346975 (RPL)BUILDING PERMIT ,,N, DEPARTMENT OF BUILDING & SAFETY 411111111h, FIELD OFFICE
j PERMIT NO.
3469 7 5
PERMIT NO.
346 975
Job Address Space Zip
-�Jo
COUNTY OF RIVERSIDE
Owner
J �� mss.
Community �f �f
/9 11/ N'/ A✓%i�
DST
�
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
Off.
NO. PLUMBING FEES
1ST FL. SQ.
2ND FL.
POR. SQ.
GAR. SQ.
CAR P. SQ.
WALL SQ.
ESTIMATED CONSTRUCTION
FT. Ga $
UNITS
Cop E
Use of Permit
�`
SQ. FT. Ga YARD SPKLR SYSTEM
Use No.
FT. CaJ MOBILEHOME SVC. BAR SINK
'Mech. Fee Dbl E
FT. POWER OUTLET ROOF DRAINS
Set Backs
FT. Cil DRAINAGE PIPING
FT.- CW DRINKING FOUNTAIN
Legal Description /J
lv, ���/ ` r/S
SQ. FT. Cil URINAL
S
VALUATION $ WATER PIPING
R
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
Grp
FLOOR DRAIN
Unit
MECHANICAL FEES
SWIM POOL, COMM
Dbl E
WATER SOFTENER
Bond Amt.
s
Pion No.
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
SIGN
Inspector
WASHER (AUTO) (DISH)
bp. Insp. Fee $
APPLIANCE ❑ DRYER
E
GARBAGE DISPOSAL
I shag
com-
IRegisir. Fee E
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
:Witness Fee b
t
einsp. Fee
LAUNDRY TRAY
Owner/Agent
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
Is
3
ABSORPTION SYSTEM O B.T.U.
TEMP USE PERMIT SVC
Zip
WATER CLOSET
eceived by
IZOIr
COMPRESSOR HP
POLE, TEMP/PERM
Tel.
LAVATORY
rees required
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
AMPERES SERV ENT
P
SHOWER
City Zip
Workers' domp.
yes no ❑
BOILER B.T.U.
SQ. FT. Cg 4
wer District
4 J
arm 284.208 (Rev. 4.771 Os
BATH TUB
SQ. FT. 4
WATER HEATER
SQ. FT. RESID iy 1'/.4
SEWAGE DISPOSAL
SQ. FT. GAR Ga IKa
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
I TOTAL FEES
]MOO. HM. FEEMICRO
FEE
MECH. FEE PL. CK. FEE
T. FEE
'ay ��-
ELECT. FEE
/, -�to—
SMI FEE
FEE
i
PLUMB. FEE
j PERMIT NO.
3469 7 5
Supp, Permit
Job Address Space Zip
-�Jo
Owner
J �� mss.
Community �f �f
/9 11/ N'/ A✓%i�
Valuation
EMicro
Dote
Dist.
Off.
F.C.
�M�H Permit Fee E
Film Fee
Cop E
Use of Permit
�`
parcel No.
Use No.
k.by
'Mech. Fee Dbl E
IPI. Ck. Fee s
Set Backs
Lot Size
(Construction Fee Dbl E
Legal Description /J
lv, ���/ ` r/S
F
S
S
R
:Electrical Fee Dbl b
Zone
Grp
Type
Unit
SMI Fee b
:Plumbing Fee
Dbl E
Bond Amt.
s
Pion No.
Plan Checker
Final Date
— 1
Inspector
bp. Insp. Fee $
emol. Fee
E
Const. Lender Branch 'I certify that in the performopce of the work for which this permit is issued
not employ any person in any manner so as to become subject to the workmen's
pensation lows of California.'
Address City Zip Owner Signature
Builder Signature
I shag
com-
IRegisir. Fee E
IMfleage Fee $
:Witness Fee b
t
einsp. Fee
E
Owner/Agent
Tel.
Zip
otal Fees
Is
3
Address
`
City
Zip
M.O. ❑ N.C. ❑ Cash ❑ C cl o
eceived by
IZOIr
tControctir
Tel.
License p
rees required
wage System
T
LL
P
Address
City Zip
Workers' domp.
yes no ❑
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF venhed
WORK FOR 120 DAYS SHAL LSSO USE%PPEER�MIT T_O� BECOME VOID.
I HEREBY AGREE TH 1 Mtx4i IIfVTVLCiION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIV61SIOE COU 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.
by:
wer District
4 J
arm 284.208 (Rev. 4.771 Os