346956 (RPL)BUILDING PERMDEPARTMMENT OF'. BUILDING 8 $AFETY_
PERMIT No:, xy - COUNTY OF :RIVERSIDE -
3.46956. I .
CONSTRUCTION ESTIMATE NO. I ELECTRICAL FEES
_ _.-,I.ST FL. ..
SQ. FT.- Qa:
2ND FL.
SO: FT.-,
POR:,
SQ: FT- C9i
GAR.
SQ. FT:
CAR P, -
SQ: FT.
WALL
SO. FT.- (a3.
'ESTIMATEDCONSTRUCTION
VALUATION ,$
NOTE: Not -to be used,as property tox.voluotion
FIELD -OFFICE
Ds
YARD SP.KLR SYSTEM
MOBILEHOME SVC BAR SINK
PO,W.ER
OUTLET* ROOFDRAINS
DRAINAGE,PIPING
DRINKINO[FOUNTAIN
URINAL,
WATER PIPING
/ I SWIM POOL, P01,e A— / FLOOR'DRA'IN
PERM'fT WO. -
- 3 4 6 9 5 fi
!MECHANICAL FEES
SWIM:POOL, COMM
Owner- 1-
lir=�e tj d+�y
WAT'ER'SOFTENER
"
VENT SYSTEM ❑;FAN_ ❑ EVAP, COOL ❑ HOOD
SIGN
• .
tr� Ll . it
'WASHER IAUTOI'lDISHI
Off,
APPLIANCE ❑':DRYER"
'GARBAGE DISPOSAL
n, jvaFilrn Fee
FURNACE ❑';UNIT C3 WALL ❑ FLOOR..❑ :SUSPENDED
Ws2r0f Perrrlrt -. P,aroel;Nc: Use No. ".Ck.by
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PSpt Backs, - Cot si�asnstciiction
legal DescriptionF �Q S� txtricof
Zone Grp Type 'Unit
rim ��'�' �p"'mbing'fe!e
LAUNDRY TRAY
Ck. Fee. f
AIR HANDLING UNIT CFM
IDLE METER
I Fee: s
KITCHEN SINK
Dbl .3
ABSORPTION SYSTEM. 0 B.T.U.
TEMP",USE PERMIT SVC
Plan No.
WATER CLOSET
COMPRESSOR 0 HP
'POLE TEMP/PERM
p: Irnp: Fee `f
LAVATORY
:f
HEAT,INGSYSTEM ❑ FORCED ❑ GRAVITY
AMPERES$ERVENT
'Branch - ' I ceRify;tharin rhe performattce.ot work for which- permh u-iswedl shdll
not ernPloy erry person; in pny"manse as.to become subled to ihe'workmen't:com•
pensotian'lrsws of: California:
zlP' Owriter5lgnarure
I10derSignoWre `
SHOWER
'.f
BOILER `� B,T.U.
SQ. FT, '® it
`f
BATH TUB
Owner/Agent
SQ. FT. Q9 it.
WATER'HEATER
y
�� ,
SO., FT. RESID I 'T ?/:¢
SEWAGE DISPOSAL
❑ N:C. ❑' Cosh ❑'• i®
ivtd by
SO. FT..GAR "ri 14¢
HOUSE SEWER:
-
Tel. ..l.Icerae.ft
reeirrequired.
wage system
..
T
GAS PIPING' a"
P
PERMIT FEE
City Zip
-
PERMIT FEE
THIS, PERMIT SHALL BECOME VOID IF WORK 1S NOT COMMENCED WITHIN 1'20 DAYS. CESSATION OF verified W:
WORK"FOR 120 DAYS'SH" ALS' ' USEPERMIT'TOBECOME VOID:
ff�– � f _•
I HEREBY AGREE TL'IIVZUf71QEC710N WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITk7 THELAWS'OF-RIVERSIDE TY AND THE STATEOF 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. '
PERMIT FEE.
:DBL.
. O _ AI ;F.EE
..
MOB; HM.{FEE
MICRO FEE
MECH:•�FEE PL. CV --FEE -
CONST.,FEE
ELECT, FEE
'SMWEE
FEEiP.LUMS. FEE
PERM'fT WO. -
- 3 4 6 9 5 fi
SUPp� Permit -
JobAddress
--I� t iaEl✓T.�7 z 1'3
Owner- 1-
lir=�e tj d+�y
Commu`nittyy . _ ��?
!'TT ev/j�I irT'
ValuationT]ore..
f �l�f��'�' y
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tr� Ll . it
Dist.
/-1-1
Off,
.F:C
H.Permit Fee :f
n, jvaFilrn Fee
Cop ,.f
Ws2r0f Perrrlrt -. P,aroel;Nc: Use No. ".Ck.by
_ d
PSpt Backs, - Cot si�asnstciiction
legal DescriptionF �Q S� txtricof
Zone Grp Type 'Unit
rim ��'�' �p"'mbing'fe!e
Fee DU 1 $
Ck. Fee. f
Fee Dbl •f
Fpe Dbl 'f -
I
I Fee: s
Dbl .3
' Sbnd,Amt.
-
Plan No.
Pion Ch'edler
• .
Ica or
p: Irnp: Fee `f
mol, Fee
:f
Const: Lender
Address:
'Branch - ' I ceRify;tharin rhe performattce.ot work for which- permh u-iswedl shdll
not ernPloy erry person; in pny"manse as.to become subled to ihe'workmen't:com•
pensotian'lrsws of: California:
zlP' Owriter5lgnarure
I10derSignoWre `
/deagWFee
'.f
ittiess Fee f
P.-_insp. Fee'
`f
Owner/Agent
Tel. - zip,-
.
dtcllFees
y
�� ,
Arldiess.
City Zip
_.._.
❑ N:C. ❑' Cosh ❑'• i®
ivtd by
CoMroctor
-
Tel. ..l.Icerae.ft
reeirrequired.
wage system
..
T
LL
P
Address
7f— /�
City Zip
-
Workers'Comp.
;Yes•. ns ❑
THIS, PERMIT SHALL BECOME VOID IF WORK 1S NOT COMMENCED WITHIN 1'20 DAYS. CESSATION OF verified W:
WORK"FOR 120 DAYS'SH" ALS' ' USEPERMIT'TOBECOME VOID:
ff�– � f _•
I HEREBY AGREE TL'IIVZUf71QEC710N WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITk7 THELAWS'OF-RIVERSIDE TY AND THE STATEOF 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. '
Aittrid'-
Form284-208 (Rev -,4.771 ®s,