369211 (GRD)BUILDING PERMIT
PERMIT NO.
369211
DEPARTMENT OF BUILDING & SAFETY FIELD MDST
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @
UNITS
Owner
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ O MOBILEHOME SVC.
BAR SINK
SQ, FT, @ T POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
_
URINAL
VALUATION $ / G
.
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL -FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
PI. Ck. Fee $
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
lot Size -
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
Plan No.
SQ. FT. @ C
WATER HEATER
Final Date
SQ. FT. RESID @I,/, c
SEWAGE DISPOSAL
-
SQ. FT. GAR @ 3/4 C
HOUSE SEWER
Demol. Fee
$
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOT L FEES(••--••yy
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE -
FEE PLUMB. FEE
PERMIT NO.
3692 11
Job Address
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4- �
Space
Zip
-
Owner
•`
-
Community v
+
Voluati
$
Date
l
Di
F.C.C.
MH.Permit Fee $�-
Micro Film Fee
Cop $
Use'cf Permit
- , �
11
,
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/
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Parcel No.
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r
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nll,
Ose/Gose
I
No.
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Ck. By
Mech. Fee Dbl $
PI. Ck. Fee $
et Backs
lot Size -
Construction Fee Dbl $
F
Legal Description
�(."1,"��^ ,'^" .•.�
j "' _
S
S
R
Electrical Fee Dbl $
one'Reslrictions
•..
Group
'
Typj
SMI Fee $
Plumbing Fee
Dbl $
Bond Amt. `^A,
$,L�
Plan No.
Pla hecker
Final Date
Inspector
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender
Branch
Supplimental
Permit Numbers
.
Registr. Fee $
Mileage Fee $
AddY Zip
Address Cit
Witness Fee $
Reinsp. Fee
$
Owner/A
Tel.
Zip
C•+�
Total Fees
M.O.
$ "" �-
N.C. Cash Check
Address
-
City
41
`1
/f
'Zip
Received by
Contractor's
Tel.
Licenseq
Trees reqLXe
Sewage System
Address
City.
Zip
T LL P
Sewer District
Form 284-208 (Rev.8/78)
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 PIANS AND SPECIFICATIONS HAS DONE SO IN
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.