351558 (SATT)BUILDING PERMIT y DEPARTMENT,.OF BUILDING & SAFETY AOL FIELD OFFICE
PERMITNO. -
3 51.5 5 8
PERMIT No.COUNTY
3 51558
`Job AddressSpace
,..4-3-8157�-e.
OF RIVERSIDE
Zip
9s
DST
1/
CONSTRUCTION ESTIMATE
Comm nit /. -
fes/ I !/L��/1•
NO. ELECTRICAL'' FEES
NO. PLUMBING FEES
-
�y
1ST FL. / SQ.
2ND FL.
FOR.
GAR. SQ.
CAR P. .,
WALL
ESTIMATED CONSTRUCTION
FT. Q $
Of.-
UNITS
YARD SPKLR SYSTEM
SQ. FT. ®.
Micro Film Fee
SQ. FT. MOBILEHOME SVC. BAR SINK
Use of Permit.
7• -
_ �/ r ,�I,/� e
FT.. O POWER OUTLET- ROOF DRAINS
Parcel No. Use No.
`� /7q —06
4
SO.. FT. �. DRAINAGE PIPING
Mech. Fee - Dbl $
SQ. FT. @ DRINKING FOUNTAIN
Suet Backs
SQ. FT. @ URINAL
Construction Fee Dbl $
VALUATION $ Q OG WATER PIPING
C � / / 7f,�• - '
V�i//'�Q p�3
••
.NOTE: Not to be'used as property tax voluotion
SWIM POOL, PVT
FLOOR DRAIN
.Electrical Fee Dbl $
Zone
/
MECHANICAL FEES
swim -POOL, COMM, -`
WATER SOFTENER '
SMI Fee* E
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
Dbl $ - '
SIGN F
WASHER (AUTO) (DISH)
Plan Checker
' Final • L
�^^
APPLIANCE - ❑ DRYER
Sp. Insp. Fee ' $
GARBAGE DISPOSAL
$ • -
Const: Lender
• -
Address
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
Registr. Fee $
Mileage Fee $
LAUNDRY TRAY
Reinsp. Fee
$
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
Total Fees
$
ABSORPTION SYSTEM 0 B.T.U.
_ ... ... _
TEMP USE PERMIT SVC
WATER CLOSET
Received by
�iu� - -
COMPRESSOR 0' HP.
POLE, TEMP/PERM.
LAVATORY'
Frees requiredQ41-7/�j
Sewoge System
.. _
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
Address - �f+�� - -/�
15-4471:569 Ave (�(, K etif
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. Qa ¢
BATH TUB
SQ. FT. Ga ¢
WATER HEATER
SQ. FT. RES ID p l ib¢
SEWAGE DISPOSAL
SQ. FT. GAR G Y.¢
HOUSE SEWER
�
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES _
6 `VX9� `xwJ
Mae: Hm. FeE
M ICRO FEE
MECH. FEE
PL CK. FEE
CONST. FEE .ELECT. FEE
SMI FEE -
.. "FEE
PLUMB. FEE
PERMITNO. -
3 51.5 5 8
Supp. Permit
`Job AddressSpace
,..4-3-8157�-e.
t�; ��,�
Zip
9s
Owner
Comm nit /. -
fes/ I !/L��/1•
-
.Valuation
$
-
Date.
- Dist.
Of.-
F.C.
MH Permit Fee $
Micro Film Fee
Cop $
Use of Permit.
7• -
_ �/ r ,�I,/� e
Parcel No. Use No.
`� /7q —06
4
Ck. by
Mech. Fee - Dbl $
PI. Ck. Fee $ _
Suet Backs
Lot Size
Construction Fee Dbl $
Legal Description(�
�}�7 •�] e
/1 V� G� JD•
C � / / 7f,�• - '
V�i//'�Q p�3
••
.Electrical Fee Dbl $
Zone
/
Grp
`�
TYPe
y
Unit
/.
SMI Fee* E
Plumbing Fee
Dbl $ - '
Bond Amt. ]PlonNo.
$Jl
.A
S/
V ✓
Plan Checker
' Final • L
�^^
Inspector - -
Sp. Insp. Fee ' $
Dental. Fee
$ • -
Const: Lender
• -
Address
Branch . "Lcertify that in the performonce of the work for which this permit is issued I shall
_ - • not employ any person in any manner so as to become subject to the workmen's com-
pensotlon` laws of California." -
City Zip Owner Signature. .
- Builder Signature
Registr. Fee $
Mileage Fee $
Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel. Zip
Total Fees
$
Address
_ .. .. ...
_ ... ... _
City Zip
.. .. - _ _. . _ ..
M.O. ❑ `N.C.. ❑ Cash ❑ Chec
Received by
�iu� - -
Contractor - -
i
Tel.
License p
Frees requiredQ41-7/�j
Sewoge System
.. _
-
.._... ._ .`.. ....
Address - �f+�� - -/�
15-4471:569 Ave (�(, K etif
City �f �V "}v{�� Zip
/�, • IZ�I oJA
Workers' Comp.
yes ❑ no ❑
T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by:
WORK FOR 120 DAYS SHALL A CAUS ERMIT TO BECOME VOID.
Sewer District - y
I HEREBY AGREE THAT b&4R WITH THIS PERMIT,WILL-BE DONE IN ACCORDANCE
WITH THE LAWS OF. RIVERSIDE COUNTY ND THE STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
SO IN ACCORDANCE WITH SECTION 554.1 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF
Form 284-208 (Rev. 4771 Os - - CALIFORNIA. _ -