297061 (SFD). DEPARTMENT OF BUILDING & SAFETY r � FIELD, OFFICE
BUILDING PERMIT
J F M A M J J A S O N D
PERMIT NO.
6
OWNER
- �.VV191 i Vr RIYCR7IYG
�.'
-
DST
CONSTRUCTION ESTIMATE
VALUATTIIO i /
$42
NO. ELECTRICAL FEES
DST OFFICE
NO. PLUMBING FEES
78
1 ST FL.
2ND FL.
POR:
GAR:SQ.
CAR P.
WALL SQ.
ESTIMATED CONSTRUCTION
SQ: FT. @ $
QC7
UNITS
USE O PER IT
rI00/
F.C.
SUPP, O PERMIT
SQ. FT. @ YARD SPKLR SYSTEM
SQ. FT. @ MSMOBILEHOME SVC. BAR SINK
FT. @ �r W POWER OUTLET ROOF DRAINS
COPIES
SQ. FT. @ DRAINAGE PIPING
FT. ..@ DRINKING FOUNTAIN
LEGAL DESC TION
SQ. FT. @ URINAL
VALUATION $ WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
DBI
FLOOR DRAIN
USE NO.zoNE
MECHANICAL FEES
SET BACK LOT SIZE
SWIM POOL, COMM
CK BY
WATER SOFTENER
All
VENT SYSTEM ♦ •FAN ❑ EVAP. COOL SeHOOD
C�0—
SIGN
D S , S R 6
WASHER (AUT ISH)
de
PLAN CHECK FEE
APPLIANCE DRYER
$
-
GARBAGE DISPOSAL.
PLAN CHECKER
FINAL DATE NSPECTOR
FURNACE [I UNIT ❑ WALL ❑.FLOOR ❑ SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
.0 �- I -, ? � ].CONSTRUCTION
IDLE METER
KITCHEN SINK
df�
ABSORPTION SYSTEM B.T.U.
TEMP USE PERM SVC
WATER CLOSET
pQ
DBL
COMPRESSOR !3-r0HP
POLE, TEMP/PERM
BRANCH OFFICE
LAVATORY
Q
HEATING SYSTEM` FORCED [:1 GRAVITY
AMPERES SERV ENT%
SHOWER
ELECTRICAL FEE
DBL
BOILER B.T.U.
SQ. FT. @ a
CITY
BATH TUB
1
-
SQ. FT. @ a
WATER HEATER
i
.FT.RESID @ 1'Aa
ARAM
SEWAGE DISPOSAL
$
-
SQ.FT.GAR @ . a/4ag
CONTRACTOR
_4
HOUSE SEWER
'SPECIALINSP
GAS PIPING
$
PERMIT FEE
0PERMIT
FEE
<"�,
PERMIT FEE
C
�, c /
DBL.
TOTAL FEES
MOB. M.FEE
MICRO FEE
M H. FEE -
L. CK. FEE
---�
CONST. FEE
2/,
EL .FEE
p L2
SMI FEE
FEE
PL 8- FEE
, c�
J F M A M J J A S O N D
JOB ADDRESS SP NO
OWNER
76
77 -
COMMUNITY
t %I
VALUATTIIO i /
$42
DATE /
! -/7
DST OFFICE
78
M HPERMIT FEE
$
USE O PER IT
rI00/
F.C.
SUPP, O PERMIT
PE M97061
MICROFILM FEE
COPIES
$
BOOK AGE PARCEL
LEGAL DESC TION
MECHANICAL FEE
DBI
$
USE NO.zoNE
SET BACK LOT SIZE
RP TYPE
CK BY
All
t?
44,/
D S , S R 6
�
de
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE NSPECTOR
1
.0 �- I -, ? � ].CONSTRUCTION
FEE
DBL
$
NAME OF CONST. LENDER
BRANCH OFFICE
NO LENDER INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS
CITY
STATE
STRONG MOTION
$
-
OWNER/AGEN 5 SIGNATU
CONTRACTOR
INSTRUMENTATION FEE
'SPECIALINSP
$
ADDRESS
ADDRESS '
DEMOLITON FEE
�, c /
REGISTRATION ''
�' 'fJ
PLUMBING FEE
DBL$
TY ZIP CODE
CITY ZIP CODE
J2TOT(«�
V2,446-
TOTAL
AL FEES � $ -
AREA
CODE
TEL. NO.
AREA CODE
LICENSE tt
CASH ❑CHECK .O.❑N.C.❑
J
` °
RECEIVED BY TREES REQUIRED
PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
R FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
.SEWAGE SYSTEM
1
I H EBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE'
T "
LL
P
WITH THE LAWS OF RIVERSIDE COUNTY, AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
11V111113UKAII�-t Urvry PAT tmrLVTtt J. l-UMruArvC.t WI LH INt LAWS UI-IHt SIAIE OF
CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
FORM Zea -toe (REV. ebe) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE'
OF CALIFORNIA. —