SFD (286153)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY Ah
FIELD OFFICE
J F M A M J A S O N D
PERMIT NO.
6 5 3
OWNER
I.VUIV I T Ur KIVCKZIIUt .
�I
COMMUNITY
bi l A)1.
VALUATION
DST
CONSTRUCTION ESTIMATE
OF�FIICCE
NO. ELECTRICAL FEES
M H PERMIT FEE
NO. PLUMBING FEES
$
1ST FL.
2ND FL.
POR.
GAR. #
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ 44'$
UNITS
PE MI NOG
SQ. FT. @ YARD SPKLR SYSTEM
COPIES
SQ, FT. @ MOBILEHOME SVC. BAR SINK
SQ. FT. @ . �� POWER OUTLET ROOF DRAINS
LEGAL DESCRIPTION
SQ. FT. @ DRAINAGE PIPING
DBL
SQ. FT. @ DRINKING FOUNTAIN
SQ. FT. @ URINAL
SETBACK
VALUATION $ .. ;j WATER PIPING
GAP/} TYPE CK BY
NOTE: Not to be used os'property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
IrwIf
$
MECHANICAL FEES
BOND AMT.
SWIM POOL, COMM.
PLAN CHECKER
WATER SOFTENER
CONSTRUCTION FEE
VENT SYSTEM ❑ FAN ❑ EVAP. COOL HOOD'
'ReSIGN
NAME OF CONST, LENDER BRANCH
WASHER (AUTO)jVISH)
dd
ELECTRICAL FEE
APPLIANCE DRYER
$
ADDRESS CITY
GARBAGE DISPOSAL
STATE
STRONG MOTION
INSTRUMENTATION FEE
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
$
/
�....
OWN �AGENTSpSIS ANTU E CONTRACTOR
7 TUI, `"
Q % l 7 r re,
LAUNDRY TRAY
'SPECIAL NSP
DEMOLITION
REGISTRATION
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
PLUMBING FEE
TEMP USE PERM SVC
$
3
WATER CLOSET
CITY ZIP CODE CITY
�' y
/ u t'f i A 4 �iG
ZIP CODE
COMPRESSOR d00U HP
$
{ /
POLE, TEMP/PERM
TEL. 11. // AREA
'YG7/
LAVATORY
NO.
AREA CODE
HEATING SYSTEM FORCED ❑ GRAVITY
OV
AMPERES SERV ENT
00
SHOWER
a�
LL
BOILER OB. T. U.
SQ.FT. @ a
BATH TUB
41a
SQ. FT. @ a
WATER HEATER
jI
6 V,
,gO.FT.RESID @ 11/4a
SEWAGE DISPOSAL
,
SQ. FT. GAR @ 3/4a
00.
HOUSE SEWER
GAS PIPING
Oa
PERMIT FEE
��
PERMIT FEE
00
PERMIT FEE
DBL.
TOTAL FEES
IMOB.HM.FEEI
MICRO FEE
MECH. FEE
��
PL. CK. FEE
CONST. FEE
/ arm
- ELECT. FEE
XV/1
SMI FEE
FEE
PLU 8. FEE
J F M A M J A S O N D
JOB ADDRESS �y �/�},v� I SP NO
Ave
OWNER
76 F
77
COMMUNITY
bi l A)1.
VALUATION
DATE /
DST
OF�FIICCE
78
M H PERMIT FEE
$
USE Of PERMITF.C.j
Al
SUPP. OPER IT I
PE MI NOG
MICROFILM FEE
COPIES
$
BOOK - PAGE PARCEL
7731
LEGAL DESCRIPTION
MECHANICAL FEE
DBL
$ /7
USE NO. ZONE
SETBACK
LOT
�(S E fp/L
GAP/} TYPE CK BY
PLAN CHECK FEE
IrwIf
$
BOND AMT.
PL/A/NANO/.
PLAN CHECKER
FINAL DATEj.INSPECT.R
CONSTRUCTION FEE
DBL
$
NAME OF CONST, LENDER BRANCH
OFFICE
NO LENDER INVOLVED
ELECTRICAL FEE
DBI
$
ADDRESS CITY
STATE
STRONG MOTION
INSTRUMENTATION FEE
$
/
�....
OWN �AGENTSpSIS ANTU E CONTRACTOR
7 TUI, `"
Q % l 7 r re,
'SPECIAL NSP
DEMOLITION
REGISTRATION
FEE
$
ADD S ' ADDRESS
` j
i f.+a jj
PLUMBING FEE
DBL
$
3
�Q
�'�`
CITY ZIP CODE CITY
�' y
/ u t'f i A 4 �iG
ZIP CODE
TOTAL FEES
CASH❑GREG 0. N. C.
$
{ /
��f
TEL. 11. // AREA
'YG7/
CODE TEL.
NO.
AREA CODE
LICENSE tt
RECEIVED BY.
TREES REQUIRED
IT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
OR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME, VOID.
I E 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 -
SEWAGE SYSTEM
T
LL
j 100,
PiLi/i/V
FORM 284.208 IREV. 6-76)
i� vmr[Ivaq I Ivry Irv,UKHrvl-t Ul'UN MT tMYwYttb. C.UMPLIANCE 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
SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.