350808 (SFD)BUILDING PERMIT jft� DEPARTMENT OF BUILDING & SAFETY ja, FIELD OFFICE
PERMITNO,
3 5 0 80 8
PERMIT NO.
350808
Job Address r Space
'�9—,3 8s �i5eni�tow 2,e,
COUNTY OF RIVERSIDE
Owner
SChu5 fe.e.
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES NO.
PLUMBING FEES
Of
1ST FL. / SQ.
2ND FL.
.
FOR SQ.
GAR. SQ.
CAR P. SQ.
WALL SQ.
ESTIMATED CONSTRUCTION
FT. Ga 7 $
+
UNITS
Use of Permit
4
YARD SPKLR SYSTEM
SQ. FT. Ga
Use No.
-^
FT. MOBILEHOME SVC. BAR SINK
Ga
PI. Ck. Fee $
�„� O POWER OUTLET ROOF DRAINS
FT. Cia
Lot Size ]�
FT. DRAINAGE PIPING
DRINKING FOUNTAIN
FT. Cia
SQ. FT. URINAL
VALUATION WATER PIPING
Z
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
Plumbing Fee Dbl $
MECHANICAL FEES
Ploy / w
C/•�
SWIM POOL, COMM
WATER SOFTENER
„
VENT SYSTEM fffAN ❑ EVAP. COOL HOOD
Demol. Fee $
SIGN
WASHER (AUTO) (DISH)
Registr. Fee $
Mileage Fee $
APPLIANCE DRYER
Reinsp. Fee $
GARBAGE DISPOSAL
�^
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
Add s
LAUNDRY TRAY
M.O. C. sh ❑ _CheoVn
Received by
AIR HANDLING UNIT CFM
Contr or _ t`
/ �� �N ✓
IDLE METER
KITCHEN SINK
Trees required
Sewage System
✓� LL
ABSORPTION SYSTEM O B.T.U.
Address 3 4x / x
TEMP USE PERMIT SVC
WATER CLOSET
THIS PERMIT SHALL BECOM VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by:
WORK FOR 120 DAYS SHALL P {Jg TO BECOME VOID.
I HEREBY AGREE THAT ORK CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIV6RSIDE COUNT AND THE STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PRE -PARED THE PLANS AND SPECIFICATIONS HAS DONE
SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF
CALIFORNIA.
Sewer District
\\\
Form 284.208 (Rev. 4.771 Os
COMPRESSORHP
Q
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED ❑ GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. rB, ¢
BATH TUB
SQ. FT. Ga ¢
WATER HEATER
SQ. FT. RESID 6 1 tG¢
SEWAGE DISPOSAL
Q
SQ. FT. GAR C./.¢
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.-y�T
l$ZMOe.
HM. FEE
MICRO FEE
MEEC . F`�J� PL. CK. FEE
C PNS EE ELECT. FEE SMI F
FEE
PLUMB. FEE
PERMITNO,
3 5 0 80 8
Supp. Permit
Job Address r Space
'�9—,3 8s �i5eni�tow 2,e,
Zi
zz3
Owner
SChu5 fe.e.
Co �unnity �).�/.
/7� & �r/�J /
Valuation /�j� //-� �,/�
�l –6 , <!
D e
��7
Dist 1
Of
F.C.
MH Permit Fee $
Micro Film Fee Cop $
Mech. Fee Dbl $
Use of Permit
4
Parcel No.
Use No.
Ck.by
PI. Ck. Fee $
Set Backs
Lot Size ]�
Construction Fee Doi $
Electrical Fee Dbl $
SMI Fee $
Legal Description
`
e o�6
Z
Gr
Unit
Plumbing Fee Dbl $
Bond Amt.
$
Ploy / w
C/•�
Pion ke/ S
/�`'
Final Date Inspector
D --
„
Sp. Insp. Fee $
Demol. Fee $
Const. Lender Branch I certify that in the performorice of the work for which this permit is issued I shall
not employ any person in any monner so as to become subject to the workmen's com-
pensation laws of ColiFornia."
Address City Zip
Owner Signature ,
Builder Signoture
Registr. Fee $
Mileage Fee $
Witness Fee $
Reinsp. Fee $
Owner/Agent
Tel. Zip
Total Fees $
Add s
City Zip
M.O. C. sh ❑ _CheoVn
Received by
Contr or _ t`
/ �� �N ✓
Tel.�� /
L ((J[ /ryq +�
` 9
Trees required
Sewage System
✓� LL
P ��v G�
Address 3 4x / x
Ci� ^� Zip
//i/1 /��!),f�
Workers'Comp.
yes ❑ no ❑
THIS PERMIT SHALL BECOM VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by:
WORK FOR 120 DAYS SHALL P {Jg TO BECOME VOID.
I HEREBY AGREE THAT ORK CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIV6RSIDE COUNT AND THE STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PRE -PARED THE PLANS AND SPECIFICATIONS HAS DONE
SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF
CALIFORNIA.
Sewer District
\\\
Form 284.208 (Rev. 4.771 Os