335049 (SFD)BUILDING PERMIT
PERM IT NO.
335049
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD OFFICE
DST
CONSTRUCTION
ESTIMATE
Owner.
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. •
2ND FL.
POR. 3
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. G
$2
V:i UNITS
SIGN
SQ. FT. Ga NeYARD
SPKLR SYSTEM
yy
SQ. FT. 8— / <-� MOBILEHOME SVC.
BAR SINK
SQ. FT. Ca 6-6 e. POWER OUTLET
ROOF DRAINS
SQ. FT.G
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $ pZ F? SIL
WATER PIPING /S -Q
NOTE: Not to be used as orooertv tax valuation
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
SWIM POOL. PVT
FLOOR DRAIN
PERMIT NO.
3 3 5 0 4 9
MECHANICAL FEES
Job Addle —/ 711 �t _
tfV C
SWIM POOL, COMM
as
Owner.
WATER SOFTENER
Commune .�
y'>f GY Ei'fi�"ri�t t'C
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
Valuation
E .� 3 ``7 Ct7
VENT SYSTEM O&FAN ❑ EVAP. COOL HOOD
=Q
SIGN
F.C.
�C'� t
WASHER IAUTOI HWSHf
MH Permit Fee E
.Micro Film Fee Cop E
APPLIANCE DRYER
o-7%
Use No.
k.by
"S
`
GARBAGE DISPOSAL
Set Backs
Lot Size
h i o-ri
Construction Fee Dbl E !�
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
�ttha !i
'�%" a
F
S.r
S l e)
LAUNDRY TRAY
Electrical Fee Dbl E -f
Zone/
+
Grp z
✓
AIR HANDLING UNIT CFM
Unit /
IDLE METER
/
SMI Fee E ! 77
Plumbing Fee Dbl E
KITCHEN SINK
4'I
I Plan No. �j •�
3$/ / 1
173;er
ABSORPTION SYSTEM O B.T.U.
Final Date /7
/!/ /
TEMP USE PERMIT SVC
Sp. Insp. FeeE
WATER CLOSET
b^�
I certify that in the performance of the work for which this permit a issued 1 shall
- not employ any person in any manner so as to become subject to the workmen's tom
pensatton lows of Cobforma.
Zip Owner Signature -
Budder Stgnoture
COMPRESSOR HP
ALJ
POLE, TEMP/PERM
Reinsp. Fee E
LAVATORY
Tel. Zip
HEATING SYSTEM FORCED ❑ GRAVITY
r� �'
D f) AMPERES SERV ENT
City Zip
SHOWER
�.
f
Contractor `�Tel.
!// (// / J ,tt`F Lt'"�
BOILER � B.T.U.
9 45' 77/
SQ. FT. CW ¢
Trees required
(
BATH TUB
Ad rens
/a' �" D
y�
1.
City Zip
,tl C S
Workers' Comp.
yes ❑ no p
SQ. FT. Cw ¢
WATER HEATER
/ei472 SQ. FT. RESID Cw 1 t/.¢
`E�" T
,%
SEWAGE DISPOSAL
$
0-0
A�C SQ. FT. GAR Cai s/.¢
`j ?
HOUSE SEWER
GAS PIPING¢s�
041
PERMIT FEE
PERMIT FEE
3
PERMIT FEE
'3
DBL.
I TOTAjL(FFEES
MOO. H.. FEE
MICRO FEE
MECH. FEE
. PL. CK. FEE •
CON/ST. FEE
ELECT. FEE.
- SMI FEE
- FEE
PLUMB. FEE
PERMIT NO.
3 3 5 0 4 9
Supp. Permit
Job Addle —/ 711 �t _
tfV C
t�� �� Space Z
as
Owner.
WITH THE LAWS OF RIVEQSIDE COUNTY AND THE STATE OF CALIFORNIA.
Commune .�
y'>f GY Ei'fi�"ri�t t'C
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
Valuation
E .� 3 ``7 Ct7
Dote,{
s" 5" 76
Dist.
�*
ff.
F.C.
�C'� t
MH Permit Fee E
.Micro Film Fee Cop E
Use of Permit
/
`^ " 1 l y C W AL""
Parcel No.
773"q(F"�l%
Use No.
k.by
"S
Mech. Fee Dbl E
PI. Ck. FeeE
Set Backs
Lot Size
h i o-ri
Construction Fee Dbl E !�
Legal Description - `. -^
£ f[
�e fZ-
�ttha !i
'�%" a
F
S.r
S l e)
Electrical Fee Dbl E -f
Zone/
+
Grp z
✓
�_
Typed
„Y
Unit /
/
SMI Fee E ! 77
Plumbing Fee Dbl E
32 4"
Bond Amt.
E
I Plan No. �j •�
3$/ / 1
173;er
�/
'7
Final Date /7
/!/ /
Insp r
Sp. Insp. FeeE
Demol. Fee E
Const. Lender Branch
'
Address City
r
I certify that in the performance of the work for which this permit a issued 1 shall
- not employ any person in any manner so as to become subject to the workmen's tom
pensatton lows of Cobforma.
Zip Owner Signature -
Budder Stgnoture
Registr. Fee E
Mileage Fee E
Witness Fee E
Reinsp. Fee E
Owner/Agent
Tel. Zip
Total Fees E
r� �'
Address !
City Zip
M.O. ❑ _N.C. ❑ Cash ❑/, Check
Received by ( t4.
f
Contractor `�Tel.
!// (// / J ,tt`F Lt'"�
9 45' 77/
License N
Trees required
Sewage System
Ad rens
/a' �" D
y�
1.
City Zip
,tl C S
Workers' Comp.
yes ❑ no p
Tf C7V V LL P&PA'YQ
THIS PER"HATLH OME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verdtedbyr
WORK FOR IS C SE PERMIT TO BECOME VOID.
Sewer District
I HEREBYAll WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIVEQSIDE 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 284.2081Rev. 4.771 Oo s
CALIFORNIA.