350787 (SATT)BUILDING PERMIT DEPARTMENT OF, BUILDING & SAFETY` FIELD OFFICE
PERMIT NO.
350787
PERMIT NO.
350787
Job ddress
-s-6s
COUNTY�OF RIVERSIDE
A
Owg
7j
CONSTRUCTION ESTIMA
Corniiilunity
AIV/ :r.J � ,
NO. ELECTRICAL FEES
NO.
PLUMBING FEES-
Dist.
//
1 ST FL. SQ.
2ND FL.
POR.
GAR. SQ.
CAR P.
WALL
ESTIMATED CONSTRUCTION
FT. @4 $ i
UNITS
NH Permit Fee $
Micro Film Fee Cop $
Vtech. Fee Dbl 8
YARD SPKLR SYSTEM
SQ. FT. (a}
'
$Q FT. 'QMOBILEHOME SVC. BAR SINK
Pa cel No.
FT. ..r POWER OUTLET ROOF DRAINS
Ck.b
SQ. FT. 8 DRAINAGE PIPING
SQ. FT., .@ DRINKING FOUNTAIN
:onstruction Fee Obl E
SQ. FT. .® URINAL
VALUATION $ .�•- WATER PIPING
�.
NOTE: Not to be used as property tax valuation
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R��
R^�
SWIM POOL, PVT
Zo 4/
FLOOR DRAIN
Unit
MECHANICAL F S
;Ml Fee E
SWIM POOL, COMM
WATER SOFTENER
PI37
VENT SYSTE FAN ❑ EVAP. COOL f HOOD
SIGN
Insp1gDL
WASHER (AUTOfTUM)
a
)emol. Fee $
APPLIANCE DRYER
—
Branch
City
- ''I certNy that in the performoltce of the work owhich this permit is issued I shall
not employ any person is any manner w as to be me subject to the workmen's com-
pensation laws of California."
Zip Owner Signature
Builder Signature
GARBAGE DISPOSAL
�..r
Nitnesz Fee $
FURNACE . [3 UNIT ❑ WALL ❑ FLOOR C]SUSPENDED
Owner/Agent
LAUNDRY TRAY
Tel. -
Zip
AIR HANDLING UNIT CFM
oral Fees $.
IDLE METER
Adder ss
...
KITCHEN SINK
City
_ ._ . - ...
ABSORPTION SYSTEM E== B.T.U.
M.O. ❑ ash Ch
TEMP USE PERMIT SVC
WATER CLOSET
Tel.
17-`, �y7
COMPRESSOR E HP
POLE, TEMP/PERM
ewoge System -
. YJ ,.
LAVATORY
Address /
S� / +'
/✓
HEATINGSYSTEM FORCED ❑ GRAVITY
Workers' Comp.
Yes ❑ no ❑
AMPERES SERV ENT
�.�.,.
•SHOWER
BOILER � B.T.U.
SQ. FT. (:ja ¢
BATH TUB
SQ. FT. Cai ¢
WATER HEATER
Q. FT. RESID 6 1 V it
SEWAGE DISPOSAL
1100Q
SQ. FT. GAR 6 `14,
720
HOUSE SEWER
GAS PIPING
�+
PERMIT FEE
1
PERMIT FEE
PERMIT FEE
DBL.
I T2TALFEES
Moe. HM. FEE
MICRO FEE
A
PL.4 C_.Ke_FEE
CONST. FEE
ELECT. FFy �; I FSE"..
/v/X7J' /7y /a Vs(2F
FEE
—PLUMB. FEE.
3�/JG1J
PERMIT NO.
350787
Supp. Permit
Job ddress
-s-6s
5x.Xee
SpaceLiz�3
Owg
Corniiilunity
AIV/ :r.J � ,
Valuation
� 97'7, '
Dare
Dist.
//
Off.
F.C.
d/
NH Permit Fee $
Micro Film Fee Cop $
Vtech. Fee Dbl 8
Use of Permit
✓ '
'
Pa cel No.
Use No.
Ck.b
sl. Ck. Fee $
Lot Size Y
y��
:onstruction Fee Obl E
Legal Description
A��f
v
�y
F'� `D
`�Sett•�Backs
S J
S
/L�
R��
R^�
Electrical Fee Dbl $
Zo 4/
G��`�
Unit
;Ml Fee E
slumbing Fee Dbl $
Bond Amt,
$
PI37
Plan "heolf�r r
Final Dare •--�
_ J /
Insp1gDL
ip. Insp. Fee $
)emol. Fee $
Const. Lender
Address
Branch
City
- ''I certNy that in the performoltce of the work owhich this permit is issued I shall
not employ any person is any manner w as to be me subject to the workmen's com-
pensation laws of California."
Zip Owner Signature
Builder Signature
tegistr. Fee $
Mileage Fee $
Nitnesz Fee $
leinsp. Fee $
Owner/Agent
Tel. -
Zip
oral Fees $.
Adder ss
...
City
_ ._ . - ...
Zip
.
M.O. ❑ ash Ch
received by
C ntracto,
:V I,� mitis / o../
Tel.
17-`, �y7
License 11
gees required
ewoge System -
. YJ ,.
4.�iVY
Address /
S� / +'
/✓
Ci ,� Zip
Workers' Comp.
Yes ❑ no ❑
IT --- LL Pw'- T/ y
ewer District
THIS PERMIT SHALL BECO"YA
RK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by:
WORK FOR 120 DAYS SHALL'AIT BECOME VOID.'
I HEREBY AGREE THAT ALNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCEWITHTHE LAWS OF RIVERSIDE E`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.