296874 (SFD)DEPARTMENT OF BUILDING & v SAFETY'
BUILDING PERMIT-A11u1T^r n1\/C�C1 nO
1
PERMIT NO.
2 96 87 4
1 1 Vr R111GRaILOG
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES
" 1ST FL. t SQ. FT. @ S $ 3 UNITS
2ND FL. SQ. FT. @
POR. ';? :2 SQ. FT. @ tfg'a�J MOBILEHOME SVC.
GAR. SQ. FT. @ 'r `'• "> 9 " POWER OUTLET
CAR P. SQ. FT. @
WALL SQ. FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $ _ rl
r
NOTE: Not to be used as property tax valuation SWIM POOL, PVT
�76
MECHANICAL FEES SWIM POOL; COMM
4 c?
VENT SYSTEM' FAN ❑ EVAP. COOL :.HOOD s �} SIGN
77
APPLIANCE gA?RYER
COMMUNITY
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
DATE
AIR HANDLING UNIT CFM IDLE METER
OFFICE
ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC
COMPRESSOR HP fP POLE, TEMP/PERM
HEATING SYSTEM FORCED ❑ GRAVITY T r ? �j .prig AMPERES SERV ENT
BOILER OB.T.U. SQ.FT. @ a
SQ. FT. @ a
M H PERMIT FEE
SQ.FT.RESID @ lI/4a
$
'SQ.FT.GAR @ 1/4a
USE OF PERMIT
F.C.
SUPP, TO PERMIT PERMIT
NO.
PERMIT FEE
PERMIT FEE
DBL.
I TOTAL FEE�t.S/
IMOB.HM.FEEI
MICRO FEE MECH. FEE 0L. CK. FEE I
CONST. FEE ELE
1
JOB ADDRESS I SP NO
�- //4C 1
OWNER
-1 �1 rt..,
�76
4 c?
77
COMMUNITY
VALUATION
DATE
DST
OFFICE
M H PERMIT FEE
$
USE OF PERMIT
F.C.
SUPP, TO PERMIT PERMIT
NO.
296874
'MICROFILM FEE
COPIES
$
BOOK PAGE PARCEL
LEGAL DESCRIPTION
FEE
DBL
$
USE NO.
ZONE
SET BACK
LOT SIZE
GRP
TV PE CK BY
��
S
R 3
pMECHANICAL
Me x,aQ
17-
,,- t<
PLAN CHECK FEE
$
BOND AMT.
PLAN
PLAN CHECKER
FINAL DATE SPECzOR
JNO.
CCONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDER INVOLVED
I
C)
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
. el
STRONG MOTION
D
OWNER/AGENTS SIGNATURE CONTRACTOR
INSTRUMENTATION FEE
'SPECIAL INSP
$
ADDRESS. AD
RESS
'DEMOLITION
^.
? ^ t :
PIFEE
REGISTRATION
PLUMBING FEE
DBL
$
CITY ZIP CODE CITY
ZIP CODE
TOTAL FEES $
TEL. NO. AREA
CODE TEL.
NO.
AREA CODE
LICENSE a
CASH ❑CHECK .O.❑N•C.❑
Q p
RECEIVED BY TREES REQUIRED
PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
.,
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
ITH THE
' EWAGE SYSTEM
4 r�
T j r'C"
LL
P _,
LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
C'(iMPFtJCATIl1nI ItJU Io nwlr12. or�wi• rwccc r•r\..o„e.,r-o. c^c
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
FORM Ze•-2oB (REV. 6.76) OF CALIFORNIA.