297353 (AR)DEPARTMENT OF BUILDING 8 SAFETY FIELD OFFICE
BUILDING PERMIT
J F M A M J J A S O N D
PERMIT NO.
97353
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1
COUNII i Or KIVCK31UC
--� A� 6.t N!
DST
CONSTRUCTION ESTIMATE
VALUATION
NO. ELECTRICAL FEES
5 OFFICE
NO. PLUMBING FEES
1 ST FL.
2ND FL.
POR.
GAR.
CAR P.
WALL SO.
(Z>�kA
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
78
MMI
H PERMIT FEE
SQ. FT. @ YARD SPKLR SYSTEM
$
SQ. FT. @ MOBILEHOME SVC. BAR SINK
USE OF R
SQ. FT. @ POWER OUTLET ROOF DRAINS
SUPP.'TO PERMIT
SQ. FT. @ DRAINAGE PIPING
FT. @ DRINKING FOUNTAIN
SQ. FT. @URINAL
VALUATION $ WATER PIPING
A5A 6{. X,44
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
73
FLOOR DRAIN
MICROFILM FEE
COPIES
MECHANICAL FEES
SWIM POOL, COMM
LEGAL DESCRIPTION
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
SIGN
FEE
WASHER (AUTO) (DISH)
$
APPLIANCE ❑ DRYER
BACK
OT SIZE
GARBAGE DISPOSAL
TYPE
CK BY
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
LAUNDRY TRAY
I'D'SET
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
I
ABSORPTION SYSTEM B.T.U.
TEMP USE PERM SVC
WATER CLOSET
ti11
2101
COMPRESSOR HP
S/10
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM ❑ FORCED XGRAVITY
AMPERES SERV ENT
SHOWER
PLAN NO.
PLAN CHECKER
BOILER B.T.U.
SQ.FT. @ a
BATH TUB
SQ. FT. @ a
WATER HEATER
SQ.FT.RESID @ 1 I/na
SEWAGE DISPOSAL
CONSTRUCTION FEE
DBL
$
SQ.FT.GAR @ 1/4a
NAME OF CONST. LENDER BRANCH
HOUSE SEWER
NO LENDE INVOLVED
GAS PIPING
ELECTRICAL FEE
DBL
PERMIT FEE
�"„�M/PERMIIIFEE
ADDRESS CITY
STATE
PERMIT FEE
DBL.
TOTAL FEEEES
MOB.HM.FEE
MICRO FEE
MECH.FEESCO
ST. FEE
ELECT. FEE
SMI FEE
FEE
PLUMB, FEE
J F M A M J J A S O N D
JOB ADDRESS SP NO
I
I
Ave�.�
OWNER
76
--� A� 6.t N!
77
COMMUNITY
VALUATION
DATEf
5 OFFICE
{ /
78
MMI
H PERMIT FEE
$
USE OF R
F.C.
SUPP.'TO PERMIT
PE MIT N
A5A 6{. X,44
73
MICROFILM FEE
COPIES
$
BOOK PAGE PARCEL
LEGAL DESCRIPTION
FEE
DBL
$
US
BACK
OT SIZE
GRP
TYPE
CK BY
I'D'SET
J.MECHANICAL
1
I
ti11
2101
S A0
S/10
R
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL • / p `'d INSPECTOR
77
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDE INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
STRONG MOTION
INSTRUMENTATION FEE
$
OW ER/ ENTS SIGNATURE 1 CONTRACTOR
SPECIALINSP
$
Aq6RqS ADDRESS
DEMOLITON
FEE
IfAfl
REGISTRATION.-
svl �1
PLUMBING FEE
DBL
$
aTry CODE Cm
ZIP CODE
NO. AREA CODE LICENSE KCASH❑CHEC
TOTAL FEES _11�$
TEL. NO.
TEL.
.O.❑N.C.❑
r�;.DE
?7-41
RECEIVED BY TREES REQUIRED
v
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
SEWAGE SYSTEM
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
T LL P
WITH -LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
L.UMNtNJA IIUN INbURANLE UPON 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
FORM 284.208 (REV. 6.76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.