301887 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY
FIELD OFFICE
J F M A M J J A S O N D
PERMIT NO.
301
OWNER
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77
COMMUNITY ,,.,t
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CONSTRUCTION ESTIMATE
T OFFICE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ 4
Wf
UNITS
$
SQ. FT. @ YARD SPKLR SYSTEM
USE OF PERMIT /
SQ. FT. @ MOBILEHOME SVC. BAR SINK
SUPP. TO PERMIT
10 POWER OUTLET ROOF DRAINS
SQ. FT. @For 41
MIT NO.
SQ. FT. @ i DRAINAGE PIPING
SQ. FT. @ DRINKING FOUNTAIN
SQ. FT. @ URINAL
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VALUATION $ .2 s 6 040 WATER PIPING
NOTE: Not to be used as property tax valuation
01887
SWIM POOL, PVT
FLOOR DRAIN
COPIES
$
MECHANICAL FEES
B OK PAGE, PARCWj
'77K-211-
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM N ❑ EVAP. COOL HOOD
4,00
SIGN
WASHER S `41
4v
$
APPLIANCE DRY R
USE NO.
ZONE
GARBAGE O
LOT SIZE GRP
TYfPE
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
LAUNDRY TRAY
ear'^`
AIR HANDLING UNIT CFM
w
IDLE METER
KITCHEN SINK
12.Q+T
S �i
ABSORPTION SYSTEM B.T.U.
,t
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TEMP USE PERM SVC
WATER CLOSET
$
COMPRESSOR �,, s HP
PLAN NN
POLE, TEMP/PERM
LAVATORY
INS CTOR
HEATING SYSTEM ORCED ❑ GRAVITY
66MPERES SERV ENT
SHOWER
^O,
BOILER B.T.U.
SQ.FT. @ a
BATH TUB
$
NAME OF CONST. LENDER BRANC
OFFICE
SQ.FT. @ a
WATER HEATER
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r Q.FT.RESID @ 11/4a
SEWAGE DISPOSAL
ELECTRICAL FEE
DBL
$
s„ Q.FT.GAR @ 3/4Q
R HOUSE SEWER
STATE
GAS PIPING
STRONG MOTION
PERMIT FEE
$
PERMIT FEE
PERMIT FEE
INSTRUMENTATION FEE
DBL.
TOTAL FEES
IMOB.HM.FEEI
MICRO FEE
M . FEE
PL. CK. FEE
I CONST. FEE -EL
. FEE SMI FEE
FEE
PLUMB, FEE
J F M A M J J A S O N D
JOB ADDRESS SP NO
4 I
OWNER
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77
COMMUNITY ,,.,t
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VALUATION ,rte
$
DATE
T OFFICE
78
M H PERMIT FEE
$
USE OF PERMIT /
SUPP. TO PERMIT
PE
MIT NO.
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GJ/V
01887
MICROFILM FEE
COPIES
$
B OK PAGE, PARCWj
'77K-211-
L AAL DESCRIPTION
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Cell
Zol 14f-1 / r y
MECHANICAL FEE
DBL
$
USE NO.
ZONE
SET BACK
LOT SIZE GRP
TYfPE
CK BY
(tet
ear'^`
w
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7
12.Q+T
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S
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PLAN CHECK FEE
$
BOND AMT.
PLAN NN
PLAJ�N CHECKER
FINAL DATE
INS CTOR
^O,
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANC
OFFICE
NO LENDER INVOLVED
�}
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
STRONG MOTION
$
Oy4E AfbENTS SIGN URE %1 CONTRACTOR
r '•
�
INSTRUMENTATION FEE
1 31
/'
- ,%
s
SPECIALINSP
$
ADDRE ADDRESS
DEMOLITON
REGISTRATION
L�
FEEar
/ . /
J -%r
PLUMBING FEE
DBL
$
CITE" ZIP CODE CITY
ZIP CODE
TOTAL FEES $
TEL. NO. AREA
CODE TEL.
NO.
AREA CODE
LICENSE a
CASH❑CHECK -O.❑N.C.❑ � �
....+.
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RECEIVED BY TREES REQUIRED
IT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
0 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
WH�rGIREE
SEWAGE SYSTEM
€
THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
T
LL
P X
FHE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
-k_UAAYtN�,A 1IUN INSURANCE UPON MY EMPLOYEES. COMPLIANCE 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
FORM 284-208 (REV. 8-76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.