309076 (SFD)i
i
BUILDING PERMIT ilIM& DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
Totol Fees E
M.O. ❑ F. ❑ Cash
Received by
Trees required
Sewage System
T�A1OI2
Sewer District
IForm 284.2081Rev.4.771 0s
P
Address City Zip
i
antra Tel License #
Cvc� ec%.2 �✓, e; - 3� Z95771
Address City ,g - p Zip Workers' Comp.
�ifyes no ❑
1S PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF versed b
RK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
IHEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
t 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
_^ii PERMIT NO.
09
COUNTY OF RIVERSIDE
Supp. Permit Job Address Space Zi
36.1328
Owner i
7 S
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
Community
.E /�, u.;,v
1ST FL. SQ.
2ND FL. SQ.
FOR. SQ.
GAR.412; SQ.
CAR P. SQ.
WALL SQ.
:5tu.GGo 649 SQ.
ESTIMATED CONSTRUCTION
FT. Q /
i UNITS
Off. 4
F.C.
Cop E
FT. @ YARD SPKLR SYSTEM
FT. ® MOBILEHOME SVC. BAR SINK
Use No.
FT. 8 . �..� POWER OUTLET ROOF DRAINS
FT. ®DRAINAGE PIPING
FT. Q / Qd DRINKING FOUNTAIN
FT. @ / t%S 1 URINAL
Set
VALUATION $ WATER PIPING
Dbl E - Legal Description
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
��Backs
!� g 2r,,/
FLOOR DRAIN
R /
Dbl b
MECHANICAL FEES
SWIM POOL, COMM
Zone
WATER SOFTENER
Ty
Unit
VENT SYSTEMFAN ❑ EVAP. COOL OOD
SIGN
WASHER (AUT SH)
APPLIANCE DRYER
��
GARBAGE DISPOSAL
Bond Amt.
Plan No.
FURNACE ❑ UNIT ❑ WALL [:]FLOOR ❑ SUSPENDED
Final Date Inspect
LaIsIPi6R't"r
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
Z e
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
Const. Lender Branch .
WATER CLOSET
46-450
COMPRESSOR — — HP
d�: POLE, TEMP/PERM
Address City
LAVATORY
$
HEATING SYSTEM FORCED• ❑ GRAVITY
:� O AMPERES SERV ENT
/ �, -Owner/Agent s
SHOWER
d�
BOILER � B.T.U.
SQ. FT. Q ¢
BATH TUB
X,, ..
SQ. FT. Cat ¢
WATER HEATER
Q. FT. RESID @ 1'/.¢
3
SEWAGE DISPOSAL
O ��
ZSQ. FT. GAR Ga Y -a
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
36 -L
MOB. MM. FEE
MICRO FEE
MECH. FEE PL. FEE
CONST. FEE
'09�
ELECT. fEE
�s-
SMI FEQE'
3� ,6
FEE
P U .FEE
00
Totol Fees E
M.O. ❑ F. ❑ Cash
Received by
Trees required
Sewage System
T�A1OI2
Sewer District
IForm 284.2081Rev.4.771 0s
P
Address City Zip
i
antra Tel License #
Cvc� ec%.2 �✓, e; - 3� Z95771
Address City ,g - p Zip Workers' Comp.
�ifyes no ❑
1S PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF versed b
RK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
IHEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
t 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
f NO.
Supp. Permit Job Address Space Zi
36.1328
Owner i
7 S
S
Community
.E /�, u.;,v
Valuation
Es"6 X69.
Date
Dist.
Off. 4
F.C.
Cop E
Use of Permit
Parcel No.
�t�
Use No.
,1 //
t41
Set
Lot Size
/6V
Dbl E - Legal Description
p
��Backs
!� g 2r,,/
�j%�
5 36
R /
Dbl b
..�
/
,ZIt
Zone
Grp
Ty
Unit
a
Dbl $
Bond Amt.
Plan No.
Plan r
Final Date Inspect
E
Const. Lender Branch .
'I certify that in the performance of I ort, for which this permit a issued I shall
not employ any person to any manner0 become sublet, to the workmen s com•
E
pensation laws of California
y
Address City
Zip Owner Signature
$
Builder Signoture
y
/ �, -Owner/Agent s
Tel. Zip
Totol Fees E
M.O. ❑ F. ❑ Cash
Received by
Trees required
Sewage System
T�A1OI2
Sewer District
IForm 284.2081Rev.4.771 0s
P
Address City Zip
i
antra Tel License #
Cvc� ec%.2 �✓, e; - 3� Z95771
Address City ,g - p Zip Workers' Comp.
�ifyes no ❑
1S PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF versed b
RK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
IHEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
t 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