304300 (SFD)BUILDING PERMIT AM,, DEPARTMENT OF BUILDING & SAFETY �� FIELD OFFICE
i'r
PERMIT NO,
304'00
ItI MH Permit Fee $
I, Micro Film Fee Cop $
Mech. Fee Dbl $
I
PI. Ck. Fee Ob $
;Construction Fee Dbl $
Electrical Fee Dbl $
-SMI Fee $
IPlumbinq Fee Dbl $
`Sp.Insp. Fee E
,Demol.Fee $
'Regisir. Fee E
'Mileage Fee $
Witness Fee $
Reinsp. Fee $
Total Fees $
M.O. ❑ N.C. ❑ Cash
Received by
Trees required
Sewage System
Supp. Permit Job Address
ldz—/)—
LL Ph Y.
Form 284208 (Rev. 477) OP s
Space Zip
Community Valuation
Use of Wr - l jyG
Dom. ,-e
Legal Description
46 31 --/,bo U 1 /b
Bond Amt. Plan No. Pion Checker
Const. Lender Branch
Address City, Zip
Owner/Agent
Owner
2/
/i
PERMIT NO.
304300 �
Dist.
COUNTY OF RIVERSIDE
F.C.
DST
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1 ST FL. SQ.
2ND FL. SQ.
POR. SQ.
GAR.el SQ.
CAR P. SQ.
WALL SQ.
SO.
ESTIMATED CONSTRUCTION
FT. $
d
UNITS
-3 -oo
FT. Ga YARD SPKLR SYSTEM
Set Backs
FT. MOBILEHOME SVC. BAR SINK
LotSize
FT. @J4Op p0 POWER OUTLET ROOF DRAINS
F�O
FT. ® DRAINAGE PIPING
S5—
FT. DRINKING FOUNTAIN
FT. ® URINAL
VALUATION sogDO WATER PIPING
Zone
NOTE: Not to be used as property tax valuation
Type
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
Final Date Inspector
WATER SOFTENER
VENT SYSTEM X FAN ❑ EVAP. COOL W HOOD
90
SIGN
fooOrwhich this permit is issued I shall
WASHER (AU ISHI
pensation laws of California
APPLIANCE DRYER
fGARBAGE DISPOSAL
O
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
D
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
p
COMPRESSOR—.Z_ HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED ❑ GRAVITY
lo
AMPERES SERV ENT
p
SHOWER
BOILER B.T.U.
SQ. FT. Q ¢
BATH TUB
d
SQ. FT. Ga ¢
WATER HEATER
d
SQ. FT. RESID p 1'Atr
S"-
SEWAGE DISPOSAL
SQ. FT. GAR 6 '/.¢
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
p
PERMIT FEE
DBL.
TOTAL TE;g]M013.HM.FEEj
MICRO FEE
CH. FEE
PL. CK. FEE
CONST. FEE
ELECT. FEE
SMI FEE
FEE
P1:2e. B. FEE
Ise
i'r
PERMIT NO,
304'00
ItI MH Permit Fee $
I, Micro Film Fee Cop $
Mech. Fee Dbl $
I
PI. Ck. Fee Ob $
;Construction Fee Dbl $
Electrical Fee Dbl $
-SMI Fee $
IPlumbinq Fee Dbl $
`Sp.Insp. Fee E
,Demol.Fee $
'Regisir. Fee E
'Mileage Fee $
Witness Fee $
Reinsp. Fee $
Total Fees $
M.O. ❑ N.C. ❑ Cash
Received by
Trees required
Sewage System
Supp. Permit Job Address
ldz—/)—
LL Ph Y.
Form 284208 (Rev. 477) OP s
Space Zip
Community Valuation
Use of Wr - l jyG
Dom. ,-e
Legal Description
46 31 --/,bo U 1 /b
Bond Amt. Plan No. Pion Checker
Const. Lender Branch
Address City, Zip
Owner/Agent
Owner
2/
/i
Tel. Zip I
Address City Zip I
a7. Tel. license q
3 �4 ? 9 S I
Address// City f ' �g Zip Workers'Comp.
ZV-6 724�Iv �/� , roN e d 9fh y no ❑
THIS PERMIT SHALL BECOME GOID IF. WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF —I d by.
ORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
SO I N ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF
CALIFORNIA.
Date
Dist.
I Of/.
F.C.
Parcel No.
Use No. k.by
-3 -oo
Set Backs
LotSize
F�O
s/d
S5—
Zone
Grp
Type
Unit
.
Final Date Inspector
'I certify that in the performance of the work
fooOrwhich this permit is issued I shall
not employ any person in any manner so as to become subject to the workmen s com-
pensation laws of California
Owner Signature
Tel. Zip I
Address City Zip I
a7. Tel. license q
3 �4 ? 9 S I
Address// City f ' �g Zip Workers'Comp.
ZV-6 724�Iv �/� , roN e d 9fh y no ❑
THIS PERMIT SHALL BECOME GOID IF. WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF —I d by.
ORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
SO I N ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF
CALIFORNIA.