The URL can be used to link to this page

303625 (SFD)BUILDING PERMIT aAhk DEPARTMENT OF BUILDING & SAFETY A6111L FIELD OFFICE PE RM IT NO. {!`6',� 5 P303625ERMIT NO. > COUNTY OF RIVERSIDE Community `. QK.;A DST CONSTRUCTION ESTIMATE Dist. NO. ELECTRICAL FEES F.C. NO. PLUMBING FEES MH Permit Fee b 1ST FL. ' SQ. 2ND FL. SQ. POR. SQ. GAR. SQ. CAR P. SQ. WALL SQ. SQ. ESTIMATED CONSTRUCTION FT. jU1 Use of Permit �•W4-4j -` -041, ea AOr' 1e+�� UNITS Use No. Ck.by Sj t� Mech. Fee Dbl $ 2 S FT. @ YARD SPKLR SYSTEM Set Backs too X09 MOBILEHOME SVC. BAR SINK FT. Construction Fee Dbl b .�� FT. (a} �� POWER OUTLET ROOF DRAINS F�0 FT. @ DRAINAGE PIPING S,; FT. Q DRINKING FOUNTAIN Electrical Fee Dbl b FT. @ URINAL / \ VALUATION $1770, 0 WATER PIPING Unit NOTE: Not to be used as property tax valuation SMI Fee b SWIM POOL, PVT FLOOR DRAIN Plan No. pe .� , '� Pla eQcker/ G�f�" .�� MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER Demol. Fee b VENT SYSTEM FAN ❑ EVAP. COOL X HOOD Registr. Fee b SIGN Witness Fee b WASHER IAUTOIZ$H)ales Owner/Agent APPLIANCE DRYER Zip otal Fees b GARBAGE DISPOSAL Address }� City FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED M.O. ❑ N.C. ❑ Cash ❑ Check eceived by 'LAUNDRY TRAY Tel. �j — ? Licensg N / AIR HANDLING UNIT CFM rees required/ IDLE METER / P6 / KITCHEN SINK r Zip 4Z2• Workers'Comp. Yes no C]T ABSORPTION SYSTEM � B.T.U. b y TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR -.7 HP POLE, TEMP/PERM 2 LAVATORY HEATINGSYSTEM FORCED ❑ GRAVITY DO AMPERES SERV ENT SHOWER BOILER � B.T.U. SQ. FT. Qa ¢ BATH TUB SQ. FT. Qa ¢ WATER HEATER �SQ. FT. RESID 8 It/.c SEWAGE DISPOSAL �© SQ. FT. GAR 6 % HOUSE SEWER GAS PIPING �r PERMIT FEE PERMIT FEE 6110 PERMIT FEE DBL. I TOTAL F ESS Moe. HM. FEE - MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE 'P?L �B. FEE PE RM IT NO. {!`6',� 5 Supp. Permit Job Address Space Zip 4 �/ 722- -five �'r�rz�-�2,q �`3 Owne . Y• �o�. Community `. QK.;A Valuation $ /r�+�� 900, � Dote f� Dist. F.C. MH Permit Fee b Micro Film Fee Cop b Use of Permit �•W4-4j -` -041, ea AOr' 1e+�� Parcel No. 77'1 '.28 3 — 40 i Q Use No. Ck.by Sj t� Mech. Fee Dbl $ 2 S PI. Ck. Fee 44 b Set Backs at size vO�pd Construction Fee Dbl b .�� Legal Descriptio _G�r/p/� L� 7 a , / F�0 S S,; Electrical Fee Dbl b `{! / \ Typ_e____y �y�Fj�i�/ Unit SMI Fee b Plumbing Fee Dbl b Bond Amt. b Plan No. pe .� , '� Pla eQcker/ G�f�" .�� Final Date — Inspeao EE p. Insp. Fee b Demol. Fee b Const. Lender Branch 'I certify that in the performance of th for which th , permit is issued I shall not employ any person in any manner so s bec me sublect to the workmen s com• pensotton laws of California Address City Zip ' Owner Signature Builder Si naturr Registr. Fee b Mileage Fee b Witness Fee b einsp. fee b Owner/Agent Tel. Zip otal Fees b D3 Address }� City Zip M.O. ❑ N.C. ❑ Cash ❑ Check eceived by Contrq r .p�� Tel. �j — ? Licensg N / rees required/ wage System //��,�s eVOLL / P6 Address r ✓ I '"�str� / /!ice r Zip 4Z2• Workers'Comp. Yes no C]T THIS FVRMIT SHALL BECOME VOID IF WORK 15 NOT COMMEND WITHIN 120 DAYS CESSATION OF ' t -ed .'OFO 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 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 b y we r Distric Form 284.208 1Rev. 4.771 Os