347225 (SFD)BUILDING PERMIT Afthl DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
I PERMIT NO.—
347225
PERMITNO.
134722
Job Address Space Zip
COUNTY OF RIVERSIDE
Owner
Community ^
M any/yTr/
TS;
CONSTRUCTION ESTIMATE
Dist..
NO. ELECTRICAL FEES
F.C.
NO. PLUMBING FEES
1ST FL. SQ.
2ND FL.
FOR. SQ.
GAR. SQ.
CAR P. SQ.
WALL SQ.
ESTIMATED CONSTRUCTION
FT. (ja 1 $ 42
�6
UNITS
Parcel No.
LZ
Use No. Ck.by
Mech. Fee Dbl $
SQ. FT. Cie YARD SPKLR SYSTEM
t Backs
FT. Ga K' MOBILEHOME SVC. BAR SINK
Construction Fee Dbl b
FT. POWER OUTLET ROOF DRAINS
F �(/
FT. CC DRAINAGE PIPING
S
FT. Ca DRINKING FOUNTAIN
Electrical Fee Dbl 5
SQ. FT. C URINAL
Grp!?
/ `� 3
VALUATION $ S WATER PIPING
iD
NOTE: Not to be used os property tox voluotion
SMI Fee E , /
Y
SWIM POOL, PVT
FLOOR DRAIN
Plan No.
393'r�
Plana Checker
/ 3t --Z v2=`1 1-7--
MECHANICAL FEES
Inspector
;��T
SWIM POOL, COMM
.Sp. Insp. Fee b
WATER SOFTENER
Const. Lender Branch I certify that in the performance of the work for which this permit is issued 1 shoo
not employ any person in any manner so as to become subject to the workmen's com-
pensation laws of California. '
Address City Zip
Owner Signature
Builder Signature
VENT SYSTEM ❑ FAN ❑ EVAP. COOL R HOOD
Mileage Fee y
SIGN
Reinsp. Fee b
WASHER IAUTWISHI
Owner/Agent `� /�
Tel. Zip
APPLIANCE Lk DRYER
otal Fees y
M.O. ❑ N.C. (3
KS
Address �,/
Received by
Contractor
Tel.
License #
Trees required
wage System
st
"$—'O
T LL
ep x"U/
P
Address
City Zip
Workers'Comp.
yes ❑ no ❑
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verif ed Jsy:
WORK FOR 120 DAYS S L S AUS ERMIT TO BECOME VOID.
f�
I HEREBY AGREE W K IIV CQNNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIVERSIDE CO NTY 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.
wer District
jjj
Form 284.208 IRev. 4.77) OS