290214 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
PERMIT NO
C%jury l i Or K! V CK3110C
DST
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
NO.
PLUMBING FEES
1 ST FL.
2ND FL.
FOR.
GAR.
CAR P.
WALL SO.
ESTIMATED CONSTRUCTION
SO. FT. @
SO, FT. @
SO. FT. _@ '�
SQ. FT.t•@
SQ. FT. @
FT. @
SQ. FT. @
VALUATION
$ QI
UNITS
YARD SPKLR SYSTEM
a0
MOBILEHOME SVC.
BAR SINK
f
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
$
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 OOD
SIGN
'WASHER
(AUTO SH)
cls�
APPLIANCE ❑ DRYER
GARBAGE DISPOSAL
Oq
FURNACE ❑ UNIT ❑ WALL El FLOOR ❑ SUSPENDED
LAUNDRY TRAY
ssa
AIR HANDLING UNIT
CFM
IDLE METER
KITCHEN SINK
s
ABSORPTION SYSTEM
B.T.U.
TEMP USE PERM SVC
WATER CLOSET
d�
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
a_ a
HEATING SYSTEM ORCED ❑ GRAVITY
MPERES SERV ENT
SHOWER
cyta
BOILER B.T.U.
SQ.FT. @ a
BATH TUB
j,
SQ.FT. @ ¢
WATER HEATER
eJC3
4Q.FT.RESID @ 11/4a
/
SEWAGE DISPOSAL
d..
6 Q.FT.GAR @ 3/4a
HOUSE SEWER
GAS PIPING
PERMIT FEE
fJC3
PERMIT FEE
OCJ
IPERMIT FEE
DBL.
I TOTAL FEES
�=�
MOB.HM.FEE
MICRO EE
�
MECH. FEE
/
PL. CK. FEE
CONST. FEE
e 2
ELE T. FEE
1 f, --0
SMI FEE
Q,
FEE
PL B. FEE
J
F
M
A
M
J
J
A
S
O
N
D
JOB ADDRESS SP NO
p� r� /� I
OWN ; ,
�•
'76
..7 L«3 YC l—€� la.,W
lam' i^j
77
COMMUNITY
VALUATION j
DATE
ST
OFFFiE''
.78
M H PERMIT FEE
$
USE IF PERMIT �y
F.C.
SUPP. O PERMIT PERMIT
NO.
MICROFILM FEE
COPIES
$
BOOK P E PARCEL
LEGAL DESCCRRIPTI N
MECHANICAL FEE
D L
$
USE N .
ZO/JNNE'��'fj
I SET BACK
LOT/SIZ/E
GRP
TYPE
CK�yBYY
—z
Lg
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE INSPECTOR
J
CONSTRUCTION FEE
DBL
$
NAME OF CONST, LENDER BRANCH
OFFICE
NO LENDER INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
STRONG MOTION
INSTRUMENTATION FEE
$
+ry
OWNER! NTS SIGN/j UR{_ J j ( CONTRACTOR
el-t
.SPECIALINSP
•DEMOLITION.
FEE
$
ADDRESS-4%ADDRESS
,r J
REGISTRATION
+ !
:PLUMBING FEE
DBL
$
CITY �y ZIP CODE CITY
ZIP CODE
TOTAL FEES is
TEL. NO, jj AREA
CODE TEL.
NO.
AREA CODE
. LICENSE F
CASH❑CHECK ❑N.C.❑
°1 '' i�
RECEIVED BY,r REES REQUIRED
IT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
QvOMPE NSATI ON
SEWAGE SYSTEM
T
L
P I
INSURANCE UPON MC 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.
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