SPIN (374744)BUILDING PCKMII —
.i PERMIT NO. -. DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST
► COUNTY OF RIVERSIDE
37'4744 l�
-CONSTRUCTION ESTIMATE
NO. ELECTRICAL. FEES
NO. PLUMBING FEES
'IST FL. SQ. FT. @
UNITS
2ND..FL.. '• SQ'. FT. @
YARD SPKLR SYSTEM
FOR. SQ. FT. @
MOBILEHOME SVC.
'BAR SINK
Community ^m
f.. ,I}1^ �1^°�Z> 1 /i/ ,.I ,.
POWER OUTLET
ROOF DRAINS
+ GAR: SQ. FT. @
Off.
r
—f•:.'a'/�✓j
F.C.C.
CARP. SQ. FT. @
.Micro Film Fee Cop $
DRAINAGE PIPING
'WALL SQ. FT. @
Use/Case No.
DRINKING FOUNTAIN
SQ. FT. @ -
Mech. Fee Dbl $
R
URINAL
ESTIMATED. CONSTRUCTION VALUATION
WATER PIPING", t �
NOTE: Not to 6e used as property tax valuation
SWIM POOL,' PVT
; FLOOR DRAIN • /'
MECHANICAL FEES
SWIM POOL, COMM
7 WATER SOFTENER -
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE / DRYER
GARBAGE DISPOSAL
FURNACE, "UNIT WALL, FLOOR SUSPENDED
SMI Fee $
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.
SQ.'FT. @ c
BATH TUB
l• C !
SQ.'FT. @. c
WATER. HEATER
1 Demol., Fee' $
SQ. FT. RESID @I Ac
SEWAGE DISPOSAL
L
SQ. FT. GAR @ s/+ t'
HOUSE SEWER
Witness Fee $ <';,,,
GAS PIPING r
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB.HM. FEE
. MICRO FEE
MECH. FEE PC CK. FEE
CONST. FEE ELECT. FEE
SMI FEE.
FEE PLUMB. FEE
M.O. N.C. Cash Check
;'Received by s
041,
Contractor
Tel.
License# ,
yI Trees required
'Sewage System
Address,-
T-11- Zip
L r — PERMIT NO.
_
Job Addressr A•y - ` t Space .
Zip
Owner �. 1 I
;3°74744_
Community ^m
f.. ,I}1^ �1^°�Z> 1 /i/ ,.I ,.
Valuation -
$
e
Dat -
1 '� . 7cr
j �' /
Dist.
�%
Off.
r
—f•:.'a'/�✓j
F.C.C.
MH:Permit Fee $-
.Micro Film Fee Cop $
Use of Permit
'r
Parcel No.
??
Use/Case No.
Ck. By
'q
Mech. Fee Dbl $
R
% •' .. % . `% it :� t u �' 1��
f.
'/J
�' • -
RI: Gk^'Fee $
Set Backs
Lot Size
'
_
i-^ -
tr'&n;truction Fee '.- Dbl $
LegalDescription J - F
- -. -
! E/-' r"`�• / `�
••,
S
S R
.Electrical Fee Dbl $
Zone Restrictions •Group
�,
Type ,
SMI Fee $
y
r
•
Fee Dbl $
Bond Amt "+
1•„•y
[Plan No.
Plan Checker
Final Date
— f�
Ins ec
p
Unitlumbing
'''Sp.'Insp. Fee $
$
l• C !
l;
1 Demol., Fee' $
Const. Lender Branch '
SupplimenTal Permit Numbers
• i� �����,J �� ' ��`4„ ' f
i' aYy41 .
Registr. Fee . $
rMileage Fee$
Address 7) City Zip
f/
%
Witness Fee $ <';,,,
%rye
•" J
FReinsp. Fee _ L s+?
Owner/Agent �� .iP/st
.Tel.. (; Zip
o
L,
'Total Fees - $ %�d• VQ
Address ,
^ ,
City / Zip
/y+ �•
M.O. N.C. Cash Check
;'Received by s
041,
Contractor
Tel.
License# ,
yI Trees required
'Sewage System
Address,-
T-11- Zip
T U. P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by
Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
d, 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 SO IN `
Ir ,
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Form 284.208 (Rev.8/78) _. s
BUILDING PERMIT
LPERMIT NO. DEPARTMENT OF BUILDING & SAFETY
3 74744 COUNTY OF RIVERSIDE FIELD
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL,
2ND. FL.
FOR.
SQ, FT. @ $
SQ. FT. @
SQ. FT. @
UNITS
Community
YARD SPKLR SYSTEM
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. @
CAR P. SQ, FT. @
WALL SQ. FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
POWER OUTLET
ROOF DRAINS
F.C.C.
DRAINAGE PIPING
Micro Film Fee
DRINKING FOUNTAIN
Use of Permit
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 HOOD
SIGN
WASHER (AUTO)(DISH)
.APPLIANCE DRYER
Legal Description
GARBAGE DISPOSAL
(FURNACE UNIT WALL FLOOR SUSPENDED
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.
SQ. FT. @ c
BATH TUB
Unit
SQ. FT. @ c
WATER HEATER
Demo! Fee
SQ. FT RESID @1'hc
SEWAGE DISPOSAL
SQ FT. GAR @ '/. t
HOUSE SEWER
Supplimenlal Permit Number
GAS PIPING
PERMIT FEE
Address City Zip
�--
PERMIT FEE
PERMIT FEE
iDBL TOTAL FEES
MOB. HM.FEE MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB, FEE
PERMIT NO.
374744
Jab Addrear�
�-
h
I V
Space Zip
dog
Owner
Community
Volualion Dale
$
Dial.
Off.
F.C.C.
MH Permit Fee Is
Micro Film Fee
Cop $
Use of Permit
Poo C'
P
Parcel No
Use case No•
Ck, By
Mech, Fee Dbl $
PI. Ck. Fee y
Set Backs
Lot Size
Construction Fee Dbl '§
Legal Description
F S
S R
Electrical Fee Dbl $
Zone Restrictions
Group
Type
SMI Fee $
Plumbing Fee
Dbl $
Bond Amt
Pion No
Plan Checker
Final Dale t/
�/
I I — S-- J 1 r
Inspector
Unit
Sp_ Imp. Fee ;I
Demo! Fee
:6
Const. Lender
Branch
Supplimenlal Permit Number
Registr. Fee �5
Mileage Fee $
Address City Zip
�--
Wilness Fee $
Reinsp. Fee
$
Owner/Agent
�i .'.{,:,r!
-""`-
Tel.p
ZI
Total Fees
5
Address
City
Zip
M.O. El N.C. Cash Check
Received by
f
Contractor
Tel.
LicenseM
Trees required
Sewage System
Address
Cily
Zip
T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
1\ I HEREBY AGREE THAT ALL WORK IN CONNECTfON WFTH 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 SO IN
Form 234-206 tRev.9/79j ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
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