375835 (SPIN)BUILDING PERMIT
PERMIT NO.
13758351
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD FDSTST
1
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
NO.
PLUMBING FEES
IST FL. SQ. FT. @
2ND. FL. SQ. FL @
FOR. SQ. FT- @
GAR. SQ. FT. @
CAR P. SQ, FT, @.
WALL SQ. FT. @
SQ. FT. @-
ESTIMATED CgNSTRUCTION VALUATION
UNITS
YARD SPKLR SYSTEM
MOBILEHOME SVC.
BAR SINK
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
$
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 HOOD
SIGN
WASHER (AUTO)(DISH)
.APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T-U-
TEMP USE PERMIT SVC I
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @1'/4c
SEWAGE DISPOSAL
SQ. FT- GAR @ 3/4 t
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH FEE
Pl.CK. FEE
CONST- FEE
ELECT. FEE
SMI FEE
i � FEE
PLUMB FEE
PERMIT NO,
Job Address Space
Zip
Owner
375835
''Y
! .
_.v2r
Communily +�
Z
Valualion
$
Date~
Dist.
Off.
F C C.
MH Permit Fee
$
•r
y'_ r - -
Micro Film Fee
Cop $
Use of Pri rr _
r1.' �.. % ///-.. " j w -,. z c� .�4� t.�.~ �.� Z.
�.
Parcel No,
'Use/Case No
Ck By
Mvc1r- Fee
Dbl $
PI. Ck- Fee
$
Set Backs
Lot Size
Construction Fee
Dbl $
Legal Description
-.� - i3� �- .�• ,,. ,I`
- 1
'
F S S
R
Electrical Fee
Dbl $
Zone Restrictions
�/ .—
Group
r'
Type
SMI Fee
$
Plurpbing Fee
Dbl $
Bond Aml ' [Pon No
Plan Checker �71'Dcte
—1 r7q
Unit
Sp. Insp. Fee
$
$
V
,
Demol, Fee
$
Const. Lender Branch
Supplimenlal Permil Numbers
/
Regnv. Fee
$
Mlleege Fee
$
Address City Zip
Witness Fee
$
Reinsp. Fee
$
Owner/Agent
Tel. Zip
Tolal Fees $
Address
l
City Zip
M.0- N.C. Cash Check
Received by
Canlroclgr - - . : - •. -
'To
_
License#
Trees raqul4tg_�I_ -es•
Sewage System
Address r '
GI Zi
y p
7
i
Y U. P
Sewer District F
Form 284-208 (Rer.Br I ®s 7
• r r -
THI5 PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I 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.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
ACCORDANCE WITH SECTION 55AI OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
3WVN 133KS
I/d lid
louli I LC
a�i n�aS
IE
sainlxy
i OE
6uipuog
06L
anM 6u!punojg
V6L
6uu1M
6L
aDuoilu3 aanlr1S T
86
1!npuo:)
LL
alod �a.a1Od
9L
SIVAOMddV
WMISI,313
3NI7 AIMMOMd 10 a M
j
I
aull'l !!d Juol
lour
SL
NOILV301 T 3ZIS WUSAS 30VM35
ON
NOIiVWNO:INI IVN0111GGV INAO
lsal soO
hL
ao!n,as JaloM
EL
Jaualjos JaloM
LL
JaloaH
16
OL
losodsl4 aboMoS
61
o:
gwnld y6nod
L1
6uld!d :aloM
91
aa•+ad ��n>r��
sl
SIVAOMddV
ON18Wflld
lould
t' L
(uM010) 6ull!OD
DL1
(shoo) 6u!1!0:)
261
(sllog) slloM
VL
an o
b
10!41
NO11VInSNl
apo:O ys!u!j
EL
IIomA:O
VLL
ylol lowalul
LI
4101 Jol:a4x3
11
❑ 01 a:)oldanj
Vol
loop
E4
❑ l d aooldanj
OI
POOH 10pJawwO]
L7
IIoM ai!j a6oio`J
6
a:)!naO uo!palad ajOwS
to,
slues
g
jadwoa aJ!j
Op
6u!wojj
L
aouojoalJ -IddV
�O
Jha41oOd
9
jossaidwo:)
gE
swoeg puog
9
j1V uo!lsngwoD
LE
spolg lnoj0
t
sla11n0 8 slolul
9E
lealS
E
,podwo' aoownj
SE
apo:O golS
VL
spn4 8 swnuald
VE
swJj g s61j
z
walsAS uo!lol!luan
EE
'Pog JOS
I
SIVAOaddV
IVDINVH33W
SIVAOMddV
ONI4IIA9
2101D3dSNl
91V4 NOI1VM3dO
'ON
2101:)3dSNl
31V0
NOI1Vd3dO
'ON
BUILDING PERMIT
PERMIT No. DEPARTMENT OF BUILDING & SAFETY FIFLG O!=(ICI F
37C83COUNTY OF RIVERSIDE r
CONSTRUCTION
ESTIMATE
NO.
