341275 (SFD)BUILDING PERMFr , DEPARTMENT OFA BUILDING 8 SAFETY FIELD OFFICE
PERMIT NO:
t 3 412 7 5
PERMIT NO:
3 412.75
-_ r - COUNTY OFRIVERSIDE-t.
DS
CONSTRUCTION ,ESTI'MATE NO. ELECTRICAL FEES NO. I PLUMBING FEES
IST.EL. r 'SQ:
2ND FL SQt.F
POR. • SO
GAR SQ::
LAR P. SQ:
WALL 54.
SQ.
ESTIMATEDCONSTRUCTION
FT.. ®, $ UNITS
® YARD SPKLR•SYSTEM
FT 0_ MOB'ILEHOME'SVC. BARtSINK
FT. ®- POWER OUTLET ROOF DRAINS
FT. DRAINAGE PIPING
Ff• Q- DRINKING FOUNTAIN
FT. ® URINAL
VALUATION $ WATER PIPING
NOTEt, Not to be used as properry'tox v41uot'ion' SWIM POOL„PVT FLOOR DRAIN'
Use No. Ck.by
MECHANICAL. FEES SWIM POOL, COMM WATER SOFTENER
VENT.SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD` SIGN WASHER (AUTO) (DISH) .
Lot Size
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APPLIANCE ❑ DRYER GARBAGE:DISPOSAL
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FURNACE ❑ UNIT ❑ WALL '❑ FLOOR ❑ 'SUSPENDED LAUNDRY TRAY
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AIR,HANDLING UNIT CFM IDLE METER K)TCHEN'SINK
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ABSORPTION SYSTEM 0 B.T.U. TEMPiUSE PERMIT SVC WATER CLOSET
Zone .Grp
COMPRESSOR O.HP POLE,,TEMP/PERM LAVATORY
Unit
HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER
PlumbirtgFee
BOILER B.T:U. S(''i: FT. a BATHTUB
Band Amt
E-
SO. FT. ® t WATER,HEATER
Plan Checker
SQ. FT. RESID .6 `Tr/a SEWAGE DISPOSAL.
SQ. 'Fr. ,GAR, 6 Y.a HOUSE SEWER
bemoL lFee
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GAS PIPING
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PERMIT FEE
PERMIT FEE ` PERMITTEE
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MICRO FEE - MECH. FEE Pl_ CK. FEE' :
CONST. FEE - ELECT: FEE
FEE PCVMB: FEE
PERMIT NO:
t 3 412 7 5
Supp. Permit
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Use No. Ck.by
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Band Amt
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Final Date t r
p. Instw fee S,
bemoL lFee
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Const:.lendet Brandt - 1 certify that in the perfaimance of the:work lorw6lch this petmit is.atued I "I
'not employ any person. in onymonner so as )o become subiect to the workmen's coal.
rAnsoi.ion tows of California.
Address City ZIP' Owner SSgnoturo
Bwtdet, Signaler
Itegistr: Fee V
ilea&Fee $
fitness Fee Y
f - 'insp.Fee
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OwnerlAgent-
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otal Fees
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Address
City Zip.
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M.O. ❑ N.C. ❑ Cash ❑ Check:
ived by
Contractor
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Trees required
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Address
City Zip
WorkersComp:
yes o to 0
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN. 1'20 DAYS. CESSATION OF verified by.
WORK FOR I20,DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID,
I HEREBY AGREE THATEGTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
r . 'IITH THE LAWS OF RIV52SI U=,OF CALIFORNIA_
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
SO IN ACCORDANCE WITH S'E06N 15541 OF THE BU_ SINESS AND PROFESSIONS CODE_ OF THE STATE OF
CALIFORNIA.
MerDistriu
Form 284.208 (Rev. 4.77) IN