349290 (ELEC)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY
FIELD OFFICE
PE RM IT NO.
3492 99
PERM IT NO.
34,,929
COUNTYOFRIVERSIDE -
FT''
. ! CONSTRUCTION -ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES
1ST.FL. _. SQ.
2ND FL..
FOR.
GAR. SQ.
_ CAR P.
WALL .,.
- ESTIMATED CONSTRUCTION
FT. (.} $ UNITS
.YARD SPKLR SYSTEM
SQ. FT.. Cal '
SQ. FT. @ MOBILEHOME SVC. BAR SINK '
FT. Q POWER OUTLET ROOF DRAINS
SQ, FT. Cal _ DRAINAGE PIPING
SQ. FT. 8DRINKING FOUNTAIN
SQ. FT. @ URINAL
VALUATION $ WATER PIPING
NOTE: Not to be used os property tax valuation SWIM POOL; PVT FLOOR DRAIN
Micro Film Fee
MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER
Use of Permit
!��T
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH)
Parcel No.
APPLIANCE ❑ DRYER GARBAGE DISPOSAL
-Mech. Fee Dbl
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR, ❑ SUSPENDED LAUNDRY TRAY
Set Backs
AIR HANDLING UNIT _ CFM IDLE METER KITCHEN SINK
Construction Fee Dbl $
ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET
F
COMPRESSOR HP POLE, TEMP/PERM LAVATORY
S
HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER
.Electrical Fee Dbl $ OQ
BOILER B.T.U. SQ. FT. Ga ¢ BATH TUB
Grp
SQ. FT. Ga ¢ WATER HEATER
Unit -
SQ. FT. RESID p 1'Att SEWAGE DISPOSAL
SMI Fee $
SQ. FT. GAR Ga s/ ¢ - HOUSE SEWER
Dbl S
Bond Amt. -
$
GAS PIPING
Plan Checker
PERMIT FEE
PERMIT FEE PERMIT FEE
...
,
DBL.
FOTALFEES
IM08. Hee. FEE
MICRO FEE MECH. FEE PL. CK. FEE
f
rNST. FEE - ELECT. FEaE' SMI FEE
//�+
FEE PLUMB. FEE
PE RM IT NO.
3492 99
.Supp. Permit
_31/73VSl
Job Address
- a7J �- Qom. ry
Space
Zip
�z�-3
Owner
,Gimme ti �ylL-3-7c
Community
�% �?�
Valuation
$
Date
�y ,,, y._
"'
Dist.
Off. F.C.
'MH Permit Fee S
Micro Film Fee
Cop S
Use of Permit
!��T
Parcel No.
Use No. k.by
-Mech. Fee Dbl
PI. Ck. Fee $^L�
Set Backs
Lot Size
Construction Fee Dbl $
Legal Description
-
.Lct 176 'S�
F
S
S
R
.Electrical Fee Dbl $ OQ
Zone
Grp
Type
Unit -
SMI Fee $
Plumbing Fee
Dbl S
Bond Amt. -
$
Pion No. -
Plan Checker
Final Date Insppf{or
.�. — ��
!/Y•J
...
,
'Sp. Insp. Fee $
1Demol. Fee
' -
S
Const. Lender Branch "I certify that in the performoPce of the work for which this permit is issued I shall
not employ any person in any manner so as to become subject to the workmen's com-
pensation lows of California."
Address City - Zip Owner Signature
Builder Signature
�Registr. Fee _ $ -
'Mileage Fee $
Witness Fee $
'Reinsp. Fee
$
Owner/Agent
.Tel. -. Zip
Total Fees
$
Address - _
.1: / 0
City .... r ^ - Zip
-
M.O. ❑ N.C. ❑ Cash ❑ Check
'Received by
Contractor ' r �% 7" ""i
y� J •� 7 - -
%
Tel. • -
/ �yy -a,
G�/�j
License #
Trees required
Sewage System
Address
�L_ ji1r—.r%
CityC/
Zip
�/� .��"%��
Workers' Comp.
yes E!�, no ❑
T LL P : THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by: ,
Sewer District. WORK FOR 120 DAYS SHAtt,,gC�OCAAEPE PERMIT VOID.
1 HEREBY AGREE THA /NQS N WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
' WITH THE LAWS OF RIVERSIDE COUNT AND THE STATEOF 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. 4.771 (5s, CALIFORNIA. r