350892 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING 8 SAFETY FIELD OFFICE
PERMIT NO.
3508 9 2
d
PERMIT NO.
350892IT/
Job Address � �� � }
�- ve vJu.�-ee31!��Aox/ew/y_),
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
Vol ion
b
NO. ELECTRICAL FEES
Dist.
NO. PLUMBING FEES
1ST FL. SQ.
2ND FL.
FOR.
GAR. �Q SQ.
CAR P.
WALL
ESTIMATED CONSTRUCTION
FT. $
..^
UNITS
Use of Permit !
/'] /7.?���
e
SQ. FL Ga
YARD SPKLR SYSTEM
SQ. FT. @r i MOBILEHOME SVC.
BAR SINK
FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. ®
DRAINAGE PIPING
SQ. FT.
DRINKING FOUNTAIN
SQ. FT.
URINAL
VALUATION
WATER PIPING ....
NOTE: Not to be used as property tax valuation
Gr
SWIM POOL, PVT
FLOOR DRAIN
Fee E
MECHANICAL FEES
SWIM POOL, COMM
PLla�nn Nloh. 4��/�/7
/ rI'
WATER SOFTENER
Finol DareInspector
VENT SYSTEM ❑ FAN ❑ EVAP. COOL HOOD
SIGN
Fee bder
WASHER (AUTO) (DISH)
Branch 1 certify that in the performance of the work for which this permit is issued I shall
not employ any person in any manner so as to become subject to the workmen's com-
pensotion laws of California.'
Address City Zip Owner Signature
Builder Signature
APPLIANCE 6DRYER
3...�
Witness Fee E
Reinsp. fee 8
GARBAGE DISPOSAL
O`^'^ �A9
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
4M.O.Q.41
?oral Fees E
LAUNDRY TRAY
Cir„ , 'Of Zip
AIR HANDLING UNIT CFM
.Received by
IDLE METER
Contractor
KITCHEN SINK
License N
ABSORPTION SYSTEM B.T.U.
Sewage System
' /
TEMP USE PERMIT SVC
01 Address
WATER CLOSET
Workers' Comp.
yes ❑ no ❑
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED C] GRAVITY
AMPERES SERV ENT
+
SHOWER
BOILER � B.T.U.
SQ. FT. Co, it
BATHTUB
SQ. FT. (e, ¢
WATER HEATER
Q. FT. RESID (d, I Air
4X409
SEWAGE DISPOSAL
SQ. FT. GAR Ca, 144
t7
HOUSE SEWER
GAS PIPING
PERMIT FEE
+
PERMIT FEE
PERMIT FEE ..-
DBI.
TO TALFEE%�
MOB. HM. FEE
MICRO FEE
MEC;
PL. CK. FEENST.
FE =
�EC; .OFEE
SMI FE�
FEEIPLr F E
PERMIT NO.
3508 9 2
d
Supp. Permit
Job Address � �� � }
�- ve vJu.�-ee31!��Aox/ew/y_),
Space `
Com�un' y rw ,
/{ Q u. % I v
Vol ion
b
Do/I
Dist.
Of
F.C.
MH Permit Fee E
Micro Film Fee Cop E
Mech. Fee Dbl bke
Use of Permit !
/'] /7.?���
e
Parcel No.
Use No. 1�
�PI.
Ck. Fee y�
Set Backs
Lat Size
Convruction Fee Dbl Eription
p� �Q C G v,4 ^
C/ v v71 J !wl �
�-'�Plumbing
O�Electrical
Fee Dbl b�}O
Zoe
�Uni�SMI
Gr
T
Fee E
Fee Dbl E.
PLla�nn Nloh. 4��/�/7
/ rI'
Plan cker /jam i
•�. X115Dental.
Finol DareInspector
Sp. Insp. Fee $7.^
Fee bder
Branch 1 certify that in the performance of the work for which this permit is issued I shall
not employ any person in any manner so as to become subject to the workmen's com-
pensotion laws of California.'
Address City Zip Owner Signature
Builder Signature
Regisir. Fee E
Mileage Fee E
Witness Fee E
Reinsp. fee 8
O`^'^ �A9
Tel. Zip
4M.O.Q.41
?oral Fees E
Add/fi��
Cir„ , 'Of Zip
sh Che/'J
.Received by
Contractor
Tel.
License N
frees required
Sewage System
' /
/
/ I
01 Address
City Zip
Workers' Comp.
yes ❑ no ❑
v — — LL
Sewer District
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS, CESSATION OF verified by:
WORK FOR 120 DAYS SHALL ALSOsilj(�SE%IT,,,T2J)EC0ME VOID.
\t\j/IHEREBY AGREE THAT ALL Vb/6R�1r}I IO WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
L ITH THE LAWS OF RIVERSIDE COUNTY ATATE 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.