309463 (SFD)BUILDING PERMITAwk DEPARTMENT OF BUILDING & SAFETYAlk,, FIELD OFFICE
PERMITNO`�
3 9 9 4 6' a3
PERMIT NO.
39.9463
Job Address Space Zip
_S �/ — 4 S *L—%--,-C—*A11Aft tia-1<
COUNTY OF RIVERSIDE
Owner
Z;1Z-1e 1
--s`
Community
TOT
CONSTRUCTION ESTIMATE
Dist.
NO. ELECTRICAL FEES
F.C.
NO. PLUMBING FEES
NH Permit Fee
1ST FL. Qi2 SQ.
2ND FL. SQ.
PDR. SQ.
GAR. SQ.
CAR P. " SQ.
WALL SQ.
SQ
ESTIMATED CONSTRUCTION
FT. (9Y $
FT. (a}
UNITS
Parcel No.
,� /
i 2 J "' Pi �J
YARD SPKLR SYSTEM
Ck. by
FT. @ u MOBILEHOME SVC. BAR SINK
Pl. Ck. Fee E
FT. Oa J� Yv POWER OUTLET ROOF DRAINS
Lot Size
FT. Oa DRAINAGE PIPING
Legal Description
c
.o; 3 �3 a9 Liw,; ��
DRINKING FOUNTAIN
FT. Q
FT 8 URINAL
VALUATION $ WATER PIPING
Zone
NOTE: Not to be used as property tax valuation
Type
SWIM POOL, PVT
FLOOR DRAIN
Plumbing Fee
Dial E
MECHANICAL FEES
Bond Amt.
g
SWIM POOL, COMM
Plan Checker
WATER SOFTENER
Inspecto
-T
/�
VENT SYSTEM FAN ❑ EVAP. COOL kO HOODPO
Dental. Fee
SIGN
WASHER IAUT91( (DISH)
Regisir. Fee E
Mileage Fee b
APPLIANCE DRYER
1 z2
E
GARBAGE DISPOSAL
Tel. Zip
FURNACE ❑ UNIT ❑ WALL []FLOOR ❑ SUSPENDED
E
Address
LAUNDRY TRAY
City Zip
AIR HANDLING UNIT CFM
Received by
Trees required
IDLE METER
KITCHEN SINK
v
License p
ABSORPTION SYSTEM O B.T.U.
LL
TEMP USE PERMIT SVC
Address �r
i ecce%�"!'c C
WATER CLOSET
Workers' Comp.
Yes ❑ no ❑
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS, CESSATION OF ver tied by.
WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
t 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.
t HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
50 IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF
CALIFORNIA.
COMPRESSOR O HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED ❑ GRAVITYe,
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. C ¢
BATH TUB
SQ. FT. p ¢
WATER HEATER
7 SQ. FT. RESID p 1'/.¢
SEWAGE DISPOSAL
SQ. FT. GAR @ Y,a
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
V
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE
PL. CK. FEE
I CONST. FEE
ELECT. FEE
� 3
SMI FEE
ate
FEE
PLUMB. FEE
3 �v
PERMITNO`�
3 9 9 4 6' a3
Supp. Permit
Job Address Space Zip
_S �/ — 4 S *L—%--,-C—*A11Aft tia-1<
Owner
Z;1Z-1e 1
--s`
Community
Valuation
Dote
Dist.
Off.
F.C.
NH Permit Fee
Micro Film Fee
Cop E
Use of Permit
1—?w..e 5 �T% �'ir9i�iv�.L
Parcel No.
,� /
i 2 J "' Pi �J
Use No.
i
Ck. by
Meth. Fee Dbl 8
^�
Pl. Ck. Fee E
Set Backs
Lot Size
Construction Fee Dbl E
Legal Description
c
.o; 3 �3 a9 Liw,; ��
Electrical Fee Dbl E
Zone
Grp
Type
Unit
SMI Fee b
Plumbing Fee
Dial E
Bond Amt.
g
Plan No.
Td
Plan Checker
Final Dote'7r /
S �/ 0
Inspecto
-T
/�
Sp. Insp. Fee 5
Dental. Fee
E
Const. Lender Branch 'I certify that in the performance of th. or0. t •which this permu rs issued I shall
not employ any person to any manner so as o become subject to,he workmen s com•
pensotion laws of California
Address City Zip s
Owner Signature
Builder Signorure
Regisir. Fee E
Mileage Fee b
Witness Fee 8
Reinsp. Fee
E
Owner/Agent
Tel. Zip
Total Fees
E
Address
City Zip
M.O. ❑ N.C. ❑ Cash LEI hec
Received by
Trees required
Cont
CA -
Tel.
Com, ,^ i✓
License p
Sewage System
T
LL
P
Address �r
i ecce%�"!'c C
City M Zip
, `��/F%Yi
Workers' Comp.
Yes ❑ no ❑
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS, CESSATION OF ver tied by.
WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
t 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.
t HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
50 IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF
CALIFORNIA.
Sewer District /
rmY�''/JV
Form 284208 (Rev. 4.77) Os