349300 (SFD)ENT OF BUILDING & SAFETY4" FIELD OFFICE
OLIN"F RIVERSIDE
Supp., P ermit
Job Address, space zip
rzs�
Owner
DST
Valuation
NO. ELECTRICAL FEES
Dist.
NO. PLLMING'FEES
F C
F
�P/
UNITS
M MH Permit Fee $
Micro
Icro. Filimi Fee
Cop S
Use of Permit
'DW41- A e
YARD SPKLR SYSTEM
use No.
Ck.by
MOBILEHOMESVC.
Ck. Fee
BAR SINK
•
C DbI $
C.
_nstruction Fee
PdWEkOUTLET
ROOF DRAINS
S_!w-
wwl�
'Iccimee, 'Dbl S,
Zone
[F
DRAINAGE PIPING
Type
unit
SMI, Fee V_ ef 4Z -
DRINKING FOUNTAIN
DbI S
zv
Bond Amt.
Plan No,
URINAL
Final Ie
Inspe0or
S . Insp. Fee
WATER PIPING
SWIM POOL, PVT
iw. Fee S
FLOOR DRAIN
fitness Fee
Imp. Fee
SW,IM.POOL, COMM
'WATER SOFTENER
Tel. Zip:
P
SIGN
'WASHER (AUTOjMISA)
A-11 '-0
'City Zip
4y0'1A1j7#*:#
NLO: Cl N.C. 0 Gash 0 ChVg
Kecehiecl*Contractor
GARBAGE DISPOSAL
Tel.
License
LAUNDRY TRAY
b9itsystem
A_"
T
LL
IDLE.METER
Address
KITCHEN -SINK
Workers* Comp.
yes ❑ no
TH)S PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS, CESSATION OF verjfieo'by;
WORK FOR 120 BA HAL >JUSEPERMITTO BECOME VOID,
1-HEREBY'aW� Wr#f k NNECTION WITH THIS. PERMIT WILL BE DONE IN ACCORDANCE
84M 1 foe owt,
WITH THE LAWS OF RIVBRSID I500t4fY AND THE StATEOF CALIFORNIA.
1, 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.
TEMP USE PERMIT SVC
WATER CLOSET
POLE, TEMP/PERM
LAVATORY
ly
AMVERE$GERV ENT
7"
SHOWER
FT. & ¢
BATHTUB
SQ. FT. r& ¢
WATER HEATER
.% 'SQ, FT. R,.ESfD 6 1 %4AL
SEWAGE DISPOSAL
0014
FF. GAR ra Y.0
HOUSE SEWER
GAS PIPING
Ip
PERMIT FEE
PERMIT FEE
:E
CK.,FEE I
CONST. FEE
ELEVr. FEE,
4 -se
SMI FEE
FEE
PLUMS. FEE
PERMIT NO.
3 49.3.001
Supp., P ermit
Job Address, space zip
rzs�
Owner
Valuation
Dote
Dist.
Off.
F C
F
�P/
M MH Permit Fee $
Micro
Icro. Filimi Fee
Cop S
Use of Permit
'DW41- A e
72 _Ainc
use No.
Ck.by
h.�Fe, DbI $
02
Ck. Fee
Set'llocks
Lotsize
C DbI $
C.
_nstruction Fee
Log al,DescTiption
S_!w-
wwl�
'Iccimee, 'Dbl S,
Zone
[F
Grp
Type
unit
SMI, Fee V_ ef 4Z -
P p lumbing Fee
DbI S
zv
Bond Amt.
Plan No,
-Won/Checker
Final Ie
Inspe0or
S . Insp. Fee
Do.—,[..Fee
Const. Lander Branch A,whfy that In ihe pentwmance of the work for which this is issuedI shall
not employ any PLfsati in any monr*r so as to4bacomesubject to w s-com.
pensqtion laws of California.'
Ahdress / I QN. Zip
Lj /Aku' Builder
der Sign
A -blure
iw. Fee S
ileage Fee $
fitness Fee
Imp. Fee
Tel. Zip:
atcol Fees,
& Z
Ad
'City Zip
4y0'1A1j7#*:#
NLO: Cl N.C. 0 Gash 0 ChVg
Kecehiecl*Contractor
04 _044.41
Tel.
License
reevrequired q,0FV
b9itsystem
A_"
T
LL
P
Address
City Zip
Workers* Comp.
yes ❑ no
TH)S PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS, CESSATION OF verjfieo'by;
WORK FOR 120 BA HAL >JUSEPERMITTO BECOME VOID,
1-HEREBY'aW� Wr#f k NNECTION WITH THIS. PERMIT WILL BE DONE IN ACCORDANCE
84M 1 foe owt,
WITH THE LAWS OF RIVBRSID I500t4fY AND THE StATEOF CALIFORNIA.
1, 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.
Form 284-24)BIRev. 4-77) 05