309142 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY ;AMIL FIELD OFFICE
Ir
Supp. Permit Job Address
4k,Z5`29
Community f Valu
E
Use of Permit
Legal Description
00 Bond Amt. jPlonNo. Plan Checker
E oa'? rdv,
Const. Lender Branch
Address City Zip
Space I Zip Owne I
aI- n Date Dist. Off. F.C.
Par el No. Use No. Ck.by
?/7 S
Q!15TS
Set Backs loc/�tSiize /�/�
F 21 R f / fA/V t/
Zone Grp Type Unit 1
Final Dote Inspe or
/,0-I1-78' (�o`�/N$
I certify that in the per [ormonce of I k for which this permt n issued I shall
not employ any person in any, manners , s to . come suki.e t to the workmen s com-
pensation laws of California
Owner Signolure 11 `
R It .' C....,..r...e i
einsp. Fee E
0 PERMIT NO.
09142
Tel. ; Zip
COUNTY OF RIVERSIDE
olol Fees E 7, UAd
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FiF.
CONSTRUCTION ESTIMATE
eceived by
NO. ELECTRICAL FEES
NO. PLUMBING FEES
License #
1 ST FL. SQ.
2ND FL.
POR. SQ.
GAR. SQ.
CAR P. SQ.
WALL SQ.
ESTIMATED CONSTRUCTION
FT. tai . $ 0+
UNITS
_3_y__,:236'00
SQ. FT. Ga YARD SPKLR SYSTEM
FT. @ / o- 4 - MOBILEHOME SVC. BAR SINK
5
FT. (a} POWER OUTLET ROOF DRAINS
FT. DRAINAGE PIPING
FT. Ga DRINKING FOUNTAIN
SO. FT. @ URINAL
VALUATION $ WATER PIPING
NOTE: Not to be used as property rax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM AN ❑ EVAP. COOL XHOOD
SIGN
WASHER (AUT SH)
'Vo
APPLIANCE RYER
3 .....
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
d
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
s
2,00 AMPERES SERV ENT
SHOWER
BOILER � B.T.U.
SQ. FT. @ R
BATH TUB
1
SQ. FT. 6 4 i
WATER HEATER
SQ. FT. RESID 8 l %r
SEWAGE DISPOSAL
8 SQ. FT. GAR Ga sb¢ !
HOUSE SEWER
GAS PIPING
CN
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTWLL CFy,EEEES
v /✓ . 3
JMOB. HM. FEE
MICRO FEE
MECH. FEE
.2 -7
PL,,?K- FEE
3. `�
CONST. FEE
63--®�
ELECT. FEE SMI FEE
.37,/°11y3�J
FEE
PLUMB. FEE_
Ir
Supp. Permit Job Address
4k,Z5`29
Community f Valu
E
Use of Permit
Legal Description
00 Bond Amt. jPlonNo. Plan Checker
E oa'? rdv,
Const. Lender Branch
Address City Zip
Space I Zip Owne I
aI- n Date Dist. Off. F.C.
Par el No. Use No. Ck.by
?/7 S
Q!15TS
Set Backs loc/�tSiize /�/�
F 21 R f / fA/V t/
Zone Grp Type Unit 1
Final Dote Inspe or
/,0-I1-78' (�o`�/N$
I certify that in the per [ormonce of I k for which this permt n issued I shall
not employ any person in any, manners , s to . come suki.e t to the workmen s com-
pensation laws of California
Owner Signolure 11 `
R It .' C....,..r...e i
einsp. Fee E
Ow er/Age t
pmt ��e 4
Tel. ; Zip
olol Fees E 7, UAd
Irrresss I, •��7 ///�� �fJ
J F/+ / (,,.,/7�/ tJ i �/t/ �
City /` // /;7,,/ /y�JI� Zip
/Y/ /'J. U (/ i+
M.O. ❑ ❑ Cosh ❑ Check
eceived by
Contractor
Tel.
License #
rees required
System
P
wer District
"r
Form 284.208 1Rev. 4771 Os
Address
City
Zip
Workers' Comp.
y yes ❑ no
(/ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS CESSATION OF -0-ed by
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 f
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 IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF
CALIFORNIA