347291 (SFD)BUILDING PERMIT i DEPARTMENT OF BUILDING & SAFETY 1,91, FIELD OFFICE
PERMIT NO.
347291
Job Address
-��--
4AAC
COUNTY OF RIVERSIDE
Owner .
F/�
CONSTRUCTION ESTIMATE
ValuationDate
'% $
f+
NO. ELECTRICAL FEES
/Q . Z 7 4 o f
NO. PLUMBING FEES
ff.
^7+
i•►
1ST FL.
2ND FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
�+
SQ. FT. @ Ik VV $ oG.J0
Z
MH Permit Fee $
UNITS
Use of Permit
�..s-�.
SQ. FT. ® YARD SPKLR SYSTEM
Parcel No.
/ gI// OO�
7
p
SQ. FT. (a} Qr MOBILEHOME SVC. BAR SINK
Ck.by
V 7�A
POWER OUTLET ROOF DRAINS
SQ. FT. @ Q
M. Ck. Fee $
SQ. FT. (o} DRAINAGE PIPING
Lot Size
SQ. FT. (a3 DRINKING FOUNTAIN
Legal Des prion
7"V T 2,
SQ. FT. URINAL
VALUATION $ WATER PIPING
dQ
NOTE: Not to be used as property tox valuation
S
�y
SWIM POOL, PVT
Zone
FLOOR DRAIN
[Type
/► )
Unit
MECHANICAL FEES
SMI Fee $
Plumbing Fee
SWIM POOL, COMM
37 (00
WATER SOFTENER
Pion No.
• 7 &
✓ _
Pion Checker
�'l G j �_
(•
VENT SYSTEM FAN ❑ EVAP. COOL 5t HOOD
Final Dateop;.Qed,
Q
SIGN
WASHER (AUT ISHI
)emol. Fee
$
APPLIANCE C$CRYER
Const. Lender
Address
at7'y
Branncch
City Zip
-"I certify that to the performof ce of the 4rk for which this permit is issued I sholl
not employ any person in any manner so as to become subject to the workmen's com-
pensation laws of Colifornio."
Owner Signature
Builder Signature
GARBAGE DISPOSAL
Mileage Fee $
Witness Fee $
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
$
Owner/Agent
LAUNDRY TRAY
Tel.
AIR HANDLING UNIT CFM
lotal Fees
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM � B.T.U.
City
Zip
TEMP USE PERMIT SVC
Received by
WATER CLOSET
41
Contractor
��
S #.:�3
COMPRESSORHP
s
POLE, TEMP/PERM
LAVATORY
Lit
Sewage System
HEATING SYSTEM FORCED ❑ GRAVITY
Address
U
��0 AMPERES SERV ENT
f!0
SHOWER
Zip
Workers' Comp. r
yes no ❑
BOILER � B.T.U.
SQ. FT. Ga ¢
BATH TUB
SQ. FT. 6 ¢
WATER HEATER
SQ. FT. RESID @ 11/4
SEWAGE DISPOSAL
Ig W
Q SQ. FT. GAR Ca. IKir
HOUSE SEWER
GAS PIPING
PERMIT FEE
rJt%
PERMIT FEE
3 v
PERMIT FEE
010
DBL.
TOTAL FEES
AC
MOB. tI M. FEE
MICRO FEE
MECH. FEE
PL CK. FEE
CONST. FEE
ELECT. FEE
SMI FEE
FEE
PLUMB. FEE
37 opt?
PERM IT NO.
347293
Supp. Permit
Job Address
-��--
4AAC
Space Zip
Owner .
Community
ValuationDate
'% $
f+
9
C•
/Q . Z 7 4 o f
Dist.
//
ff.
^7+
i•►
F.C.
00/
MH Permit Fee $
Micro Film Fee Cop $
Use of Permit
�..s-�.
h.-t/7� it e
Parcel No.
/ gI// OO�
7
Use No.
Ck.by
V 7�A
Mech. Fee Dbi $
M. Ck. Fee $
Set Backs
Lot Size
onstruction Fee Dbl $
Legal Des prion
7"V T 2,
�} �
F.2.0
S
S
�y
Electrical Fee Dbl $ to 30
Zone
Grrp
[Type
/► )
Unit
SMI Fee $
Plumbing Fee
Dbl $
37 (00
Bond Amt.
$
Pion No.
• 7 &
✓ _
Pion Checker
�'l G j �_
(•
Final Dateop;.Qed,
Inspector
5p. Insp. Fee $
)emol. Fee
$
Const. Lender
Address
Branncch
City Zip
-"I certify that to the performof ce of the 4rk for which this permit is issued I sholl
not employ any person in any manner so as to become subject to the workmen's com-
pensation laws of Colifornio."
Owner Signature
Builder Signature
Registr. Fee $
Mileage Fee $
Witness Fee $
Wrisp. Fee
$
Owner/Agent
Tel.
Zip
lotal Fees
$
Address
City
Zip
M.O. ❑ N.C. ❑ Cash Check
Received by
Contractor
��
S #.:�3
s
Tel.
- QRZ �
License f$
S'29310
frees required
Sewage System
Address
City y,� 1
Zip
Workers' Comp. r
yes no ❑
M
Sewer District
21
01 THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by: '
(� WORK FOR 120 DAYS SHALL ALSO SE PERMIT T ��BEECjCOJ�ME VOID.
` i HEREBY AGREE THAT ALL kdf�i16t�'WITH THIS PERMIT WILL BE DONE IN ACCORDANCE L
I \ WITH THE LAWS OF RIVERSIDE COUt AND
HE 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.