SFD (348824)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
- PERMIT NO.
,. 3 4-8 8 24
PERM IT NO.
34882.4
1
COUNTY OF RIVERSIDE-
Owaer
DST.
CONSTRUCTION ESTIMATE
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NO. ELECTRICAL FEES
Off.
NO. PLUMBING FEES
1ST FL.. SQ.
2ND FL.
POR. l%
GAR. '41 -?l SQ.
CAR P.
WALLSQ.
ESTIMATED CONSTRUCTION
FT. 8 Lb $
Micro Film Fee
UNITS
Use of Permit
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Parcel No.
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SQ. FT. @ YARD SPKLR SYSTEM
-
SQ. FT. @ t t MOBILEHOME SVC. BAR SINK
Mech. Fee Dbl b
FT. ,@ � Zvi -zI� POWER OUTLET ROOF DRAINS
Set Backs
SQ. FT. 8 DRAINAGE PIPING
FT. .® DRINKING FOUNTAIN
legal Description
as�a s�v�3
SQ. FT. .(� URINAL
VALUATION $ a /.:P % WATER PIPING
�t
NOTE: Not to be used as property tax voluation
Zone
lea
SWIM POOL, PVT
Type
FLOOR DRAIN
SMI Fee $
o
MECHANICAL FEES
Dbl $
SWIM POOL, COMM
Bond Amt.
8
WATER SOFTENER
Plan Checkers
/1 �I✓ O"Gs/
Final Date •�/ Insp/(eo(�yr/'/�
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VENT SYSTEAA,2,g FAN ❑ EVAP. COOL Q[ HOOD
bb
SIGN
Sp. Insp. Fee $
WASHER IAUTOAISH1
$
APPLIANCE DRYER
Registr. Fee $
Mileage Fee $
Witness Fee $
GARBAGE DISPOSAL
pZ O
FURNACE . ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
Tel.
Zip
LAUNDRY TRAY
$
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AIR HANDLING UNIT
City
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IDLE METER
M.O. ❑ N.C. Cash ❑ eck
KITCHEN SINK
ABSORPTION SYSTEM O B.T.U.
Tel. -
TEMP USE PERMIT SVC
WATER CLOSET
Sewage Sysysteemmjg-
COMPRESSOR 0 HP
Address
POLE, TEMP/PERM
Workers'
yes ❑
a LAVATORY
HEATING SYSTEM FORCED ❑ GRAVITY
yL p
p -b AMPERES SERV ENT
dU'
SHOWER
BOILER � B.T.U.
SQ. FT. Ge ¢
BATH TUB
a
SQ. FT. CQ a
WATER HEATER
SQ. FT. RESID Ge 1'/.¢
G
SEWAGE DISPOSAL
/D
SQ. T. GAR Cai '/.
HOUSE SEWER
GAS PIPING
lJ9i
PERMIT FEE
PERMIT FEE
3
PERMIT FEE
DBL.
I TOTAL FEES
MOB. HM. FEE
MICRO FEE,
_ MECH. FEE
��
'PL. CK. FEE
CONST. FEE
tea/.
ELECT. FEE
SMI FEE
- FEE
PLUMB. FEE
- PERMIT NO.
,. 3 4-8 8 24
Supp. Permit
Job Address Space
Zip
Owaer
Community
�H NTr�
Valuation' -]Date
$/�P 7 '�
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Dist.
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Off.
F.C.
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-MH Permit Fee $
Micro Film Fee
Cop $
Use of Permit
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Parcel No.
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Use No.
-
Ck.by
<
J
Mech. Fee Dbl b
PI. Ck. Fee $
Set Backs
Lot Size
Construction FeeDbl $ a,
legal Description
as�a s�v�3
�t
Electrical Fee Dbl $ a/
Zone
lea
Grp
Type
Unit
SMI Fee $
o
Plumbing Fee
Dbl $
Bond Amt.
8
Plan No.
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Plan Checkers
/1 �I✓ O"Gs/
Final Date •�/ Insp/(eo(�yr/'/�
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Sp. Insp. Fee $
�Demol. Fee
$
Const. Lender Branch . '"I certify that in the performance of Vre—y7brk for which thispermit is issued Ishat
- - not employ any person in any manners o .o become subject m the itcom.
pensotion lows of California."
Address City Zip } -
_ "Owner Signature _
- Builder Signature
Registr. Fee $
Mileage Fee $
Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel.
Zip
Total Fees
$
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Address
17 ��✓��/i�� 1�Yt..=
City
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Zip
M.O. ❑ N.C. Cash ❑ eck
Received by
Contractor
Tel. -
License q
Trees required
Sewage Sysysteemmjg-
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Address
City - Zip
Workers'
yes ❑
Comp.
no ❑
LL F -
'Sewer District
Form 284.208 IRev. 4.771 QS
i HIJ PtRMII SHALL tStCOMt VOIU'IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF veiified by:
,WORK FOR 120 DAYS SHALL AL U MITBECOME VOID. t
I HEREBY AGREE THAT ALL �CNtT�TIOITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIVERSIDE COUNTYE STATE OF CALIFORNIA. <
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS. DONE
SO IN ACCORDANCE WITH _SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF
CALIFORNIA.