348717 (AR)BUILDING PERMIT. DEPARTMENT OF BUILDING & SAFETY; FIELD OFFICE
PERMIT NO.
3 4 8 717
-
PERMIT NO.
848717%
Job Address /7
C:i4�Ae omA
COUNTY OF RIVERSIDE
Owner'
Cznity �,.
� %. (N �
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
./
NO. PLUMBING FEES
1 ST FL. 1370
2ND FL.
,. POR,
. GAR. SQ.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT.. Q A � $ a
D
UNITS
Co $
Use of Permit
/T'G/4� / ..iT•
ey/.��ye L,r�,� ,P '
SQ. FT. @ YARD SPKLR.SYSTEM
Parcel
Parcell Noo.. "
�(/ / —
SQ. FT. MOBILEHOME SVC. BAR SINK
Mech. Fee Dbl $
FL_ � POWER OUTLET ROOF DRAINS
Set Back�sj
SQ. FT. Ca} ' DRAINAGE PIPING
Construction Fee Dbl $ ;
SQ. FT. - 8 ✓G i✓s�N (jyjj DRINKING FOUNTAIN "
URINAL
SQ. FT..
Q
VALUATION $ WATER PIPING
�..
NOTE: Not to be used as property tax voluotion
Zone
SWIM POOL, PVT
Type
FLOOR DRAIN
...
`� jjf
SMI Fee / $ ! �(O
MECHANICAL FEES
Dbl $
SWIM POOL, COMM
Bond Amt.
$
WATER SOFTENER
Plan Checker
Final Dates
VENT SYSTEM FAN ❑ EVAP. COOL ❑ HOOD
...
SIGN
Demol. Fee
WASHER fAUT0111
a Q
Const. Lender Branch "I certify that n the performapce of the rk for which this permit is issued I shall
• . - r not employ any person in any manner so as to become subject to the workmen's com.
pensotion lows of Calffarnio." `
Address / City `Zip
j - -y v Owner Signature,
-4 _ Builde,Stgnature
APPLIANCE ❑ DRYER
Mileage Fee $
Witness Fee $
Reinsp. Fee
GARBAGE DISPOSAL
Owner/Agen
FURNACE ❑UNIT ❑ WALL []FLOOR ❑ SUSPENDED
Tel. Zip
Total Fees
LAUNDRY TRAY
1
Address
/� 9� �
AIR HANDLING UNIT CFM
M.O. ❑ N.C. ❑ Cash CO] Ch ck
IDLE METER
KITCHEN SINK
Controctor %
Tel.
ABSORPTION SYSTEM 0 B.T.U.
Trees required
TEMP USE PERMIT SVC
.. ./.I I'
WATER CLOSET
T
Workers' Comp.
yes ❑ no [3
COMPRESSO - j HP
..-
POLE, TEMP/PERM
LAVATORY
Lf
HEATINGSYSTEM FORCED ❑ GRAVITY
AMPERES SERV ENT
SHOWER
-_ -
AI
BOILER 0 B.T.U.
SQ. FT. Col ¢
BATH TUB
SQ. FT. Gn ¢
WATER HEATER
37a SQ. FT. RESID 1'/.¢
7 r 3
SEWAGE DISPOSAL
e
F7e
SQ. FT. GAR Cot '/.¢
HOUSE SEWER
GAS PIPING
PERMIT FEE
/
PERMIT FEE
00
PERMIT FEE
DBL.
TOTAL -FEES
39
rtoe. rtm. FEE
MICRO FEE
MECH. FEE
• PL. CK. FEE
CONST. FEE
ELECT. FE
340
SMI FEE .,
7u
FEE
PLUMB. FEE
e
PERMIT NO.
3 4 8 717
-
Supp. Permit
Job Address /7
C:i4�Ae omA
Space Zip
Owner'
Cznity �,.
� %. (N �
Valuation
$ t
Dote A%DisttZI
�` l— /
./
/FF C.MH
�✓O�
Permit Fee $
Micro Film Fee
Co $
Use of Permit
/T'G/4� / ..iT•
ey/.��ye L,r�,� ,P '
Parcel
Parcell Noo.. "
�(/ / —
Use No. Ck.b
Mech. Fee Dbl $
PL Ck. Fee $ s
Set Back�sj
Lm Size
9�A
Construction Fee Dbl $ ;
Legal Description j7 •� /f/� / ��jJi
`J I `
iV / / / / (./�� �/ S
2
F /
Q
$'./
y�(p
Electrical Fee Dbl $ �.
Zone
Grp
Type
Unit
...
`� jjf
SMI Fee / $ ! �(O
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Final Dates
Inspector
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender Branch "I certify that n the performapce of the rk for which this permit is issued I shall
• . - r not employ any person in any manner so as to become subject to the workmen's com.
pensotion lows of Calffarnio." `
Address / City `Zip
j - -y v Owner Signature,
-4 _ Builde,Stgnature
.
Registr. Fee $
Mileage Fee $
Witness Fee $
Reinsp. Fee
$
Owner/Agen
A �% `"
Tel. Zip
Total Fees
$
? 7
Address
/� 9� �
City/ %f Zip
�rG /1� .L(�. 1AJ
M.O. ❑ N.C. ❑ Cash CO] Ch ck
Received by
Controctor %
Tel.
License #
Trees required
Sewage System
_ .�
.. ./.I I'
Address
City Zip
Workers' Comp.
yes ❑ no [3
FC.IP'Tv
Sewer District
Form 284.2081Rev. 4.771 QS
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by,
WORK FOR 120 DAYS"SHALL E PA11T TO BECOME VOID,
I HEREBY AGREE THAT RK CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE y
WITH THE LAWSOF RIV6f DE COUNT AND THE STATE OF CALIFORNIA.
IHEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
SolN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF
CALIFORNIA.