334723 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
PERMIT NO.
3 3 4 7 2 3
PERMIT NO.
334723
MW
COUNTY OF RIVERSIDE
Zi
Owner
fi
CONSTRUCTION ESTIMATE
Dot
/� —761
NO.. ELECTRICAL FEES
FC'
Of
NO. PLUMBING FEES
'MH Permit Fee 8/�
1ST FL. SQ.
2ND FL.
FOR.
GAR. 7 �a SQ.
CAR P. SQ.
WALL SQ.
ESTIMATED CONSTRUCTION
FT., 6/' fr $ �� « y
UNITS
Use of Permit
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G.
Parcel No.. Q !
����// O7. �
Use No. Ck.bbyy
• iJ'
SQ. FT. 6 YARD SPKLR SYSTEM
PI. Ck. Fee $
SQ. FT. .8 % j MOBILEHOME SVC. BAR SINK
Lot Size
✓ O��o
FT. 6,0 POWER OUTLET ROOF DRAINS
Legal Description
L / \�� %% //
T(/v_ ✓ I/ N7 J /�
FT: (r} DRAINAGE PIPING
3 J
FT. Q DRINKING FOUNTAIN
Electrical Fee Dbl 8
SQ. FT. ® URINAL
VALUATION $ pZy . 9brm2 o-- WATER PIPING
Unit
NOTE: Not to be used as property tax valuation
.SMI Fee $- oG ��
SWIM POOL, PVT
- Dbl $' 1
FLOOR DRAIN
Pion No.
3
Pltgecker•
Final Date Inspector
-MECHANICAL FEES
SWIM POOL, COMM
Demol. Fee
WATERSOFTENER
'
Const. Lender Branch *'I certify that in the perf nce of IA " or wh` permit is is?,Led I shall
. not employ any person in any er to .co u ect t .workmen's tom
pensalion laws of California.
Address City Zip Owner Signature
-Builder Signotwe
-
VENT SYSTEM .O FAN ❑ EVAP. COOL i& HOOD
Wit$
SIGN
$
WASHER (AUT -1h DISH)
Own i-1 nt r
Tel. " Zip
APPLIANCE DRYER
3
da
Address
L/✓��4 0 �l.J�:S
GARBAGE DISPOSAL
_;t"
Received by
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
Contractor
Tel.
License p
LAUNDRY TRAY
Sewage Sysstte�mo.,�f
/
Address
AIR HANDLING UNIT CFM
Workers' Comp.
yes ❑ no ❑
IDLE METER
KITCHEN SINK'
ABSORPTION SYSTEM � B.T.U.
TEMP USE PERMIT SVC
_;Z .WATER CLOSET
fl
COMPRESSOR 3 Z % � HP
7
POLE, TEMP/PERM
CZ LAVATORY
0-0
HEATING SYSTEM FORCED ❑ GRAVITY
rp
a AMPERES SERV ENT-
SHOWER
BOILER 0 B.T.U.
SQ. FT. (a} ¢
BATH TUB
041,
SQ. FT. Ga ¢"
/ WATER HEATER
'
wSQ..FT. RESID p 11A4
T Q
SEWAGE DISPOSAL
9a SQ. FT. GAR Ga '/.¢
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
I TOTAL FEES
10013. HM. FEE
MICRO FEE -
MECH. FEE
PL. CK. FEE".
I CONST. FEE
ELECT. FEE -
SMI FEE
T FEE
PLUMB. FEE
PERMIT NO.
3 3 4 7 2 3
Supp. Permit
Job Address
�.� -6�s .��� �,,��
Space
Zi
Owner
Com7untntty /, ,. }�/•/�
W �,iJ / /5+
ValluuaA/tion GjQ/J
$
Dot
/� —761
Dist.
/
FC'
Of
'MH Permit Fee 8/�
Micro Film Fee
Cop $
Use of Permit
��/�� ���� �/7�./Y �' ��//��•
G.
Parcel No.. Q !
����// O7. �
Use No. Ck.bbyy
• iJ'
.Meth. Fee Dbl 8 �
PI. Ck. Fee $
Set Backs
Lot Size
✓ O��o
Construction Fee Dbl $ - / R f)
Legal Description
L / \�� %% //
T(/v_ ✓ I/ N7 J /�
3 J
_5 J
Electrical Fee Dbl 8
gGrp_,
Typ9,�� .
Unit
.SMI Fee $- oG ��
_Plumbing Fee
- Dbl $' 1
Bond Amt.
$
Pion No.
3
Pltgecker•
Final Date Inspector
Sp. Insp. Fee 8
Demol. Fee
$
'
Const. Lender Branch *'I certify that in the perf nce of IA " or wh` permit is is?,Led I shall
. not employ any person in any er to .co u ect t .workmen's tom
pensalion laws of California.
Address City Zip Owner Signature
-Builder Signotwe
RegisV. Fee
$
MileEFe
Wit$
Rein
$
Own i-1 nt r
Tel. " Zip
Total Fees
$
da
Address
L/✓��4 0 �l.J�:S
City„'.n .zip
/(,)C!�/�/(/ GG�G
M.O. ❑. N.C. ❑ Cosh ❑ Che
Received by
Contractor
Tel.
License p
Trees required -
Sewage Sysstte�mo.,�f
/
Address
City Zip
Workers' Comp.
yes ❑ no ❑
LL I - (Ts IHIS f ERMI1 SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
Sewer District 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 LAWSOF RIVI54SIDECOUNTY AND THE STATE OF CALIFORNIA. y
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
SO IN ACCORDANCE WITH SECTION 554) OF THE BUSINESS AND PROFESSIONS CODE OF, THE STATE OF
Form 284.208 (Rev. 4.771 Os CALIFORNIA,
verd.ed by: