290188 (GRES)BUILDING W61T-"�4
FIELD OFFICE
DEPARTMENT OF BUILDING.& SAFETY
N
""" '8 8
2 901
I -ow
�-wwimi w wr nivrmimor.
'ROW'
77
DST
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
DST
NO. PLUMBING 'FEES
1ST FL.
2ND FL
POR.
GAR.
WALL 7-7-7 SO.
ESTIMATED CONSTRUCTION
SQ. FT. $
UNITS
SQ. FT.
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @-!Z W
DRAINAGE PIPING
FT. @
PRINKING FOUNTAIN
FT.
IURINA L
.@—
VALUATION
WATER PIPING
NOTE: Not to be used os property tax valuation
SWIM POOL, PVT
US . E NO.
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
GRP �
WATER SOFTENER
VENT SYSTEM C -j FAN 0 -EVAP. COOL E] HOOD
SIGN
PLAN CHECK FEE
WASHER (AUTO) (DISH)
APPLIANCE DRYER
BONO AMT.
GARBAGE DISPOSAL
FURNACE [:]UNIT C) WALL 0 FLOOR 0 SUSPENDED
FINAL DATE �INSPECTOR
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
0
KITCHEN SINK
ABSORPTION SYSTEM B. T. U.
TEMP USE PERM SVC
ELECTRICAL FEE
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
ADDRESS
LAVATORY
HEATING SYSTEM 0 FORCED [I GRAVITY
AMPERES SERV ENT
SHOWER
BOiLER B. T. U.
SQ.FT. @ 4
CONTRACTOR
BATH TUB
SQ.FT. @ 4
WATER HEATER
SQ.FT.RES]b @ IAo
ADDRESS.
SEWAGE DISPOSAL
_4;,OSQ.FT.GAR @ 3/4a
DBL
HOUSE SEWER
CITY ZIP CODE
A� (vv I/v 7,-f �l
CITY ZIP CODE
GAS PIPING
PERMIT FEE
4 PERMI FEE
300
PERMIT FEE
DBL.
TOTAL FEES
IMOB.HM.FEEI
MICRO FEE
M FEE Plf. CK. FEE
CONST. FEE
ELECT.FE
0'3
SMI FEE
13
FEE P UMB. FEE
A' M i i A 5 0 N D
JOB ADDRESS SP.NO
OWNER
-s lu Ir t
76
77
COMMUNITY
VALUATIO11T
$ Ir78 Y,
DATE
DST
� OFFICE
?A H PERMIT FEE
I , -
USE OF PERMIT
41i;v I I
.& . 40,
neuep
F,C,
SUPP. TO PERMIT
PERMIT
290100
NO.
11 U
MICROFILM FEE
COPIES
$
BOOK 'A�E PARCEL
LEGAL'DES(Clql
MECHANICAL FEE
DBIL
$
US . E NO.
ZONE
S T BACK
LOT SIZE
GRP �
TYPE ICK By
&
J.
Y5�. R
PLAN CHECK FEE
$
BONO AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE �INSPECTOR
CONSTRUCTION FEE
DBL
$
0
NAME OF CONST. LENDER
BRANCH OFFICE
NO LEN�ER INVOLVED
ELECTRICAL FEE
DBIL
$
9z,
ADDRESS
CITY
STATE
STRONG MOTION
INSTRUMENTATION FEE
$
.....
. OWN ERIAGENrs s, TURE
m 1=1
CONTRACTOR
SPECIAL INSP
DEMOLITION
REGISTRATION
$
ADDRESS
5_ _3 _,/ 4 _n tda , _!:, a
'I " 4,y
ADDRESS.
PFEE]
PLUMBING. FEE
DBL
$
CITY ZIP CODE
A� (vv I/v 7,-f �l
CITY ZIP CODE
TOTAL FEES
ZASHE)CHECKCkA.O.DN.C.01
$
.3 411
TEL. NO. AREA
3
CODE
TEL, NO.
AREA CODE
LICENSE U
RECINVED BY
TR ES REQUIR
TN�—�
THIS'PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN. 120 DAYS. CESSATION OF
WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIVERSIDE COUN Y AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CAR RY
rnAADrKI�ATI�--- � -- . —. E — – --, -- ... ...
SEWAGE SYSTE
L MIT
ILL
-t
IP I I-
hwr
CALIFORNIA COVER11�4d 65�f��&6WS [�'A�17SI666,�6NTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
FORM 284-208 IREV. 6-76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF.CALIFORNIA.