346872 (SATT)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY
PERMMIT NO:
134G012�
[ COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
NO,
PLUMBING FEES
1ST FL SQ.
2ND FL
FOR 3
GAR. SQ.
CAR P.
WALL
ESTIMATED CONSTRUCTION
FT. @1
SQ. FT Ca
SQ. FT. ®��
FT, a
SQ. FT. Ca
SQ. FT. [dr
SQ. FT_ C
VALUATION
$ � '
UNITS
YARD SPKLR SYSTEM
MOBILEHOMESVC.
BAR SINK
e'v
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
$ Oa
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL R HOOD
SIGN
WASHER IAUTCYDISHI
APPLIANCE RL DRYER
GARBAGE DISPOSAL
FURNACE Cl UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT
CFM
IDLE METER
KITCHEN SINK
e
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR 3 y HP
)zj
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM [FORCED ❑GRAVITY
rb
��AMPERES
SERVENT
SHOWER
y
BOILER 0 B.T.U.
SQ. FT. Ca 4
BATH TUB
SQ. FT. G ¢
WATER HEATER
3 SQ. FT. RESID Go 11A
/ 3
SEWAGE DISPOSAL
,,1 O SQ. FT. GAR Ga '4
HOUSE SEWER
GAS PIPING
PERMIT FEE
�A
PERMIT FEE
3
PERMIT FEE
DBL
[�;�ES
»
tisDa HrnFEE
MICRO FEE
MECH. FEE
ao�
PL, CK FEE
CONST. FEE
is
ELECT. FEE
SMIFEE FEE
PLUMB. FEE
3'� U
PERMITNO
346672
Sapp. Permit
Job Address
��-���
vLtfJ
Space
Zip
��,-
Owner
Community
/L �y'N I /r� IY
Valuation
$ :P-f/ 3G `y, J
Dote
ist. Off.
F C
MH Permit Fee
s
Micro Film Fee
Cop
$
Use of Permit
/ry!�i
�%
//��l/Mlre-
�/
Parcel No
y
f 73 l���� —4
Use No.
Ck.b Y
Mech Fee
Dbl
$
PI Ck Fee
$
Set Backs at 5Ixe
F 1=17ry — 5 J S
V1
jCor traction Fee
Dbl
$
.G
Legal Description
/ / /
f^
/
r
�jv /y /ji .�e
x L
Electrical Fee
Dbl
$
Zone
/
Grp
Type
Unit
k`SMI Fee
$
Plumbing Fee
Dbl
$
p-•
Bond Amr
s
Plan No..
„� �+J 3
Plan Checker
---,Ci<� / iv S
Final Daatte7 Insl�
fl'-��! 7 J 5�� 1. !
Sp Insp, Fee
$
! Demel Fee
$
Coast. Lender
Address
Branch
not
pensation
City Zip
I certify that in the performance of the work for which thin permit is issued
employ any person in any manner so as to become subject to the workmen's
laws of California
Owner Signature
Builder Siyaptu[c
I shall
com-
• Registr. Fee
$
Mileage Fee
$
Witness Fee
$
Reins Fee
$
Owner/Agent
WV
ley
Tel.
Zip
:oral Fees
$ J
7a
Address
< ►�
City
/vr� fL,
Zip
M.O. ❑ N.C. ❑ Cash ❑ Cheplk a
Received by
Contractor
Tel.
License #
Trr s required
Snwoge System
r%o
/ �
!Q // X AQ
Address
City Zip
Workers' Comp,
yes ❑ m. C]
Sewer District
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS, CESSATION OF verified by:
WORK FOR I20DAY'S SHALL ALSO £ RMIT TO BECOME VOfD
I HEREBY AGREE THAT ALL. �With THIS PERMIT WILL BE DONE IN ACCORDANCE —
WITH THE LAWS OF RIV6RSIDECOUNTY A U 1HE STATE OF ICAL.fFORNIA.
So IHEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS )
N ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF Tl
Form 284.208 (Rev. 4-77) Os CALIFORNIA.