303931 (SFD)393 1
V2IN
MECHANICAL FEES
SWIM POOL, COMM
'WATER SOFTENER
QFL.-
—'SQ.FT.
SIGN
WASHER (AUT)(DISH)
JL
POR.- ;Cr*
APPLIANCE— DR ER
SQ. FT.
0-4"
GAP, —"C--
FURNACE 0 UNIT 0. WALL 0 FLOOR 0 SUSPENDED
Sal FT.
o�
CAR P
AllitHANDUNG 'UNIT CFM.
SQ.
Alf KITCHEN SINK
WALL
ABSORPTION SYSTEM B.T.U.
SQP, FT.
9—
-
ymne Griv Type 77 Volt
--
COMPRESSORr. HP
SQ.. FT.
Q—
ESTIMATED CONSTRUCTION VALUATION
NOTE, Not to be used as property tax' valuation
DEPARTMENT OF RUILDING4 SAFETY
COUNTY OF RIVERSIDE
TE NO. [ELECTRICAL FEES
MOBILEHOME SVC.
PVT
FIELD OFFICE
10. PLUMBING FEES
YARD SPKLR.-SYSTEM
BAR -SINK
ROOF DRAINS
DRAINAGE PIPING
D14NKING FOUNTAIN
URINAL
WATEO`P)PING
FLOOR DRAIN
PERMITWO,
MECHANICAL FEES
SWIM POOL, COMM
'WATER SOFTENER
VENTSYSTE FAN 0,EVAP. COOL HOOD
SIGN
WASHER (AUT)(DISH)
JL
APPLIANCE— DR ER
—
GARBAGE -DISPOSAL.
to F5 . Im'Faii Cop
FURNACE 0 UNIT 0. WALL 0 FLOOR 0 SUSPENDED
Use of Permit
— —/—LAUNDRY TRAY
Use.Nk). CkIby,
AllitHANDUNG 'UNIT CFM.
'IDLE METER
Alf KITCHEN SINK
Legat'Description,
ABSORPTION SYSTEM B.T.U.
TEMPUSE-PERMTS.Vt
1� 'WATERCLOSET
-
ymne Griv Type 77 Volt
--
COMPRESSORr. HP
-2 A 'POLE; TEMP/PERM
LAVATORY glx�
HaTING SYSfR FOXED 0 GRAVITY
AWPERES $ERV,ENT
SHOWER
n No.
;BOILER BJV.7
SQ di 4
BATH TUB
_abI
Ahsp. Fee
SQ. FT., 0 c
WATER HiEAM
10 1
SQ FT RESID 0, V/44
e SQ. FT. GAO 0 344
SEWAGE DISPOSAL
HOUSE:SEWER:
GAS PIPING
14�
-PERMITTEE
PERMIT FEE
PERMIT FEE
-DBL.F-70ES Moa.HM; FEE
MICRO'FEE
J#Pl-.,CK.FEE
I CONST'.E?M
WME
P"t!A4 Ir pet -
"FEE-
PERMITWO,
Sup0, hermit. ,mit
.Job Address 1P .Owner.Ownerr
393.-
0 1
.3
F&mlh(inity' —voluciian Dote—. . Dist. F:C
to F5 . Im'Faii Cop
Use of Permit
P,orGelNo.
Use.Nk). CkIby,
Fee DbI $
P L.Q. Fee $
Set Backs Lot Size
Aft w-
-bbl i
Legat'Description,
.17 tool F60 DbI I
Z eC-
-
ymne Griv Type 77 Volt
--
MI Fee
mbinq to 3
Bond Amt.
n No.
n 9!1&
Il1
_abI
Ahsp. Fee
10 1
/—/0 7Y
t
S
14�
A6
Mol. Fee $
Const, Lender Branch 'I teqify thatm the pedg—pnm of the �I, to, wtmh permit t5lissued I shall
not emplPy.onyr in any mannetsocs lobecome,subivo lo tke workmerrs,octiw
' w t7
pentation California.
Address City rip
No"" Jr. Fee, S-
P I leoge;Fee S
Owner Signature
Builder niHune
fitness Fee $
Iteinap. Fee
1Aq
7/
Y�ms
Tel. Zip
-
otel Fees $
".2 'A
A dI
city zip
PAIO. tj WC. 0 CZ Qm4 j
CjQedik
A6o�e 0�c— 4QW,9
IOeti;ived by
F
Tel—. lice-nse ff
04&elor
tees required
wage System
Address
City Zip
Workers' Comp.
no
LL
11415 PERMIT SHALL BECOME VOID IF WORK ITNOT COMMENCED WITHIN 120 DAYS. CESSATION OF verif.0d by4
WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID
e
werbistritt uo%oka
I HEREBY AGREE THAT, ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
H L4)!�S FRY19�PEq2 , U RjA
I HEREBY CERTIFY THAT THE INDIVIDUAL. WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
Fonn,284-208 (Rev. 4,771 03
SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF
CALIFORNIA,