335023 (SFD)BUILDING PERMIT go DEPARTMENT OF BUILDING & SAFETY .J& FIELD OFFICE
PERMIT NO.
335023
PERMIT NO.
3350231
1W
COUNTY OF RIVERSIDE
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Community
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DST
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CONSTRUCTION ESTIMATE
Dote
G a � �,�
NO. ELECTRICAL FEES
Off.
NO.
PLUMBING FEES
MH Permit Fee E
Micro Film Fee
1ST FL. o SQ.
2ND FL. SQ.
FOR. SQ.
GAR. SQ.
CAR P. SQ.
WALL SQ.
SQ
ESTIMATED CONSTRUCTION
FT. Cia $ c9-3
%�
UNITS
Use No.
Ck.by
Mech. Fee Dbl E �- 7U
PI. Ck. Fee E `,�-
Set Backs
FT. Qct YARD SPKLR SYSTEM
Construction Fee Dbl E 1
MOBILEHOME SVC. BAR SINK
FT. Ga �ff
"5 C
a (i arty
.Z
FT. Q /P .2, `& POWER OUTLET ROOF DRAINS
S�
FT. 8 DRAINAGE PIPING
RaT
FT. Q DRINKING FOUNTAIN
Zone
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FT Ga URINAL
Type
...�^"'
VALUATION $ G WATER PIPING
17
NOTE: Not to be used as property rax valuation
Plumbing Fee
SWIM POOL, PVT
Amt.
s
FLOOR DRAIN
?Jona Checker
�
Final Dote Inspe
MECHANICAL FEES
$p. Insp. Fee E
SWIM POOL, COMM
E
WATER SOFTENER
Branch I certify that in the performance of the work for which this permit is issued I shall
not employ any person m any manner so as to become subject to the workmen's com.
penso!ion lows of California.
City Zip Owner Signature
Builder Signature
Registr. Fee E
Mileage Fee E _
VENT SYSTEM FAN ❑ EVAP. COOL g HOOD
Reinsp. Fee
SIGN
Owner/Agent
WASHER IAUTOI MiSHI
,
Total Fees
APPLIANCE Ig DRYER
�% ®�
Address
•
%
GARBAGE DISPOSAL
Received by
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FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
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Tel. 1 1 `�r
License
Trees required ;%
LAUNDRY TRAY
Address / ( /
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AIR HANDLING UNIT CFM
City ! Zip
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IDLE METER
t
KITCHEN SINK
ABSORPTION SYSTEM � B.T.U.
TEMP USE PERMIT SVC
2
WATER CLOSET
bpi
COMPRESSOR 3A HP
S
POLE, TEMP/PERM
a
LAVATORY
14Q
D
HEATING SYSTEM FORCED ❑ GRAVITY
�6U AMPERES SERV ENT
r
SHOWER
'7
BOILER � B.T.U.
SQ. FT. a
BATH TUB
d
t> O
SQ. FT. [q ¢
`
WATER HEATER
C}-
ae/ SQ. FT. RESID
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SEWAGE DISPOSAL
Lf� SQ. FT. GAR Ca 3/ ¢
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
3 `$d
%
PERMIT FEE
DBL.
I TOTAL FEE$
e U6a�
]MOB. HM. FEE
MICRO FEE
. MECH. FEE
su
PL. CK. FEE
CONST. FE
/ �a
ELECT. F J=
a 7
SMI FE Eft
FEE
PLUMB. FEE
3
PERMIT NO.
335023
Supp. Permit
Job Address
—/6d0
iZ Space Zip
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W-/ 'l ,frl�1S
Community
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Valuation
E Q'110f E/j � /
Dote
G a � �,�
Dist.
Off.
F.C.
MH Permit Fee E
Micro Film Fee
Cop E
Use of Permit
f /4r lu/
tJ/ /( _
(,! ! �
Parcel No.
/ / 3
Use No.
Ck.by
Mech. Fee Dbl E �- 7U
PI. Ck. Fee E `,�-
Set Backs
Lot Size
y
Construction Fee Dbl E 1
Legal Description ./ /r/ J
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"5 C
a (i arty
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F�
S�
S5
RaT
Electrical Fee Dbl E
Zone
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Grp
�' •
Type
...�^"'
Unit
SMI Fee E !
Plumbing Fee
Dbl EBond
Amt.
s
Pion No.
?Jona Checker
�
Final Dote Inspe
$p. Insp. Fee E
Demol. Fee
E
Const. Lender
Address
Branch I certify that in the performance of the work for which this permit is issued I shall
not employ any person m any manner so as to become subject to the workmen's com.
penso!ion lows of California.
City Zip Owner Signature
Builder Signature
Registr. Fee E
Mileage Fee E _
Witness Fee E
Reinsp. Fee
E
Owner/Agent
Tel. Zip
Total Fees
E
���
Address
•
City Zip
M.O. E]N.C. C] Cash ❑,. Check
Received by
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Controctor /
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Tel. 1 1 `�r
License
Trees required ;%
Sewage System
Address / ( /
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City ! Zip
1 C r ! �/� 5/ .��
Workers' Comp.
yes ❑ no ❑
1()l`V15i` LL THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verddd by
Sewer District s 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 LAWS OF RIVEJSIDE 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
Form 284.208 (Rev. 4.771 Os CALIFORNIA.