335037 (SFD)BUILDING PERMIT
PERMIT No.
335037
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
1.
FIELD OFFICE /
CONSTRUCTION ESTIMATE
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NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. �a
2ND FL.
POR. 113
GAR. 41
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. Q f
$ ,
�_,/ � + UNITS
d�
SQ. FT. Ga
YARD SPKLR SYSTEM
SQ. FT. eea MOBILEHOME SVC.
BAR SINK
SQ. FT. Ga POWER OUTLET
ROOF DRAINS
SQ. FT.
DRAINAGE PIPING
SQ. FT. Cay
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $ 3 67 r+fo
/ WATER PIPING
NOTE: Not to be used as property tax valuation
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SWIM POOL, PVT
FLOOR DRAIN
PERMITNO.
335037'
MECHANICAL FEES
Job Address 4�/'�
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SWIM POOL, COMM
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Owner
//40
WATER SOFTENER
Commu ay
4�' �l�l� `
Valuation+
b (� ,J
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VENT SYSTEM FAN ❑ EVAP. COOL X HOOD
d�
SIGN
F.C.
WASHER (AUTO)+&")
;
Use of Permit
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APPLIANCE
DRYER
Use No.
Ck. by
Mech. Fee Dal $ %
%
GARBAGE DISPOSAL
Lot Size
S 1: G
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Legal Descript'p ri
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FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
F�il
l
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S5
R /S
LAUNDRY TRAY
Zone
Grp
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Type
Vy
AIR HANDLING UNIT CFM
IDLE METER
Plumbing Fee Dbl b
`
KITCHEN SINK
Plan No.
ryS
"�
Afj
Final Dore / �
ABSORPTION SYSTEM
O B.T.U.
Sp. Insp. Fee 5
TEMP USE PERMIT SVC
Const. Lender Branch
not
pensation
Address City Zip
WATER CLOSET
Registr. Fee $
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Witness Fee $
COMPRESSOR 3
HP
Owner/Agent
POLE, TEMP/PERM
�'
LAVATORY?
Address
e
Zip
J
M.O.O_N.C. ❑ Cash _ Check
HEATING SYSTEM FORCED ❑ GRAVITY
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�DG AMPERES SERV ENT
/`'�
`
SHOWER
Sewage System
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Address v
Be, -K 81Y /91 5 -Ale �I">tr J11,
BOILER � B.T.U.
Workers' Comp.
yes ❑ no ❑
SQ. FT. a
BATH TUB
6 V
SQ. FT. ¢
)
WATER HEATER
pg dq SQ. FT. RESID Ga l r/.¢
i
SEWAGE DISPOSAL
Q
Gl-D
L¢ ) SQ. FT. GAR 6 1/.¢
3j 3
HOUSE SEWER
GAS PIPING_
PERMIT FEE
_3 L`'D
( PERMIT FEE
,3 A --i)
J
PERMIT FEE
3
DBL.
I TOTAL FEE f JMOB.HM.FEEI
f//5440
MICRO FEE
MECK FEEE
PL: CK. FEE
CONST. FEES
i _.
ELECT. F€
d � y-
SMI F. E
/ -^�
FEE
PLUMB.
'57
PERMITNO.
335037'
Supp.
Job Address 4�/'�
�,,az
Space
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Owner
//40
Commu ay
4�' �l�l� `
Valuation+
b (� ,J
,�
Date
�i`��
Dist
-00-
F.C.
MH Permit Fee $
i
Micro Film Fee Cop $
Use of Permit
pA J��j �'+ +
/ �y"f < 1� < r C1 �t�'j
Parcel No.
1%3 - a /- r) d 3
Use No.
Ck. by
Mech. Fee Dal $ %
PI. Ck. Fee $
Set Backs
Lot Size
S 1: G
Construction Fee Dbl b qq
�J
Legal Descript'p ri
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F�il
l
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S5
R /S
Electrical Fee Dbl E r
Zone
Grp
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Type
Vy
Unit )
SMI Fee
Plumbing Fee Dbl b
37 ev
Bond Amt.
$
Plan No.
ryS
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Plan Checker
Final Dore / �
Ins o�
.
Sp. Insp. Fee 5
Demo$. Fee b
Const. Lender Branch
not
pensation
Address City Zip
{ certtSy shot in the performance of the work for which thin permit in issued I shall
employ any person in any manner so as to become sublect to the workmen's com-
laws of California.
Owner Signature
Budder Signature
Registr. Fee $
Mileage Fee $
Witness Fee $
Reinsp. Fee $
Owner/Agent
.Tel. - Zip
Total Fees $
I �
Address
e
Zip
J
M.O.O_N.C. ❑ Cash _ Check
Received by ( -)d G 1
e %
Contractor_ J/'
l ( ` re, �'
Tel, J ty t
3,;?
License #
Trees required
Sewage System
Address v
Be, -K 81Y /91 5 -Ale �I">tr J11,
City Zip
.D E's Gni, Ile r�..
Workers' Comp.
yes ❑ no ❑
T/U " V LL P97 �'ry THIS PERMIT SHALL BECOME VOID IF WORK I5 NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by
Sewer District 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 RIVFjSIDE COUNTY AND THE STATE OF CALIFORNIA. r r
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. 4-77) 05 CALIFORNIA.