302228 (SFD)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
BUILDING PERMIT
J F M A M J J A S O N D
PERMIT NO3 O2.28
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bVV1Y1I Vr RIYCR.AVC
77 -
C MMUNITY :- -
/DST
CONSTRUCTION ESTIMATE
OFFICE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
$. r ,
1ST FL. j424Z
2ND Fl.
POR.
GAR. !
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
'"
UNITS
$
SQ. FT. @ YARD SPKLR SYSTEM
USE OF,B M
SQ. FT. @MOBILEHOME SVC. BAR SINK
SUP . TOP IT
SQ. FT. @ Q POWER OUTLET ROOF DRAINS
NO.
SQ. FT. @ DRAINAGE PIPING
SQ. FT. @ DRINKING FOUNTAIN
SQ. FT. @ URINAL
VALUATION $ I cas WATER PIPING
�iC!
NOTE: Not to be used as property tax valuation
MICROFILM FEE
SWIM POOL, PVT
FLOOR DRAIN
BOOK PAGE PARC L LEGAL OESCRIP I
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM ❑ FAN. ❑ EVAP. COOL Q.0HOOD
G)f?
SIGN
WASHER(AUTO) J
MECHANICAL FEE
DBL
APPLIANCE RYER
O
USEf N[UNE - SET BACK LOT SIZE R 0. BY
GARBAGE DISPOSAL
CQ
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
jTY�PECK
�
�.
LAUNDRY TRAY
+�nAwe.
AIR HANDLING UNIT
PLAN CHECK FEE
IDLE METER
KITCHEN SINK
$
ABSORPTION SYSTEM B.T.U.
PLAN N/O�..
TEMP USE PERM SVC
WATER CLOSET
L?>O
COMPRESSOR �►� HP
t'iC1
POLE, TEMP/PERM
LAVATORY
,eo
-79
HEATING SYSTEM ORCED ❑ GRAVITY
CONSTRUCTION FEEDBl
MPERES SERV ENT
SHOWER
NAME OF CONST. LENDER
BOILER B.T.U.
NO LEND R INVOLVED
SQ.FT. @ ;'a
BATH 'TUB
prj
CIO
SQ.FT. @ a
WATER HEATER
DBL
$
ADDRESS
SQ.FT.RESID @ 11/aa
SEWAGE DISPOSAL
ChCT
J
l SQ. FT. GAR @ 3/4¢
HOUSE SEWER
STRONG MOTION
-
$
GAS PIPING
CONTRACTOR '
INSTRUMENTATION FEE
PERMIT FEE
PERMIT FEEr>C7
PERMIT FEE
OBL.
[_.TOTAL FEE:j
MOB.HM.FEE
MICRO FEE
MECH.FEE'
PL. CK: FEE
CONST. FEEE/�
EL CT. FEE SMI FEE
FEE
PLUMS. FEE
J F M A M J J A S O N D
JOB ADDRESS SP NO
I
' 1
r.
OWNER
76
77 -
C MMUNITY :- -
VALUATION
DATE DST
OFFICE
_A
$. r ,
41Z �r
78
M H PERMIT FEE
$
USE OF,B M
F.C.
SUP . TOP IT
PERMIT
NO.
1ijm4,
MICROFILM FEE
COPIES
$
BOOK PAGE PARC L LEGAL OESCRIP I
AP
MECHANICAL FEE
DBL
$
USEf N[UNE - SET BACK LOT SIZE R 0. BY
faCl
jTY�PECK
�
�.
+�nAwe.
I S S. R i VL✓ I�
PLAN CHECK FEE
$
BOND AMT. -
PLAN N/O�..
PLAjlN//CC��Hj)ECKyE�R FINAL DATE
1 ECTOR '
-79
CONSTRUCTION FEEDBl
$
NAME OF CONST. LENDER
BRANCH OFFICE
NO LEND R INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS
CITY
STATE
J
STRONG MOTION
-
$
OWNER/AGENTS SIGNATURE ...
CONTRACTOR '
INSTRUMENTATION FEE
`
'SPECIALINSP
$
ADDRESS
ADDRESS
DEMOLITION
FEE
h
REGISTRATION
C"
PLUMBING FEE
DBL
$
CITY. IPC DE
CITY ZIP CODE
3
Y ti�
TOTAL FEES
$
NO.
AR A CODE
TEL, NO,
AREA CODE
LICENSE p
CHECK O.❑N.C.❑
CASH ❑.Ze
r�TEL.
--�
RECEIVED BY,
TREES REQUIRED
� MIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
�TH
120DAYSSHALL ALSO CAUSE PERMIT TO BECOME VOID.
AGREETHATALLWORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCET
SEWAGE SYSTEM
LL
p .
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
C KI C A T-1
CALIFORNIA.COVERING CONTRACTORScIS1 ALSO GUARANTEED. c wnn Inc ua vva ur Inc JINIC Vf
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
FORM 284.208 (REV. 6-76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.