309393 (SATT)PERMIT-NO. ,
q
' 3 9 .3 3
MECHANICAL FEES
SWIM POOL, COMM
t sui�oiNc PERMIT
DEPARTMENT. OF BUILDING 8 SAFETY .r.
FIELD OFFICE t
PERMIT NO.COUNTY
OF RIVERSIDE
DST
.�
3093931 }
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•
Dote
GARBAGE DISPOSAL
Off.
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
v
1ST FL.
�O $
SQ. FT.
UNITS
AIR HANDLING UNIT ,CFM
,8
SQ. FT. (a}
KITCHEN SINK.
YARD SPKLR SYSTEM
2ND FL.
SQ. FT. @ !t4
�L MOBILEHOME SVC.
BAR SINK
FOR.
SQ. FT. • @
POWER OUTLET
ROOF DRAINS
GAR.
SQ. FT, Ca}
DRAINAGE PIPING
CAR P.
SQ. FT, la3
• - '
DRINKING FOUNTAIN
.. WALL
SQ. FT. Cal
BATH TUB
URINAL
`Plumbing Fee Dbl E
VALUATION $
SQ. FT. Q ¢
WATER PIPING
ESTIMATED CONSTRUCTION
NOTE: Not to be'used as'property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
PERMIT-NO. ,
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' 3 9 .3 3
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
Zip
�J`3
Owner
..�
VENT SYSTEM FAN ❑ EVAP. COOL HOOD
SIGN
WASHER IAUTOI 117115"
—2
Valuation
APPLIANCE DRYER
Dote
GARBAGE DISPOSAL
Off.
F.C. ..
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
-MH Permit Fee
LAUNDRY TRAY
Use of Permit
L -Gs i/
AIR HANDLING UNIT ,CFM
IDLE METER
KITCHEN SINK.
Z2 vA
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
Z WATER CLOSET
t Backs
Lot Size
s�
d
COMPRESSOR 0 HP r
POLE, TEMP/PERM
LAVATORY
Fa O
HEATING SYSTEM JQ FORCED - ❑ GRAVITY
-► AMPERES SERV ENT
SHOWER
Grp
BOILER 0 B.T.U.
SQ. FT. p� ¢
BATH TUB
ISM Fee $
`Plumbing Fee Dbl E
SQ. FT. Q ¢
WATER HEATER
'O
of Dq P� Q Inspclor
Lx'n�f/l_ !
SQ. FT. RESID. p 1 t/.¢ —'
SEWAGE DISPOSAL
Sp. Insp. Fee E
Demol. Fee .. _ $
SQ. FT. GAR p 1/.¢
HOUSE SEWER
Mileage Fee' $
`Witness Fee E
-Reinsp. Fee $
GAS PIPING
Tel. , ,
PERMIT FEE
PERMIT FEE
PERMIT FEE
Address -
DBL.
,TOTAL EES j.0B.'H..FEEj
o?ULP
Zip
MICRO FEE MECH. FEE
3
. PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
- FEE
PLUMB. FEE-
PERMIT-NO. ,
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' 3 9 .3 3
•Supp. Permit
Job Address 1;"
- Space r
Zip
�J`3
Owner
..�
'•
Community
Valuation
Dote
Dist.
Off.
F.C. ..
-MH Permit Fee
'Micro Film Fee Cop $
Use of Permit
L -Gs i/
Parcel No.
_
Use No.
r
k.by
'Meth. Fee Dbl E
PI. Ck. Fee $
t Backs
Lot Size
s�
d
`Construction Fee .Dbl ELegol
Description',
�� I1 �� �� 3 G1i✓ ri �G
Fa O
Ft�s
,Electrical Fee - Dial $Zone
Grp
Type
Unit
ISM Fee $
`Plumbing Fee Dbl E
Bond Amt` .•
$
Plan No.
>y(G
Plan Checker
�
' .`✓L.
of Dq P� Q Inspclor
Lx'n�f/l_ !
_
Sp. Insp. Fee E
Demol. Fee .. _ $
Const. Lender - - Branch ' ' - - _ '1 certify thpt in the performance c ne woii, for which this permit is issued I sholl
not employ any person in any manner so os io b come subject to the workmen scom•
pensation laws of California.'
A e s j F ! City - Zip .Owner $ignature
Builder Sianoture
iRegistr. Fee $
Mileage Fee' $
`Witness Fee E
-Reinsp. Fee $
r/ nt
Tel. , ,
Zip-'
.Total Fees $
Address -
City
�-
Zip
M.O. ❑ N.C. ❑ Cash ❑ Check 0J0,
' Received by
Trees required
Contractor
Tel.
License p
Sewage System t
Address
City Zip
Workers'Comp.
yesQ no 01
T LL THIS PERMIT SHALL BECOME VOID IF WORK'IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF enhed"tiv:
WORKFOR.'120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. t
,!,,Sewer Distrix -
Ii<'sz_ [,HEREBY -AGREE THAT ALL. WORK:IN, CONNECTION r WITH: THIS PERMIT WILL BEDONE-IN ACCORDANCE - _ X_`?
WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
I HEREBY CERTIFYTHAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
SO IN ACCORDANCE WITH SECTION 5541 OF THE BUD BUSINESS MVPROFESSIONS CODE OF THE STATE OF
Form 284-2081Rev.4J71 05CALIFORNIA.-