348877 (SFD)BUILDING PERMIT Ask DEPARTMENT OF BUILDING & SAFETY .Aift FIELD OFFICE
�.., PERMIT NO. * ,�
3488 7 !
{(Pjj��ERMM,IT NO:
"
COUNTY OF RIVERSIDE
Owner
Community _
'41, fi% �j
Valuation
$ a9 339A`-0
CONSTRUCTION ESTIMATE
. Dist.
/t
NO. ELECTRICAL FEES
F.C.
oD
NO. PLUMBING FEES
1STFL. o
2ND FL.
FOR.
GAR. SO:
CAR P.
WALL
ESTIMATED CONSTRUCTION
j
SO. F.T. , @ �� $
�
UNITS
Use of Permit
�WL•G ' '
Parcel No.
Use No. Ck. by
J
SQ. FT. ® YARD SPKLR SYSTEM
PI. Ck. Fee $
SQ. FT. ® MOBILEHOMESVC. BAR SINK .
Lot Size
sT POWER OUTLET ROOF DRAINS
FT.
Legal Description
�o A LL� �//� �j `
SQ. FT. ` ' DRAINAGE PIPING
SQ FT 8 DRINKING FOUNTAIN
SQ. FT. URINAL
Zone
VALUATION $ 6v WATER PIPING
V
NOTE: Not to be used as property tax voluotion
SWIM POOL, PVT
Plumbing Fee
FLOOR DRAIN
Bond Amt.
MECHANICAL FEES
Plan Checker
3
SWIM POOL, COMM
Inspectors
A�/
WATER SOFTENER
Sp. Imp. Fee $$4.-�.4"v
9emol. Fee
VENT SYSTEI$&2 [, 'FAN C) EVAP. COOL ,R HOOD
�j—p
SIGN
Registr. Fee - $
WASHER IAUTOI (DISH)
Witness Fee $
Reinsp. Fee
APPLIANCE KDRYER
3 OU
Owner/Agent -
Tel. - Zip
GARBAGE DISPOSAL
total Fees
$
FURNACE 0 UNIT C] WALL 0 FLOOR E] SUSPENDED
Address
�p/ v7 ... Y ��
City Zip
. �4. /fq
M.O. O N.C. ❑ Cash ❑ Chocl,15731'
LAUNDRY TRAY
AIR HANDLING UNIT CFM
Tel
IDLE METER
Sewage System�/�
T
KITCHEN SINK
a
•Address
ABSORPTION SYSTEM O B.T.U.
Workers' Comp.
yes C] no 0
TEMP USE PERMIT SVC
Sewer District -
y I\
Form 284.208 (Rev. 477) Os
WATER CLOSET
COMPRESSOR 7 0 HP
7
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM ;FORCED O GRAVITY
AMPERES SERV ENT
(r0
SHOWER
BOILER B.T.U.
SQ. FT. (a} ¢
BATH TUB
SQ. FT. Ca ¢
WATER HEATER
D2
IA" SO. FT. RESID 8 1'/.¢
SEWAGE DISPOSAL
or
SQ. FT. GAR fg '/.¢
747
HOUSE SEWER
GAS PIPING
PERMIT FEE
3
PERMIT FEE
PERMIT FEE
'DBL.
[—�ES
Vis-
1•.108. ti M. FEE
i MICRO FEE
MECH. FEE
�-�v
PL. CK. FEE
CONST. FEE
�a 7 "-D
ELECT. FEE
3� `a
SMI FEE
40%i
FEE
PLUMB. FEE
-3 7 ��
�.., PERMIT NO. * ,�
3488 7 !
Supp. Permit
Job Address - Space
7 7- 3 3v G/gr,u-: - .�.�.�••"
Zip
a 7-
Owner
Community _
'41, fi% �j
Valuation
$ a9 339A`-0
Date
� �b.
. Dist.
/t
Off.
T
F.C.
oD
MH Permit Fee $
Micro Film Fee -
Cop $
Use of Permit
�WL•G ' '
Parcel No.
Use No. Ck. by
J
Meth. Fee Dbl $
PI. Ck. Fee $
Set Backs
Lot Size
.'.onstruction Fee Dot $ a
Legal Description
�o A LL� �//� �j `
Electrical Fee Dot $ .
Zone
Grp
Type
Unit -
SMI Fee $
Plumbing Fee
Dbl $
Bond Amt.
Plana No.
Plan Checker
3
Final Date
Inspectors
A�/
Sp. Imp. Fee $$4.-�.4"v
9emol. Fee
$
Const. lender • • Branch . , "I certify that in the performance of the work for which this permit is issued I shall -
not employ any person in any manner so as to become subject to the workmen's corn•
pensation laws. of California."
Address - �fC'Fy�// Zip Owner Signature .
Builder Signature
Registr. Fee - $
Mileage Fee $
Witness Fee $
Reinsp. Fee
$
Owner/Agent -
Tel. - Zip
total Fees
$
a--A-a 711:
Address
�p/ v7 ... Y ��
City Zip
. �4. /fq
M.O. O N.C. ❑ Cash ❑ Chocl,15731'
Received by
frees required
Contractor -
Tel
License #
Sewage System�/�
T
LL
/-e /`, /. "
P *
•Address
City Zip
Workers' Comp.
yes C] no 0
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified byr
WORK FOR 120 DAYS SHALL PER TS�O BECOME VOID..
I HEREBY AGREE THAT ��INECTION WITH THIS.PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIVERSIDE COUNTY D 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 .
CALIFORNIA.
Sewer District -
y I\
Form 284.208 (Rev. 477) Os