347286 (SFD)BUILDING PERMIT ,d_ DEPARTMENT OF BUILDING & SAFETY ,go, FIELD OFFICE
PERMIT NO.
I 347286
PERMI34728T NO.
Job Address Space Zip
(:53 --Too,.? 'D 9.zzs
COUNTY OF RIVERSIDE
Owner
Community
!'
DST
CONSTRUCTION ESTIMATE
Dist.
NO. ELECTRICAL FEES
F.C.
NO. PLUMBING FEES
1ST FL. eL
2ND FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. i $
UNITS
Parcel No.
711 111"tp o
Use No. Ck. by
�Mech. Fee Dbl $ 117
YARD SPKLR SYSTEM
SQ. FT. �
Set Backs
�
SQ. FT. @ .�>9 MOBILEHOME SVC. BAR SINK
Construction Fee Dbl E
SQ. FT. E &0,00 POWER OUTLET ROOF DRAINS
SQ. FT., C DRAINAGE PIPING
S
SQ. FT. Ga DRINKING FOUNTAIN
Electrical Fee Dbl E
SQ. FT. @ URINAL
VALUATION $ �0 WATER PIPING
Unit/J
NOTE: Not to be used as property tax volvation
SMI Fee E
SWIM POOL, PVT
FLOOR DRAIN
Plan No.
33S
Plan Checker
Di�//�Q
MECHANICAL FEES
�,
SWIM POOL, COMM
Sp. Insp. Fee E
WATER SOFTENER
Const. Lender Branch 'I certify that in the performance of work for which this permit is issued I sholl
not employ any person in any manner os to become subject to the workmen's com-
pensation laws of California."
Address City Zip Owner Signature
Builder Signature
VENT SYSTEM ❑ FAN . ❑ EVAP. COOL HOODSIGN
^
Witness Fee $
-Reinsp. Fee E
WASHER (AUTO Hl
...�
Tel. Zip
APPLIANCE PKIDRYER
Total Fees $
Address
GARBAGE DISPOSAL
M.O. ❑ .C. ❑ Cosh ❑ Check
Received by
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
Contractor .. �.
Tel.
License # /
LAUNDRY TRAY
Sewage System
T A�an
P
AIR HANDLING UNIT CFM
City �y /�/}���� Zip
�A4
IDLE METER
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF venfied by:
� WORK FOR 120 DAYS�yIAL�CWSE ERMIT TO BECOME VOID.
I HEREBY AGR ONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIV6RSID OUNTY 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.
KITCHEN SINK
C7d
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
G�
COMPRESSOR _ HP
��
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED ❑ GRAVITY
AMPERES SERV ENT
O�
SHOWER
BOILER B.T.U.
SQ. FT. (au ¢
BATH TUB
SQ. FT. 6 ¢
WATER HEATER
OC!
3W SQ. FT. RESID CaJ 1'/.¢
SEWAGE DISPOSAL
SQ. FT. GAR C3 '/.¢
Q
HOUSE SEWER
GAS PIPING
PERMIT FEE
00
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES MOB. HM. FEE
—
ICRO FEE
MECH. FEE
PL. CK. FEE
CONST. FEE
,—
ELECT. FEE
SMI FEE
FEE
PLUMB. FEE
eep
PERMIT NO.
I 347286
SVPp. Permit
Job Address Space Zip
(:53 --Too,.? 'D 9.zzs
Owner
Community
!'
Valuation
Date
Dist.
F.C.
f
'MH Permit Fee $
'Micro Film Fee Cop $
Use of Permit /
rte/ Cr
Parcel No.
711 111"tp o
Use No. Ck. by
�Mech. Fee Dbl $ 117
PI. Ck. Fee E
Set Backs
Lot Size
Construction Fee Dbl E
Legal Description
��[r ��jf/ `/y—"�{) 9Typ
'46 �V Yp /Iii Sc, I'Plumbing
S
Electrical Fee Dbl E
PnI
Unit/J
SMI Fee E
Fee Dbl $
Bond Amt.
$
Plan No.
33S
Plan Checker
Di�//�Q
�,
Sp. Insp. Fee E
;Demol. Fee $
Const. Lender Branch 'I certify that in the performance of work for which this permit is issued I sholl
not employ any person in any manner os to become subject to the workmen's com-
pensation laws of California."
Address City Zip Owner Signature
Builder Signature
lRegistr. Fee $
Mileage Fee $
Witness Fee $
-Reinsp. Fee E
Owner/Agent
Tel. Zip
Total Fees $
Address
City Zip
M.O. ❑ .C. ❑ Cosh ❑ Check
Received by
Contractor .. �.
Tel.
License # /
Treesrequired
Sewage System
T A�an
P
Address�l// /j �
-73-e4951 4 J ^'��7�V �
City �y /�/}���� Zip
�A4
Workers* Comp.
yes ❑ no ❑
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF venfied by:
� WORK FOR 120 DAYS�yIAL�CWSE ERMIT TO BECOME VOID.
I HEREBY AGR ONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIV6RSID OUNTY 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.
Sewer District ot�
Form 284208 (Rev. 477) Os