351562 (SFD) Plan CheckBUILDING PERMIT Aft DEPARTMENT OF BUILDING & SAFETY ` FIELD OFFICE
PERMIT NO.
3 515 6 2
PERMIT NO.
1351562
_
1
COUNTY OF RIVERSIDE
Owner
�^'� ey
DST
CONSTRUCTION ESTIMATE
Comm��uni//ty��
/'e/// QCG-/ /4
NO. ELECTRICAL FEES
NO. PLUMBING FEES
Date �j
7 T
1ST FL. SQ.
2ND FL.
POR.
GAR. SQ.
CAR P. SQ.
WALL SQ.
ESTIMATED CONSTRUCTION
FT. .@ . $
ids
UNITS
'MH Permit Fee $
SQ. FT. Ga YARD SPKLR SYSTEM
Cop E
MOBILEHOME SVC. BAR SINK
SQ. FT. Ga
Use of Permit /e `
/¢/�/� / SGC t•.-/(�/..
`�' "`� /9i � j -
POWER OUTLET ROOF DRAINS
FT.
Parcel No.
7 T,,T `—/4/
FT. @ DRAINAGE PIPING
-Meth. Fee Dbl E
DRINKING FOUNTAIN
FT. Cia
Set Backs
SQ. FT. @ URINAL
Construction Fee Dbl E
VALUATION $ WATER PIPING
F v7o
NOTE: Not to be used as property tax valuation
SS a -le
SWIM POOL, PVT
FLOOR DRAIN
Grp
loe--3
Type
/L/u,••s&
MECHANICAL FEES
t
SWIM POOL, COMM
WATER SOFTENER.
Dbl E
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
Plan/N/o
,
SIGN
WASHER IAUTOI IDISHI
t
APPLIANCE ❑ DRYER
Sp. Insp. Fee E
Denial. Fee
GARBAGE DISPOSAL
4�.nst.
lender - Branch 'I certify that in the performance of thek for which this permit is issued I shall
not employ any person in any manner so as t become subject to the workmen's com-
pensotion laws of California."
Address City Zip Owner Signature
Builder Signature
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
Mileage Fee E
'Witness Fee E
LAUNDRY TRAY
E
AIR HANDLING UNIT CFM
Tel.
IDLE METER
KITCHEN SINK
Torol Fees
E
ABSORPTION SYSTEM O B.T.U.
Address
TEMP USE PERMIT SVC
WATER CLOSET
M.O. ❑ N.C. ❑ Cosh ❑ C c
Received by
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
License p
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
Sewage System
9 Ys
. /VVV
AMPERES SERV ENT
SHOWER
Address
0.4Rie
City
BOILER � B.T.U.
Workers' Comp.
yes ❑ no ❑
SQ. FT. ¢
BATHTUB
SQ. FT. Ga ¢
WATER HEATER
SQ. FT. RESID Cat I V.¢
SEWAGE DISPOSAL
SQ. FT. GAR CM '/.¢
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE r
DBL.
TOTAL FEES
Vh//vSQe Vci
11,10B. HM. FEE
MICRO FEE
MECH. FEE
. FEE
;61
CONST. FEE
ELECT. FEE SMI FEE
FEE
PLUMB. FEE
PERMIT NO.
3 515 6 2
Supp. Permit
Job Address
��- - �K�n� Z
Space Zip
Owner
�^'� ey
AAfA7-< 1a✓
Comm��uni//ty��
/'e/// QCG-/ /4
Valuation
E
Date �j
7 T
Dist.
jV
Off.
F.C.
'MH Permit Fee $
.Micro Film Fee
Cop E
Use of Permit /e `
/¢/�/� / SGC t•.-/(�/..
`�' "`� /9i � j -
Parcel No.
7 T,,T `—/4/
Use No. Ck.by
-Meth. Fee Dbl E
FI. Ck. Fee E
Set Backs
Lot Size
�vZi
Construction Fee Dbl E
Legal Description
�r% T ,Of ,�� �G /��
s,x. G�'
F v7o
s
SS a -le
Electrical Fee Dbl E
Zone
`/
Grp
loe--3
Type
/L/u,••s&
Unit
t
.SMI Fee E
'Plumbing Fee
Dbl E
Bond Amt:
E
Plan/N/o
,
Plan Checker
F' o 'r Inspector
t
Sp. Insp. Fee E
Denial. Fee
E
4�.nst.
lender - Branch 'I certify that in the performance of thek for which this permit is issued I shall
not employ any person in any manner so as t become subject to the workmen's com-
pensotion laws of California."
Address City Zip Owner Signature
Builder Signature
iRegisir. Fee E
Mileage Fee E
'Witness Fee E
!Reinsp. Fee
E
Owner/Agent
Tel.
Zip
Torol Fees
E
4SV
Address
City
Zip
M.O. ❑ N.C. ❑ Cosh ❑ C c
Received by
Contractor
Tel.
License p
Trees required
Sewage System
9 Ys
. /VVV
Address
0.4Rie
City
Zip
Workers' Comp.
yes ❑ no ❑
District
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by:
WORK FOR 120 DAYS SHALL AUSEJJERMIT TO BECOME VOID.
I HEREBY AGREE THAT N ITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIV6RSIDE COUNTY A THE STATE OF'CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
50 IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF
CALIFORNIA.