347338 (SATT)BUILDING PERMIT I DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
PERMIT NO.
-3473 3 8
PERMIT NO.
1347338
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COUNTY OF RIVERSIDE.
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munity
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CONSTRUCTION ESTIMATE
Dote
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NO. ELECTRICAL FEES
Off.'^
NO. PLUMBING FEES
1 ST FL.
2ND FL.
FOR.
GAR. SQ.
CAR P._
WALL
ESTIMATED CONSTRUCTION
SQ. FT. Q $
Micro Film Fee Cop E
UNITS
Use of Permit
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Parcel No.
Use No.Ck.by
YARD SPKLR SYSTEM
SQ. FT. (a}
PI. Ck. Fee E
SQ. FT. MOBILEHOME SVC. BAR SINK
Lot Size 7f
3 /+'
POWER OUTLET ROOF DRAINS
FT.
Legal Description
SQ. FT. @ DRAINAGE PIPING
F au S
SQ. FT. Q DRINKING FOUNTAIN
SQ. FT. Cal URINAL
Zone
VALUATION $ WATER PIPING
Type
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
Plumbing Fee f,. E
FLOOR DRAIN
Bond Amt.
E
TPNo.
/a L
MECHANICAL FEES
SWIM POOL, COMM
In ctSp.
WATER SOFTENER
Insp. Fee E
Demol. Fee E
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
Const. Lender Branch
Address City
SIGN
Regisir. Fee E
WASHER (AUTO) (DISH)
Witness Fee E
Reinsp. Fee E
APPLIANCE ❑ DRYER
Owner/Agent
Tel. Zip
GARBAGE DISPOSAL
Total Fees E
�3
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
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City Zip
" M.O. ❑ N.C. ❑ Cash ❑ Check
LAUNDRY TRAY
Contractor
AIR HANDLING UNIT CFM
Tel.
IDLE METER
Trees required
KITCHEN SINK
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Address
ABSORPTION SYSTEM O B.T.U.
City Zip
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. Cs it
BATH TUB
SQ. FT. C, a
WATER HEATER
SQ. FT. RESID Ga 11Ac
SEWAGE DISPOSAL
SQ. FT. GAR Ga - a
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
94W.
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TOTAL FEES
/v3 39
MOB. NM. FEE
MICRO.FEE
MECH. FEE
c1 oZ
PL. CK. FEE
CONST. FEE
�®y�
ELECT. FEE
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SMI FEE
FEE
PLUMB. FEE
PERMIT NO.
-3473 3 8
Supp. Permit
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Job Address -
Space Zip
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munity
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Valuation
E
Dote
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Dist.
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Off.'^
F.C.
MH Permit Fee E
Micro Film Fee Cop E
Use of Permit
�L ar - // �/Sl/4
Parcel No.
Use No.Ck.by
Mech. Fee E 12
PI. Ck. Fee E
Set Backs
Lot Size 7f
3 /+'
Construction Fee E
Legal Description
F au S
S
Electrical Fee #477 E
Zone
GrP
Type
Unit
SMI Fee E
Plumbing Fee f,. E
Bond Amt.
E
TPNo.
/a L
Pion Checker
Final Date
In ctSp.
Insp. Fee E
Demol. Fee E
Const. Lender Branch
Address City
'I certify that in the performance of the work for which this permit is issued 1 shall
not employ any person in any manner so as to become subject to the workmen's com-
pensation laws of California."
Zip Owner Signature
Builder Signature
Regisir. Fee E
Mileage Fee E
Witness Fee E
Reinsp. Fee E
Owner/Agent
Tel. Zip
Total Fees E
�3
Address
3 .�-
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City Zip
" M.O. ❑ N.C. ❑ Cash ❑ Check
Received by
Contractor
Tel.
License q
Trees required
Sewage System
` o ri ..
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Address
City Zip
Workers' Comp.
yes ❑ no ❑
Sewer District
Form 284.208 fltev. 4.771 OP s
THIS PERMIT SHALL BECOME VOID IF WORK 15 NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by:
WORK FOR 120 DAYV*ALLo4LSP QAUSE PERMIT TO BECOME VOID.
IHEREBY AGR A ONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIVEZI 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 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF
CALIFORNIA.