SFD (303414)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
BUILDING PERMIT COUNTY OF RIVERSIDE �I
PERMIT NO. - -
/1nn
CONSTRUCTION ESTIMATE
1ST FL.
SQ. FT. @ Act
2ND FL.
SQ. FT. @
POR.
SQ. FT. @ 4.0
GAR.
SQ. FT. @
CAR P.
SQ. FT. @
WALL
SQ. FT. @
RYER
SQ. FT. @
ESTIMATED CONSTRUCTION
VALUATION $
NOTE: Not to be used as orooertv tox valuation
NO. ELECTRICAL FEES NO. PLUMBING'FEES
Qd UNITS
YARD SPKLR SYSTEM
Q MOBILEHOME SVC. BAR SINK
_L- d" POWER OUTLET ROOF DRAINS
'ISWIM POOL. PVT
DRAINAGE PIPING
DRINKING FOUNTAIN
ATER PIPING
nnD nPAIN
J F M A M J J A' S O N,l D
MECHANICAL FEES
76
SWIM POOL, COMM
WATER -SOFTENER
VENT SYSTEM AN
❑ ,EVAP. COOL W06Dllf
M H.PERMIT FEE
SIGN•
WASHER(AUTO) (AUTO)44H)
Qr%
APPLIANCE
RYER
NO.
GARBAGE DISPOI§AL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR SUSPENDED
LAUNDRY TRAY
c303414
AIR HANDLING UNIT
-CFM
=. IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM
B.T.U.
BOOK' P PARCEL LEGALUESCRIPTIUW
TEMP USE PERM SVC
ATER CLOSET
C
'COMPRESSOR „"
HP
DBL
POLE, TEMP/PERM
LAVATORY'
AQ
HEATING SYSTEM
&PRCED ❑ GRAVITY
MPERES SERV ENT"
SHOWER
BOILER
B.T.U.
SQ.FT..@ a
BATH TUB
O
S R
� / .-
SQ.FT. @ a
WATER HEATER
$'
BOND AMT.
PLAN Nd. PLAN CHECKER
.FT.RESID @ 11/44
S6.1'T.GAR @ 3/44
SEWAGE DISPOSAL
HOUSE SEWER
GAS PIPING
G7(%
eo
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
I TOTAL FEES
MOB.HM,FEE
MICRO FEEME
BRANCH OFFICE
L. CK: FEE
CONST. FEE ELI EE
-SMI FEE
FEE
PLUMB. FEE
J F M A M J J A' S O N,l D
JOB ADDRESS SP NO OWNER '
I
d._
76
77
c Ommur4lTy L ATI N DATE`
DST OFFICE
.
jey
$ 4a �I7'J.
78,
M H.PERMIT FEE
$
USE OF PMMrt-,r
F.C. SUP . TO PERMIT
PERMIT
NO.
c303414
MICROFILM FEE
COPIES
$
BOOK' P PARCEL LEGALUESCRIPTIUW
MECHANICAL FEE
DBL
$
USE NO.
ZON
. LOT SIZ
GRP TYPE CK BY
�.;SE�TBACK
-
�
S R
� / .-
e
.PLAN CHECK FEE
$'
BOND AMT.
PLAN Nd. PLAN CHECKER
FINAL DATE INSP�
TOR �
CONSTRUCTION FEE
DBL
$--
NAME OF CONST. LENDER
BRANCH OFFICE
NO LENDER INVOLVED
ELECTRICAL FEE
DBL'
$
ADDRESS
CITY
STATE
STRONG MOTION
$ ' o
OWNER/AGENTS SIGNATURE -
CONTRACTOR
.INSTRUMENTATION FEE►
'SPECIALINSP
$
ADDRESS
ADD s
DEMOLITION
FEE
REGISTRATION
PLUMBING FEE
DBL
$
CITY ZIP CoDE
C TY ZIP CODE
Liza
' TOTAL FEES$
TEL. NO..
AREA CODE
TEL. NO. AREA CODE
LICENSE
�
CASH❑CHECK O.❑N.C.❑ .a...3
RECEIVED BY T EES REQUIRED
{S" SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
RK 20 DAYS SHALL ALSO CAUSE PERMIT -TO BECOME VOID.
I B AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE .
FSEWAGE SYSTEM
/'
T4!00
LL
�/�
P z j /%�
/� THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
rn"DL l.IC A TInKl IKIC I IDA 11—
CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
FORM 264.206 (REV. 6-76) SO IN ACCORDANCE WITH SECTION 5.541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE- OF CALIFORNIA.