301837 (SFD)BUILDING PERMIT
A DEPARTMENT OF BUILDING & SAFETY
FIELD OFFICE
SNI Vim IIVJVnHIvI.0 VrVIV MT CMrLVTCCJ. LVMrLIAIV I.0 WIIr1 Inc LAWJ Vf Ir7C JIAIC Vf
IA COVERING CONTRACTORS IS ALSO GUARANTEED.
CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
ORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
)RNIA.
PERMIT NO. I
OWNER
�.VV171 i Vr RIYCR711JC
I
t
76I
DST
MMUNITY
301 8M
DATE
DST
OFFICE
$
I
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
M H PERMIT FEE
NO. PLUMBING FEES
$
1 ST FL. SQ. FT. @ , $
USE OF PE IT
UNITS
SUPP. OPER IT
PE
MIT NO.
2ND FL. SQ. FT. @
YARD SPKLR SYSTEM
ld.�
POR. SQ. FT. @ L-!99
MOBILEHOME SVC.
01
BAR SINK
MICROFILM FEE
GAR. SQ. FT. @4—z—?
t
POWER OUTLET
BOOK PAGE PARCEL
ROOF DRAINS
CAR P. SQ. FT. @
DRAINAGE PIPING
MECHANICAL FEE
WALL SQ. FT. @
$
USE NO.ZONIE
DRINKING FOUNTAIN
SET BACK LOT SIZE GRP
SQ. FT. @
URINAL
ESTIMATED CONSTRUCTION VALUATION $t7b
WATER PIPING12
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
I S S R ::�IZJ
FLOOR DRAIN
PLAN CHECK FEE
MECHANICAL FEES
SWIM POOL, COMM
PLAN NO.
WATER SOFTENER
FINAL DATE INSPE75R
VENT SYSTEM XAN ❑ EVAP. COOLjj:-�!OOD
CST
SIGN
WASHER (AUTO) (IW"
!IC%
APPLIANCE.ARRYER
DBL
$
GARBAGE DISPOSAL
Ci
LEND INVOLVED
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
DBL
$
LAUNDRY TRAY
CITY STATE
AIR HANDLING UNIT CFM
IDLE METER
r
KITCHEN SINK
C.L?
INSTRUMENTATION FEE
ABSORPTION SYSTEM B.T.U.
TEMP USE PERM SVC
WATER CLOSET
SPECIAL INSP -F�$
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
AD RES
DEMOLITION
REGISTRATION
HEATING SYSTEM ES14ORCED ❑ GRAVITY
60
MPERES SERV ENT
60
SHOWER
--4
BOILER B.T.U.
PLUMBING FEE
SQ.FT. @ a
$
BATH TUB
CITY ZIP CODE
CITY ZIP CODE
SQ.FT. @ a
e•
WATER HEATER
CY.1
TOTAL FEES $
TEL. NO, AREA
Ile%Q.FT.RESID @ 1'/aa
TEL. Nb
SEWAGE DISPOSAL
LICENSE p
CASH❑CHEC .O.❑N.C.❑ L
/
SQ.FT.GAR @ 3/4a
, .. aR
HOUSE SEWER
416AXr-)
RECEIVED BY• TREES REQUIRED
TPE HALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
GAS PIPING
PERMIT FEES.
J
PERMIT FEE
e.�."!
PERMIT FEE
fi'>ti
DBL.
MICRO FEE
MECH. FEE
PL. CK. FEE
CONST. FEE
EL FEESMIFEEFEE
PL MB. FEE
[ITAL�-F+EE�S�MOB.HM.FEE
J � '-
/" r i.Z�.•
�f�
J
/ � �
' X..iG.
/ '�*ate
SNI Vim IIVJVnHIvI.0 VrVIV MT CMrLVTCCJ. LVMrLIAIV I.0 WIIr1 Inc LAWJ Vf Ir7C JIAIC Vf
IA COVERING CONTRACTORS IS ALSO GUARANTEED.
CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
ORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
)RNIA.
JOB ADDRESS I SP NO
OWNER
J FIM A M J J A S O N D
I
t
76I
77
MMUNITY
VALUXT106W
DATE
DST
OFFICE
$
`
78
M H PERMIT FEE
$
USE OF PE IT
F.C.
SUPP. OPER IT
PE
MIT NO.
ld.�
01
837
MICROFILM FEE
COPIES
$
BOOK PAGE PARCEL
LEG/ALLDE�SC IPTION
0`ti P f A,*
MECHANICAL FEE
DBL
$
USE NO.ZONIE
SET BACK LOT SIZE GRP
TYPE CK BY,
v—
I S S R ::�IZJ
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE INSPE75R
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER z
BRANCH OFFICE NO
LEND INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS
CITY STATE
STRONG MOTION
$
r
OWNER/AGENTS SIGNATURE
CONTRACTOR ) w
INSTRUMENTATION FEE
p,rry�
SPECIAL INSP -F�$
ADDRESS
AD RES
DEMOLITION
REGISTRATION
FEE
4�
P�
PLUMBING FEE
DBL
$
CITY ZIP CODE
CITY ZIP CODE
e•
TOTAL FEES $
TEL. NO, AREA
CODE
TEL. Nb
AREA CODE
LICENSE p
CASH❑CHEC .O.❑N.C.❑ L
/
, .. aR
f1144
416AXr-)
RECEIVED BY• TREES REQUIRED
TPE HALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
SEWAGE SYSTEM
REETHATALLWORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
L
P
E LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
SNI Vim IIVJVnHIvI.0 VrVIV MT CMrLVTCCJ. LVMrLIAIV I.0 WIIr1 Inc LAWJ Vf Ir7C JIAIC Vf
IA COVERING CONTRACTORS IS ALSO GUARANTEED.
CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
ORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
)RNIA.