290255 (SFD). DEPARTMENT OF'BLIILDING & SAFETY i
BUILDING PERMIT
FIELD OFFICE
J F M A M J J A S O N DTM�
PERMIT NO.
2902551
- 'ROW
- VVVIII I Vr mvcr awr
�
COMMUNITY
VALUATIO ,
$E
DrjS`T(/`
I/
CONSTRUCTION ESTIMATE
7B
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. i SQ.
2ND FL..
PORI
GAR.
CAR P. SQ.
WALL SQ.
ESTIMATED CONSTRUCTION
FT. @ $
�t
UNITS
0 2'5
MICROFILM'FEE
COPIES
SQ. FT. @ YARD SPKLR SYSTEM
SQ. FT. @ :� �ji MOBILEHOME SVC. BAR SINK
MECHANICAL FEE
SQ. FT. @ ` 0, �� POWER OUTLET ROOF DRAINS •.
$
FT. @ DRAINAGE PIPING
USE NO.
FT. @ DRINKING FOUNTAIN
SEEN BACK
SQ. FT. @ URINAL
G/RK�P
VALUATION $ > WATER PIPING
VQ�
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
..
FLOOR DRAIN
./�►'r
MECHANICAL FEES
{L/
r\. M/
SWIM "POOL, COMM
�V
WATER'SOFTENER
�l•JV,X1fN
VENT SYSTEM- FAN ❑ EVAP. COOL HOOD
SIGN
WASHER (AUT H)
APPLIANCE RYER
PLAN NO.PLANCHECKER
FINAL DATE IN
GARBAGE DISPOSAL
dC3
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
LAUNDRY TRAY '
AIR HANDLING UNIT CFM
IDLE METER
DBL
j KITCHEN SINK
c3.t7
ABSORPTION SYSTEM 0 B.T.U.
OFFICE
TEMP USE PERM SVC
WATER CLOSET
COMPRESSOR S � HP
POLE, TEMP/PERM .
LAVATORY.
DBL
HEATING SYSTEM ORCED Q GRAVITY�JO
PERES SERV ENT
G?C�
SHOWER
STRONG MOTION
BOILER B.T.U.
$
SQ.FT. @ ¢
OWNESIGNATU
BATH TUB
0
10,
INSTRUMENTATION FEE.
SQ.FT. @ ¢
!�
WATER HEATER
r340
SPECIAL INSP'
DEMOLITION
r�P.FT.RESID @ l Ya¢
SEWAGE DISPOSAL�?%
C
ADDRESS
7 �.. �� - SkL1l0A)'qc4,
Q.FT.GAR @ 3/<
HOUSE SEWER
R
REGISTRATION
GAS PIPING
L�
PERMIT FEE
DBL
PERMIT FEE
00
PERMIT FEE
ol%
DBL.
�TOTAL
FFM,E/ES%/j
MOB.H M.FEE
MICRO EE /yj
" .MEC H. FE�E�ye•
P . CK F
CONST. FE
ADO]
ELEC/T�.,FEE
SMI FEErI�y
FEE -
'PLUMB. FEE
J F M A M J J A S O N DTM�
JOB ADDRESS - SP NO
OWNER
76
77
COMMUNITY
VALUATIO ,
$E
DATE
DST OFFIC
:..,.
7B
M H PERMIT FEE
USE-OWPERMIT
F.C.
SUPPITO PER IT
PE MIT NO
9
0 2'5
MICROFILM'FEE
COPIES
$
BOOK AGEr PARCEL LEGAL DESCRIPTION Q
MECHANICAL FEE
DBL
$
USE NO.
�11NE
SEEN BACK
LOT SIZE
G/RK�P
TYPE CK BY
,S
..
./�►'r
-
{L/
r\. M/
I
�V
'qr..
/
S /" R•.
�l•JV,X1fN
'i
'PLAN CHECK FEE
$
BOND AMT.,
PLAN NO.PLANCHECKER
FINAL DATE IN
ECTOR.-
��
%?
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDER INVOLVED
ELECTRICAL FEE
DBL
$
Ll
ADDRESS CITY
'A�GE
STATE
STRONG MOTION
$
OWNESIGNATU
»« CONTRACTOR
INSTRUMENTATION FEE.
!�
i'
t
SPECIAL INSP'
DEMOLITION
C
ADDRESS
7 �.. �� - SkL1l0A)'qc4,
-
'
R
REGISTRATION
PLUMBING FEE
DBL
$
g
00
CITY ZIP CODE CITY
f
ZIP CODE
TOTAL FEES $
AREA CODE TEL.
NO.AREA
CODE
LICENSE c
CASH EICHECK O.E]N.C.❑�
/WORK
RECEIVED BY 'f TREES REQUIRED
S IT SHALL BECOME VOID IF ISNOT COMMENCED WITHIN 120 DAYS". CESSATION OF
O K' 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME. VOID.
SEWAGE SYSTEMA
GREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
LL
P>�
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
.. Cwo..11vL II�JVKHIv�C Urvry MT CmrLk JT.r3. WI IM IHt LAWJ UY Itit JIAIt Vt•
CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
FORM 2e4-208 (REV: e-76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF `CALIFORNIA.