0311-129 (WALL)BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY
3 9 9 0 9 9 COUNTY OF RIVERSIDE FIELD DST399
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. @ $
UNITS
Volu tione
$
2ND.*FL. SO. FT. @
Dist.
YARD SPKLR SYSTEM
POR. SO. FT. @
MOBILEHOME SVC.
BAR SINK '
GAR. SQ. FT. @
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT. @
Mech. Fee Dbl $
DRAINAGE PIPING
WALL SQ. FT. @
Lot Size
DRINKING FOUNTAIN
SO. FT. @
F
URINAL
ESTIMATED CONSTRUCTION VALUATION $
Zone Re
fi
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Const. Lender Branch
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Mileage Fee is $
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM 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.
SO. FT. @ a
BATH TUB
City (`Zip
SO. FT. @ a
WATER HEATER
S0. FT. RESID @ 1 t%a
SEWAGE DISPOSAL
S0. FT. GAR @ 3/4¢
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FE U y
DBL.
TOTAL FEE?),.,.
MOB. HM. FEE
MICRO'FEE
MECH. FEE Pl. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
1 �.�
PERMIT NO.
990 991
Job AddressSpace
fi�s:i -
p Owner
S' '
Community I
.:.�
Volu tione
$
``
C j J
Dist.
Off.
F.C.C.
MH Permit Fee $
kcro�Film Fee Cap $
Use of Permit
In �* �^! r �;.L �'� Z -•. 1ri.!�"� \
Parcg NNo_.
f�L 7 • 6l (0✓i
Use/Case No.
4
Ck. B
Mech. Fee Dbl $
PI. Ck. Fee $
Set Bocks f
Lot Size
Construction Fee Dbl $
Legal Desctipyon
�
(( /�.`
f / (/
F
5 S R
Electrical Fee Dbl $
Zone Re
fi
riclion,
r" t ii
Group
Type
SMI Fee $
Plumbing Fee Dbl $
Bond Amt.
P104 No.
Plan CheckerJ
FinalPC" aZ�n/A Inspe for Unit
Sp. Insp. Fee $
Darrel. Fee.r1 $
Const. Lender Branch
Supplimentol Permit Numbers
//
(/^' ( J
`- 4/„j, JIJ
Regisir. Fee [ Y t $ r
,
Mileage Fee is $
Address City Zip
Witness Fee $
Reinsp. Fee $
Owner/Agent
Tel. Zip
!City1111111111111 IN 63 � Zip
IE
Total Fee, $ :�,
Address
M.O.I] N.C. Cash Check
Received by
Contractor w•-7
(
Tel.
7 - ( ^,
License#
Trees required
Sewage System „\f
Address 1 _
City (`Zip
•�r
T LL I �'; P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK redfied by:
Sewer District
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. t
` — I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
T�-OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
EREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Re, 1/80) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.