375855 (SPIN)BUILDING PERMIT
PERMIT NO.
375855
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
D T
FIELD FIT]
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
$
UNITS
I ST FL. SQ, FT. @
Valuation
$
Date
11-7-19
2ND. FL. SQ. FT. @
Off.
1
YARD SPKLR SYSTEM
MH.Permit Fee $
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. @
Parcel No. Use/CosJ`N6.
Ck. By
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. @
Construction Fee DbI $
CAR P. SQ. FT. @
�Electrical Fee Dbl $
DRAINAGE PIPING
WALL SQ. FT. @
DbI $
DRINKING FOUNTAIN
SQ. FT. @
Plan Checker
URINAL
ESTIMATED CONSTRUCTION VALUATION $
=� 64110tw
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Address City Zip
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
$ Ap 4A-
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B. T. U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POUEJEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B. T. U.
SQ. FT. @ c
BATH TUB
Licenselt
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @ 11/4 c
SEWAGE DISPOSAL
SQ. FT. GAR @ 3/4 c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT EE)
DEL.
TOTAL FEES
MOS. HM. FEE
MICRO FEE
MECH. FEE PL CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
IAIJ JK� PLUMB. Ej
I ; fl-%
I
.
I
r 1 -0�14
PERMIT NO.
1375855
Job Address
-C2--AL 6 4�E&Ie—
it
Space
p Owner
�1'lttAl /I ,.IA9—
Community
Z 'W e oe*
Valuation
$
Date
11-7-19
Dist:
1
Off.
1
—
I F.C.C.
MH.Permit Fee $
Micro Film Fee
Cop $
1 - -./
Use of Frermit
Parcel No. Use/CosJ`N6.
Ck. By
Mech.Fee $
Pl. Ck. Fee $
Sel'Bockt' Lot Size
F Is Is R
Zone Restrictions Group Type
Construction Fee DbI $
Legal Description
X01"'//—
�Electrical Fee Dbl $
SMI Fee $
Plumbing Fee
DbI $
Bond Amt.
$
n No.
ro
Plan Checker
Final Date
�?—lw - �' -P
=� 64110tw
Unit
Sp. Insp. Fee $
DemoL Fee
$
Const. Lender Branch
Supplimenfol Permit Numb
��K 14
1140
Registr. Fee 1$
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
$ Ap 4A-
)Owner/Agent
Tel.
Zip
Total Fees
$
i Address
7,3 -fl, Z�,l
City
Zi
M.O. [] N.C.[] C.shU' Ch eck n
Receive� by
oef!
/
Contractor
04 a X;4:" otw-�4
Altdrqrsf I -
� d2 3 't 0a C
1-4 - - "
X
4
'�./
Tel.
city Zip
Z
Licenselt
4t "t
Trees requirec(,�'1�t
Sewage System
I LL IF
District
Form 284-208 (Rev.8/78) Os I
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF ORK verified by:
FOR 1 20 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH TAIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY 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.