347541 (SATT)BUILDINGPERMIT, '; DEPARTMENT OF BUILDING & SAFETY" ,mmik., '~ FIELD OFFICE
PERMITNO.
I 34754.x.
PERMIT NO. -'�;; -
3-4754 �.
-Job Address
�- -
COUNTY OF RIVERSIDE
Zip.
4
Owner
,I- /
DST
CONSTRUCTION ESTIMATE
Valuation
S 731
NO. ELECTRICAL FEES
NO. PLUMBING FEES
Off.
;
'07—
.'1ST FL.SQ.
`2ND FL. -
POR..
GAR. SO.
CAR P.
_ WALL
_
ESTIMATED CONSTRUCTION
FT, ,8 . $
E'G
UNITS
' T
[.Micro Film Fee Cop b
y J YARD SPKLR SYSTEM ,
SQ. FT. @
Use of Permit -
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LG - /` �'•�` -
- _ •
Legal Description.•
/�fesw_
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SQ. FT. @ %t 6� MOBILEHOME SVC. BAR SINK
Use No.
_
�a POWER OUTLET ROOF DRAINS
FT.. @
'Mech. Fee Dbl b
SQ. FT.- @ - DRAINAGE PIPING
- Set Backs
DRINKING FOUNTAIN,
SQ. FT. ®
'
SQ. FT. @ URINAL ,
VALUATION $ %a7 WATER PIPING
UZ
{Electrical Fee DbIZon
b
NOTE: Not to be used os property tax voluation •
Type
SWIM POOL, PVT
FLOOR DRAIN
:SMI Fee S
`Plumbing
Fee DbI S
'-MECHANICAL FEES
Bond Amt.
S ...
SWIM POOL, COMM
WATER SOFTENER
/
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Spector .. r
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VENT SYSTEM ❑ FAN ❑ EVAP. COOL ' 'HOOD
.Sp. Insp. Fee 8
SIGN
WASHER IAUTO�CDISHI
Const. Lender s -, - - Branch- -. ..• "I certify that in the performance of th work for which this permit is issued I shall
not employ. any person in any manner so -os to become subject to the workmen's com-
- penscition lows of California." - - '
Address. � • City • Zip _ Owner Signature '
• - Builder Signature "
APPLIANCE DRYER
:Mileage Fee b
'Witness'Fee E
GARBAGE DISPOSAL
S
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
"'i
�.
Y
LAUNDRY TRAY
Address' - - -
City .., ZIP
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
71
#
Licensepio
ABSORPTION SYSTEM O B.T.U.
v
TEMP USE PERMIT SVC
WATER CLOSET
Address e -
73 /
Ciry Zip`
l / .
�/ �I �c�Y�`t -
.COMPRESSOR dl HP
POLE, TEMP/PERM
a LAVATORY
HEATING SYSTEM FORCED ❑ GRAVITY
AMPERES SERV ENT
SHOWER7e tzL_ '
BOILER 0 B.T.U.
SQ. FT. p ¢
BATH TUB
SQ. FT. Co, ¢
WATER HEATER
Q. FT. RESID p 1 1L¢
SEWAGE DISPOSAL
SQ. FT. GAR C� s/.¢
HOUSE SEWER
GAS PIPING
PERMIT FEE -
�..
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HK FEE
MICRO FEE
MECH.-FEE
C. CK.'FEE
'. CONST. FEE
" EL CT. FEE SMI FEE -
- FEE
PLUMB. FEE
PERMITNO.
I 34754.x.
Supp. Permit
-Job Address
�- -
Space
Zip.
4
Owner
,I- /
-
--
Community-,--
�f% Y��Is'r%IT -
Valuation
S 731
�e,
Dist.
��
Off.
;
'07—
F.C.
/
�
MH Permit Fee 8
[.Micro Film Fee Cop b
Use of Permit -
ti•
LG - /` �'•�` -
- _ •
Legal Description.•
/�fesw_
.^L�/ da E'=•r. ����-'
Parcel No.
Use No.
Ck.by
'Mech. Fee Dbl b
'Pl. Ck. Fee-
Lonstrucrion Fee DbI E -
- Set Backs
lot Size „.
15.7
{Electrical Fee DbIZon
b
e Grp
Type
Unit
:SMI Fee S
`Plumbing
Fee DbI S
_77
Bond Amt.
S ...
Plan No. - -
3.3 �.
Pion Checker
1 73�=L•/ L=
/
Z5 -go
Spector .. r
. U— _
.Sp. Insp. Fee 8
Demol. Fee -
E
Const. Lender s -, - - Branch- -. ..• "I certify that in the performance of th work for which this permit is issued I shall
not employ. any person in any manner so -os to become subject to the workmen's com-
- penscition lows of California." - - '
Address. � • City • Zip _ Owner Signature '
• - Builder Signature "
.Registr. Fee - - $ •
:Mileage Fee b
'Witness'Fee E
'Reinsp. Fee
S
Owner/Agent • U
-
Tel. - Zip -
�`Y:
�.
Y
'Total Fees !'i $
�C M.O. ❑ N.C. ❑ Cash ❑ . Ch • k
Address' - - -
City .., ZIP
&Received by
Contractor -
Tel. -
#
Licensepio
hTrees required +
Sewoge System T
-•s
Address e -
73 /
Ciry Zip`
l / .
�/ �I �c�Y�`t -
W &kers' Comp.
Yes' no ❑
L T`
'a LL
P
THIS PERMIT SHALL<BECOME VOID IF WORK IS NOT -COMMENCED .WITHIN 120'DAYS., CESSATION OF verified by
WORK FOR 120 DAYS SHA LSO USE PERMIT TO -BECOME VOID.
A% WOs' I'HEREBY AGREE THII�COAIf4ECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE Y
[Sewer District
WITH THE LAWS OF RIVERSIDE COU14TY AND THE STATE OF CALIFORNIA. ; y,
— 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 CODCOF THE STATE.OF
Form 284.208 [Rev. 4.771 Oo s
CALIFORNIA. -