413870 (AR)I
BUILDING PERMIT .
PERMIT NO.
413870
PFfMIT NO. .
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DEPARTMENT OF • BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD OFFICE
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osr
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES`
NO. PLUMBING FEES
IST FL.
2ND. FL.
- POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SO. FT. .@ $
UNITS
Use of Permit
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-
SQ. FT. @
• .YARD PKLR SYS M
SO. FT. @ - MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @ -
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $
WATER PIPING_
NOTE: Not to be used as properly tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL, FEES
SWIM POOL, COMM
WATER _SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
-Demol. Fee S
GARBAGE'DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
,
LAUNDRY TRAY -
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
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. @ a
BATH TUB
Trees requ'
SQ. FT.. @ a
WATER HEATER
City Zip
7 r
SO. FT. RESID @ 1 t/4a
SEWAGE DISPOSAL
SO. Ff. GAR @ t/<a
HOUSE. SEWER
GAS PIPING
PERMIT FEE -
PERMIT FEE
PERMIT FEE
DBL. '
TOTAL FE�MOB.
HM..FEE
MICROFEEMECH.
FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLU B. F E_�
PERMIT NO.
413870
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Valuation -
$
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F.C.C.
MH Permit Fee S/'ff
.Micro Film Fee Cop S
Use of Permit
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Parcel No:
Use/Case No. Ck. By
Mech. Fee r Dbl g
Pl. Ck. Fee S
Set c s
for Size
Construction Fee Obl S
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F r
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Electrical Fee Dbl S
Zone Restrictions
Group
Type
SMI Fee $
Plumbing Fee Dbl $ 14 1Bond
Amt.
$
Plan No.
Plon Checker
Final We
Inspect
Unit r
Sp. Imp.. Fee S
-Demol. Fee S
Const. Lender Branch
Supplimentol Permit Numbers
'•
Registr. Fee S
Mileage Fee $
Address _ City Zip
Wiiness Fee S
Reinsp! Fee $
Owner/Agent r
T.I. - Zip
.Total Fees S
Address
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_
44s
City Zip
Y M.O. I] N.C. sh ❑ C ck
Received by
Contractor -
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Tel.
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T It/
Trees requ'
Sewage System
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City Zip
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T LL p THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
^ Sewer District 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
/�• `� G/ THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
HEREBY C RTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev. 1/80) WITH SECTION 5541 OF THE BUSINESS;AND PROFESSIONS CODE OF THE STATE OF,CALIFORNIA.