366608 (GRD)BUILDING PERMIT —
IERMIT No. DEPARTMENT OF BUILDING A SAFETY FIELD M;/
3666081 COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
T✓�
7 �O
UNITS
�-
IST FL. SQ. FT. @
Valuation
S
2ND. FL. SQ. FT. @
Dist.
Off.
YARD SPKLR SYSTEM
POR. SQ. FT. @
Micro Film Fee
MOBILEHOME SVC.
BAR SINK
^S'POWER
l'
� aa
OUTLET
ROOF DRAINS
GAR. SQ. FT. @
PI. Ck. Fee $
Set Backs
Lot Size
CAR P. SQ. FT. @
Construction Fee Dbl E
Legal Description
�t-/ /J :G. ���...
DRAINAGE PIPING -
WALL SQ. FT. @
S
V
R
�G
DRINKING FOUNTAIN
Zone Restrictions [Group
^(
� .moi
'
URINAL'
SQ. FT. @
Dbl E
Bond Amt.
$
Pions No.
ESTIMATED CONSTRUCTION VALUATION $ 3
?
Inspector
WATER PIPING
NOTE: Not to be used as property tax valuation
Demol. Fee
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
Supplimentol Permit Numb'
i
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
Address City Zip
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Owner/Agent A `
4 s��cc �'
✓
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Total Fees
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
Received by
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
Tel.
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 @1'/.0
SEWAGE DISPOSAL
SQ. FT. GAR @ '/, c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB.HM.FEE
MICRO FEE
MECH. FEE
PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT Na
366608
Job Address
c)_, , —
�,<<,,,�:
Space
Zip
>xT,
Owner
,�
�-
Commuu%nity ��f!
/"r Cr'(/+y .+„-A
Valuation
S
D�ajte
Dist.
Off.
F.C.C.
MH.Permit Fee $
Micro Film Fee
Cop $
Use of Permit
y i ✓L- /+.
Parcel No.
7
Use/Case No.
Ck. By
Mech. Fee Dbl b
PI. Ck. Fee $
Set Backs
Lot Size
`✓ 4
Construction Fee Dbl E
Legal Description
�t-/ /J :G. ���...
.[ / .�s
...l��b+ � I'.' ��
F S
�•-�/✓
S
V
R
�G
Electrical Fee Dbl 5
Zone Restrictions [Group
^(
� .moi
Typ--ey;��
P111 -
SMI Fee
Plumbing
Plumbing Fee
Dbl E
Bond Amt.
$
Pions No.
Plan Cheeccckker P,44/AC
Final Dote
Inspector
Unit
Sp. Insp. Fee b
Demol. Fee
$
Const. Lender
Branch
Supplimentol Permit Numb'
i
Registr. Fee y
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent A `
4 s��cc �'
✓
Tel.
`gib. 7- J 2J
Zip
Total Fees
=
Address
City
./
Zip
'M.O. N.C. n Cash n heck IR
Received by
Contractor
Tel.
License#
Trees required
Sewage System
A" in
Address
City Zip
'
T LL P
Sewer District
Form 284-208 (Rev.B/78,
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
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 CALIOORNIA.