303891 (SATT)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY _ FIELD OFFICE
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PERMIT NO,
PERMIT NO.
30389111
Job Address
COUNTY OF RIVERSIDE
SpaceZip Owner J
DST
CONSTRUCTION ESTIMATE
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NO. ELECTRICAL FEES
NO.
PLUMBING FEES
1ST FL.
2ND FL.
POR.
GAR.
CAR P. r'
WALL
ESTIMATED CONSTRUCTION
SQ. FT. $
Mech.
[Db
UNITS
b
SQ. FT. Q
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
POWER OUTLET
So. FT. @ O
BAR SINK
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT.
DRINKING FOUNTAIN
SQ. FT.. @
URINAL
VALUATION $ t
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
Electrical Fee
FLOOR DRAIN
'
MECHANICAL FEES
SWIM POOL, COMM
SMI Fee
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
6
SIGN
Plumbing Fee
-Sp.
WASHER (AUTO) (DISH)
La
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APPLIANCE ❑DRYERVie
Plan o.
n h cke Fino Inspect f
Insp. Fee
GARBAGE DISPOSAL 47 45tt
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
'q-
LAUNDRY TRAY —091
AIR HANDLING UNIT CFM
IDLE METER
`
KITCHEN SINK 9'
ABSORPTION SYSTEM + O B.T.U.
TEMP USE PERMIT SVC .
Registr. Fee $
WATER CLOSET
Witness Fee E
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
Builder S.gngture
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
E
AMPERES SERV ENT
Owner/Agent
SHOWER
BOILER B.T.U.
SQ. FT. Qct ¢
C3i.
BATH TUB
ddress
SQ. FT.
M.O. ❑ N.C. ❑ Cas
WATER HEATER
zm SQ. FT. RESID 8 1'14(1
Received by
SEWAGE DISPOSAL
Contractor's• r
SQ. FT. GAR Gq/.¢
license tY
HOUSE SEWER
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_
GAS PIPING
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PERMIT FEE
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PERMIT FEEe.
PERMIT FEE
DBL.
TOTAL FEES MOB. HM. FEE
MICRO FEE
ECH. FEE
IO2
PL. CK. FEE
CONST. FEE - E CT. FEE
g
SMI FEE
0
FEE MB. FEE
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PERMIT NO,
Supp. Permit
Job Address
SpaceZip Owner J
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parcel No. Use No_` + Ck.by
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MH Permit Fee b
,Micro Film Fee b
Mech.
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Fee
b
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PI. Ck. Fee
$
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7
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or ♦ C
ize
Construction Fee
Dbl b
Q
Legal Des iption
• F
Electrical Fee
Dbl E
Zone Grp Type Unit
SMI Fee
E'er
Plumbing Fee
-Sp.
Dbl E
t�
Bond Amt.
Plan o.
n h cke Fino Inspect f
Insp. Fee
E
S
'q-
Demol. Fee
b
Const Lender
Address
Branch I certify that in the performance of the work for which this permit is issued I sholl
not employ any person in any monner so as to become subject to the workmen s com-
pensation lows of Cahfomla.-
City Zip
Owner Signature
-
Registr. Fee $
Mileage Fee b
Witness Fee E
Builder S.gngture
Re insp. Fee
E
Owner/Agent
Tel. Zip
Total Fees
$
ddress
City Zip
M.O. ❑ N.C. ❑ Cas
eck
-
Received by
Contractor's• r
Tel.
license tY
Trees requir
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4Sewage Systemress
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Zip
Workers' Comp.
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Sewer District
I THIS PERMIT SHALL BECOME VOID IF WORK IS rJ011COMMENCED WITHIN 120 DAYS. CESSATION OF enE ed by I 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 RIVERSIDE COUNTY AND THE STATE OF CAUFORNIA. t
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.