303904 (SATT)BUILDING PERMIT
PERMIT NO.
303904
CONSTRUCTION ESTIMATE
IST FL. SQ. FT.
2ND FL. SQ. FT.
POR. SQ. FT..
GAR. SQ. FT. (a}
CAR P. SQ. FT. 8
WALL SO. FT. Q
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION
NOTE: Not to be used os property tax valuation
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE 401
NO. ELECTRICAL FEES
UNITS
MOBILEHOME SVC.
POWER OUTLET
SWIM POOL. PVT
FIELD OFFICE
NO. I PLUMBING FEES
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FI OOR 11PAIN
PERMITNO.
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
SpacZ.."n,
VENT SYSTE FAN ❑ EVAP. COOL HOOD
SIGN
WASHER (AUT )(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
'
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
Dist Off. F.C.
-L7
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
Cop E
HEATING SY E FORCED ❑ GRAVITY
AMPERES SERV ENT
SHOWER
Parcel No.
BOILER � B.T.U.
SQ. FT. ¢
BATHTUB
SQ. FT. C ¢
WATER HEATER
SQ. FT. RESID Q 1'/.¢
SQ. FT. GAR Ge %c
4C�da 4t,
SEWAGE DISPOSAL
HOUSE SEWER
Legal Description
p
GAS PIPING
I LoSize
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MOB. HM. FEE
MICRO FEE
CH. E PL. CK. FEECONST.
FEEEL T. F
•n 9�r
SMI FEE
37
FEE . F E
vy
PERMITNO.
Supp. Permit
Job Address
SpacZ.."n,
j
130390fl
��~"Af-
'
Co mun
r
Vo ua ion
I' -V
Tte
Dist Off. F.C.
-L7
MH Permit Fee $
Micro Film Fee
Cop E
Use of Permit
-*
Parcel No.
Use No. Ck. by
Mech. Fee Dbl b
P,. Ck. Fee
�(„�% V
Q '>
y
Legal Description
p
Set Backs
I LoSize
ction Fee Dbl E
F S S R
w
al Fee
Dbl E
Zone Grp Type
Unit S
e
E
a %
`., %� J'sac 9•a
ng Fee
Dbl E
Bond Amt.
Plan No.
Plan Checker
Final Date
Inspector'
p. Fee
$
.�!
$
0.7
Fee
fle
b
Const. Lender
Branch 'I certify that in the performance of the work
not employ any person in any manner so as to
for which this permit is issued I shall
become subject to the workmen s com-
-. Fee E
Address
pensation
City Zip
laws of Californiae
Owner Signature
Fee b
s Fee b
Budder Signature
Fee
E
Owner/Agent
Tel.
Zip
Total Fees
$
-
Address
City
Zip i
M.O. ❑ N.C. ❑ Cosh Check
Received
Contract.r/']�
'got, 064
Tel.
'7
License #
Trees requirit ed
Sewage System
s
City
Zip Workers' Comp.
s no ❑
LL
yea
P
THIS PERMIT SHALL ECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION
WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID
a6=y
OF Pr.heclby:
Sewer District
r _
s
la•� r
Form 284.208 l Rev. 4.771 OO s
I HtRtBY AGREE LHAT 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 M 1
SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF
CALIFORNIA.