335243 (ELEC)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY r FIELD OFFICE 7. .
PERMIT,NO. �
3-352431
PERMIT NO.COUNTY
33524.3
OF RIVERSIDE. -
-. - _
DST
CONSTRUCTION ESTIMATE . NO. ELECTRICAL FEES NO. PLUMBING FEES
1ST FL.
2ND FL.
r POR..
GAR. SQ.
.CAR P..
WALL
'
ESTIMATED CONSTRUCTION
SQ. FT. Q $ UNITS
SQ. FT: ` �` YARD SPKLR SYSTEM
SQ. FT., . (a3_. - - MOBILEHOME SVC. BAR SINK -
+
FT. @ POWER OUTLET ROOF DRAINS
SQ. FT. -� DRAINAGE PIPING
SQ. FT. 8 DRINKING FOUNTAIN
SQ: FT.. URINAL
VALUATION $ _ - WATER PIPING'
.NOTE: Not to be used os property tax voluotion SWIM POOL, PVT FLOOR DRAIN
QMH Permit Fee $/N%N
MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER "
Cop $
VENT SYSTEM ❑FAN ❑ EVAP. COOL ❑ HOOD "- SIGN_' r WASHER lAUT01(DISH)
APPLIANCE Q DRYER , GARBAGE DISPOSAL
Use No.
.'
FURNACE .❑ UNIT ❑ WALL'- ❑ FLOOR- ❑ SUSPENDED. LAUNDRY -TRAY'
Mech. Fee _ Dbl $
AIR HANDLING UNIT CFM. t IDLE METER KITCHEN SINK
- Set Backs
ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERMIT SVC WATER CLOSET
-
COMPRESSOR HP POLE, TEMP/PERM LAVATORY.'
Legol.Description - - ` - -
-.!1
HEATING SYSTEM ❑ FORCED ❑ GRAVITY v AMPERES SERV ENT •. SHOWER
F•
BOILER B.T.U. ► SQ. FT, p ,¢ BATH TUB
SQ. FT. Ga ¢ WATER HEATER
Electrical Fee. Dbl E ,
SQ. FT. RESID Q 1 -AC SEWAGE DISPOSAL
SQ. FT. GAR Cai s/.¢ HOUSE SEWER
Unit` '1 � • -"
GAS PIPING
SMI Fee $ -I
PERMIT FEE PERMIT FEE 3 PERMIT FEE
•
' DBL.
TOTAL FEES
]110B:H..FETFMICRO
FEE MECH. FEE ^PL. CK. FEE
CONST. FEE ELECT. FEE SM_I FEE --F
FEE PLUMB. FEf
PERMIT,NO. �
3-352431
. . Permit
Su PP
Job Address - - Space Zip
• 77-/�/ 'C�« .S®.�,�.�,: . a2s'"3
Owner' t' -
:Lri� ;� /��a�:�
��'
•
Community, - _
Valuation
E �^
Dote i
7/%11�(.
Dist.
Off.
77
_
F.C.
QMH Permit Fee $/N%N
Micro Film Fee
Cop $
Use of Permit - `
G rN�%✓G t
Parcel No. - -
/ 73 •-P' i/—Grj� {�
Use No.
.'
Ck.by
Mech. Fee _ Dbl $
-
PI. Ck. Fee $ � � -
- Set Backs
Lot Size
-
Construction Fee Dbl $
Y/
Legol.Description - - ` - -
-.!1
F•
,S•,
'Grp
R
Electrical Fee. Dbl E ,
Zone
Type
Unit` '1 � • -"
SMI Fee $ -I
Plumbing Fee -.
Dbl $
Bond Amt. '
Plan No. -
Plan Checker „
Final Date
Inspector
Sp. lnsp. Fee $
Dental. Fee
Const. Lender - . Branch 'I certify that in the performance of the rk for which this permit is issued I shot,
not employ any person in any manner so as No -come subject to the workmen's com-, -
' t Lpensotion laws of California." _ s
Address City Zip - t '
a Owner Signature -
• Builder Signature•
-Registr. Fee $
Mileage Fee E
Witness Fee $ . c
Reinsp: Fee '
E
-Own r Agent - - -� -.
Tel. .., Y - ,
: Zip
Total Fees
$•
Address ,- -
City - -
Zip -
M.O. ❑ N.C. ❑ Cash ❑ 4cAgi
Receivedby -
-t
-Controctor
- ' �7 - B/•�L:: L�/�yffl L �.
Tel. - •7- ^yam
��.,-� /r/✓ _ r
License
`�%
Trees required
Sewage System
Address
7gT L' o
City Zip
L,�� � LL
Workers'
yes ]ff
Comp.
no ❑
T LL - "P XTHIS PERMIT -SHALL BECOME VOID IF WORK ISNOT COMMENCED WITHIN 120 DAYS. CESSATION OF venfiedby: r -
Sewer District' - - WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK. IN CONNECTION WITH THISPERMIT WILL BE DONE IN ACCORDANCE` e
WITH THE LAWS OF RIVF;SIDE COUNTY AND THE STATE OF CALIFORNIA. r _
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 '0s CALIFORNIA. ,