346958 (RPL)BUILDING PERMIT ,,idlhki. DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
I PERMIT NO.
3 4 6 9 5 6
PERMIT NO. 346956
COUNTY OF RIVERSIDE
1
Owner
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CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
Dist.
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NO. PLUMBING FEES
F.C.
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1ST FL. SQ.
2ND FL.
FOR. SQ.
GAR. SQ.
CAR P. SQ.
WALL .SQ.
L/
ESTIMATED CONSTRUCTION
FT. Q $
UNITS
t
(Micro Film Fee Cop E
t
Use of Permit
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Parcel No.
_
SQ. FL Citi YARD SPKLR SYSTEM
Mech. Fee Dbl E
FT. ® MOBILEHOME SVC. BAR SINK
Set Backs
POWER OUTLET ROOF DRAINS
FT. (a}
[Construction Fee Dbl E an -Legal
FT. ® DRAINAGE PIPING
F
FT. Cja DRINKING FOUNTAIN
S 40
SQ. FT. @ URINAL
Electrical Fee Dbl E
VALUATION $ WATER PIPING
Grp
NOTE: Not to be used as property tax voluotion
SWIM POOL, PVT
FLOOR DRAIN
Plumbing Fee Dbl E
Bond Amt.
E
MECHANICAL FEES
SWIM POOL, COMM
Final D t Inspector
1�_ la
WATER SOFTENER
T
Sp. Insp. Fee E
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
SIGN
Regisir. Fee E
WASHER (AUTO) (DISH)
Witness Fee E
Peinsp. Fee E
APPLIANCE ❑ DRYER
Tel. Zip
GARBAGE DISPOSAL
Address t
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kl
—
City Zip
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
Received by
Contractor
t
LAUNDRY TRAY
License q
c/Workers'
Trees required
AIR HANDLING UNIT CFM
IDLE METER
Zip
City {J�J
KITCHEN SINK
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF ventrad bye
WORK FOR 120 DAYS SHALL ALS USE ERMIITT�TO BECOME VOID.
1 HEREBY AGREE THAT AL 419 WITH THIS PERMIT WILL BE DONE IN ACCORDANCE `
�WITH THE LAWS OF RIVERSIDE COUNTY A 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.
r7e, District
91
Form 284.208 (Rev. 4.77) Os
ABSORPTION SYSTEM O 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. Ga ¢
BATH TUB
SQ. FT. Ca, 4
WATER HEATER
SQ. FT. RESID @ 1'/.¢
SEWAGE DISPOSAL
SQ. FT. GAR Ga Y,a
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
Q�
PERMIT FEE
08L.
TOTAL FEES
MOB. MM. FEE
MICRO FEE MECH. FEE
PL. CK. FEE
CONST. FEE
���=
ELECT. FEE
SMI FEE
FEE
PLUMB. FEE
I PERMIT NO.
3 4 6 9 5 6
Supp. Permit
Job Address Space Zip
76 -�./ �- «,�- l
Owner
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Community
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Valuation
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Date
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Dist.
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Off.
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F.C.
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�MH Permit Fee E
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(Micro Film Fee Cop E
t
Use of Permit
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Parcel No.
_
Use No.Ck.by
Mech. Fee Dbl E
iPl. Ck. Fee E'
Set Backs
Lot Size/1�
/
[Construction Fee Dbl E an -Legal
Description
X
F
y
S 40
R
Electrical Fee Dbl E
Zone
Grp
Type
Unit
SMI Fee E
Plumbing Fee Dbl E
Bond Amt.
E
Plan No.
I
Plan Checker
Final D t Inspector
1�_ la
T
Sp. Insp. Fee E
'mol. Fee E
Const. Lender Branch 'I certify that to the performance of the for which this permit is issued I sholl
not employ any person in any manner so as to become subject to the workmen's com.
'4 pensotion laws of California."
Address City Zip Owner Signature
Builder Signature
Regisir. Fee E
Mileage Fee E
Witness Fee E
Peinsp. Fee E
Owner/Agent
P i t Pk \
Tel. Zip
kotol Fees E
Address t
� t
kl
—
City Zip
M.O. ❑ N.C. ❑ Cash ❑ Ch ck;�
Received by
Contractor
t
Tel.
&44,
License q
c/Workers'
Trees required
ew
Sage System
T LL P
Address
Zip
City {J�J
Comp.
yes ❑ no ❑
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF ventrad bye
WORK FOR 120 DAYS SHALL ALS USE ERMIITT�TO BECOME VOID.
1 HEREBY AGREE THAT AL 419 WITH THIS PERMIT WILL BE DONE IN ACCORDANCE `
�WITH THE LAWS OF RIVERSIDE COUNTY A 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.
r7e, District
91
Form 284.208 (Rev. 4.77) Os