302114 (SFD)FIELD OFFICE
DEPARTMENT OF BUILDING & SAFETY
BUILDING PERMIT COUNTY OF RIVERSIDE
1 F M A M J J A S Q N D
PERMIT NO.302114
1
76
77
COMMUNITY
F/�
CONSTRUCTION ESTIMATE
DST
NO. ELECTRICAL FEES
NO. PLUMBING FEES
I
1 ST FL. SO.
2ND FL. SO.
POR. SQ.
GAR.
CAR P. SQ.
WALL SQ.
ESTIMATED CONSTRUCTION
FT. @ $
UNITS
78
FT. @ YARD SPKLR SYSTEM
�4
FT. @ Q !? MOBILEHOME SVC. BAR SINK
SQ. FT. @ �d POWER OUTLET 'ROOF DRAINS'j
FT. @ DRAINAGE PIPING
FT. @ DRINKING FOUNTAIN
M H PERMIT FEE
SO. FT. @ URINAL
$
VALUATION $ Q WATER PIPING
aa—
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
l[�le, A4. Maki
BOOK P.AGE A L LEGAL DESCRIRnON
MICROFILM FEE
MECHANICAL FEES
$
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN [] EVAP. COOL' &JOHOOD
APPLIANCE RYER
SIGN
WASHER(AUT H)
GARBAGE DISP SAL
pf`3
FURNACE ❑ UNIT ❑ WALL ❑ FrOC)l ❑ SUSPENDED
MECHANICAL FEE
DBL
LAUNDRY TRAY
USE NO. ZONE SET BACK 6 SI E GRP
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
CJri
PLAN CHECK FEE
ABSORPTION SYSTEM B.T.U.
TEMP USE PERM SVC
WATER CLOSET
PLAN NO.
I PLAN QkIECKER
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
too
HEATING SY EM ORCED ❑GRAVITY
L
AMPERES SERV ENT
Ej SHOWER
DBL
$
BOILER B.T.U.
NAME OF CONST. LENDER
SQ.FT. @ ¢
BATH TUB
SQ. FT. @ a
WATER HEATER
M
$
ADDRESS
Q.FT.RESID @ 11/aa
SQ.FT.GAR @ 3/aa
SEWAGE DISPOSAL
HOUSE SEWER
``
7�
GAS PIPING
$
PERMIT FEE
a AC'i
PERMIT FEE
00-SPERMIT FEE
pQ
DBL.
TOTAL FEES
MOB.HM.FEE
MICRO FEE
. FEE
L. CK. FEE
CONST. FEE
so
EL E . F MI FEE
FEE
PL B. FEE
1 F M A M J J A S Q N D
,JOB ADDRESS SP NO
I
Aff
OWNER
'
1
76
77
COMMUNITY
VALUATION
DATE Ir
DST
OFFICE
I
$
78
�4
M H PERMIT FEE
$
USE OF ERMI. F.C. SUPP O PERMrr PERMIT Nd.
l[�le, A4. Maki
BOOK P.AGE A L LEGAL DESCRIRnON
MICROFILM FEE
COPIES
$
MECHANICAL FEE
DBL
$
USE NO. ZONE SET BACK 6 SI E GRP
� J�-TYPCCK8I S �� S R 9' J i'�
I
PLAN CHECK FEE
BOND AMT.
PLAN NO.
I PLAN QkIECKER
FINAL DATE.INSPECTOR
ip
L
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER
BRANCH OFFICE LENDER INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS
CITY STATE
``
7�
STRONG MOTION
$
OWNER/AGENTS SIGNATURE
CONTRACT,(/..y
INSTRUMENTATION FEE
SPECIAL INSP
DEMOLITION
REGISTRATION
FEE
$
ADDRESS
ADDRESS
�l
PLUMBING FEE
DBL
$
CITY ZIP CODE
an ZIP CODE
TOTAL FEES $
TEL. NO.
AREA CODE
TEL, NO,
AREA CODE
LICENSE II
CASH 0CHEC .O.EN.C.❑ 3 V17
414
-3 4 -
RECEIVED BY, REES REQUIRED
H IT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
K 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
SYSTEM �
AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
.SEWAGE
I' T. LL p
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
nMPFNG ATInN IAIGIID—Iv C I—kl . ,.Tc—
LCJ. I. VIv\rll/1ryt.0 YYlln InC LM vvp yr InC JIMi�v,
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.