351116 (ELEC)BUILDING PERMIT >& DEPARTMENT OF BUILDING & SAFETY Mft FIELD OFFICE
PERMIT NO.
51116
PERMIT NO.
35111
COUNTY OF RIVERSIDE
;T
�
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES
1 ST Fl..
2ND FL.
FOR.
GAR.
CARP.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. 8 $ UNITS
SQ. FT. @ YARD SPKLR SYSTEM
SQ. FT. MOBILEHOME SVC. BAR SINK
SQ. FT. 8 POWER OUTLET ROOF DRAINS
DRAINAGE PIPING
SQ. FT. @
�
SQ. FT. . Q 4'%✓ -5T ,wG DRINKING FOUNTAIN
SQ. FT. URINAL
VALUATION $ WATER PIPING
NOTE: Not to be used as property tox valuation SWIM POOL, PVT FLOOR DRAIN
MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH)
,MH Permit Fee b
APPLIANCE ❑ DRYER GARBAGE DISPOSAL
Cop $
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY
AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK
Use No. Ck. by
S
ABSORPTION SYSTEM O B.T.U. TEMP USE PERMIT SVC WATER CLOSET
PI. Ck. Fee $
COMPRESSOR HP POLE, TEMP/PERM LAVATORY
Lot Size
HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER
Construction Fee Dbl $
BOILER B.T.U. SQ. FT. @ ¢ BATHTUB
.-
/a �L �%� �!�
SQ. FT. Ga ¢ WATER HEATER
F
SQ. FT. RESID 11/4 SEWAGE DISPOSAL
S
SQ. FT. GAR C, Y. HOUSE SEWER
Electrical Fee ON E
GAS PIPING
Grp
PERMIT FEE PERMIT FEE PERMIT FEE
Unit
DBL.
TOTAL
��FEES
[— 09
MOB. HM. FEE
.MICRO FEE MECH. FEE PL. CK. FEE.
CONST. FEE ELECT. FEE SMI FEE
FEE PLUMB. FEE
PERMIT NO.
51116
Supp. Permit
3so���
s
Job Address SpacePZipOwner3
Community
Valuation
Date
/>�/�
Dist.
/�
Off.
T
F.C.
,MH Permit Fee b
Micro Film Fee
Cop $
Use of Permit
LLG C.�Oi�„�T ✓L
Parcel No.
7J� J �O
Use No. Ck. by
S
.Mech.Fee Dial S
PI. Ck. Fee $
Set Backs
Lot Size
Construction Fee Dbl $
Legal Description
/
.-
/a �L �%� �!�
F
S
S
R
Electrical Fee ON E
Zone
Grp
Type
Unit
SMI Fee $
Plumbing Fee
Dbl $
Bond Amt.
$
Pion No.
Plan Checker
a Ins
r-7
ctor
`
:p. Insp. Fee $
Demol. Fee
$Const.
Lender
Address
Branch "I certify that in the performonce of work for which this permit is issued I shall
" not employ any person in ony manner s to become subject to the workmen's com.
pensation laws of California."
/ Owner Signature
Builder Signature
Reg istr. Fee $
Mileage Fee $
Witness Fee E
Reinsp. Fee
$
O-ner/Agem
ot
Tel.
Zip
Total Fees'
$
Address
—e.&l
City
0V-14;�7
Zip
M.O. ❑ N.C. ❑ Cash ❑ aeckJ4tS73
Received by
Contractor
Tel.
License N
Trees required
Sewage System
Address
-
City Zip
Workers' Comp.
yes ❑ no ❑
Sewer District
THIS PERMIT SHALL BECOME VOID IF WORK 1S"NOT `COMMENCED WITHIN 120 DAYS. CESSATION OF verified by:
WORK FOR 120 DAYS SHALL ALSO�P�SER
OME VOID.
I HEREBY AGREE THAT ALL sQ/g0�'Ii�Klj I CTIO WI THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIVERSIDE COUNTY ANDATE OF CALIFORNIA.
1 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
CALIFORNIA.