ELECTRICAL FEES
NO.
PLUMBING FEES
IST FL. SQ. FT. @
2ND. FL. SQ. FT. @
FOR. SQ. FT. @
GAR. SQ, FT. @
CAR P. SQ. FT. @
WALL SQ. FT. @
SQ. FT. @
ESTIMATED COIVSTRUC7IQN VALUATION
`P
UNITS
YARD SPKLR SYSTEM
MOBILEHOME SVC.
BAR SINK
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
s
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 HOOD
SIGN
WASHER (AUTO)(DISH)
.APPLIANCE DRYER
GARBAGE DISPOSAL
,FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
.ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
(BOILER B.T.U,
SQ. FT. @ c
BATH TUB
SQ. FT. @ C
WATER HEATER
SQ. FT. RESID @P/4c
SEWAGE DISPOSAL
SQ, FT. GAR @ 'i c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH, FEE
PL- CK- FEE
CONST- FEE
ELECT FEE
SMI FEE
EE
PLUMB. FEE
PERMIT NO.
Job Address Space
Zip
Owner �]
Community
I
`. �i' � .
Valuation
S
Dale
L
Dist.
Off.
F,C C.
MH Permit Fee
$
Micro Film Fee
Cop $
Use of PErmiI
eL. r'-� i�1/� //C•= �_ !�. r��� C-'
Parcel No.
,r' 7`�• /, C'C�
Use/Case No.
Ck. By
Mech Fee
Dbl $
PI. Ck. Fee
$
Set Backs
Lot Size
Construclion Fee
Dbl :$
Legal Description
rr �� •�- �` �' ��
F
S
S
R
Electrical Fee
Dbl $
Zone Restrictions
•—
Group Type_
r A/
SMI Fee
Plumbing Fee
Dbl :6
Bond Amt. Plan No.
$
Plan Checker
Fin Date Inspeclo� Unit
f) r (�•�f
Sp. Imp, Fee
$
Demol. Fee
,$
Const Lender Branch
Supplimental Permit Numbers
•�, �� j _ f �y
`I 1
Regimr. Fee
§
Mileage Fee
$
Address Cily Zip
Witness Fee
$
Rairtsp. Fee
$
1 n
i),'
Owner/Agent
Tel. Zip
Total Fees $
Address
City Zip
M,O.El N.C. Corshrl CheckReceived
by (J
Caniruct or �' - �_r
/+'
�f
f i'
Licenseq
Trees requi
Sewage System
Address y
City rM1 Z p Z, f r.
T U. 1' TH65 PERMIT SHALL BECOME VOIQJF WORK IS NOT COMMENCED WITHIN 120 DAYS.f CESSATION OF WORK verified by:
Sewer Dislricl FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I 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.
yJyj I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev-8/ZB)
/1 ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
u