296929 (SFD)DEPARTMENT OF BUILDING & SAFETY
BUILDING PERMIT
FIELD OFFICE
J F M A M J J A S O N D
PERMIT NO.
OWNER
COUNI 1 Or RI vc"IDE
-„ : e +y
77
DST
VALUATION
DATE - ., , -
AST
$
7-7 I/ I.OFFICE
I
78
CONSTRUCTION ESTIMATE
M H PERMIT FEE
NO. ELECTRICAL FEES
$
NO. PLUMBING FEES
S O E IT
i
IST FL. SQ. FT. @ $ r
-P. TQdlffRMIYPE
UNITS
8 9
MICROFILM FEE
2ND FL. 54. FT. @
$
00 AGE PARCEL
YARD SPKLR SYSTEM
FOR. SQ. FT. @-j/ On
es
MOBILEHOME SVC.
A7319101117
BAR SINK
MECHANICAL FEE
GAR. 50. FT. @ oe,,S13
--p-s
POWER OUTLET
USE 40.Z
ROOF DRAINS
SET BACK"LO S1ZE
CAR P. SQ. FT. @
TYPE CK BY
DRAINAGE PIPING
WALL SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
ESTIMATED CONSTRUCTION VALUATION $
swlr
PLAN CHECK FEE
,�
WATER PIPING
!ae
NOTE: Not to be used as property tax valuation
PLAN NO.
SWIM POOL, PVT
FINAL DATE I
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
�� �-,
VENT SYSTEM FAN ❑ EVAP. COOL HOOD
SIGN
WASHER (AUTO)JPSH)
G 93
,
APPLIANCE RYER
CONSTRUCTION FEE
DBL
GARBAGE DISPOSAL
4no
NAME OF CONST. LENDER
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
NOL, NDER INVOLVED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
DBL
KITCHEN SINK
ADDRESS
ABSORPTION SYSTEM B.T.U.
STATE
TEMP USE PERM,SVC
WATER CLOSET^
COMPRESSOR HP
141,6
POLE, TEMP/PERM
LAVATORY
ev
OWNER/AGENTS SIGNATURE
HEATING SYSTEM 5efORCED ❑ GRAVITY
Cluj
AMPERES SERV ENT
-4,p
SHOWER
:es
BOILER � B.T.U.
SQ.FT. @ ¢
BATH TUB
OK3
ADDRESS
ADDRESS 1
DEMOLITION
SQ.FT. @ ¢
WATER HEATER
Q.FT.RESID @ 11/aa
SEWAGE DISPOSAL
gyp
SQ.FT.GAR @ 3/4¢
PLUMBING FEE
HOUSE SEWER
$
clTr ZIP CODE
CITY ZIP CODE
GAS PIPING
125r
PERMIT FEE
,p�>
TEL. NO, AREA
PERMIT FEE
Cab
PERMIT FEE
00
CASH ❑CHECK .O.❑N.C.❑ D
DBL.
TOTAL FEES
MOB.HM.FEE
MICRO FEE MECH.
FEE
PL. CK. FEE
CONST. FEE
ELE T. FEE
SMI FEE
FEE
PLU FEE
P x3ilffWITH
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
!
-----
r .1
; , S3
/1 9/
O o-.01101
J F M A M J J A S O N D
JOB ADDRESS SP NO
I
OWNER
76
-„ : e +y
77
COMMUNITY
VALUATION
DATE - ., , -
AST
$
7-7 I/ I.OFFICE
I
78
M H PERMIT FEE
$
S O E IT
i
F.C.
-P. TQdlffRMIYPE
MIT N
8 9
MICROFILM FEE
COPIES
$
00 AGE PARCEL
LEGAL DESCRIPTION—
A7319101117
s�
MECHANICAL FEE
DBL
$
USE 40.Z
ONE^�{J�+�/1
SET BACK"LO S1ZE
GRPPf]
TYPE CK BY
PLAN CHECK FEE
,�
$
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE I
PECTOR
Vii`
�� �-,
,
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER
BRANCH OFFICE
NOL, NDER INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS
CITY
STATE
'•
STRONG MOTION
$
OWNER/AGENTS SIGNATURE
C,Q ACTO
INSTRUMENTATION FEE
'SPECIAL INSP
$
ADDRESS
ADDRESS 1
DEMOLITION
FEE
REGISTRATION
PLUMBING FEE
DBL
$
clTr ZIP CODE
CITY ZIP CODE
125r
TOTAL FEES $
TEL. NO, AREA
CODE
TEL.
AREA CODE
LICENSE a
CASH ❑CHECK .O.❑N.C.❑ D
�0�./
62-0
RECEIVED BY TREES REQUIRED AQ44011HIS
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 SYSTEMI
T /rf5 L
P x3ilffWITH
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
L.UMYtNSA IIUN INSUKANL.t UYUN MY tMYLUYttS. L.UMYLIANCE WITH THE LAWS OF THE STATE OF
CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.