303870 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
PERMIT NO.
303870
PERMIT NO.
1303870
Job Address
-
C m unityIWOWtionateD
Use ermi
� c?
Legal Description
COUNTY OF RIVERSIDE
Space Zip Owner
too
Parcel No.
_
t Backs CJ
Zone Grp ype
43
Dist. . Of
Use No.
Lot Size
Unit
DST
11
F
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
-
NO. PLUMBING FEES
Micro Film Fee Cop E
1ST FL.2 SQ.
2ND FL. SQ.
POR. SQ.
GAR. SQ.
CAR P. SQ.
WALL SQ.
SQ.
ESTIMATED CONSTRUCTION
FT./011410
FT. (a}
Construction Fee bl b Q
Electrical Fee Obl E
SMI Fee E
UNITS
Bond Ain
$
YARD SPKLR SYSTEM
Plan Checker
FT. OD QQ MOBILEHOME SVC. BAR SINK
Final Date
/
FT. POWER OUTLET ROOF DRAINS
/
FT. DRAINAGE PIPING
DRINKING FOUNTAIN
FT.
Dental. Fee E
FT. URINAL
Branch
City
VALUATION $ CL9 WATER PIPING
O
NOTE: Not to be used as property tax valuation
Mileage Fee b
SWIM POOL, PVT
Reinsp. Fee b
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
Zip
i
WATER SOFTENER
Total Fees y
M.O. ❑ N.C. C] Cash ❑ Che
Address
VENT SYST %FAN ❑ EVAP. COOL HOOD
P 110
SIGN
City
WASHER (AUT (DISH)
Zip
APPLIANCE D YER
Contractor
GARBAGE DISPOSAL
License q
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
Sewage System
Address
LAUNDRY TRAY
City
i
Zip
AIR HANDLING UNIT CFM
Comp.
no ❑i
IDLE METER
KITCHEN SINK
Q
ABSORPTION SYSTEM O B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
d
POLE, TEMP/PERM
LAVATORY
Q
HEATING SYSTEM FORCED ❑ GRAVITY
AMPERES SERV ENT
&0
SHOWER
BOILER B.T.U.
SQ. FT.
J BATH TUB
SQ. FT. tja ¢
WATER HEATER
Q. FT. RESID p 1'/.¢
SEWAGE DISPOSAL
APO
SQ. T. GAR 6 s/,¢
HOUSE SEWER
GAS PIPING
740
PERMIT FEE
PERMIT FEEd
PERMIT FEE
DBL
TOTAL FEES
]MOB. HM. FEE
MICRO FEE
CH. FEE
so
PL. CK. FEE
OE
CNST. FEL
E T. FE
SMI FEE
FEE
PL B. FEE
PERMIT NO.
303870
Supp. Per it
Job Address
-
C m unityIWOWtionateD
Use ermi
� c?
Legal Description
�
'
Space Zip Owner
too
Parcel No.
_
t Backs CJ
Zone Grp ype
43
Dist. . Of
Use No.
Lot Size
Unit
t
F.C.
Q
Ck.by
MH Permit Fee E
Micro Film Fee Cop E
Mech. Fee Dbl E
PI. Ck. Fee b
Construction Fee bl b Q
Electrical Fee Obl E
SMI Fee E
Plumbing Fee Dbl $
Bond Ain
$
Plon No.
Plan Checker
Final Date
/
nspect
/
Sp. Insp. Fee E
Dental. Fee E
Const. Lender
Address
Branch
City
I certify that in the performance of the
not employ my person in any monner so
pensotion laws of California
Zip
Owner Signature
Builder Stonature
work fog whwh this permit is issued I shall
us to belome subject to the workmen s com•
Registr. Fee E
Mileage Fee b
Witness Fee b
Reinsp. Fee b
Owner/Agent
Tel.
Zip
i
Total Fees y
M.O. ❑ N.C. C] Cash ❑ Che
Address
\,
City
Zip
Received by
Trees require
Contractor
Tel.
7661
License q
Sewage System
Address
City
i
Zip
Workers'
yes ❑
Comp.
no ❑i
b u 4 Y��
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMME✓✓CED'WITHIN '.7C1 DAYS CESSATION Of Ma by
Sewer Disat WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID I`
Form 284.208 (Rev. 477) IDs
IHEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANcx
WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA
So �HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
N ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF
CALIFORNIA.