354540 (SPIN)BUILDING PERMIT —
PERMIT NO- DEPARTMENT OF BUILDING & SAFETY
13545401 COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
NO.
PLUMBING FEES
IST FL.
2ND. FL.
FOR.
GAR,
CARP
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @
SQ. FT. @
SQ. FT. @
SQ. FT. @
SQ- FT. @
SQ. FT. @
SQ. FT- @
VALUATION
$
UNITS
YARD SPKLR SYSTEM
MOBILEHOME SVC.
BAR SINK
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
s
WATER PIPING
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
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ C
BATH TUB
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @1'/,c
SEWAGE DISPOSAL
SQ. FT. GAR @ a/. C
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FfE .-
IDBL. OTAL F.�E$�
MOB.HM.FEE
MICRO FEE
MECH FEE
PL- CK. FEE
CONST. FEE
ELECT. FEE
5MI FEE
// —' f FEE
PLUMB FEE
PERMIT NO.
5454®
Jo �ress n J ' ` SpaceTIP
Com ml /! 7')
, L%-1`'/
Valuation
§
e /
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17
/
F.C-C.
MH Permit Fee
§
Micro Film Fee
Cop §
Use of permit
� J/
Per I. o.
Uea,Cosv No
Mech. Fee
Dbl $
PI, Ck. Fee
§
Set Backs
Lot Size
Construction Fee
Dbl $
Legal Description '•-
,d. /��-`f / r �.� / ,.Si ..... J�= / r
F S
S
R
Electrical Fee
Db $
Zonef;6Onclion
/
Group
Type
SMI Fee
§
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Final Dale OF
� " aL
1n+Peao�
Unit
Sp. Insp. Fee
I§
De—l. Fee
$
Const. Lender Branch
Supplimental Permit Numbers
('7•�,ll�/��jC
Reghm Fee
:S
Mileage Fee
§
Address Cif
AddY Zip
Witness Fee
:§
Reinsp. Fee
�§
t�
Owner/Agent
Tel. Zip
r
i
Taral Fees :6
�'
Address
City Zip
M.O. -C, osh Ch
Received
C cfar�' •. •'
- -
Ted
3/0
Trees required
Sewage System
Address _ •'
Cily , -� __.. Zip
T LL P
Sewer District
n
Form 284-208 (Rev.8/78)
THIS PERMIT SHALL. BECO E VOID IF WORK 15 NOT COMMENCED WITHIN 12¢ DAYS, CESSATION OF WORK verified by:
FOR 120 DAYS SHALL E ME VOID.
1.4 fE EHY AGREE F .ALL WC>RK GflAfNE5E N WiTi� THIS ilM4T WILL 6E DON IIV'AGC{]R{JM10E 1NITYI
THE LAWS OF RIVERSIDE COUNTY ND THE STATE OI CALIFORNIA.
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.
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