348912 (SATT)BUILDING PERMIT 'Ask DEPARTMENT OF BUILDING &SAFETYA11h, FIELD OFFICE
PERMIT NO.Supp.
348912
PERMIT No.
348912
Job Address Space Zip
-
COUNTY OF RIVERSIDE
r
Owner
7
CONSTRUCTION ESTIMATE
Valuation
y ' ` 1 (73..w
NO. ELECTRICAL FEES
NO.
PLUMBING FEES
F.C.
Q
1STFL. SQ.
2ND FL. �
FOR. �✓/`
GAR. a SQ.
CARP. SQ..FT.
WALL SQ.
ESTIMATEDCONSTRUCTION
FT. , Q1�'j $ J U
UNITS
MH Permit Fee b
Micro Film Fee Cop $
Use of Permit; p y,yy �qp
dTe112ng aad attetci� -�"Ve-
YARD SPKLR SYSTEM
SQ. FT. Ca3
Parcel No. �{�-
! 1 4-2 95-011 7
SQ. FT. @�' , / Gt Gs MOBILEHOME SVC. BAR SINK
Ck.by
The
FT. Q f 1 % -� �— POWER OUTLET ROOF DRAINS
PI. Ck. Fee $
DRAINAGE PIPING
I Lot
FT. Q DRINKING FOUNTAIN
Construction Fee Dbl $ r � 00
SQ. FT. URINAL
iA g.28111-1
VALUATION $ �/ 3 WATER PIPING
y1
NOTE: Not to be used as property tax valuation
R
SWIM POOL, PVT
Zone
Grp
�• „d
FLOOR DRAIN
Unit
MECHANICAL FEES
Plumbing Fee DBI S
SWIM POOL, COMM
Bond Amt.
$
Plan No.
WATER SOFTENER
Final Date �j�•�J
VENT SYSTEM � Q FAN C]EVAP. COOL 2 HOOD
/7 e^• 0
SIGN
Sp.Insp.Fee $
`
WASHER IAUTd(H DISH)
Const Lender Branch
Address City Zip
APPLIANCE(c] DRYER
3 U O
permit is issued I -shall
tIt w'orkfmpen s c"am-
t
Registr. Fee $
Mileage Fee $
GARBAGE DISPOSAL
Reinsp. Fee
$
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
Owner/Agent
dames XVn"d
Tel.
346-4130
LAUNDRY TRAY
.Total Fees
AIR HANDLING UNIT CFM
U
`;'I
IDLE METER
f
KITCHEN SINK
'�j'(r��"Q Zip
M.O. ❑ N.C. ❑ Cash ❑ Check
ABSORPTION SYSTEM B.T.U.
�
TEMP USE PERMIT SVC
Contractor -
3
WATER CLOSET
License #
COMPRESSOR ✓ T HP
06.
POLE, TEMP/PERM
Address
LAVATORY
'.J U
Zip
HEATINGSYSTEM 1. FORCED ❑ GRAVITY
3 O
�;t,O0 AMPERES SERV ENT
1,1 O 0
SHOWER
BOILER � B.T.U.
SQ. FT. Cai ¢
BATH TUB
C 1517
SQ. FT. 6 ¢
WATER HEATER
/yo SQ. FT. RESID Ga 1 G¢
SEWAGE DISPOSAL
(j G' o
SQ. FT. GAR Cai s/.¢
HOUSE SEWER
GAS PIPING
PERMIT FEE
d G
%
PERMIT FEE
C+CJ
PERMIT FEE f
DBL.
I TOTAL FEES
a'� r••/ 6 c%
MOB. HM. FEE
MICRO FEE
MECH. FEE
,r. f 4��
PL. CK. FEE
CONST. FEE
/ f � C'f)
ELECT. FEE
� .� 5 �f•
SMI FEE
; �/
:FEE
� ;
PWMB. FEE
R ,� Cl L1
PERMIT NO.Supp.
348912
Permit
Job Address Space Zip
-
Owner
Community ,�j_`^
JA quire a
Valuation
y ' ` 1 (73..w
Date-
Datte s7 Q
11-1(-78
Dist.
1�
Off.
d♦
F.C.
Q
MH Permit Fee b
Micro Film Fee Cop $
Use of Permit; p y,yy �qp
dTe112ng aad attetci� -�"Ve-
Parcel No. �{�-
! 1 4-2 95-011 7
Use No.
Ck.by
The
Mech. Fee Dbl' $ (t
PI. Ck. Fee $
Set Backs
I Lot
Construction Fee Dbl $ r � 00
Legal Description
lots 13 & 14, bl k-310, S.C. Y-
iA g.28111-1
F20S
yoo
`
S
R
Electrical Fee Dbl
Zone
Grp
�• „d
Type
„��'`�'
Unit
SMI Fee $ GJ
Plumbing Fee DBI S
r, -r �. t7 Cs
Bond Amt.
$
Plan No.
Plan Checker
Final Date �j�•�J
Insp pr
-
Sp.Insp.Fee $
Demol. Fee
$
Const Lender Branch
Address City Zip
"I certify that in the performance of th
not employ any person in any manner so
pensation laws of California.'
Owner Signarur
Builder Signature
work forwhich this
o became sub.e�yto
/f/4-'�R
X
permit is issued I -shall
tIt w'orkfmpen s c"am-
t
Registr. Fee $
Mileage Fee $
Witness Fee $
Reinsp. Fee
$
Owner/Agent
dames XVn"d
Tel.
346-4130
Zip
.Total Fees
$
U
`;'I
Address
4.1w780 Joshua
City',,,,,, y /�
Palm Deaer rf; CA
'�j'(r��"Q Zip
M.O. ❑ N.C. ❑ Cash ❑ Check
Received by
�
„s��
Contractor -
Tel.
License #
Trees required
Sewage System
Address
City
Zip
Workers' Comp.
yes ❑ no
T / I LL P Cf n P "
Sewer District
Form 284.208 IRe, 4.771 0s
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by:
WORK FOR 120 DAYS SHALL ALSCy�UJ�P9RMIJ�O BECOME VOID.
I HEREBY AGREE THAT ALL/AQfi�ii IN/j90NNNEECCTTIIOCN WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIVERSIDE COUNTY A 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.