391884 (SPIN) (2)PERMIT No.
3.91884
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST
COUNTY OF RIVERSIDE . F/)//]
I . CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
I ST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED, CONSTRUCTION
SO. FT. @ $
UNITS
Valuation
$
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
POWER OUTLET
SO. FT. @
ROOF DRAINS
SO. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $
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, I FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Supplimeniol Permit Numbers
GARBAGE DISPOSAL
F'U'RNACE UNIT WALL FLOOR SUSPENDED
Address
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B. T. U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLEJEMP/PEIRM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B. T. U.
SQ. FT. @
BATH TUB
Conti -actor
SQ. FT. @ c�
WATER HEATER
License#
SQ. FT. RESID @ 11/4 c
SEWAGE DISPOSAL
SQ. FT. GAR @ 314 c
HOUSE SEWER
City Zip
GAS PIPING
PERMIT FEE
1PERMI FEE
PERMIT FEE
DBL.
TqTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
r COINST. FEE, ELECT. FEE
SMI FEE PLUMB. FEE
TOO 'Sf
PERMIT NO.
�391884*
I
Jolj�d pace
le
,,-,-,ss A/A44
P Owner
Z' 2:5A
Co unity
Z X '/A)
10,06 e 9-1 ,
Valuation
$
D
Dist
F.C.C.
MH.Permit Fee $
Micro Film Fee
op
cop $
Use of Permit Parcel No. Use/Ccise No. Ck. B
A t)' '4!;,04C. C�70 10 Set Backs Lot Size
Al/i
Legal Descripti F IS IS IR
Zone 1?711�b ions Group Type
C
Mech. Fee rDb I $
Plo Ck. Fee
Construction Fee DbI $
Electrical Fee DbI $
SMI Fee $
Plui nbiing Fee
Dbl $
Bond Amt.
$
Plan No.
Plan Checker Final Date,
Inspecl;-,,-4.
Unit
I
Sp. Insp. Fee $
Dental. Fee---
$
Const. Lender
Branch
Supplimeniol Permit Numbers
Regisir. Fee $
Mileage Fee Is
Address
City Zip
Witness Fee $
Reinsp. Fee
X $
0. el;/Agent
Y)�
Tel. Zip
Total Fees
$ /Z) 71VO
I Addq3'/
ci y Zip
, �,4�n 1Z
m.o. Q 4c. El c:osh[nl checo
ReceWed by,;=;�4�>
Conti -actor
Tel.
License#
Trees required
Se�oge System
Address
City Zip
I T U. P THIS PERMIT SHALL.IBECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK �erifiecl by:
Se�er�Disfricf FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
THEHEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
HEREBY CE RTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
4';-. ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Farm'284-208 (Re�.8/78)