296802 (SFD)DEPARTMENT OF BUILDING & SAFETY
BUILDING PERMIT r.�„&,T" ^r R,"oRr me I
FIELD OFFICE
J F I M A M J J A S O N D
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PERMIT NO.
296802
OWNE
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VALUATION y+•
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CONSTRUCTION ESTIMATE
OFFICE
NO. ELECTRICAL FEES
MH PERMIT FEE
NO. PLUMBING FEES
$
IST FL.
2ND FL.
POR.
GAR. SQ.
CAR P. SQ.
WALL SQ.
ESTIMATED CONSTRUCTION
SQ. FT. @ $
!24_
UNITS
PERMIT
NO.
SQ. FT. @ YARD SPKLR SYSTEM
COPIES
SQ. FT. @ MOBILEHOME SVC. BAR SINK
FT. @ POWER OUTLET ROOF DRAINS
FT. @ DRAINAGE PIPING
FT. @ DRINKING FOUNTAIN
7>T_ 6w, - . 194 --4 50' 111k;r4 LQ
SQ. FT. @ URINAL
DBL
VALUATION$ O WATER PIPING
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NOTE: Not to be used as property tax valuation
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SWIM POOL, PVT
LOT SIZE /�
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FLOOR DRAIN
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MECHANICAL FEES
PLAN CHECK FEE
SWIM POOL, COMM
$
WATER SOFTENER
BOND AMT.
PLAN N««O��
VENT SYSTEM ❑ FAN ❑ EVAP.000L 5000D
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SIGN
CONSTRUCTION FEE
WASHER (AUT SH)
OE5
APPLIANCE ❑ DRYER
OFFICE
NO LENpER INVOLVED
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
ELECTRICAL FEE
LAUNDRY TRAY
$ fJ
AIR HANDLING UNIT CFM
IDLE METER
STRONG MOTION
INSTRUMENTATION FEE
KITCHEN SINK
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E
ABSORPTION SYSTEM O B.T.U.
TEMP USE PERM SVC
W74TER CLOSET
AOld
$
COMPRESSOR HP
AQDRES ADDRESS
♦ /Q 4
POLE, TEMP/PERMLAVATORY
4)0
DBL
HEATING SYSTEM 5jCORCED ❑ GRAVITY
MPERES SERV ENT
ZIP CODE
y
SHOWER
00
TEL.
NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
ORS 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 I
WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
COMPENSATION INSURANCE
SEWAGE SYSTEM
T L
r
P x
U ON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE OF
CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
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
FORM 284-208 IREV. 6.76) OF CALIFORNIA. -