308868 (SFD)BUILDING PERMIT ,�IjW DEPARTMENT OF BUILDING & SAFETY .11sh, FIELD OFFICE
PERMIT NO.
3088fi8
PERMIT NO.
3088fi8
lob Address Space Zip
�2- -� �� �-��fo�
COUNTY OF RIVERSIDE
Owner
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-'
DST
CONSTRUCTION ESTIMATE
Date //')
�( %
NO. ELECTRICAL FEES
NO. PLUMBING FEES
F.C.
1ST FL. ZA SQ.
2ND FL. SQ.
POR. a fT SQ.
GAR. SQ.
CAR P. SQ.
WALL SQ.
SQ.
ESTIMATED CONSTRUCTION
FT. (a} ^ $ 340 jE.7,6Y
UNITS
Micro Film Fee
Cop E
r
FT. @YARD SPKLR SYSTEM
Use of Permit
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? 9:5;;l ' ` .�f� 6
FT. @ MOBILEHOME SVC. BAR SINK
d
00 POWER OUTLET ROOF DRAINS
FT. 8 � 3 "'�
Mech. Fee Dbl E
FT. @ DRAINAGE PIPING
Set Backs
FT. 8 DRINKING FOUNTAIN
Construction Fee Dbl E
FT. C3 URINAL
F ��
VALUATION $ 3 s3AI WATER PIPING
a pb
NOTE: Not to be used as property tax valuation
Electrical Fee Dbl EAA
SWIM POOL, PVT
FLOOR DRAIN
Type
Unit
MECHANICAL FEES
SMI Fee E _ 0;4
SWIM POOL, COMM
WATER SOFTENER
Bond Amt.
E
VENT SYSTEM FAN 0 EVAP. COOL 19 HOOD
Plan Checker
SIGN
f WASHER IAUTODISHI
Sp. Insp. Fee E
APPLIANCE [DRYER
dd
j GARBAGE DISPOSAL
Registr. Fee E
Mileage Fee E
FURNACE O UNIT 0 WALL C) FLOOR C] SUSPENDED
Reinsp. Fee
E
LAUNDRY TRAY
Owner/Agent
Tel. Zip
AIR HANDLING UNIT CFM
Total Fees
IDLE METER
KITCHEN SINK
OD
City Zip
ABSORPTION SYSTEM � B.T.U.
Received by
TEMP USE PERMIT SVC
WATER CLOSET
p e)
Tel. //� `'
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COMPRESSOR S HP
Trees required
POLE, TEMP/PERM
LAVATORY
Address
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City / �ryZip
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HEATING SYSTEM CYFORCED O GRAVITY
-0,0
AMPERES SERV ENT
SHOWER
BOILER E== B.T.U.
SQ. FT. Cal ¢
BATHTUB
�p
SQ. FT. Cw ¢
WATER HEATER
,ASQ. FT. RESID Ca} I'Ac .
rJZ SEWAGE DISPOSAL
Q
a SQ. FT. GAR Cat Y.¢
HOUSE SEWER
GAS PIPING
d U
PERMIT FEE
HiQ
PERMIT FEE
Q PERMIT FEE
3 o U
DBL.
TOTAL FE S
�a
MOB. HM. FEE
MICRO FEE
MECH. FEE
a7�o
PL. CK. FEE
�°°
CONST. FEE
flays''
ELECT. FEE SMI FEE
3,s S? 3�s
FEE
PLUMB. FEE
<fJv
PERMIT NO.
3088fi8
Supp. Permit
lob Address Space Zip
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Owner
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Community
QN �
Valuation
E �/3 Se
Date //')
�( %
Dist.
Off.
F.C.
MH Permit Fee E
Micro Film Fee
Cop E
Use of Permit
'J� -L/ / �
? 9:5;;l ' ` .�f� 6
Parcel No. '
eV/'7— W `Y1 2 - 0z 3
Use No.
Ck. by
Mech. Fee Dbl E
,PI. Ck. Fee � E O
Set Backs
Lot Size '
Construction Fee Dbl E
legal Description
ham% �� 3�4C�-
F ��
S !
S �
Electrical Fee Dbl EAA
Zo/ne�
Grp�J
Type
Unit
r
SMI Fee E _ 0;4
Plumbing Fee
Dbl E
Bond Amt.
E
Plan No.
Plan Checker
Final Dote
Inspector
Sp. Insp. Fee E
'Dental. Fee
E
Const. Lender Branch 'I certify that to the periormonce of the —a Ior wh,ch th•s permit n issued I sholl
not employ any person in any manner so as to bo ome sublect to the workmen s com.
pensohon laws of Cohformo
Address City Zip
Owner S,gnaWre
Budder S�gnnwre
Registr. Fee E
Mileage Fee E
.Witness Fee E
Reinsp. Fee
E
Owner/Agent
Tel. Zip
Total Fees
E
(,F
Address
City Zip
M.O. ❑ N.C. ❑ Cosh O C ck G�
Received by
Contractor
Tel. //� `'
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License N
Trees required
Sewage System
T LL
Sewer District
Form 284.208 IRev. 4771 Qs
P II
Address
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City / �ryZip
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Workers' Comp.
l y]`G❑ no O�
THIS PERMIT SHALL BECOME VOID ]h` WORK 15 NOT COMMENCED WITHIN 120 DAYS. CESSATION OF e ped by
WORK FOR 120 DAYS SHALL ALSO CAUSE PTRMIT TO BECOME VOID
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
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