414094 (PAT)BUILDING PERMIT
1PERMIT NO.
414094
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE osT
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST Fl.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SO. FT. .@ $
UNITS
SO. FT. @
YARD SPKLR SYSTEM
SO. FT. @ �^ MOBILEHOME SVC.
BAR SINK
SO. FT. @ POWER OUTLET
ROOF DRAINS
SO. FT. @
DRAINAGE PIPING
SO. FT. @
DRINKING FOUNTAIN
SO. FT. @
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used as properly tan 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
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Group
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. @ c
BATH TUB
Const. Lender Branch
SO. FT. @ a
WATER HEATER
S0. FT. RESID @ 1 t/4a
SEWAGE DISPOSAL
Address City Zip
S0. FT. GAR @ V44
HOUSE SEWER
S
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.TOTAL
FEES
'705-
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
—r=
SMI FEE
'
FEE PLUMB. FEE
PERMIT NO.
414094
Job Address
�- i ;�
Space
Zip
Owner
Co unity
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Valuation �d
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F.C.C. �
MH Permit Fee S
Micro Film Fee
Cop S
se of(Par .
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Parcel No.
Use/Case No.
0y
s,
Mech. Fee Dbl S,�,/N
.PI. Ck. Fee S
Set Bots
Lot Size
Construction Fee Dbl S v
Legal Description
�� T �'—� ..�' �GU'4 !j
F / S S
Electrical Fee Dbl s
Zone Restrictions
Group
Type
SMI Fee S
Plumbing Fee
Diet S
r
Bond Amt.
S
Plan No.
Plan Checker
Final bate
V— 3— v
Inspector
—
Unit
Sp. Insp. Fee S
Denial. Fee
b
Const. Lender Branch
Supplimentol Permit Numbers
Regist, Fee S
Mileage Fee $
Address City Zip
Witness Fee S
Reinsp. Fee
S
Owner/A rtt"j
Tel.
Zip
Total Fees
5
A dress
/f--Z—Yp
City
r
Zip
M.O. P N C. Cash Q Check
Received by
1
Contr ctor
T.I.
Lic—et#
Trees re %,
Se—System
r11rJJ
Address
City
T LL p THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
a Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
t .I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
�THHE. LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
9- T REBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
l Form 284208 (Rev. 1/80) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by: