303711 (SFD)t"
BUILDING PERMIT , �. DEPARTMENT OF BUILDING & SAFETY � FIELD OFFICE
PERMIT NO.
3037 1 1,
PERM IT NO.
303711
Job Address Space Zip
?
COUNTY OF RIVERSIDE
Community aluotion
Zoe $in ' h
Dote /
7! '7
DST
,r
CONSTRUCTION ESTIMATE
F.C.
QQ 1
NO. ELECTRICAL FEES
NO. PLUMBING FEES
Aicro Film Fee
1ST FL. olf SQ.
2ND FL.
POR. SQ.
GAR. SQ.
CAR P. SQ.
WALL SQ.
ESTIMATED CONSTRUCTION
FT. 8 O $
Lo0
UNITS
Aech. Fee Dbl $ i-
'I. Ck. Fee $/G
Set Backs
Lot Size
SQ. FT. ® - YARD SPKLR SYSTEM
Db1 $
Dbl $
FT. (a} O O, MOBILEHOME SVC. BAR SINK
POWER OUTLET ROOF DRAINS
FT. (a}
FT. @ DRAINAGE PIPING
Zone
DRINKING FOUNTAIN
FT. @
Type
SQ. FT. @ URINAL
VALUATION $ yip WATER PIPING
2- Alta
NOTE: Not to be used as property tax valuation
Amt.
$
SWIM POOL, PVT
Plan Checker
1/
FLOOR DRAIN
-
MECHANICAL FEES
$
SWIM POOL, COMM
:egistr. Fee $
WATER SOFTENER
Nitness Fee $
:einzp. Fee$
VENT SYSTEM R FAN ❑ EVAP. COOL ja HOOD
Owner/Agent -
SIGN
WASHER IAUTOI QDJI l
$
Address
APPLIANCE DRYER
M.O. ❑ N.C. ❑ Cash ❑ Check
leceived by
tees required
14
GARBAGE DISPOSAL
72 0-0—
iewage System
p��/•�/' X
/ T LL �D 14,
fewer District
:arm 284-2081Re,r. 4.771 05
FURNACE ❑ UNIT ❑ WALL [:]FLOOR ❑ SUSPENDED
Zip Workers' mp.
Z� ye no 01
=
��THIIPERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS CESSATION OF +e,,hed by, I
RK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
1 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 SPECIFICATIONS HAS DONE
50 IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF
CALIFORNIA.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM O B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR 9i HP
—
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED ❑ GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. p ¢
BATH TUB
SQ. FT. ¢
WATER HEATER
SQ. FT. RESID Q 1'/.¢
SEWAGE DISPOSAL
SQ. FT. GAR 8 sb¢
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTALFEES
C�
ntoe. rint. FEE
MICRO FEE
H. FEE
P . CK. FEE
CONST. FEE
/ Op
ELECT. FEE
J2
SMI FEE
&2-
FEE
PL B. FEE
trXs
PERMIT NO.
3037 1 1,
Supp. Permit
Job Address Space Zip
?
Owner ,
Community aluotion
Zoe $in ' h
Dote /
7! '7
Dist.
��
Off.
2
F.C.
QQ 1
AH Permit Fee $Ila
Aicro Film Fee
Cop $
Use of Permit
$� n
Force] No.
,7t% Z��
Use No.Ck.by
Aech. Fee Dbl $ i-
'I. Ck. Fee $/G
Set Backs
Lot Size
:onstruction Fee
:learlcol Fee
Db1 $
Dbl $
Legal Description
' cJlr �W' Lb7�J �/t/i �=P
Zone
Grp
Type
Unit
.MI Fee E
'lumbing Fee
ip. Insp. Fee
Dbl $Bond
$
Amt.
$
Plan No.
Plan Checker
1/
Final D e!�-17 I I
I c
•�/ ci 6� 77
Insp or a
+ A�-
)emol. Fee
$
Const. Lender Branch I certify that to the performance of the work for which this permit is issued I sholl
not employ any person in any manner so as to becomesublect to the workmen scom-
pensonon lows of California
Address City Zip
Owner Signature
Budder Si nature
:egistr. Fee $
Aileage Fee $
Nitness Fee $
:einzp. Fee$
Owner/Agent -
Tel. Zip jJ
I
oral Fees
$
Address
City Zip
M.O. ❑ N.C. ❑ Cash ❑ Check
leceived by
tees required
14
Contractor _ C_
Tel. License 4
iewage System
p��/•�/' X
/ T LL �D 14,
fewer District
:arm 284-2081Re,r. 4.771 05
'Ndclress OFCity
Zip Workers' mp.
Z� ye no 01
=
��THIIPERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS CESSATION OF +e,,hed by, I
RK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
1 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 SPECIFICATIONS HAS DONE
50 IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF
CALIFORNIA.