
Space Zip
Z
Owner
c�2
Community
/ ��
Valuation
$ ^'f� 7 �O
CY
Date
7Z/ 7
Dist.Off.
/
-22
F.C.
'no/
IH Permit Fee $
(icro Film Fee
Cop $
Use of Permit
�" �'�
""� " ' L
Parcel No.
77d/—.--40/—
Use No.
Ck.by
tech. Fee Dal S
I. Ck. Fee $
Set Backs
Lot Size
onstruction Fee
leciricol Fee
MI Fee
Dbl $
Dbl $
Legal Description
S
S
Zone
/ 1/,?
Grp
Type
J��
Unit
'
lumbing Fee
P. Insp. Fee
Dbl $
$
Bond Amt.
$
Plan No.
-
Plan Checker
Fina ^ t
/ / - ' 7 %
Inspector
s
emol. Fee
$
Const. Lender
Address
ra^ch
City
I certify that in the performance of the ork tot whi.h this permit is issued I shall
not employ any person to any manner so as to become sublet to the workmen s com.
pensahon lows of California
Zip
Owner Signature
Budder Swnnnrr_
egistr. fee $
lileage Fee $
Vitness Fee $
einsp. Fee
$
Owner/Agent
Tel.
Zip
i
)tol Fees $
M.O. O N.C. O Cash Check
Address
City
Zip
eceived by
tees required
Com
Tel.
3aS - 3_?:;/_
ev
License N
ewage System
Address
City
- 4,2
Zip
_
Workers' Comp.
Yes no 0
ewer District
arm 284.208 (Rev. 4.771 Os
0 THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 170 DAYS CESSATION OF ..-r tied by !
WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICAT;ONS HAS DONL
SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE 7F
CALIFORNIA