341103 (SFD)BUILDING PERMIT _41, DEPARTMENT OF BUILDING & SAFETY A& FIELD OFFICE
PERMIT NO.
341103
PERMIT NO.
341103
COUNTY OF RIVERSIDE
DST
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES
1ST FL. SQ.
2ND FL.
POR. SQ.
GAR. SQ.
CAR P. SQ.
WALL SQ.
ESTIMATED CONSTRUCTION
FT. Q $ UNITS
SQ. FT. Ca YARD SPKLR SYSTEM
FT. .C�_ MOBILEHOME SVC. BAR SINK
FT. @ POWER OUTLET ROOF DRAINS
FT. CW DRAINAGE PIPING
FT. DRINKING FOUNTAIN
S.Q. FT. @ URINAL
VALUATION It WATER PIPING
NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN
Micro Film Fee Cop E
MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER
Use of Permit /
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VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO)((DISH)
Use No.
APPLIANCE ❑ DRYER GARBAGE DISPOSAL
Mech. Fee Dbl E
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY
Set Backs
AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK
F
ABSORPTION SYSTEM O B.T.U. TEMP USE PERMIT SVC WATER CLOSET
S +*
COMPRESSOR O HP POLE, TEMP/PERM LAVATORY
Construction Fee Dbi E
HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER
Electrical Fee Dbl b
`
BOILER � B.T.U. SQ. FT. Cry a BATH TUB
SQ. FT. Ga ¢ WATER HEATER
Unit
SQ. FT. RESID Ga 1'/.¢ SEWAGE DISPOSAL
SMI Fee b
SQ. FT. GAR % V.a HOUSE SEWER
GAS PIPING
Plan No.
PERMIT FEE PERMIT FEE PERMIT FEE
Final Date Inspector
moi►+
1 y
TOTAL FEES
/b� ice,
MOB. MM. FEE
MICRO FEE MECH. FEE PL CK. FEE
CONST. FEE ELECT. FEE SMI FEE
1 AQ
FEE PLUMB. FEE
PERMIT NO.
341103
Supp, Permit
Job Address Space
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Zip
Owner
Community -
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V...tion
E
Date
Dist.
Off.
F.C.
MH Permit Fee E
Micro Film Fee Cop E
Use of Permit /
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Parcel No.
Use No.
k.by
Mech. Fee Dbl E
II'
i PI. Ck. Fee E
Set Backs
Lot Size
F
S
S +*
R
Construction Fee Dbi E
Legal Description
f��7%; ` �� li �J��Gj� C„O
Electrical Fee Dbl b
`
ZoneGrp
Type
Unit
SMI Fee b
Plumbing Fee Obl $
Bond Amt,
Plan No.
Plan Checker
Final Date Inspector
Sp. Insp. Fee E
Demol. Fee E
Const. Lender Branch I certify that to the performance of the work for which this perm. ,s issued I shall
not employ any person in any manner so as to become subject to the workmen's com.
penscnon laws of California.
Address City Zip Owner Signature
Budder Signarure
Registr. Fee E
Mileage Fee E
Witness Fee E
Reinsp. Fee b
Owner/Ag t �'`(�
u Y"
Tel. Zip
Total Fees $
Address
City Zip
M.O. ❑ N.C. ❑ Cash ❑ Check Qe
I
Received by
Contractor -
Tel.
License p
Trees required #01 L7
Sewage System
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P
Address
City Zip
Workers' Comp.
yes C]noC]LL
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verdiedby
WORK 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 LAWSOF RIV69SIDE COUNTY AND THE STATE OF CALIFORNIA,
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
50 IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF
CALIFORNIA.
Sewer District
Form 284.208 (Rev, 477) Os