334720 (SFD)BUILDING PERMIT A& DEPARTMENT OF BUILDING & SAFETY jft FIELD OFFICE
PERMIT NO.
3347201--
PERMITNO. -
334720
Job Address /
sem- 69�.S�ve.�,,,��
COUNTY OF RIVERSIDE
Zi��
-3
Owner I
6/
ii
CONSTRUCTION ESTIMATE
(�
19/6
NO. ELECTRICAL FEES
NO.
PLUMBING FEES
/
1ST FL. '7'� SQ.
2ND FL.
POR.
p
GAR. % eZ SQ.
CAR P. SQ.
WALL SQ.
ESTIMATED CONSTRUCTION
FT. Q a $ oS
�I6D "
UNITS
Use of Permit
/' .�
� �A
!�
Parcel No.
Use No.
SQ. FT. YARD SPKLR SYSTEM
_Meth. Fee Dbl 8 aQ
SQ. F.T. Cl 4$44!2� c% MOBILEHOME SVC. BAR SINK
a
POWER OUTLET ROOF DRAINS
FT.
Construction Fee Dbf $ I.;t7l
FT. DRAINAGE PIPING
OS
FT. Q DRINKING FOUNTAIN
5 �
SQ. FT. URINAL
Electrical Fee 'Dbl $3
'
VALUATION $ C 9�oZ�o WATER PIPING
O
NOTE: Not to be used as property tax valuation
Unit
SWIM POOL, PVT
SMI Fee - $ a i,"` Q
FLOOR DRAIN
Dbl $
All xir0
MECHANICAL FEES
P�lon� N�o/.��%j -
SWIM POOL, COMM
Final Date
Inspector
WATER SOFTENER
Sp. Insp. Fee $ 1
.Demol. Fee
'Registr.
VENT SYSTEM Q FAN ❑ EVAP. COOL ' HOOD
"
SIGN
Fee $
%
WASHER IAUT(dT•IDISH)
Reinsp. Fee
$
APPLIANCE ja DRYER
O
Tel.
Zip
GARBAGE DISPOSAL
C;z
4;Zd /�
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
City—r—
14M d/ 'qWe /6
Zi p
M.O. C]N.C. C] Cash ❑ Check
.Received by
LAUNDRY TRAY
Contractor
AIR HANDLING UNIT CFM
License #
IDLE METER
Sewage Sys�teermf-
L�
KITCHEN SINK
a
Workers' Comp.
yes ❑ no ❑
ABSORPTION SYSTEM 0 B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR Z HP
7 tszl
POLE, TEMP/PERM
a
LAVATORY
HEATING SYSTEM FORCED ❑ GRAVITY
Il 86
s AMPERES SERV ENT
7 Ov
SHOWER
BOILER B.T.U.
SQ. FT. p ¢
BATH TUB
SQ. FT. Cia a
WATER HEATER
CWSQ. FT. RESID ® 1'ba
SEWAGE DISPOSAL
o
SQ. FT. GAR CC. '/.a
3
HOUSE SEWER
GAS PIPING
PERMIT FEE s:
d Q
PERMIT FEE
PERMIT FEE
3 O
•
DBL.
I TOTAL -FEE
ate/
jM0B.HM. FEE
,' MICRO FEE
MECH. FEE
PL. CK. FEE
CONST.'FEE
7 ``a
ELECT. FEE
SMI FEE
FEE
PLUMB. FEE
PERMIT NO.
3347201--
Su Permit
PP�
Job Address /
sem- 69�.S�ve.�,,,��
Space
Zi��
-3
Owner I
6/
Community
0 y3 4"/f�
Valuation
$�-/ ���t�
(�
19/6
Dist.
I,
F.CMH
D!
Permit Fee 8
Micro Film Fee
Cop $
Use of Permit
/' .�
� �A
!�
Parcel No.
Use No.
Ck.b
_Meth. Fee Dbl 8 aQ
:PI. Ck. Fee $
Set Backs
Lot Size
Construction Fee Dbf $ I.;t7l
Legal Description
h [/ /J
'//
r� /V -V 14#1
T77
OS
S
5 �
✓
Electrical Fee 'Dbl $3
'
Zo=�
Gr
T
Unit
SMI Fee - $ a i,"` Q
. Plumbing Fee
Dbl $
All xir0
Bond Amt. -
$(i
P�lon� N�o/.��%j -
PIaryYC��ecckter
Final Date
Inspector
,
Sp. Insp. Fee $ 1
.Demol. Fee
'Registr.
$
Const. Lender Branch 'I certify that in the perfo ce of t ' for r - h" IImi issued I shall
not employ any person in any to so to u ect t work n•vom.
pensatioo laws of California."
Address City Zip Owner Signature _
1 Budder Signature
Fee $
Mileage Fee 8
Witness Fee $
Reinsp. Fee
$
nef .e
Tel.
Zip
Total Fees
$
4;Zd /�
A 0"
�J
City—r—
14M d/ 'qWe /6
Zi p
M.O. C]N.C. C] Cash ❑ Check
.Received by
-
Contractor
-Tel. •-
License #
.Trees required
Sewage Sys�teermf-
L�
Address_
Ciry Zip
Workers' Comp.
yes ❑ no ❑
T LL P THIS PERMIT SHALL BECOME VOID .IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF venf,ed by:
Sewer Districttf WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. _
OA IHEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIV%SIDE COUNTY AND THE STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF
Form 284.208 (Rev. 4.77) •@s CALIFORNIA.