347119 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY ,Ilk, FIELD OFFICE
PERM IT NO.
3471
PERMIT N.
Job Address Space Zip
COUNTY OF -RIVERSIDE
Owner
Community
1,10 �p'/It
Valuation`` `�f^'}
$ DV�`+� /G"
347119
�
_
�Off.
F.C.
061
,s;
CONSTRUCTION ESTIMATE
I Mico Film Fee
NO. ELECTRICAL FEES
NO. PLUMBING FEES
Parcel No.
a
1ST FL. SQ. FT.. Ca f�O $
'r
UNITS
Ck. Fee
Bocks
Lot Size
J�
2ND FL. SQ. FL Cay
Legal Description
r / ` /
++��lf
Fp,{
S -.s—Set
YARD SPKLR SYSTEM
FOR. SQ. FT. @
6lJ
MOBILEHOME SVC.
Type
BAR SINK
GAR. SQ. FT. ® aZ
!SMI Fee $ 79
POWER OUTLET
Dbl $
ROOF DRAINS
Bond Amt,
CAR P. SQ. FT. Ga
Plan Checker
Final Date
Inspec r
DRAINAGE PIPING
iSp.Imp. Fee E
WALL SQ. FT. Ga
E
Const. Lender Branch I certify that in the performopce of the wAlk for which this
not employ any person in any manner so as to become subject
pensotion laws of California.'
Address City Zip Owner Signature
Builder Signature
DRINKING FOUNTAIN
�Regisir. Fee $
SQ. FT. Cat
Witness Fee E
'Reinsp.
Fee
$
URINAL
Owner/Agent
ESTIMATED CONSTRUCTION VALUATION $
Zip
Total Fees
/
NOTE: Not to be used as property tax valuation
City
SWIM POOL, PVT
M.O. ❑ N.C. ❑ Cash ❑ 3heck
FLOOR DRAIN
MECHANICAL FEES
Tel. License
G 73 -f�3
SWIM POOL, COMM
004
Trees required
WATER SOFTENER
LL
P
VENT SYSTEM FAN ❑ EVAP. COOL R HOOD
City /may Zip
,� 51�r� �/
SIGN
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
WORK FOR 120 DAYS SHALL ALS US RMI TO BECOME VOID.
I HEREBY AGREE THAT A NWITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIVERSIDE COUNTY D THE STATE OF CALIFORNIA.
1 HEREBY CERTIFY THAT'THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
50 IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF
CALIFORNIA.
WASHER IAUTOIy
Sewer Oisrritt
\
Form 284.208 1 Rev. 4.771 Os
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
o2 42:IL-
ABSORPTION SYSTEM O B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM JZ FORCED ❑ GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ¢
BATHTUB
SQ. FT. Ga ¢
WATER HEATER
wz SQ. FT. RESID @ I1Aa
'
SEWAGE DISPOSAL
SQ. FT. GAR 6 1/.¢
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
D.L.
MOB. HM. FEE
MICRO FEE
MECH. FEE
PL. CK. FEE
CONST. FEE
ELECT. FEE
SMI FEE
FEE
PLUMB. FEE
[_T;0T_;;E�4
A,51ee
.2g_g
`77
PERM IT NO.
3471
Supp. Permit
Job Address Space Zip
z Z
Owner
Community
1,10 �p'/It
Valuation`` `�f^'}
$ DV�`+� /G"
Dote
11,"'61,431-yi/
Dist.
_
�Off.
F.C.
061
MH Permit Fee E
I Mico Film Fee
Cop $
Use of Permit
^,1 G
Parcel No.
a
Use No.
Ck.by
EMerh. Fee Dbl b
Ck. Fee
Bocks
Lot Size
J�
`IPI.
!Construction Fee Dbl
I E
Legal Description
r / ` /
++��lf
Fp,{
S -.s—Set
S�
i Electrical Fee Dbl E
az
Zone
I Grp
Type
Unit
!SMI Fee $ 79
Plumbing Fee
Dbl $
Bond Amt,
Plan No.
Plan Checker
Final Date
Inspec r
iSp.Imp. Fee E
Demol. Fee
E
Const. Lender Branch I certify that in the performopce of the wAlk for which this
not employ any person in any manner so as to become subject
pensotion laws of California.'
Address City Zip Owner Signature
Builder Signature
permit is issued I shall
to the workmen's com•
�Regisir. Fee $
'Mileage Fee $
Witness Fee E
'Reinsp.
Fee
$
Owner/Agent
Tel. -
Zip
Total Fees
$
/
Address
City
Zip
M.O. ❑ N.C. ❑ Cash ❑ 3heck
Received by
Contractor yyy
...�-^
/4 - C TBI•// w /
Tel. License
G 73 -f�3
q
004
Trees required
Sewage Systeemp.y�
T
LL
P
Address .r��y
� �9 / r ...GlYJI1%/ /�
City /may Zip
,� 51�r� �/
Workers' Comp.
ye no ❑
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
WORK FOR 120 DAYS SHALL ALS US RMI TO BECOME VOID.
I HEREBY AGREE THAT A NWITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIVERSIDE COUNTY D THE STATE OF CALIFORNIA.
1 HEREBY CERTIFY THAT'THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
50 IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF
CALIFORNIA.
venhed by
Sewer Oisrritt
\
Form 284.208 1 Rev. 4.771 Os