348855 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY
PERMITNO. COUNTY OF RIVERSIDE
348855 -
CONSTRUCTION ESTIMATE.
1ST FL. SQ. FT. ..(a3 $
2ND FL. .SQ. FT. (a}
POR... SQ. FT. Ce3
GAR. SQ. FT..
CAR P. I SQ. FT.
WALL SQ. FT. Q
SQ. FT...
ESTIMATED CONSTRUCTION VALUATION $
NOTE: Not to be.used os property tax voluotion
NO. I ELECTRICAL FEES
UNITS
MOBILEHOME SVC.
POWER OUTLET
SWIM POOL, PVT
FIELD OFFICE
NO. PLUMBING FEES
YARD SPKLR SYSTEM
BAR SINK'
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
PERMITNO.
34$85'5
'MECHANICAL- FEES
Job Address
��-�9� ode le- �,.�e
SWIM POOL, COMM
Owner
WATER SOFTENER
Com unity ` -
�� t/� !/ • ✓ /�
Voluation
E
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
Dote
111-1,6 7�
SIGN
WASHER (AUTO) ( DISH).
APPLIANCE ❑ DRYER
(Micro Film Fee Cop $
-
Use of Permit
'f'�
�lr� ��9� // ♦ �� /¢-
GARBAGE DISPOSAL
Parcel No.
.I 3'GF� �✓�D
Use No. Ck.by
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
p1. Ck. Fee $
Set Backs
Lot Size
3
LAUNDRY TRAY
Legal Description
�,`j� ^/ s/'I' !�'.
i�7e 3 �� /� v /.}�:/�,
AIR HANDLING UNIT CFM -
d S S
IDLE METER
It �
KITCHEN SINK
Zo-�_
Grp
ABSORPTION SYSTEM B.T.U.
jUni _.
TEMP USE PERMIT SVC
MI Fee $
WATER CLOSET
Amt.
$
COMPRESSOR HP
Pion Checker
_
POLE, TEMP/PERM
Y Grp .
LAVATORY
Sp. Insp. Fee $
Demol. Fee $
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
Const: Lender Branch
AddressCiry N Zip
AMPERES SERV ENT
Registr. Fee $
SHOWER
Witness Fee $
Reinsp. Fee $
BOILER B.T.U.
Ownef gent r
SQ. FT. Uo ¢
BATH TUB ,
Q
Address %
City Zip
M.O. ❑ N.C. ❑ Cash ❑ Chec
SQ. FT. Ga ¢
WATER HEATER
Tel. - /
3al?
License #
frees required
Sewage System
SQ. FT. RESID ri 1'A¢
Addre ,/♦♦♦ �r�
SEWAGE DISPOSAL
Workers' no ers' Comp.
yes Q
SQ. FT. GAR G '/.¢
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE'
PERMIT FEE
DBL.
TOTAL FEES
100 -
MOB. HM. FEE
MICRO FEE
MEC . FEE
- PL. CK. F.EE
CONST. F.EE
ELECT.
.SMI FEE
FEE
1.
PLUMB. F E
PERMITNO.
34$85'5
Supp. Permit
Job Address
��-�9� ode le- �,.�e
. Space Zip
Owner
Com unity ` -
�� t/� !/ • ✓ /�
Voluation
E
Dote
111-1,6 7�
Dist.
/ /
F.C.
MH Permit Fee $
(Micro Film Fee Cop $
-
Use of Permit
'f'�
�lr� ��9� // ♦ �� /¢-
Parcel No.
.I 3'GF� �✓�D
Use No. Ck.by
Mech. Fee' 'Dl71' b
p1. Ck. Fee $
Set Backs
Lot Size
3
Construction Fee $
Legal Description
�,`j� ^/ s/'I' !�'.
i�7e 3 �� /� v /.}�:/�,
A
d S S
S S
It �
Electrical fee YZ $
Zo-�_
Grp
T
jUni _.
MI Fee $
Plumbing Fee $/915e;lBond
Amt.
$
Plan No.
Pion Checker
_
Final Dote Insspececttor
` (
Y Grp .
Sp. Insp. Fee $
Demol. Fee $
-
Const: Lender Branch
AddressCiry N Zip
- I certify that in the performance of the work for which this permit is issued I sha8
not employ any person in any manner,so as to become subject to the workmen's com-.
pensation lows of California."
Owner Signature
Builder Signature
Registr. Fee $
Mileage Fee $
Witness Fee $
Reinsp. Fee $
Ownef gent r
Tel. Zip
notal Fees E
Q
Address %
City Zip
M.O. ❑ N.C. ❑ Cash ❑ Chec
Received b
Contract o
/�/ . i
��_
Tel. - /
3al?
License #
frees required
Sewage System
Addre ,/♦♦♦ �r�
Citx
n .
Workers' no ers' Comp.
yes Q
Sewer District
Form 284.208 (Rev. 4.77) 0s
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified -by:
WORK FOR, 1.20 DAYS SHAL� PER T TO BECOME VOID.
I HEREBY AGREE THAT C�N WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIVERSIDE°COUNTY ND THE STATE OF.CALIFORNIA.
I,HEREBY..CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
SO IN ACCORDANCE WITH SECTION 5,541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF
CALIFORNIA.