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341279 (SATT)
BUILDING PERMIT PERMIT NO. 341279 CONSTRUCTION ESTIMATE IST FL. SQ. FT. Q 2ND FL. SQ. FT. POR. SQ. FT. ®_ GAR. SQ. FT. CAR P. SQ. FT. WALL SQ. FT. FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED SQ. FT. @ VALUATION $ ESTIMATED CONSTRUCTION NOTE: Not to be used Os property tax valuotion DEPARTMENT OF BUILDING 8 SAFETY COUNTY OF RIVERSIDE NO. I ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL. PVT FIELD OFFICE NO. I PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN PERMIT NO. 341279 MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER Owner VENT SYSTEM. ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO)((DISH) Community _ APPLIANCE ❑ DRYER Dote _ GARBAGE DISPOSAL Dist. FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED F.C. LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET Use No. COMPRESSOR HP POLE, TEMP/PERM LAVATORY IPI. Ck. Fee $ HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER 'Construction Fee IA D $ - BOILER � B.T.U. SQ. FT. Qct ¢ BATH TUB S R SQ. FT. (a, ¢ WATER HEATER Grp Type SO. FT. RESID[ ja 1'/.¢ SEWAGE DISPOSAL ,SMI Fee $ 'Plumbing Fee /Q4L.$ SQ. FT. GAR 6 '/.¢ HOUSE SEWER Plan No. © Plan Checker Final Date Inspe1-1-�d O cto GAS PIPING PERMIT FEE 'Sp. Insp. Fee $ PERMIT FEE PERMIT FEE Connder Branch Le I certify that in the performance of the work for which this permit is issued I shall not employ any person In any monner so as to become subject to the workmen's com pensatron Igws of Coliforms Address City Zip Owner Signature Builder Signature Q$L, TOTAL FEES M08. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE I CONST. FEE ELECT -FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 341279 Supp. Permit 3 Job Address Space Zip - - _ _ Owner P I� Community _ Valuation $ Dote _ Dist. Off. F.C. MH Permit Fee $ Micro Film Fee Cop $ Use of Permit _ / L Yi7r�= Parcel No. Use No. TCk. y Mech. Feef $ IPI. Ck. Fee $ Set Bac s Lot Size 'Construction Fee IA D $ - Legal Description ` �/ /I�ur �/7 , I 4 ,)61 v�'^ u�—�� / F S — S R ,Electrical Fee $ Zone Grp Type Unit ,SMI Fee $ 'Plumbing Fee /Q4L.$ Bond Amt. $ Plan No. © Plan Checker Final Date Inspe1-1-�d O cto 'Sp. Insp. Fee $ l. Fee $ DentaDental.st. Connder Branch Le I certify that in the performance of the work for which this permit is issued I shall not employ any person In any monner so as to become subject to the workmen's com pensatron Igws of Coliforms Address City Zip Owner Signature Builder Signature Regisir. Fee $ Mileage Fee $ Witness Fee $ Aeinsp. Fee $ Owner/Agent nTel. J04;1 ii _ Zip 7otol Fees $ t Address r 7 3 G, — — % 4 City .L •_ �+ Zip M.O. ❑ N.C. ❑ Cash ❑ Check :Received by Contractor Tel. License # Trees required Sewage System / Ll Sewer District 1 / X P I Address City Zip Workers' Comp. yes ❑ no ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by WORK FOR 120 DAYS SHALL ALSO CA//USE PERMIT TO BECOME VOID. I Uc.r.1 N1.11 TLtAT A11 1A/l.011411L.'01A1.1--TM1n1 c n NITHTHE LAWS OFRIVGQSIDECOU S ALIFORNIA. 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 Form 284.208 (Rev. 4.771 ©s CALIFORNIA.