341114 (SATT)BUILDING PERMIT . ' . DEPARTMENT OF BUILDING &SAFETY • >� "FIELD OfflCE
PERMITNO.
3411 1 �4
PERMITNO.
1
COUNTY OFAIVERSIDE u.
Space
' ' -• y
- - '-_
-
CONSTRUCTION ESTIMATE '..
Community
NO. ELECTRICAL' FEES.
-
'NO. PLUMBING FEES
Date. -
IST FL. • . SQ..FT..
2ND FL. _
POR.SQ:
GAR. SQ.
CARP. f
.WALL -•
ESTIMATED CONSTRUCTION
Q •
UNITS
-
SQ. FT. @' YARD SPKLR SYSTEM
Cop $
FT. ®' MOBILEHOME SVC_. BAR SINK,,.
Use of Permit j
� f - _
POWER OUTLET ROOF DRAINS
FT. 8 '
Use No.
SQ. FT: (a} DRAINAGE PIPING
,
SQ. FT:..(a} - DRINKING FOUNTAIN
%. Ck. Fee 8
SQ. FT. , ® _ URINAL
Lot Size
�
VALUATION $. WATER PIPING
:onstruaion Fee Dbl $
NOTE: Not to be used as property tax valuation
d ` '
SWIM POOL, PVT '
--S
FLOOR DRAIN
R-
Electrical Fee Dbl b_ .• `
MECHANICAL FEES
GrP
r'' SWIM POOL, COMM
Unit-,• -
WATER SOFTENER
SMI Fee ' - E
'Plumbing Fee
VENT SYSTEM .❑ FAN ❑ EVAP. COOL ❑'HOOD
SIGNIt
WASHER (AUTO) (DISH)
a
APPLIANCE ❑ DRYER
Insp
-
GARBAGE DISPOSAL
`Demol, Fee
$
FURNACE ❑UNIT ❑ WALL ❑ FLOOR_ ❑ SUSPENDED
Const. Lender
-
Address
-
r
-"I certify that in the performance of the work for which this permit is issued I shall
nm employ any person in any monner so as to become subject to the workmen's cons.
, pensanon lases of Colifornia."
w
' Owner Signature -
Builder Signoture
LAUNDRY -TRAY
(rlileage Fee $ •
',Witness Fee $"
AIR HANDLING UNIT, CFM.
$
IDLE METER
Owner/Ag
KITCHEN SINK'
Tel_
l
ABSORPTION SYSTEM 0 B.T.U.
r TEMP USE PERMIT SVC
WATER CLOSET • �.
Address
-
COMPRESSOR 0 HP
- City -
POLE, TEMP/PERM
' M.O. ❑ N.C. ❑ Cash Check
— LAVATORY,
HEATING SYSTEM ' ❑ FORCED , ❑ GRAVITY
- t
AMPERES SERV ENT
Tel. - ''
SHOWER
frees required
BOILER B.T.U.
SQ: FT. p ¢
BATHTUB .,
- ., Zip
_ Workers'
yes C3
Comp. ,
no ❑
SQ. FT. @ t, :¢
WATER HEATER
T
.SQ. FT. RESID ® 1'A¢
SEWAGE DISPOSAL
"
SQ. FT. GAR,CaJ s'/.¢
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
;SMI
DBL
TOTAL FEES
MOB. sus. FEE
s. ;MICRO FEE .
MECH. FEE
PL. CK. -FEE.
CONST. FEE
ELECT. FEE
FEE
- FEE
- PLUMB. FEE
PERMITNO.
3411 1 �4
Supp. Permit
Job Address
..
Space
Zip
t
Owner
sem-
�..
Community
a ".
Vofuaiion
-
Date. -
Dist. .. Off.
�-7-cZ.
F.C.
-
MH Permit Fee
Micro Film Fee
Cop $
Use of Permit j
� f - _
parcel No.
r
Use No.
Mech. Fee Dbl E-�
%. Ck. Fee 8
Sei Backs
Lot Size
�
:onstruaion Fee Dbl $
Legal Description
.-
d ` '
--S
R-
Electrical Fee Dbl b_ .• `
Zone
GrP
Type~
Unit-,• -
-
SMI Fee ' - E
'Plumbing Fee
Dbl .8
Bond Amt.
Plan No.
Plan Checker
Final Dote "
Insp
-
'Sp. Insp. Fee b
`Demol, Fee
$
-
Const. Lender
-
Address
Branch-
;
_
CityZi P
-"I certify that in the performance of the work for which this permit is issued I shall
nm employ any person in any monner so as to become subject to the workmen's cons.
, pensanon lases of Colifornia."
w
' Owner Signature -
Builder Signoture
Registr. Fee E
(rlileage Fee $ •
',Witness Fee $"
Reinsp. Fee
$
_
Owner/Ag
I
Tel_
l
Zip -
(Total Fees
Address
-
- City -
Zip
' M.O. ❑ N.C. ❑ Cash Check
Received by
-
Contractor
- t
Tel. - ''
License q
frees required
pewoge System
AddressCity
- ., Zip
_ Workers'
yes C3
Comp. ,
no ❑
T LL P
Sewer District "
Ir. `
Form 284.208 (Rev. 4.771 (E)s t•
THIS PERMIT SHALL BECOME VOID IF WORK 15 NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verrfied by:
WORK FOR 120 DAYSSHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS -PERMIT WILL BE DONE IN ACCORDANCE
'ITH THE LAWS OF RIV6QSIDE COUNTY AND THE STATE OF CALIFORNIA. r
I HEREBY, CERTIFY THAT THE INDIVIDUAL WHO PREPARED*TFIE PLANS AND SPECIFICATIONS HAS DONE
SO IN ACCORDANCE CE,WITN SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF, THE STATE OF '
CALIFORNIA. •