335041 (SFD)BUILDING PERMIT
PERMIT NO.
3 35 041
CONSTRUCTION ESTIW
1 ST FL. `�
SQ. FT. Q _
2ND FL.
SQ. FT.
POR.
SQ. FT. 8
GAR.
SQ. FT. 8
CAR P.
SQ. FT. @
WALL
SQ. FT. Oa
SQ. FT.
ESTIMATED CONSTRUCTION
VALUATION
NOTE: Not to be used as property tax valuation
DEPARTMENT OF BUILDING & SAFETY
COUNTY'
OF RIVERSIDE
E NO. ELECTRICAL FEES
$ �'j .s UNITS
Xrq Xr
MOBILEHOME SVC.
Z 12 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
// I
PERMIT NO.
335041
MECHANICAL FEES
Job Address 4`1,,?—r
eorexfZ
SWIM POOL, COMM
Owner
WATER SOFTENER
Valuation
Date
/
GUS
Dist.
VENT SYSTEM FAN [3EVAP. COOL K HOOD
F.C.
SIGN
WASHER (AUTO)4=Hl
Micro Film Fee Cop
m'0
APPLIANCE A DRYER
Parcel No. y
Use No.
C .by
7�s
GARBAGE DISPOSAL
Pl. Ck. Fee E • e—
6 Q
Lot Size �/ z�
J";"X
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
Lees riglo + ,/i' ,y� ' r/
gpl
/ s , '��'u�
Q
F�%Q
S S
LAUNDRY TRAY
R/ S
`
Electrical Fee Dbl b d
ZoAe
AIR HANDLING UNIT CFM
TYRSs,w ---,
IDLE METER
SMI Fee E..F�"�
KITCHEN SINK
E
O
Bond Amt.
E
ABSORPTION SYSTEM O B.T.U.
Planj✓ }r{�,ecker
/ a -V
TEMP USE PERMIT SVC
L
a
WATER CLOSET
Demol. Fee
0'0
COMPRESSOROHP
�D
POLE, TEMP/PERM
Witness Fee E
.�-
LAVATORY
Owner/Age
Tel. Zip
HEATING SYSTEM FORCED C]GRAVITY
Total Fees
/(10 AMPERES SERV ENT
Address
SHOWER
M.O.. N.C. ❑ Cosh ❑ Check
------------
Received by t2 r! A
ft e /
BOILER � B.T.U.
Tel.
� -S,7 21
SQ. FT. Cai ¢
Trees required
f
BATH TUB
!•J./11
(J
y Zip
�$P r �F/LI7(&j
//
Workers' Comp.
yes ❑ no ❑
SQ. FT. 6 ¢
WATER HEATER
a SQ. FT. RESID Ga 1'/.¢
// �.
E
SEWAGE DISPOSAL
m
SQ. FT. GAR Cw 1/.a
33
HOUSE SEWER
/
GAS PIPING
PERMIT FEE
3i
PERMIT FEE
3 -0.j
I PERMIT FEE
7�
DBL.
I TOTAL FEESMOB.
HM, FEE
ICRO F
MEE
• MECH. FEE
PL. CK. FEE
CONST. FEE
ELECT. FEE
SMI FEE7
FEE
PLUMB. FEE
PERMIT NO.
335041
Supp. Permit
Job Address 4`1,,?—r
eorexfZ
Space ip
Owner
Comm iry
7G/�'
Valuation
Date
/
GUS
Dist.
,.O�f
F.C.
MH Permit Fee b
Micro Film Fee Cop
b
Use of Permit r
! ��
/•7_/�cL ! O/ l/✓mss
�'� c-
Parcel No. y
Use No.
C .by
7�s
Mech. Fee Dbl E
Pl. Ck. Fee E • e—
Set Backs
Lot Size �/ z�
J";"X
Construction Fee Dbl b /j-
Lees riglo + ,/i' ,y� ' r/
gpl
/ s , '��'u�
Q
F�%Q
S S
S
R/ S
`
Electrical Fee Dbl b d
ZoAe
TYRSs,w ---,
Unit
SMI Fee E..F�"�
Plumbing Fee Dbl
E
Bond Amt.
E
Plan Not.. {J/
.3 7 ��J
Planj✓ }r{�,ecker
/ a -V
Final Date Inspector
7— —?
L
Sp. Insp. Fee E
Demol. Fee
E
Const. Lender Branch I certify that in the performance of the work for which this permit n Issued I sholl
not employ any person :n any manner so as to become sub,ect to the workmen's com
pensation lows of California.
Address City Zip Owner Signow,e
Budder Stgnoture
Registr. Fee E
Mileage Fee $
Witness Fee E
Reinsp. Fee
b
Owner/Age
Tel. Zip
Total Fees
y
Address
. City Zip
M.O.. N.C. ❑ Cosh ❑ Check
------------
Received by t2 r! A
ft e /
Conrroa�o/(( %� f!,
F A/ � 6 f
Tel.
� -S,7 21
License #
Trees required
Sewage System
I AAY?
!•J./11
Add ss ! �(/ e
XO�C off` �!?� 3 711Ic�/i� K/�%.
y Zip
�$P r �F/LI7(&j
//
Workers' Comp.
yes ❑ no ❑
T, �' " LL PV 11"1 " THIS P . IT S LL COME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATIOn OF venhed by
Sewer District WORK F Cskj 80 CAUSE PERMIT TO BECOME VOID.
I HEREBY AGRE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIVEJSIDE COUNTY AND THE STATE 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
Form 284-208 (Rev. 4.771 Os CALIFORNIA.