348854 (SFD).er
BUILDING PERMIT . DEPARTMENT OF BUILDING & SAFETY AIIIIIII., FIELD OFFICE
',PERMIT NO. I
348854
PERMIT NO.
348854-1�f
-
COUNTY OF RIVERSIDE
a�3
Owner -
'e","11 s
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
Date
NO. PLUMBING FEES
Off.
)ST FL. SQ.
2ND FL
FOR.
GAR. SQ.
_ CAR P..
WALL
ESTIMATED -CONSTRUCTION
FT. Q $
UNITS
AH Permit Fee $
Aicro Film Fee
Co $
YARD SPKLR SYSTEM
SQ.,FT. C+3.
Use of Permit J� ..yam
_ - SLG fi _ �/ ��4
SQ..FT. MOBILEHOME SVC. BAR SINK
Parcel No.
9% 3 —aha —,d7/:31I.
FT. @ POWER OUTLET ROOF DRAINS
Ck.b
SQ. FT. @ DRAINAGE PIPING
Ck. Fee $ ri
SQ. FT. DRINKING FOUNTAIN
Lot Size
SQ. FT. URINAL
;onstruction Fee911i,$
VALUATION $ WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
Zone
Grp
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
Plumbing Fee
e f $
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
SIGN
an No.
WASHER (AUTO) (DISH)
Final Date
��—�
Insp r
✓---J -
APPLIANCE ❑ DRYER
Sp. Insp. Fee $'
GARBAGE DISPOSAL
$
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
Registi. Fee $
Mileage Fee $
LAUNDRY TRAY
teinsp. Fee
$
AIR HANDLING UNIT CFM
IDLE METER
Tel.
KITCHEN SINK
fotol Fees
ABSORPTION SYSTEM O B.T.U.
TEMP USE PERMIT SVC
Address e
WATER CLOSET
Zip
i
M.O. C]N.C. ❑ Cash C]> C kfg
COMPRESSOR O HP
POLE, TEMP/PERM
LAVATORY
Tel.
License k
HEATINGSYSTEM ❑ FORCED ❑ GRAVITY
AMPERES SERV ENT
iewage System
SHOWER
Address
BOILER B.T.U.
SO. FT.Cja ¢
Comp.
no ❑
BATH TUB
SQ. FT. Ga ¢
WATER HEATER
SQ. FT. RESID Q 1'Att
SEWAGE DISPOSAL
SQ. FT. GAR 1/.a
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
,"wL'.TOTAL
�a.11fl
FEES
�z
MOB. HM. FEE
"MICRO FEE'
MECH. FEE PL. CK. FEE
9� tJ
CONST. FEE
ELECT. FEE
SMI FEE
FEE
PLUMB. FEE
',PERMIT NO. I
348854
Supp. Permit
3
Job Address . 4
. --S--,oys 14V L�fit«�c
Space;Zip
a�3
Owner -
'e","11 s
Community
ow,
Valuation
$
Date
Dist.
Off.
F.G..
AH Permit Fee $
Aicro Film Fee
Co $
Use of Permit J� ..yam
_ - SLG fi _ �/ ��4
_
Parcel No.
9% 3 —aha —,d7/:31I.
Use No.
Ck.b
Aech. fee .9 $
Ck. Fee $ ri
Set Backs
Lot Size
;onstruction Fee911i,$
Legal Description
....77 L
77
:lectrical Fee Z 'pgp $ /
Zone
Grp
Type
Unit
SMI Fee $
Plumbing Fee
e f $
Bond Amt.
$
an No.
Pion Checker -
Final Date
��—�
Insp r
✓---J -
Sp. Insp. Fee $'
)emol. 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 monner so as to become subject to the workmen's com-
n pensation laws of Cclifornio."
Address h Zip Owner Signature _
/ Builder Signature
Registi. Fee $
Mileage Fee $
✓fitness Fee $
teinsp. Fee
$
Owner/Agent
Tel.
Zip
fotol Fees
$
73r rq
Address e
City
Zip
i
M.O. C]N.C. ❑ Cash C]> C kfg
Received by
Contractor
7
Tel.
License k
,
frees required
iewage System
Address
City Zip
Workers'
yes ❑
Comp.
no ❑
T 'LL P
ewer District
�5'
+. ..
�orm 284.208 IRev. 4.771 OS
THIS PERMIT SHALL BECOME VOID IF WORK ISNOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by:
WORK FOR 120 DAYS SHAL gSO CMSE P MIS TO BECOME VOID.
I HEREBY AGREE THAT/CAQi'CL bG�6Jl1%/{�if�f ION WITH THIS PERMIT WILL' BE DONE IN ACCORDANCE
WITH THE LAWS OF RIVI&RSIE - DUNT AND 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.