350810 (ELEC)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY / FIELD OFFICE
PERMITNO.
3508101
PERMIT NO.
350810IT/
'
COUNTY OF RIVERSIDE
Owner
zzs
CommnnJy
,
/// ����/9
CONSTRUCTION ESTIMATE,
NO. ELECTRICAL FEES
D to
�� 9K-7
NO. PLUMBING FEES
F.C.
1 ST FL. SQ.
2ND FL.
POR.
GAR. SQ.
CAR P. SQ.
WALL SQ.
ESTIMATED CONSTRUCTION
FT. (+} $ ,
UNITS
Micro Film Fee Cop E
Mech. Fee Dbl b
Pl. Ck. Fee g/>��.a�L(�%%%��
Construction Fee Dbl E
Electrical Fee Dbl $
SMI Fee E
Use of Permit Parcel No. Use No. by
0�•��/
✓` Set Backs Lot Size
Legal Description F D S / S/ R .3oX/O 0
^'� /f `/� ` J/�/%� /�J'' ZoneGrp Type Unit
"' � • V/ 6 *,/ _P -
SQ. FT. (a} YARD SPKLR SYSTEM
SQ. FT. MOBILEHOME SVC. BAR SINK
Bond Amt.
y
FT. Q POWER OUTLET ROOF DRAINS
Plan Checker
FT. @ DRAINAGE PIPING
Inspector
FT. Q DRINKING FOUNTAIN
Sp. Insp. fee E
SQ. FT. 8 URINAL
E
VALUATION $ WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
Regisir, Fee y
FLOOR DRAIN
Witness Fee E
Reinsp. Fee
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
Tel. Zip
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
SIGN
WASHER (AUTO) (DISH)
City � � Zip
APPLIANCE ❑ DRYER
GARBAGE DISPOSAL
Contractor
'
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
License N
Trees required
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
Workers' Comp.
yes ❑ no ❑
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR O HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. Ga ¢
BATH TUB
SQ. FT. 6 ¢
WATER HEATER
SQ. FT. RESID 6 1'/.¢
SEWAGE DISPOSAL
SQ. FT. GAR Ge 1/.¢
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
I TqT FE„E5/)
MOB. HM. FEE
MICRO FEE
MECH. FEE PLIC K. FEE
CONST. FEE
ELE�. F
_
3_
SMI FEE
FEE
P(yp/�M B.FLE
7' a�L
PERMITNO.
3508101
Supp. Permito
rets
=�8s
Space
F0,1J,�
Owner
zzs
CommnnJy
,
/// ����/9
Valuation
E
D to
�� 9K-7
Dist.
/
F.C.
MH Permit Fee $
Micro Film Fee Cop E
Mech. Fee Dbl b
Pl. Ck. Fee g/>��.a�L(�%%%��
Construction Fee Dbl E
Electrical Fee Dbl $
SMI Fee E
Use of Permit Parcel No. Use No. by
0�•��/
✓` Set Backs Lot Size
Legal Description F D S / S/ R .3oX/O 0
^'� /f `/� ` J/�/%� /�J'' ZoneGrp Type Unit
"' � • V/ 6 *,/ _P -
Plumbing Fee Dbl E
Bond Amt.
y
Plan No.
J
Plan Checker
Final Date ^ ^
Inspector
Sp. Insp. fee E
Demol. Fee
E
Const. Lender
Address
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 y
Mileage Fee b
Witness Fee E
Reinsp. Fee
E
wn r/Agent 1
Tel. Zip
Total Fees $
M.O. C],,Nlf.❑ sh ❑ Che
Address
/`
City � � Zip
Received by
Contractor
'
Tel.
License N
Trees required
Sewage System
Address
City Zip
Workers' Comp.
yes ❑ no ❑
M
Sewer District
0
THIS PERMIT SHALL BECO VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by
WORK FOR 120 DAYS SHAt� ME VOID.
itti!I HEREBY AGREE THAT ORK I�ERM!PT
NNECTIO WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIVERSIDE COUNTY AHE 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.