351544 (OFC)" BUILDING PERMIT "` ar DEPARTMENT OF BULDING & SAFETY• FIELD OFFICE '
PERMIT NO.
- -3515441.
PERMIT NO: •,
1-351544
- COUNTY OF RIVERSIDE• - _
DST
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO, PLUMBING, FEES
-, 1ST,FL. SQ.
2ND FL.
FOR.
GAR. SQ.
CAR P. - ,
WALL
ESTIMATED CONSTRUCTION
FT. , ® ? $ i C`J1�% UNITS
SQ. FT. 8 YARD SPKLR SYSTEM
MOBILEHOME SVC. BAR SINK
SQ. FL .(a}
FT. Q POWER OUTLET , ROOF DRAINS
SQ. FT. @ DRAINAGE PIPING
DRINKING FOUNTAIN
SQ. FT. (a}
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
MH Permit Fee $
VENT SYSTEM ❑ FAN ❑-EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH)
Co $
APPLIANCE ❑ DRYER GARBAGE DISPOSAL
Parcel No. Use No% 8' 3 Q # Ck.b
�S G/
CJ Set ocks lot Sizee ]� /�
/1./I` /_<5
Zone Grp `- Type Unit
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR [].SUSPENDED _ LAUNDRY TRAY -
PI. Ck. Fee $
AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK
Electrical Fee Dbl $ ,.
ABSORPTION SYSTEM O B.T.U. TOMP USE PERMIT SVC WATER CLOSET
Plumbing Fee
COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY,
.Bond Amt.
$
HEATING SYSTEM ❑ FORCED "❑ GRAVITY A.MPERES SERV ENT SHOWER
P_lon hecfer -
"L�..
BOILER B.T.U. SQ. FT. Ga ¢ BATH TUB
Inspector
_
SQ. FT. Ca ¢ WATER HEATER
SQ. FT. RESID p 11Atr SEWAGE DISPOSAL
Dental. Fee
SQ. FT. GAR Cq Y a _ HOUSE SEWER
Const. Lender - Branch
-- _
Address City Zip -
•
-
GAS PIPING
'Registr. Fee $
PERMIT FEE PIRM1T FEE PERMIT FEE
Witness Fee $
Reinsp. Fee
TOTAL FEE
MOB. HM. FEE
.- MICRO FEE MECH. FEE ;L -,CK. FEE
CONST. FEE ELECT. FEE SMI FEE
FEE •PLUMB. FEE
PERMIT NO.
- -3515441.
Supp. Permit
Job Address
7- 7_5 (2A//4 ':
- Space
Zip Owner
k
.Community
.
Voldation
$
Dote
/ _7,9
JJ
Dist..
Off.
F.C..
MH Permit Fee $
Micro Film Fee
Co $
Use of Permit,
/(�`%��n
ry G
Legal Description C.+ ,�/�
•
I(// y� �b 2� 2 G• i°� 2- Z_
Parcel No. Use No% 8' 3 Q # Ck.b
�S G/
CJ Set ocks lot Sizee ]� /�
/1./I` /_<5
Zone Grp `- Type Unit
Mech. Fee Dbt $
PI. Ck. Fee $
Construction Fee Dbt $
Electrical Fee Dbl $ ,.
SMI Fee $ -
Plumbing Fee
DbI $
.Bond Amt.
$
Plan No. e,
>�3
P_lon hecfer -
"L�..
Final Dote ^'1
( -(, 6 „ L a
Inspector
_
-Sp. Insp. Fee $
Dental. Fee
$ =
Const. Lender - Branch
-- _
Address City Zip -
•
-
"1 certify that in the performopce 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 mm.
pensation lows of California.'
Owner Signature .
.. Builder Signature ,
'Registr. Fee $
,Mileage Fee $
Witness Fee $
Reinsp. Fee
$
Owner/Agent -
+Tel.
Zip
Total Fees
g
-Address
- •• ^•
City •
-
Zip
' _ - - -
M.O. ❑ N.C. ❑ Cash ❑ Check
Received by
-
- Contractor -
If'
Tel. ' •
-— O
-
License p
,
Trees required
Sewage System
-.
Address "�/J/�j. jy+•�
. I��' _, r/'.^•� _. 'V
City
�..L�+��� •
2ip
Workers' Comp.
yes ❑ no ❑
T ' LL P
Sewer District
Form 284.208 (Rev. 4.771 QS
• THIS PERMIT SHALL BECOME VOID 1' WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by;,
WORK FOR 120 DAYS SHALL ALSO SEP IT T ECOME VOID. '
I HEREBY AGREE THAT ALL C N ITH.THIS PERMIT WILL BE DONE IN ACCORDANCE
,
WITH THE LAWS OF RIVERSIDE COUNTY A14 THE STATE OF CALIFORNIA:,
I HEREBY CERTIFY THAT THE INDIVICUAL''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. "