303626 (SATT)BUILDING PERMIT DEPARTMENT OF BUILDING "& SAFETY nr-i n AFFIrr-
PERMIT NO.
3 0 3 6 2 6
PERMIT NO.
3 0 3 6.26
Job Addre s,.
�"-'5's�"/�v� :�1/%�sco
•.COUNTY OF RIVERSIDE
zzs3
Owner -
% ? !/. . ,
f
DST
CONSTRUCTION ESTIMATE
Valuation
E��
NO.
ELECTRICAL FEES
Dist.
!ll uIT
NO. PLUMBING'FEES
.
1ST Fl. X SQ.
2ND FL.
POR.
GAR. SQ.
CAR P. SQ.
WALL SQ.
ESTIMATED CONSTRUCTION
FT. $
Micro Film Fee Cop E
UNITS
Use of Permit . -
.
� � /Ci tj
'
Parcel Ng�oUse No. Ck. by
SQ. FT. @ YARD SPKLR SYSTEM
?I. Ck. FeeE
SQ. FT. i�— MOBILEHOME SVC. BAR SINK
Lot Size Y
5?>) /60
POWER OUTLET ROOF DRAINS
FT.
Legal Description
// 2 �f 7��/•►
rA6/N, ✓ f�i��/
FT. @ DRAINAGE PIPING
/� �
S � l
FT. Q DRINKING FOUNTAIN
Zone
/
SQ. FT. '@ URINAL
Type
VALUATION $ D� WATER PIPING "
NOTE: Not to be used os'property tax valuation
lumbing Fee Dbl E
SWIM POOL, PVT
Bond Amt.
E
FLOOR DRAIN
'
FinciP 't`J"
-�Ot.�
} MECHANICAL FEES -
•Lp. Insp. Fee E
SWIM POOL, COMM
WATER SOFTENER
Const. Lender Branch 'I certify that to the performance of theark far which ,his permit is issued I shall
- 'not employ any person ,,n any manner so os to become ---tett to the workmen s com•
- pensation laws of California ,
Address City Zip -
' Owner S,gnoture
Bwlder Smnw-e
kegistr. Fee E
VENT SYSTEM FAN ❑ EVAP. COOL HOOD
Witness Fee E
Reinsp. Fee - E
SIGN
WASHER IAUTOIiI
Tel, Zip _
y
APPLIANCE DRYER
0.3
Address
-
GARBAGE DISPOSAL '
M.O. ❑ N.C. ❑ Cash ❑ Che
Received by
FURNACE ❑ UNIT ❑ WALL' ❑ FLOOR' ❑ SUSPENDED
Contractor ,-
�
Q'6�O�
Tel. license M
—34g--
'frees required
LAUNDRY TRAY
AIR HANDLING UNIT CFM
' y'�n n� /^j /� /��/�J-Zip Workers' Comp.
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
2 WATER CLOSETLI
COMPRESSOR � HP •
POLE, TEMP/PERM
LAVATORY
HEATING SYS TEM FORCED ❑ GRAVITY
*IleBOILER
OQ
'AMPERESSERV'ENT
SHOWER '
B.T.U.
SQ. FT.- p 4
BATH TUB
SQ. FT. 4
WATER HEATER
SQ.,FT. RESID @ • I V c
s
SEWAGE DISPOSAL
110010
SQ. FT. GAR @ "Ac
33
HOUSE SEWER
'
GAS PIPING
•
PERMIT FEE
PERMIT FEE
/ PERMIT FEE
DBL •
TOTAL FEEES�
MOB. HM. FEE
MICRO FEE
ECH. FEE
PL' CK. FEE
I CONST. FEE
ELECT. FEE
S I FEE
FEE
PLUMB. FEE
33-711 i�g
PERMIT NO.
3 0 3 6 2 6
Supp. Permit
Job Addre s,.
�"-'5's�"/�v� :�1/%�sco
Space Zip
zzs3
Owner -
% ? !/. . ,
Community r
.� a1;�A r
Valuation
E��
_„
�� C
Date
i -711#1'7 �
Dist.
!ll uIT
., Off.
F.C.
/
MH Permit Fee E
Micro Film Fee Cop E
Use of Permit . -
.
� � /Ci tj
Parcel Ng�oUse No. Ck. by
Mech. Fee Dbl E
?I. Ck. FeeE
Set Backs -
Lot Size Y
5?>) /60
:onstrudion Fee Dbl E
Legal Description
// 2 �f 7��/•►
rA6/N, ✓ f�i��/
p.qo S S
/� �
S � l
Electrical Fee Dbl E
Zone
/
G,yrP
/t
Type
Unit
-
SMI Fee E 2
lumbing Fee Dbl E
Bond Amt.
E
Plan N000..�/j
/
PI/p"� heeccker
/✓C.�/
FinciP 't`J"
-�Ot.�
InsppeeJpor
•Lp. Insp. Fee E
yemol. Fee E
Const. Lender Branch 'I certify that to the performance of theark far which ,his permit is issued I shall
- 'not employ any person ,,n any manner so os to become ---tett to the workmen s com•
- pensation laws of California ,
Address City Zip -
' Owner S,gnoture
Bwlder Smnw-e
kegistr. Fee E
'Mileage Fee E
Witness Fee E
Reinsp. Fee - E
Owner/Agent
Tel, Zip _
y
notal Fees E
0.3
Address
-
City Zip
M.O. ❑ N.C. ❑ Cash ❑ Che
Received by
Contractor ,-
�
Q'6�O�
Tel. license M
—34g--
'frees required
Sewage System
Address .
' y'�n n� /^j /� /��/�J-Zip Workers' Comp.
Distrix
Form 284-208 (Rev. 477) 01
�SPHIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF wenhed by.
RK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID,
I HERLY AGREE THAT ALL WORK IN'CONNECTION WITH -THIS PERMFT WILL BE &ONE IN ACCORDANCE
WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
•1 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.