348639 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY
PERMIT NO. COUNTY OF RIVERSIDE
348638
MECHANICAL FEES
FIELD OFF
Dy__'
1/
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
Owner
NO. PLUMBING FEES
1ST FL. �a
2ND FL.
POR.
GAR. ad
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. Q $ 33
UNITS
Date
C3
Dist.
SQ. FT. Ga
YARD SPKLR SYSTEM
Oi
SQ. FT. 8 MOBILEHOME SVC.
BAR SINK
�C6
SQ. FT. p-&– POWER OUTLET
Qct
ROOF DRAINS
SQ. FT. CaJ
DRAINAGE PIPING
SQ. FT.
DRINKING FOUNTAIN
SQ. FT. — D,p
URINAL
VALUATION $ 3
WATER PIPING ov
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
Construction Fee
FLOOR DRAIN
PERMIT NO.
34863 9
MECHANICAL FEES
Job Address
- .9- Sao =,
� ��
SWIM POOL, COMM
Owner
WATER SOFTENER
CommunityValuation
—49 4+ o7 ,I✓7/"s'e
VENT SYSTEM 0 FAN ❑ EVAP. COOL J® HOOD
Date
C3
Dist.
SIGN
F.C.
L/
a WASHER IAUT(4 DISH)
'MH Permit Fee E
APPLIANCE y� DRYER
/ D
Use of Permit
/0011 Cj
GARBAGE DISPOSAL
�se No. Ck.by
:Meth. Fee Dbl
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
Backs
Lot Size
/��
Construction Fee
Legal Description
LAUNDRY TRAY
3
5 /
AIR HANDLING UNIT CFM
•' .Electrical Fee
Zone
IDLE METER
type
KITCHEN SINK
a
:SMI Fee
jDbI
ABSORPTION SYSTEM O B.T.U.
TEMP USE PERMIT SVC
Pion Noo.
�!/��'
WATER CLOSET
Final DateSp.
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COMPRESSOR T HP
Insp. Fee
�Demol. Fee
POLE, TEMP/PERM
o[ LAVATORY
Branch
not
pensation
City Zip
'I certify that in the performopce of the work which this permit is issued I shall
employ any person in any manner so as to become subject to the workmen's com-
lows of California."
Owner Signature
Budder Signature
HEATING SYSTEM FORCED ❑ GRAVITY
Mileage Fee E
AMPERES SERV ENT
' p
SHOWER
Owner/Agent
BOILER � B.T.U.
Zip
SQ. FT. Ga ¢
E
1,2 BATH TUB
Address
d
City
Zip
M.O. ❑ N.C. ❑ Cash ❑ C eck
SQ. FT. Co, ¢
WATER HEATER
Contractor
,
�J` �0� 3�(3,/,,,} V
Tel.
S a�•
License p
.Trees required
SQ. FT. RESID Ca, 1'Atr
�� ar
� SEWAGE DISPOSAL
�
L.:�
City /]
/�I�D
Zip
J7j
SQ. FT. GAR Cat 3/ ¢
3
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
D.I.FOTALFEES
r,�3
MOB.HM.FEE
MICRO FEE
MECH. FEE
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PL. CK. 7EC.ONST.
FEE
�-
ELECT. FEE
��o?
SMIFEE
.:;p
FEE
PLUMB. FEE
3yfp
PERMIT NO.
34863 9
Supp, Permit
Job Address
- .9- Sao =,
� ��
Space Zip
��
Owner
CommunityValuation
—49 4+ o7 ,I✓7/"s'e
/ s
E .37
Date
C3
Dist.
Off.
F.C.
L/
'MH Permit Fee E
:Micro Film Fee
Cop E
Use of Permit
/0011 Cj
Parcel No.
i
/ 723
JSe
�se No. Ck.by
:Meth. Fee Dbl
'PI. Ck. Fee E
Backs
Lot Size
/��
Construction Fee
Legal Description
3
5 /
R
•' .Electrical Fee
Zone
Grp
type
Unit
:SMI Fee
jDbI
Plumbing Fee
Bond Amt.
E
Pion Noo.
�!/��'
PlanChecker
G—L71.�//✓�
Final DateSp.
��—��
�/"/
Insp. Fee
�Demol. Fee
E
Const. Lender
Address
Branch
not
pensation
City Zip
'I certify that in the performopce of the work which this permit is issued I shall
employ any person in any manner so as to become subject to the workmen's com-
lows of California."
Owner Signature
Budder Signature
.Registr. Fee E
Mileage Fee E
,Witness Fee E
Reinsp. Fee
E
Owner/Agent
Tel.
Zip
.Total Fees
E
Address
d
City
Zip
M.O. ❑ N.C. ❑ Cash ❑ C eck
'Received by
Contractor
,
�J` �0� 3�(3,/,,,} V
Tel.
S a�•
License p
.Trees required
Sewage Systwem�y�
/U v V
J
.X /
Address
..✓moi ' /$�/L:�'�
L.:�
City /]
/�I�D
Zip
Wor ers' Comp.
yes no ❑
T LL P
Sewer District
Form 284.208 (Rev. 477) (Ds
THIS PERMIT SHALL BECOME VOID IF WORK 15 NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
WORK FOR 120 DAYS 5 L ALS CAUSL PERMIT TO BECOME VOID.
I HEREBY AGREE WCNTYTAFND
CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIV WSIDTHE STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS
SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE
CALIFORNIA.
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