391143 (SFD)BUILDING PERMIT
1PERMIT NO.
-391143
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE [—DST
COUNTY OF RIVERSIDE /
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. @
UNITS
2ND. FL. SQ. FT. @
Owner
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YARD SPKLR SYSTEM
Community
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" ✓ MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. @
Date r
7 - -,f �('V
Dist.
/i
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. @
Micro Film Fee
Cop E
CAR P. SQ. FT. @
A 7-7
DRAINAGE PIPING
WALL SQ. FT. @
Use/Case No.
DRINKING FOUNTAIN
Mech. Fee Dbl $EE"
PI. Ck. Fee
URINAL
SQ. FT. @
�� y
ESTIMATED CONSTRUCTION VALUATION
q_
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
/
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Final Date
S '—
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
Reinsp. Fee
SQ. FT. @ C
WATER HEATER
S0. FT. RESID @1 /.c
SEWAGE DISPOSAL
S0. FT. GAR @ 3/. t
HOUSE SEWER
Total Fees
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GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TO AL EES
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
License#
Sewage System
Address
City Zip
PERMIT NO.
39143
Job AddressSpace
Zip
Owner
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Community
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y+
A
Valuation
$
Date r
7 - -,f �('V
Dist.
/i
Off.
7
F.C.C.
MH Permit Fee E
Micro Film Fee
Cop E
Use of Permit
,.
A 7-7
-v
,r;`,'1,,.
Parcel No.
V
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Use/Case No.
Ck. By
,
Mech. Fee Dbl $EE"
PI. Ck. Fee
Set Backs
Lot Size
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Construction Fee Dbl E
Legal Descrption
/ f
'�r % rfC.F•�
^
'l,� V (/!f (((/J,J/jA
F Si S �•.y+- R
Electrical Fee Dbl E
Zone Rest ' ion
Group
Type
SMI Fee E
'Plumbing Fee
Dbl E
Bond Amt. Plyp tyq
E
/
Plan
ker
Final Date
S '—
Inspector
Unit
Sp" Insp. Fee S
Dental. Fee
E
Const. Lender
Branch
Supplimentol Permit Numbers
Registr. Fee $
Mileage Fee E
Address City Zip
V
Witness Fee E
Reinsp. Fee
E
O ner/Ag�rit�
_
Tel.
Zip
Total Fees
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%
J 1!�"F
–
�k �
City .f /'�
*i -7
Zip
M.O. El N.C. Cash 0 Check
Received by
Treat required
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v
Contractor
Tel.
I
License#
Sewage System
Address
City Zip
T LL P
Sewer District
Form 284-208 (Rev.8/78) @s «�
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 CALIFORNIA.
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY
39 1 - COUNTY OF RIVERSIDE FIELD
CONSTRUCTION ESTIMAIE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
I ST FL. I'M
2ND. FL. 41,
POR.
GAR. :2
CAR P.
WALL
ESTIMATED CONSTRUCTION
SO. FT. @ j Of --' $
—
Zip
1'e , ,
UNITS
SQ. FT. @ 7';d ---r-T-
.... YARD'SPKLR SYSTEM
SQ FT. @ .4 - MOBILEHOME SVC.
I
BAR SINK
POWER OUTLET
SQ. FT. @
ROOF DRAINS
C
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
RINAL
VALUATION is
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
Parcel No.
ti; -
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
Ck. By
/ ".
I —
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Lot Si.e
\' "
A,
GARBAGE DISPOSAL
FURNACE UNIT WALL �100li SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
R �;16
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B. T. U.
Ty e
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
DbI $
POLEJEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
�cker
&421&ffr,�
1AMPERES SERV ENT
SHOWER I
BOILER B. T. U.
Inspector
SQ. FT. @ C
BATH TUB
Sp. Insp. Fee $
SQ. FT. @ c
WATER HEATER
Const. Lender
SO. FT. RESib—@11/4c
SEWAGE DISPOSAL
Suppl!'pe
'Ao
I I P N
errm um
SO. FT. GAR @ 3/4 c
HOUSE SEWER
Registr. Fee 1$
Mileage Fee $
GAS PIPING
PERMIT FEE
Reinsp. Fee
PERMIT FEE
PERMIT FEE
DEL.
TOT L EES
MOB. HM*FEE
MICRO FEE
MECH. FEE
fL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
39114
Job Address I
'-- �( -
4 67.44a.4
ev r7 A.
Space
Zip
1'e , ,
81.
I
Community
Valuation
$
Date
D st.
Off.
F.C.C.
MH.Permit Fee $
Micro Film Fee
Cop $
Use of Permit
Parcel No.
ti; -
Use/Cose No.
I I
Ck. By
/ ".
I —
Mech. Fee DbI $
Pl. Ck. Fee $
Set Bocks'
Lot Si.e
\' "
A,
Construction Fee DbI $
L gal Descrip ion
F �A. S S
R �;16
Electrical Fee DbI $
Zone Re I' lions
Group
Ty e
SMI Fee $
Plumbing Fee
DbI $
Bond Amt.
$
Plo) No.
�cker
&421&ffr,�
I Dol'e
�: ,--
I
Inspector
Unit
I
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender
Branch
Suppl!'pe
'Ao
I I P N
errm um
bers
Registr. Fee 1$
Mileage Fee $
Address City Zip
k Ile
Witness Fee $
Reinsp. Fee
$
OW2er*/Agent e'
Tel.
Zip
. . . ................
Total Fees
$
�/J' I Z'
Address
City
Zip
M.O.C] N.C.E] Ccrsh[] C h�ck\o,
leccti�.d bk
frees required
".j
Contractor
Tel.
License#
Sewage System
Address
City
zip
T LL P
Sewer District
F arm
arm 284-208(Re,13/78) @s
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
FOR 1 20 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.