297060 (SFD)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
BUILDING PERMIT
J F M A M J J A S O N D
PERMIT NO.
2970601'
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COMMUNITY
V L O, -
DST
CONSTRUCTION ESTIMATE
OFF'IICCEE'"`
NO. ELECTRICAL FEES
NO. PLUMBING FEES
fQ'
IST FL.
2ND FL. -
FOR.
' GAR.
CAR P.
WALL SQ.
- ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
$
SQ. FT. @ YARD SPKLR SYSTEM
F.C. -
SQ: FT. @_46!W_ 4'0 MOBILEHOME SVC. BAR SINK
PERMIT N-7060
SQ. FT: @ POWER OUTLET ROOF DRAINS
SQ. FT. @ DRAINAGE PIPING
FT. @ DRINKING FOUNTAIN
SQ. FT. @ URINAL
VALUATION WATER PIPING
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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
2
SIGN
$
WASHER (AUT SH)
BOOK AGE PARCEL LEGAL DESCRIPTICTN
APPLIANCE RYER
(,'�
GARBAGE DISPOSAL
cis
$
RNACE ❑ UNIT El WALL [_1 FLOOR ❑SUSPENDED
USE
ZOONE
SIZE
SET BACKL41
LAUNDRY TRAY
TYPE CK B Y
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
Gam,
ABSORPTION SYSTEM 0 B.T.U.
TEMP USE PERM SVC
WATER CLOSET
6SCJ
COMPRESSOR0 HP
60
POLE, TEMP/PERM
PLAN CHECK FEE
LAVATORY-
AVATORY-HEATING
$
HEATINGSYSTEM ORCED ❑ GRAVITY
04,
AMPERES SERV ENT
<2a
SHOWER
pQ
BOILER B.T.U.
NAME OF CONST. LENDER
SQ. FT. @ 4
NO LENDER INVOLVED
BATH TUB
SQ. FT. @ 4
WATER HEATER
.o
$
ADDRESS
FT.RESID @ 11/4aSEWAGE
STATE
DISPOSAL190
SQ. FT. @../4a
HOUSE SEWER
GAS PIPING
.D
PERMIT FEE.
emp
PERMIT FEE. .
410
PERMIT FEE
DBL:
I TOTAL FEES/
MOB.MM.FEE
MICRO FEE
- MECH.FEE
PL. GK. FEE
I CONST. FEE
ELLCT.FEE
SMIFEE
FEE
PI -120b. FEE
J F M A M J J A S O N D
JOB ADDRESS SP NO
I,
` 1
OWNER
765�4_x5Aw
77
COMMUNITY
V L O, -
DATE
T
OFF'IICCEE'"`
/
fQ'
M H PERMIT FEE
$
USE OFrPERMIT
F.C. -
SUPP. T PERMrr
PERMIT N-7060
O.
29
MICROFILM FEE
COPIES
$
BOOK AGE PARCEL LEGAL DESCRIPTICTN
MECHANICAL FEE
DBL "
$
USE
ZOONE
SIZE
SET BACKL41
GRP
TYPE CK B Y
�OTT
%
06
a
PLAN CHECK FEE
$
BOND AMT.
PLAN NO. I PLAN CHECKER
FINAL DAT I
PECTOR
CONSTRUCTION FEE
DBL
NAME OF CONST. LENDER
BRANCH OFFICE
NO LENDER INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS
CITY
STATE
STRONG MOTION
.D
��l
OWNER/AGF SSI AT E • 4�`'�.
N
CONTRACTOR
INSTRUMENTATION FEE
'SPECIAL INSP
$
ADo E S '
ADDRESS '
DEMOLITION
FEE
1'� `J,;,
REGISTRATION
/[ho—/ ••^"`
PLUMBING FEE
DBL
$
CITY .zlp
CITY' ZIP CODE
as
TOTAL FEES $
TEL. NO. AREA
CODE
TEL. NO,
AREA CODE
LICENSE a
CASH ❑CHEC .O.❑N.C.❑
RECEIVED BY '¢ TREES,REQUIRED
IS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
ORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
'SEWAGE SYSTEM
T. �� iL
P
WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
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CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
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.