348876 (SFD)BUILDING PERMIT ,Amk DEPARTMENT OF BUILDING & SAFETY ,,I&, FIELD OFFICE
PERMIT NO.
3488 761
PERM I34887fi--] T NO.
Job Address Space
77-
COUNTY OF'RIVERSIDE
Owner
Community/ d�
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CONSTRUCTION ESTIMATE
Dist.
NO. ELECTRICAL FEES
NO.
PLUMBING FEES
1ST FL. 44.�, 0 SQ.
2ND FL.
POR.
GAR. SQ.
CAR P. SQ.
WALL SQ.
ESTIMATED CONSTRUCTION
FT. Qa � � $ d
a y
UNITS
Use of Permit
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Parcel No. )
—'e --to/
Ck
Use No. .by
S
SQ. FT.Cia YARD SPKLR SYSTEM
PI. Ck. fee E
SQ. FT. ® MOBILEHOME SVC. BAR SINK
Lot Size
FT. G — POWER OUTLET ROOF DRAINS
Legal Description
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/� ! i - -"f /
FT. Ga DRAINAGE PIPING
/A!P
FT. DRINKING FOUNTAIN
SQ. FT. CC URINAL
Zone
VALUATION$ a9 33,9 WATER PIPING .
7J
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
Plumbing Fee
FLOOR DRAIN
3
Bond Amt.
E
MECHANICAL FEES
Plan
Plan Cheer
L
�,�"���s
SWIM POOL, COMM
o
WATER SOFTENER
lip. Insp. Fee E
Demol. Fee
VENT SYSTEN2— Qq FAN ❑ EVAP. COOL KHOOD
7 op
SIGN
d
WASHER (AUTC)6DISH1
Al r`p
Reinsp. Fee
APPLIANCE DRYER
d
Owner/Agent
Tel. Zip
GARBAGE DISPOSAL
notal Fees
E
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
Address ,[,
� Zip
M.O. C]N.C. ❑ Cash C] Che
Received by
Contractor
Tel.
License 0
'
Frees required
Sewage System
T
LL
y
P
Address
City Zip
Workers'Comp.
yes. ❑ no ❑
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF rerjhed by
WORK FOR 120 DAYS SHA SQ„C,'ER TO BECOME VOID.
I HEREBY AGREE TH CO NEC N WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
ITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
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.
wet District
�Y
Form 284-208 IRev. 4.771 Os