303809 (SFD)BUILDING PERMIT J DEPARTMENT OF BUILDING & SAFETY Affillk FIELD OFFICE
PERMIT NO.
30380
PERMIT NO.
303809
1 W.III
COUNTY OF RIVER5IDE
;�
DST
I
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
Micro Film Fee
NO. PLUMBING FEES
1ST FL. SO.
2ND FL. SO.
POR. SO.
GAR. SO.
CAR. P. SO.
WALL SO.
SQ.
ESTIMATED CONSTRUCTION
FT. $
Use No.
UNITS
C .by
'Meth. Fee $
FT. (a}
YARD SPKLR SYSTEM
FT. � H I►6 MOBILEHOME SVC.
BAR SINK
POWER OUTLET
FT.
ROOF DRAINS
FT.
DRAINAGE PIPING
FT. 8
DRINKING FOUNTAIN
FT. @
URINAL
VALUATION $ pp
WATER PIPING
NOTE: Not to be used as property tax valuation
Grp
SWIM POOL, PVT
Unit If
/
FLOOR DRAIN
Plumbing Fee
., $p. Insp. Fee
MECHANICAL FEES
Bond Amt.
b
SWIM POOL, COMM
Plan Checker
WATER SOFTENER
Inspector s
VENT SYSTEFAN ❑ EVAP. COOL HOOD
Demol. Fee
SIGN
Const. Lender ronch I certify that in the performance of the work for which this permit a rssued I shod
not employ any person us any manner so as to become sublea to the workmen s com.
pensation taws of California -
Address City Zip Owner Signature
Budder Signature
WASHER (AUT (DISH)
Mileage Fee E
APPLIANCE DRYER
Reinsp. Fee
$
Ownerh4gen7–
GARBAGE DISPOSAL
Zip
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
Total Fees
$
ss
LAUNDRY TRAY
Zip
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK ;9 pip
ABSORPTION SYSTEM O B.T.U.
e .
TEMP USE.PERMIT SVC
Trees required
WATER CLOSET
COMPRESSORP
POLE, TEMP/PERM
i LAVATORY
City Zip
HEATING S TE FORCED ❑ GRAVITY
BOILER B,T.U.
l
AMPERES SERV ENT
SQ. FT. p ¢
SHOWER
BATHTUB
yes ❑ no ❑
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
—,fwd by
s
SQ. FT. Ga ¢
WATER HEATER
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
SQ. FT. RESID p I'A¢
SQ. FT. GAR C 'A¢
WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
SEWAGE DISPOSAL
f HOUSE SEWER
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
Form 284208 (Rev. 4.771 Os
?ECIEEE
GAS PIPING
PERMIT FEE
PERMIT.FEE
PERMIT FEE
DBL
ITOTAL FEES
:7 47 8
MOB. HM. FEE
MICRO FEE
e6&2
SID
PL. CK. FEE
LONST.FE:
-
SMI FEE
0:1
I FEE
"
PERMIT NO.
30380
Supp.Permit
Job Address Sp Space Zip Owner
- - ®
t
-
community Valuation Date Dist.
� S'162IS
. F.C.
t
LO -11
�MH Permit Fee 5XM,
'.
Micro Film Fee
E
se of Permit L �.j
Parcel No.
�4�•Z,
Use No.
C .by
'Meth. Fee $
' PI. Ck. Fee
E
. t5et Backs
Lot Size
91
-Construction Fee $
Legal Description
S
S
'.Electrical Fee
,SMI Fee
E
$
[DbI
�j� ,rf�f ,�..,
d N/ 400, *1 ��L� �-�VS
Zone
Grp
Type
Unit If
/
Plumbing Fee
., $p. Insp. Fee
b
E
Bond Amt.
b
Plan No.
as //
Plan Checker
Final Dote
e I-
Inspector s
Demol. Fee
E
Const. Lender ronch I certify that in the performance of the work for which this permit a rssued I shod
not employ any person us any manner so as to become sublea to the workmen s com.
pensation taws of California -
Address City Zip Owner Signature
Budder Signature
Registr. Fee E
Mileage Fee E
- Witness Fee E
Reinsp. Fee
$
Ownerh4gen7–
Tel.
Zip
Total Fees
$
ss
City
Zip
M.O. ❑ N.C. ❑ CashChec
' Received by
o actor
e .
License #
Trees required
Sewage System
Address
City Zip
Workers' Comp.
l
LL 60el4l
yes ❑ no ❑
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
—,fwd by
s
wer District
I HEREBY 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.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
Form 284208 (Rev. 4.771 Os
50 IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF
CALIFORNIA.