349581 (CSCS)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY ` FIELD OFFICE
PERMIT NO.
349581
PERMITNO.
349581
j
COUNTY OF RIVERSIDE
Zip
�-3
Owner
�qlololC-4 I,
l�
CONSTRUCTION ESTIMATE
community
I"� v c''/ H
NO. ELECTRICAL FEES
NO. PLUMBING FEES
Date
1ST FL. SQ.
2ND FL...
POR. �G
GAR. -, SQ.
CAR P. 7 SQ.
WALL SQ.
ESTIMATED CONSTRUCTION
FT. ®1A
-_O
UNITS
MH Permit Fee 8
SQ. FT. ® a /G �_ YARD SPKLR SYSTEM
Cop 8
SQ. FT., MOBILEHOME SVC. BAR SINK
Use of Permit
�LG �/ /p�� �y ��, p��
q•�•f/ FF G... G`jLC
FT. POWER OUTLET 10 ROOF DRAINS
,
X6106
,--,
FT. % �=s DRAINAGE PIPING
Mech. Fee Dbl 8
FT. ® DRINKING FOUNTAIN
Set Backs
SQ. FT. @ 5a URINAL
Construction Fee Dbl 8
VALUATION $ WATER PIPING
a
NOTE: Not to be used as property tox voluotron
sd
SWIM POOL, PVT
FLOOR DRAIN
Fee Dbl 83
Zone
JOS
MECHANICAL FEES
Type
SWIM POOL, COMM
WATER SOFTENER
SMI Fee 8 •'7
Plumbing Fee
VENT SYSTENf4 ® FAN ❑ EVAP. COOL HOOD
ell pa
SIGN
oZ WASHER (AUTO) (DISH)
Plan Checker
Final Dote Inspector
APPLIANCE X DRYER
Sp. Insp. Fee 8
GARBAGE DISPOSAL
a
FURNACE ❑ UNIT ❑ WALL ❑ FLOOfc ❑ SUSPENDED
Branch I certify that in the performance of the work for which this permit is issued I shall
not employ any person in any manner so as to become subject to the workmen's com•
pensation laws of California."
City Zip Owner Signature
Builder Signature
Regisir. Fee 8
LAUNDRY TRAY
Witness Fee 8
Reinsp. Fee
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
Tel. Zip
3/ Dtotal
ABSORPTION SYSTEM � B.T.U.
8
TEMP USE PERMIT SVC
WATER CLOSET
City Zip
COMPRESSOR Sr • [ HP
Received by
POLE, TEMP/PERM
LAVATORY
Contractor
HEATINGSYSTEM.2FORCED ❑ GRAVITY
License P
AMPERES SERV ENT
SHOWER
d
Address
BOILER B.T.U.
City Zip
SQ. FT. Ga ¢
BATH TUB
d SQ. FT. Ga ¢
0 WATER HEATER
;5g Q. FT. RESID Ca; 114ir
SEWAGE DISPOSAL
SQ. FT. GAR Ca, '/.it
HOUSE SEWER
GAS PIPING
PERMIT FEE
—3
PERMIT FEE
PERMIT FEE
3
DBL.
TOTAL FEES
yam
MOB. HM. FEE
MICR FEE
/ ion
MECH. FEE
PL. CK. FEE
CONST. FEE
das'
ELECT. FEE SMI FEE
S� 33 U 'S` ?7
FEE
P UMB. FEE
PERMIT NO.
349581
Supp. Permit
Job Address
sr
7fr -0
Space
4q �l�H
Zip
�-3
Owner
�qlololC-4 I,
community
I"� v c''/ H
Valuation
Date
Dist.
// •
Off..
-E-
F.C.
MH Permit Fee 8
Micro Film Fee
Cop 8
,p
Use of Permit
�LG �/ /p�� �y ��, p��
q•�•f/ FF G... G`jLC
Parcel No.
7G 9 �G�--o/� -,
,
X6106
,--,
Ck. by
Mech. Fee Dbl 8
PI. Ck. Fee � 8
4-xss
Set Backs
Lot Size
Construction Fee Dbl 8
Legal DescriptionFc2O
/��5 /_ 7
F- C�
27�� ��3 ��L /
sd
S a
R/DElectrical
Fee Dbl 83
Zone
JOS
Grp
Type
Unit
SMI Fee 8 •'7
Plumbing Fee
Dbl 8
ell pa
Bond Amt.
Plan No.
�3a9-
Plan Checker
Final Dote Inspector
Sp. Insp. Fee 8
Dental. Fee
8
fAddress
Branch I certify that in the performance of the work for which this permit is issued I shall
not employ any person in any manner so as to become subject to the workmen's com•
pensation laws of California."
City Zip Owner Signature
Builder Signature
Regisir. Fee 8
Mileage Fee 8
Witness Fee 8
Reinsp. Fee
8
Tel. Zip
3/ Dtotal
Fees
8
City Zip
M.O. ❑ N.C. ❑ Cash ❑ ck
Received by
Contractor
Tel.
License P
trees required
Sewage System
Address
City Zip
Workers' Comp.
yes ❑ no ❑
fewer District
284.2081Rev. 4.77) Os
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by:
WORK FOR 120 DAYS ALL WO C USE PERMIT TO BECOME VOID.
I HEREBY AGRI ORK CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIVEiRSID OUNTY 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.