366899 (SPIN)y� BUILDING PERMIT
PERMIT NO.DEPARTMENT OF BUILDING & SAFETY
3668 9 9 COUNTY OF RIVERSIDE FIELD F,/
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
FOR.
SQ. FT. @ $
UNITS
Space Z.p Owner
_ 1 R
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. @
CAR P. SQ FT_ @
WALL SQ. FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
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
Vs," C�.v No.
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
SQ. FT. @ c
WATER HEATER
Dbl §
SQ- FT. RESID @1'hc
SEWAGE DISPOSAL
Plan
SQ. FT. GAR @ 3/. c
HOUSE SEWER
Plan Checker
Final Date l lnspecta
�II—�l {r
GAS PIPING
PERMIT FEE
Sp. Insp. Fee §
PERMIT FEE
j PERMIT FEE
(DBL.
TOTAL FEES
MOB - HM - FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST FEE ELECT FEE
SMI FEE
S/�,EE PLUMB FEE
- PERMIT NO.
366899
Job. Address
: s
Space Z.p Owner
_ 1 R
Communily
/I� ��:,.
�•
_
Valuation
§
Date
`� / —1 ; �
Dist.
��
Of Off-
I F.0 -C-
MH Permil Fee §
Micro Film Fee
Cop $
Use of Permit
J
\
Parcel No
r
Vs," C�.v No.
Ck- By
Mech. Fee Dbl $
Pl. Ck. Fee §
Set Bacs
Lot Size
Construction Fee Dbl :§
Legal Description
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F
S I 5 R
Electrical Fee Dbl $
Zone Restrictions GroupPTY"
e
SMI Fee :§
Plumbing Fee
Dbl §
Bond Amt.
i
Plan
No.
Plan Checker
Final Date l lnspecta
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Unit
Sp. Insp. Fee §
Demol- Fee
§
Const. Lender
Branch
Supplimental Permit Nu -1
i
J _
S ~ •��
Registr- Fee §
Mil—go Fee §
Address City Zip
Witness Fee §
Rolnsp- Fee
§
l
Owner/Agent
T.I.
Zip
Total Fees
r,
Address
City
Zip
M.O. N.C. Cash c.1.12
Received by
y
Contractor
"�
Tel_
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License#
. �'
Trees required
Sewage System
Address
S
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Ory "•" ZipZx—
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T LL P THIS PERMIT SHALL BECOME VOID IF WORK 15 NOT COMMEIHCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
Sewer District FOR 120 DAYS SHALL ALSO CAU PERM T TO BECOME VOID-
, I HEREBY AGREE THAT ALL �ITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
�C n THE LAWS OE RIVERSIDE COUNTY AND Tot STATE OF CALIFORNIA.
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I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (R—.8/78)CORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
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