335010 (SFD)DEPARTMENT OF BUILDING & SAFETY
BUILDING PIRMIT
1PERMIT NO. ! COUNTY OF RIVERSIDE
' 335010
FIELD OFFICE
PERMIT NO.
3350 10
MECHANICAL FEES
Job Address— �""�
G y-
SWIM POOL, COMM
CONSTRUCTION ESTIMATE
Owner
wG��f .,.�r.0 /
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND FL. /
POR. G
GAR.
CAR P.
WAIL
ESTIMATED CONSTRUCTION
SQ. FT. Ca/ f $ �"�
r
+p;d
UNITS
SIGN
SQ. FT. C
YARD SPKLR SYSTEM
SQ. FT. Ga cu jIa MOBILEHOME SVC. '
BAR SINK
SQ. FT. t� +L -�� POWER OUTLET
ROOF DRAINS
SQ. FT. CW
DRAINAGE PIPING
SQ. FT. Cia
DRINKING FOUNTAIN
SQ. FT. Cai
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
SWIM POOL, PVT
FLOOR DRAIN
PERMIT NO.
3350 10
MECHANICAL FEES
Job Address— �""�
G y-
SWIM POOL, COMM
a 3
Owner
wG��f .,.�r.0 /
WATER SOFTENER
Community `/j
.,i L �+' t ���" ��
Valuation
E C2
VENT SYSTEM AFAN ❑ EVAP. COOL A HOOD
6-0
SIGN
/1 F.C.
F/ Q
WASHER IAUTq DISHI
MH Permit Fee E
Micro Film Fee Cop E
APPLIANCE] DRYER
Parcel No.
773-11 e o v
Use No.
GARBAGE DISPOSAL
PI. Ck. Fee Cj el E
(/ Q
Lot Size
G�•�
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
Legal Description n �r ,�• C v r�
� 11 � ,i„ G �
�2
^
F c1 ["i
S, 0
S � 1
LAUNDRY TRAY
Electrical Fee Dbl E � � }
Zone
Gr
AIR HANDLING UNIT CFM
Unit
IDLE METER
SMI Fee E � �
%
KITCHEN SINK
A'G
Bond Amt.
E
Plan No.
1,35-012
ABSORPTION SYSTEM O B.T.U.
Firnyaall•�'Date C�.//Inspector
U l -?
TEMP USE PERMIT SVC
Sp. Insp. Fee E
Dental. Fee
WATER CLOSET
0 0
Registr. Fee E -
COMPRESSOR T HP
Witness Fee E
POLE, TEMP/PERM
E
OZ
LAVATORY
Tel. Zip
Torolees+/ E.cT J
HEATING SYSTEM )] FORCED ❑ GRAVITY
''u
GO AMPERES SERV ENT
M.O. [� N.C. ❑ Cash ❑ Check;
!
SHOWER
Contractor %/d ff1
�I, r( ?y k �) . t�
OO
License P
BOILER B;T.U.
Sewage System
., �1 a,s1
SQ. FT. Ga ¢
♦♦A
f
BATHTUB
Workers' Comp.
yes ❑ no ❑
SQ. FT. Ga ¢
%
WATER HEATER
/30VSQ. FT. RESID Coi 1 i/.¢
f 6 U
SEWAGE DISPOSAL
Q
jll�b SQ. FT. GAR Cai :Ac
^}
HOUSE SEWER
r
GAS PIPING
ftJ
PERMIT FEE J
PERMIT FEE
3 4-
PERMIT FEE
DBy.
TOTAL FEES
MOB: MM. FEE
MICRO FEE
MECH. FEE
ass°
• PL. CK. FEE
:�O.
CONST. FEE
/q/
ELECT. FEE,
ayi>
SMI FEE
/qz.
FEE
PLUMB. FEE
3`��
PERMIT NO.
3350 10
Supp. Permit
Job Address— �""�
G y-
Space Zip
a
a 3
Owner
wG��f .,.�r.0 /
Community `/j
.,i L �+' t ���" ��
Valuation
E C2
y a.
Date//j Dist.
iF �� /Q �/
O7ff.
•s'
/1 F.C.
F/ Q
MH Permit Fee E
Micro Film Fee Cop E
Use of Permit
!
All r "Y / �{ _
Parcel No.
773-11 e o v
Use No.
Mech. Fee Dbl E . ��
PI. Ck. Fee Cj el E
Set Backs
Lot Size
G�•�
Construction Fee Dbl E 1 r
Legal Description n �r ,�• C v r�
� 11 � ,i„ G �
�2
^
F c1 ["i
S, 0
S � 1
/
Electrical Fee Dbl E � � }
Zone
Gr
Type
-�
Unit
SMI Fee E � �
Plumbing Fee
Dbl E GI
A'G
Bond Amt.
E
Plan No.
1,35-012
Pla/n/'Ch cker n �./
F0i / e cT
Firnyaall•�'Date C�.//Inspector
U l -?
Sp. Insp. Fee E
Dental. Fee
E
Const. Lender Branch - I certify that the performance of the work for which this permit is issued I shoo
not employ any person in any monnerso as to become subject to the workmen's com_
- ponsatian laws of California.
Address City Zip Owner Signalur-
Budder Signature
Registr. Fee E -
Mileage Fee E
Witness Fee E
Reinsp. Fee
E
Owner/Agent
Tel. Zip
Torolees+/ E.cT J
< /
Address /
City Zip
M.O. [� N.C. ❑ Cash ❑ Check;
Received bib it 116 j f G!
Contractor %/d ff1
�I, r( ?y k �) . t�
Tel. rf
�,•% 9 ,
License P
Trees required
Sewage System
., �1 a,s1
♦ J
♦♦A
Address
City Zip
Ile,*
Workers' Comp.
yes ❑ no ❑
Tr V LL Pty ^ '" THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION'OF y-iitPdby
Sewer District
WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
� •
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE r
WITH THE LAWS OF RIVIJSIDE COUNTY 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
Form 284.208 (Rev. 4.771 Os CALIFORNIA.