SFD (304345)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY
PERMIT NO.: COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES
1ST FL.
2ND FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. Q -AP $ .ZO UNITS
SQ. FT., 8
SQ. FT. @ MOBILEHOME SVC.
SQ. FT. 1a3 POWER OUTLET
SQ. FT. @
SQ. FT. @
SQ. FT.
VALUATION $ Gp
NOTE: Not to be used as property tax valuation SWIM POOL PVT
FIELD OFFICE
NO. I PLUMBING FEES
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
Fl n(lR DRAIN
PERMIT NO.
304345
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL JZ3 HOW
SIGN
WASHER (AUTO I DISH)
Community, /} J.
,C% Qu /nJTs9
APPLIANCE 19 DRYER
Valuation
$ a.� "SNZ_7.7
GARBAGE DISPOSAL
Dist.
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
F.C.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
Cop E
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
Parcel No.
7.
COMPRESSOR E::� HP
POLE, TEMP/PERM
LAVATORY
Mech. Fee Dbl $
HEATING SYSTEM FORCED ❑GRAVITY
AMPERES SERV ENT
SHOWER
S—I",
I Lot Size
BOILER B.T.U.
SO. FT. 8 a
BATH TUB
Description
1
0 �I
N/Ta3^f�Plumbing
SQ. FT. Ga ¢
WATER HEATER
J
SElectrical
SQ. FT. RESID Q 1 t/.¢
SEWAGE DISPOSAL
Type
SQ. FT. GAR C 'A it
1-4
HOUSE SEWER
Fee
Sp. Insp. Fee
Dbl $
E
nd Amt.
E
GAS PIPING
Pion Checker
—L —
PERMIT FEE
Inspector
7�.
PERMIT FEE
PERMIT FEE
Demol. Fee
DBL.
I TOTAL FEES
3
--�
Mae. HM. FEE
MICRO FEE H. E-
/7 401
PL. CK: FEE
CONST. FEE ELECT. FEE
�.�:o �
SMI FEE
�9
FEE P B. F E
�
_39 --
PERMIT NO.
304345
Supp. Permit
Job Address
Z--
ip
Space�'v
-
Owner
Community, /} J.
,C% Qu /nJTs9
Valuation
$ a.� "SNZ_7.7
Date
Dist.
Off.
F.C.
MH Permit Fee E
Micro Film Fee
Cop E
Use of Permit
�'''✓ L `• T
i�GL�
Parcel No.
7.
Use No.
Ck.by
Mech. Fee Dbl $
Pi. Ck. Fee E
t Backs
I Lot Size
Construction Feg
Fee
SMI Fee
Dbl E
Dbl E
E
tlLegol
<
Description
1
0 �I
N/Ta3^f�Plumbing
F
5 "
SElectrical
Zone
Grp
Type
Unit
Fee
Sp. Insp. Fee
Dbl $
E
nd Amt.
E
Plan No.
-23��
Pion Checker
—L —
Final Dote \ 'T
ld r�• I
Inspector
7�.
Demol. Fee
$
Const. Lender Branch
Address City
't certify that in the performance of the
not employ any person to any manner so
pensotion laws of California,
Zip
Owner $ignatur
Builder S.nrimwe
ark for which this permit is issued I shaft
as to become subject to the workmen s com-
Registr. Fee E
Mileage Fee $
Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel.
Zip
d
Total Fees E
M.O. ❑ N.C. ❑ Cosh Check'4
Address
City
eveiti%�
Zip,
ZSR
Received by
Contractor
Tel.
License #
Trees required
Sewage System
4/0 Aeyeso
��OTO U. PH
Sewer District
Address
City Zip
.,kers' Comp.
no ❑
PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF acn6ed by:
WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOM€ 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 CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE I
SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF i
Form 28420 (Rev. 4.771 0S CALIFORNIA. _