290416 (SFD)FIELD OFFICE
BUILDING PERMIT
DEPARTMENT OF BUILDING & SAFETY
� I
J F M A M J J A S O N D
PERMIT NO.
OWNER
$.VUIV I T VF Kt V CKWUC
76
/DST
7
• CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
DST %
F �F
NO. PLUMBING FEES
"7B
1 ST FL. SQ.
2ND FL.
POR.
GAR. /7
CAR P.
WALL SQ.
ESTIMATED CONSTRUCTION
FT. @ •$ 086,
t5O
UNITS
USE O PER IT
F.C.
SUPP TOP MIT
SQ. FT. @ I YARD SPKLR SYSTEM
SQ. FT. @ 4, 464%0-a MOBILEHOME SVC. BAR SINK
SQ. FT. @ Q 9w POWER OUTLET ROOF DRAINS
SQ. FT. @ DRAINAGE PIPING
FT. @ DRINKING FOUNTAIN
+ jjo
SQ. FT. @ URINAL
290411
VALUATION $ 4 WATER PIPING
NOTE: Not to be used as property tax valuation
''MICROFILM FEE
SWIM POOL, PVT
$
FLOOR DRAIN
BOOKAGE PQLEGAL
DESCRI ION
MECHANICAL FEES
SWIM POOL, COMM
�Jrs�
WATER SOFTENER
}
AAECHANICAL FEE
VENT SYSTEM (-jFAN [3EVAP. COOL . OD
IO
SIGN
USE NO.
WASHER(AUTO)(f] {j
,
LOT SIZE
APPLIANCE ❑ DRYER
YZA
trGARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
? M
ABSORPTION SYSTEM B.T.U.
TEMP USE PERM SVC
t
WATER CLOSET
r
BOND AMT.
COMPRESSOR HP
PLAN CHECKER
POLE, TEMP/PERM
INSPECTOR
LAVATORY
HEATING SYSTEM XORCED ❑ GRAVITY
0-0—
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ.FT. @ ¢
BATH TUB
-CONSTRUCTION FEE
SQ.FT. @ a
$
WATER HEATER
t+fts
OFFICE
NO LENDER INVOLVED
Q.FT.RESID @ 1'/4a
d
SEWAGE DISPOSAL
ELECTRICAL FEE
SQ.FT.GAR @ 3/4a
$
HOUSE SEWER
ADDRESS CITY
STATE
STRONG MOTION
$
GAS PIPING
OWNER/AGENTS SIGNATURE CONTRACTOR
,
PERMIT FEE
PERMIT FEE
�,..
PERMIT FEES
'DEMOLI ION
DBL.
I TOTAL FEES
MOB.HM.FEE
rjM�IC/R/O/FEE
ME H. FEEy//
F E
/C�{ONST. F�EEE��y
ELECT. FEE
71
SMI FFEjE/`l
FEE
PL 8. FEE
J F M A M J J A S O N D
JOB ADDRESS I SP NO
It teeI
OWNER
76
"77
COMMUNITY
/ r
VALUATIIM
$ Vr �'...
DATE -ry
A
DST %
F �F
OFFICE
"7B
,M H PERMIT FEE
$
USE O PER IT
F.C.
SUPP TOP MIT
PERMIT NO.
YA, .
+ jjo
290411
''MICROFILM FEE
COPIES
$
BOOKAGE PQLEGAL
DESCRI ION
�Jrs�
f f!— !�
}
AAECHANICAL FEE
DBL
$
USE NO.
ZONE
SET BACK
LOT SIZE
ICK BY
YZA
G�RPTYPE
fF
.PLAN CHECK FEE
t
$
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE
INSPECTOR
J
-CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDER INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
STRONG MOTION
$
OWNER/AGENTS SIGNATURE CONTRACTOR
,
INSTRUMENTATION FEE
�,..
'DEMOLI ION
$
ADDRESS ADDRESS
FEE
1 )
f
EGISSTRATION
j 0
PLUMBING FEE
DBL
$
CITY ZIP CODE CITY
ZIP CODE
33
l w Aw Z,7
TOTAL FEES
�CASHCJCHEC
$
TEL. NO. AREA
CODE TEL.
NO.
r
AREA CODE
LICENSE u
O.❑N.C.❑pl(
)
r�
'RECEIVED BY, ° TREES REQUIRED
MIT SHALL BECOME VOID IF WORK 15 NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
O OR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
SWAGE SYSTEM
REAGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
T u LL P
✓ITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
ell rI lcnnnwi uici
- . V—n rriin ••o yr nic on� vi
CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
FORM 286-208 (REV. 6.76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.