384550 (SPIN) (2)BUILDING PERMIT
T U. THIS PERMIT SHALL BECOME VOID IF.WORK IS NOT COMMENCED WITHIN 120 DAWCESIXTION OF WORK �erifiecl by_-.
Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VO.1D.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF 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.
Form 2114-208 (Re,8/78) 5
PERMIT NO. 7-1
1-38455'10
DEPARTMENT- OF BUILDINO & SAFET I T
COUNTY OF RIVERSIDE
urrit-t
DST
CONSTRUCTION ESTIMATE
NO. ELECTRICAL* FEES
NO. PLUMBING FEES
I ST FL. SQ.
2ND. FL. SQ.
FOR. SO.
GAR.
CAR -P.
WALL
ESTIMATED. CONSTRUCTION
FT. @ $
UNITS
Date
1// ;79
FT.
YARD SPKLR SYSTEM
@
MOBILEHOME SVC.
FT.
BAR SINK
@
POWER OUTLET
SQ.' FT.
ROOF DRAINS
SQ. FT.
DRAINAGE PIPING
@
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT.
URINAL
Cd
VALUATION 1$
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
Plumbing Fee
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Bond Amt.
$
LAUNDRY TRAY
AIR;HANDLING UNIT , CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B. T. U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR - HIP
POUEJEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVIT
JAMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
SQ. FT. @ c
WATER HEATER
04
SQ.FT.RESID@11/;c
SEWAGE DISPOSAL
City Zip
SO. FT. GAR. @ 314
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT Fjo
DBL.
TOTAL F�E3
I MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST: FEE ELECT. FEE
S.Ml FEE PLUMB. FEE
T U. THIS PERMIT SHALL BECOME VOID IF.WORK IS NOT COMMENCED WITHIN 120 DAWCESIXTION OF WORK �erifiecl by_-.
Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VO.1D.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF 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.
Form 2114-208 (Re,8/78) 5
Job Add
Space
_�wner
7
PERMIT NO.
5384550
Cornmu
Valuation
$
Date
1// ;79
Dist. Off.
F.C.C.
MH.Permit Fee $
Micro Film Fee
Cop $
Use of Permit/
K) - u'f
Parcel
No. Use/Cos6 No.
7'7,V
Ck. By
Mech. Fee DbI $
Pl. Ck. Fee $
Set Backs
Lot Size
Construction Fee DbI $
Legal Description F
R
Electrical Fee DbI $
Zone Restrictions
']
Group
Type
SMI Fee $
Plumbing Fee
Dbl $
Bond Amt.
$
Pion
No. f
Pion Checker
Final Date
Inspecto it
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender
Branch
Supplimentol Permit Numbers
Tel. Zip
Regist, Fee $
Mileage Fee $
Address city Zip
'6wner/ ? Agent
1-/
Witness Fee $
Reinsp. Fee $
Total Fees
04
Address
City Zip
M.O. C] N.C. C] C.21 Chec
ReceNed by
442
Contractor
Te- I
y __3 r
lice,,el
Trees required
Sewage System
Add
it
Cit zip
T U. THIS PERMIT SHALL BECOME VOID IF.WORK IS NOT COMMENCED WITHIN 120 DAWCESIXTION OF WORK �erifiecl by_-.
Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VO.1D.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF 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.
Form 2114-208 (Re,8/78) 5