144963 (SATT)ERM(
DEPARTMENT OF BUILDING & SAFETY
In COUNTY OF RIVERSIDE
ER
REN
FIELD OFFICE
PLN CHK FEE
r CONSTRUCTION ESTIMATE4OF ELECTRICAL FEES
HEAT & VENT
ELECT. FEE
PLUMBING FEES
FEES _-
1st FI.
2nd FI.
Por. +��
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Sq. Ft. @
NO:
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Sq. Ft. @
BUILDING INFORMATION
Sq. Ft. @ t`1
OWNER
Ix 4
Sq] Ft. @ �'�^ 2f POLESA4 IS
"
-41-1A,
Sq. Ft. SIGNS DRAINAGE PIPING
TRANS. AND/ DRINKING FOUNTAIN
Ft. OR T. CLK.
m
Sq. Ft. MOTOR H. P. URINAL
MOTOR H.P. WATER PIPING
USE OF BUILDING—DATE
644 IN � da •.
ESTIMATED VALUATION $
9 6 - MOTOR H.P.
BLOCK
FRAME STUCCO
FLOOR DRAIN
OTHER
o. MECHANICAL FEES
MOTOR H.P.
WATER SOFTENER
COMMUN Y
tY F
HEAT APPLIANCE
MOTOR H.P.
UNITS
VALUATIIOIN'�
!
WASHER (AUTO) DISH)
INLETS - OUTLETS
FIXTURES
RMS..
j
J
GARBAGE DISPOSAL
- '�^ f ! �
v„ M. Sp. FT. - UNIT HEATER
OUTLETS
LEGAL DESCRIPTION ..•��{✓ 'f�
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PER IT NUf B R
LAUNDRY TRAY
M. Sp. FT. - PERF. CEILING MAT.
SUB -PANEL
RMIT USE
NO.��
KITCHEN SINK
/
APPLIANCE VENT
.2
WATER CLOSET
Ii GAS PIPE
RANGE AND/OR OVEN
SUPPLEMENT TO PERMIT
113
LAVATORY
SIDE ItAR LOT
REPAIR OR ALTER
WATER HEATER
/
SHOWER
°
VENTSYSTEM Cl HOOD Cl EVAP. COOL ❑
SPACE HEATER
INSPECTOR
i
BATH TUB
( .�-
COMPRESSOR
CONSTRUCTION POLE
/
WATER HEATER
J
k COMPRESSOR
SERVICE ENTRANCE
/
SEWAGE DISPOSAL
1 L
L
COMPRESSOR
RESID. 10 Sp. FT.
HOUSE SEWER
PLAN CHECK FEE v0 1
/J
GARAGE ?Q SO. FT.
,„�
,I
GAS PIPING
PERMIT FEE
t PERMIT FEE
DATE
•- MECHANICAL FEE
PERMIT FEE
ERM(
N M
ER
REN
DBL.
PLN CHK FEE
CONS,TR. FE}`EE
HEAT & VENT
ELECT. FEE
PLUMB. FE,�F
FEES _-
PL AN..0 R
J F M�,��-�` A
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F_
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lo N D
BUILDING INFORMATION
JOB � /ADDRESS•�
f {•wt./1^�Q ' SJ -3 j
OWNER
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"
WOOD
CONCRETE FIREPLACE
m
CONCRETE
PIERS MEMBRANE .
USE OF BUILDING—DATE
644 IN � da •.
BLOCK
FRAME STUCCO
BRICK CONC. METAL
OTHER
_
IX1
COMMUN Y
tY F
DISTRICT
F.C.
4>1
UNITS
VALUATIIOIN'�
!
OFF`II-G_E
✓T
PLASTER
DRY WALL ROOF COV`gl\RING
RMS..
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w
}.
JBD.
LEGAL DESCRIPTION ..•��{✓ 'f�
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PER IT NUf B R
ZONE
ZOrLIN C 'CKED
RMIT USE
NO.��
f
1
�a
Ce
_
9?
SUPPLEMENT TO PERMIT
SET
I FRONT
SIDE ItAR LOT
SIZE
BACK
1 0
FINALED DATE
INSPECTOR
GROUP
F
TYPE y,y.
BOND
BOND
CASH
PLAN CHECK FEE v0 1
/J
CONTRACTOR/%)4 rtf�J`4}j„ j'. f
RELEASE BOND
'$
LICENSE-TYPEFl- 11 �" f
DATE
•- MECHANICAL FEE
In accordance with Sec. 302-D of the Uniform Building Code, this permit shall
$
expire if work is not commenced within 60 days. If work is suspended or oban-
Boned for a period of 120 days, this permit shall automatically become null
CONSTRUCTION FEE
and void.
$
a j"
V
This permit is issued, and shall continue in effect, pursuant to the terms and
-
conditions of Sec. 3800 of the Business and Professions Code and as a condi-
�. ELECTRICAL FEE
tion of the issuance hereof the following certificate is executed.
$
c>
OWNER -BUILDER CONTRACTOR
.' PLUMBING FEE_
I hereby certify that in performance I hereby certify that in performance
of the work for which this permit is of the work for which this permit is
TOTAL FEE
$
issued I shall not employ any person issued I have complied with Title 8,
`
in any manner whatsoever as to be- Article 3, Sec. 3800 of the Labor
CASH CHECK M.O. N.L.
come subject to the Workmen's Com- Code, and a certificate or certified
pensation Laws of the State of Copy IS On file with the Riverside
ECEIVED BY
I,
PLAN FILE
California. Co 4nty�Bu' 'Id' Depa,tment.
if A
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Owner C n i t(�dfNi L71iF
(NATER VOLUME SEPTIC TANK
LEACH LINE
SEEPAGE PIT
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GAL.
S0. FT,
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fix_} 4�J
Address AfffJJJAAA _461
Telephone Te . t"S f Lic.N`•C✓�
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