309066 (BLCK)BUILDING PERMIT DEPARTMENT OF BUILDING t& SAFETY FIELD OFFICE
f II PERMIT NO
3 0906'6
PERMIT NO.
009066
Job Address Space
-827 {>l`e'e,err�u
COUNTY OF RIVERSIDE
Com/m/uniytyy
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1T
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
F.C.
1 ST FL. SQ.
2ND FL. SQ.
FOR.
GAR. SQ.
CAR P. SQ,
WALL OG SQ.
SQ.
ESTIMATED CONSTRUCTION
FT. Q $
UNITS
IMH Permit Fee b
FT. t^ay YARD SPKLR SYSTEM
Cop E
SQ. FT. ® MOBILEHOME SVC. BAR SINK
Parcel No.
FT. Q POWER OUTLET ROOF DRAINS
Mech. Fee Dbl E
IT, Cal DRAINAGE PIPING
Set Backs
FT. Q DRINKING FOUNTAIN
Construction Fee Dbl
FT. URINAL
F
VALUATION $ WATER PIPING
S
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
Grp
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
ISMI Fee >
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
SIGN
WASHER (AUTO) (DISH)
Plan No. Plan Checker
APPLIANCE ❑ DRYER
P
GARBAGE DISPOSAL
ISp. Insp. Fee $
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
E
LAUNDRY TRAY
l Registr. Fee b
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
E
ABSORPTION SYSTEM O B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
Total Fees
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
M.O. 4.C. ❑ Cosh Check ❑
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
AMPERES SERV ENT
SHOWER
Tel.
BOILER B.T.U.
SQ. FT. C ¢
BATH TUB
Address
00,
City Zip
SQ. FT. Cw ¢
WATER HEATER
SQ. FT. RESID Ga I IA
SEWAGE DISPOSAL
SQ. FT. GAR Cat IA
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FE S
40
IM08. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
[CONST.FEE
ELECT. FEE SMI FEE
FEE
PLUMB. FEE
f II PERMIT NO
3 0906'6
Supp. Permit
Job Address Space
-827 {>l`e'e,err�u
Zip Owner
Com/m/uniytyy
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Valuation /j
b /a �v OO
Dote
9//V=
Off.
F.C.
IMH Permit Fee b
Micro Film Fee
Cop E
Use of Permit
/ %�
Parcel No.
Use No. by
Mech. Fee Dbl E
PI. Ck. Fee E
Set Backs
lot Size
Construction Fee Dbl
Legal Description
o�,�
F
S
S
R
Electrical Fee Dal E
Zo
Grp
Type
Unit
I
ISMI Fee >
I
'Plumbing Fee
Dbl E
Bond Amt.
$
Plan No. Plan Checker
Fi al ate "�Y Inspector
P
ISp. Insp. Fee $
Demol. Fee
E
Const. Lender Branch cfkrrify that r. the performonce of the -wort, for whkh this permit is issued I sholl
not employ any person in any manner so as to become subject to the workmen s com.
pensahon laws of Coldornw
Address City Zip Owner Signature
s+-----�Bu•Ider Sr awre
l Registr. Fee b
Mileage Fee $
'Witness Fee E
Reinsp. Fee
E
Owner/Agent
Tel. ''7r/J t1 - Zip
Total Fees
S
Address
�3" %ifGl f� S
City1 /� y- Zip
/� , e-'/�0A_ G ZS—
M.O. 4.C. ❑ Cosh Check ❑
Received by
Contractor
Tel.
License p
Trees required
Sewage System
T LL P
Sewer District
—s. 284-208 (Rev. 477) Os
Address
00,
City Zip
Workers' Comp.
Yes ❑ no ❑
THIS PERMIT SHALL BECOME VOID IF WORK tS NOT COMMENCED WITHIN 21,, DAYS CESSATION OF .ar,t ed by.
WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT NILL 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
SO N ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF
CALIFORNIA '