SFD (272658)BUILDING PERMIT
F
DEPARTMENT OF BUILDING & SAFETY
74
GARBAGE DISPOSAL
COUNTY OF RIVERSIDE
USE OF PERMIT
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BAR SINK
DATE
C;�`c-. 7
CONSTRUCTION ESTIMATE
M H PERMIT FEE
NO. ELECTRICAL FEES
1 ST FL. IrlSQ.FT.
vo
@�' '""- }�v 1196x'
UNITS
2ND FL.
SO. FT. @
WATER PIPING
FLOOR DRAIN
POR.
SO. FT. @ n��"
._} t„t
:---¢� MOBILEHOME SVC.
GAR %�
SQ FT @ "'
Z L7
�""" POWER OUTLET
r
CARP. SOFT. @
WALL SO. FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $_2 /'F'
NOTE: Not to be used as property tax voluation
MECHANICAL FEES
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ® HOOD t)t
SWIM POOL, PVT
SWIM POOL, COMM
SIGN
FIELD OFFICE
• y
F
:NO. PLUMBING FEES
74
GARBAGE DISPOSAL
YARD SPKLR SYSTEM
USE OF PERMIT
!.f_ ^711147
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BAR SINK
DATE
C;�`c-. 7
ROOF DRAINS
M H PERMIT FEE
DRAINAGE PIPING
LAUNDRY TRAY
DRINKING FOUNTAIN
COMMUNITY
URINAL
WATER PIPING
FLOOR DRAIN
/
WATER SOFTENER
WASHER (A11TnI tt9mm
APPLIANCE f Y f,dy
0 qu
OW�f ER''.-... -
74
GARBAGE DISPOSAL
75
76
USE OF PERMIT
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FURNACE ❑ UNIT ❑ WALL ❑ FLOOR 0 SUSPENDED
DATE
C;�`c-. 7
PERMIT NO.
272658
M H PERMIT FEE
LAUNDRY TRAY
COMMUNITY
AIR HANDLING UNIT, CFM
IDLE METER
/
KITCHEN SINK
v
ABSORPTION SYSTEM B.T.U.
TEMP USE PERM SVC
/DSTUOITS
r1-
WATER CLOSET
i(J
COMPRESSOR HP G/ )u
POLE, TEMP/PERM
MICROFILM FEE
COPIES
LAVATORY
HEATING -SYSTEM 'FORCED ❑ GRAVITY fJ AMPERES SERV ENT
y'" .!�1U
SHOWER
vj
BOILER 0 B.T.U.
MECHANICAL FEE
SQ FT @ a
$
/
BATH TUB
2 /J V
USE NO.
SQ FT @ ¢
TYPE
%
WATER HEATER
f % ed (J SQ FT RESID¢
I
j
SEWAGE DISPOSAL
jJ (J 43
/)
IR
'V41eJ SQ FT GARAGE
$
HOUSE SEWER
BOND AMT.
PLAN NO.
PERMIT FEE po
I FINAL DATE ` JCPECTOR
• •' '
f
GAS PIPING
;2 VL:
MOBILE HOME PERMIT FEE Is
NAME OF CONST. LENDER BRANCH
OFFICE
' / I PERMIT FEE
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f
PERMIT FEE
c-5� C% 9
PERMIT NO.
2726581
TOTAL FEE
'9,�
MOB. HM.FEE
MICj�( ,FEE
�=�'fI/04,
MECH. FEE
DBL.
PL. CK. FEE-
CONST. FEE,
�'
OBI.
ELECT. FEE DBL.
SMI FEE
FEE
PLUMB. FEE
:?
DBL.
.."_ -_ _. ..-_ •__._ _ __ __ _
J F M A M 1 J A I S O N D
JOB ADDRESS SP NO
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74
75
76
USE OF PERMIT
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F.C.
DATE
C;�`c-. 7
PERMIT NO.
272658
M H PERMIT FEE
$
COMMUNITY
ROOMSVALUUATION
SUPP. TO PERMIT
OFFICE
/DSTUOITS
MICROFILM FEE
COPIES
$
LEGAL DESCRIPTION
0 57 iti tllK 9 �'7
MECHANICAL FEE
DBL
$
SET BACK
LOT SIZE ZONE
USE NO.
GRP
TYPE
CK BY
/
/)
IR
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER
I FINAL DATE ` JCPECTOR
• •' '
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDER INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
r 4/
r- j
STRONG MOTION
INSTRUMENTATION FEE
$
G1j
OWNER/AGENT'S SIGNATURE
C04T-RA TO s
�.
f!;'1 /�)��
7
C� J F
$
ADDRESS
ADDRESS
FEE
PLUMBING FEE
DBL
$
CITY ZIP CODE
CITY ZIP CODE
;5-
.1.r,
TOTAL FEES �
$ / 7
TEL. NO.
e, �
TEL. NO. LICENSE
- / � ,Ov '3;0 � `�� ( j
/ /
CASH ❑ CHECK Q M.O. ❑• N.C.,❑
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THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120.DAYS. CESSA-
TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
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RECEIVED BY
TREES REQUIRED
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC
CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSC
SEWAGE SYSTEM
X ��JJ
(`.!tfilJ
LL
p;�
AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE
I I HEREBY CERTIFY .THAT THE INDIVIDUAL WHO PREPAREDTHEPLANS AND SPECIFICATIONS
FORM 284-208 (Rev. 10-74) OP L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OFTHE BUSINESS AND PROFESSIONS CODE
OF THE STATE OF CALIFORNIA.