360074 (GRD)BUILDING PERMIT
PERMIT NO.
--�Fnn74
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
NO.
PLUMBING FEES
I ST FL. ''
2ND FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT, @ -
SQ. FT. @
SQ. FT. "@
SQ. FT, @ �7
SQ. FT. @-
SQ. FT. @.
SQ. FT. @
VALUATION
t
UNITS
YARD SPKLR SYSTEM
` _ G
MOBILEHOME SVC.
}
BAR SINK
'
i :•
POWER OUTLET
ROOF DRAINS
_-
w
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property lax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
VENT SYSTEM FAN EVAP. COOL HOOD
SWIM POOL, COMM
SIGN
WATER SOFTENER
WASHER (AUTO)(DISH)
APPLIANCE DRYER
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
SQ. FT. @ c
WATER HEATER
-
SQ. FT. RESID @I'/.c
SEWAGE DISPOSAL
SQ. FT- GAR @ 'N c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
iDEL
IOTAL RES
MOD.(IM.rLL MICRO ru
MECH. FEE
PL. CY.. FEE
rnNST FFF
FI FCT FFF
SMI FFF
FEE
PLUMB. FEE
PERMIT NO
360074
Job Address bpace -tip owner
Community
l
t� • -
Valuation
$
Daattee
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Dist.
1 /
Off
I —
F C.0
MH Permit Fee
$
Micro Film Fee
Cop $
Use of Permit
.
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,/ /. C��'./C� r> .
Parcel No. Use.'Case No.
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Ck. By
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Meth. Fee
Dbl $
Ck, Fee
S
µ:—�
cks `�
Lot Size
�.
PI.
CanelructEon Fee
D61 $
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Legal Description F
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S
S
R
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Electrical rae
Dbl $
Zone Restrictions
--
Group Type
f
Fee
$
.111
Plumbing Fee
D61 $
Bond Arm. Plan No. PI ecker
$
Final Date
go,
Y ?�
Inspector
Unit
Sp. Insp. Fee
15
Dorval. Fee
16
Const. Lender Branch
Supplimental Permit NumbW J
Tel Zip
Registr. Fee
Mileage Fee
$
Address City Zip
Owner/Age
Witness Fee
Relnsp. Fee
'$
$
Total Fees
$ �'G
Address
City Zip
'K•
M.D- N.C. Each Cher:
Received by
Contractor
Tel.
License#
Trees squired W
Sewage System
Address
City Zip
of 7
T. .. .. _ LL t P ,x THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME 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 SO IN
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Form 284-208 (Rev.8/78)
verified by:
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