341263 (SFD)BUILDING PERMIT Aft DEPARTMENT OF BUILDING & SAFETY 40L FIELD OFFICE
PERMITNO.
341 2 6 3-p:
PERMIT NO.
341263
COUNTY OF RIVERSIDE
DST
,
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES
1ST FL.
2ND FL.
POR.
GAR. SQ.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. . Q $ UNITS
SQ. FT. @ YARD SPKLR SYSTEM
SQ. FT. ® MOBILEHOMESVC. BAR SINK
POWER OUTLET ROOF DRAINS
FT..
SQ. FT. @ DRAINAGE PIPING
SQ. FT. ® DRINKING FOUNTAIN
SQ. FT. @ URINAL
VALUATION $ WATER PIPING
NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN
MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) ( DISH)
Micro Film Fee
APPLIANCE ❑ DRYER GARBAGE DISPOSAL
Use of Permit
FURNACE - ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY
Parcel No. f
AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK
ABSORPTION SYSTEM O B.T.U. TEMP USE PERMIT SVC WATER CLOSET
Meth. Fee jfND
Pl. Ck. Fee
COMPRESSOR HP POLE, TEMP/PERM LAVATORY
Lot Size
-&q
HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER
Construction Fee /
Electrical Fee
SMI Fee
BOILER B.T.U. SQ. FT. pa ¢ BATH TUB
Legal Description
[y '-s7�
SQ. FT. Ca, ¢ WATER HEATER
F
SQ. FT. RESID 8 1'/.¢ SEWAGE DISPOSAL
S
SQ. FT. GAR 6 s/.¢ HOUSE SEWER
l
Grp -
GAS PIPING
Unit
PERMIT FEE
PERMIT FEE PERMIT FEE
DW—
TOTAL FEES
]MOB.HM.FEEI
MICRO FEE MECH. FEE PL. CK. FEE
I CONST. FEE ELECT. FEE SMI FEE
75
FEE PLUMB. FEE
4F
PERMITNO.
341 2 6 3-p:
Supp. Permit
Job Address
Space Zip
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z
net
G
�-
Community
Vo uotion
E
Date
..
Dist.
Off.
-7—
F.C.
MH Permit Fee E
Micro Film Fee
Cop E
Use of Permit
L a �A/�„T
Z7
Parcel No. f
I Use No.
Ck.by
Meth. Fee jfND
Pl. Ck. Fee
Set Backs
Lot Size
-&q
Construction Fee /
Electrical Fee
SMI Fee
Legal Description
[y '-s7�
f, .Zone
Se ��,�a �
F
S ,c—
S
R
l
Grp -
Type
Unit
Plumbing Fee /
Insp. Fee
Bond Amt.
E
Plan No.
Plan Checker
Final Date InspectSp.
^%f_��Demol.
Fee
Const. Lender
Address
Branch I certttiythat .n the performance of the work for which this permit is issued I shnot employ any person m any manner so os to become subject to the workmen's com.
pensahon laws of California.
City Zip Owner Signature
49Budder Signature
Registr. Fee
Mileage Fee
Witness Fee
Reinsp. Fee
E
Owner/Agent
Fri i
- ^ -
Tel
Zip
total Fees E
M.O. ❑ N.C. C3 Cash C3 Check
Address
/
�. =L / _
-
City
'-" C7
Zip
Received by
Contractor
Tel.
License I$
rrees required
kwoge System
/,-Zro
/
Address
City
Zip
Workers' Comp.
yes ❑ no ❑
LL r
fewer District
Form 284-208 (Rev. 4.77) Os
IHIJ PtRMII bHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WON ION WITH TMS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIV69SIDE COU' X,494f-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.
vent fed by,