397675 (BLCK)RLInnitit: Pr -DA IT
NO.
PERMIT NO.
1397675
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD
r DST/
CONSTRUCTION ESTIMATE
Date /)
!"'7
,!
NO.' ELECTRICAL FEES
NO. PLUMBING FEES
F.C.C.
s
1ST FL.
2ND. FL.
FOR.
GAR.
CAR P.
WALL '��
ESTIMATED CONSTRUCTION
SQ. FT. @ $
Use of Permit [ 7
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UNITS
Ck. By
,
Mech. Fee Diet s
SQ. FT. @ YARD SPKLR SYSTEM
Set Backs .
SQ. FT. @ MOBILEHOME SVC. BAR SINK
Construction Fee ,Dbl S
SO. FT. '@ POWER OUTLET ROOF DRAINS
FS
SQ. FT. f@ DRAINAGE PIPING '
Electrical Fee Diet $
/'
SQ. FT. @ 7•S e - F DRINKING FOUNTAIN
Group
SO. FT. @ URINAL
..SMI Fee $ _.
VALUATION $ D C°.� WATER PIPING
Bond Amt.
S
NOTE: Not to be used os property tax valuation
Plan Checker
SWIM POOL, PVT
FLOOR DRAIN s,
Unit tr• �}
MECHANICAL FEES
Dental. Fee$
SWIM POOL, COMM
WATER SOFTENER �.
VENT SYSTEM FAN EVAP. COOL HOOD
•Alileoge Fee S
Witness Fee • $
SIGN
WASHER (AUTO)(DISH)
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Ow r/ ent`)
n.A C/�,jV�"„^-+•ter%
APPLIANCE DRYER
Tocol Fees. $
GARBAGE DISPOSAL
City Zip
",�/'�,�' •
FURNACE UNIT WALL FLOOR SUSPENDED
Received by ��..
AO
Contractor r .,
•
LAUNDRY TRAY
Vicente#
'
AIR HANDLING UNIT CFM
Sewage System 1
.. 1.
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC e.
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ a
BATH TUB
SQ. FT. @ a
WATER HEATER
• S0. FT. RESID @ 1 t/<a
SEWAGE,DISPOSAL
S0. FT. GAR @ 1/4a
HOUSE SEWER
•
GAS PIPING
PERMIT FEE ;++
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO'FEE
ME CH. FEE
PL. CK. FEE
CONST. FEE� ELECT. FEE
SMI FEE
FEE PLUMB. FEE
NO.
*
R397675°
Job Address � space
T4/As
�ip,, OwnerPERMIT
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Community t(%•j,� 1 �• 'Y1^�" fly`
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Valuattiiion +may
$ / -.J / �"i`
Date /)
!"'7
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Dist.
r� 1_.
Of'.
F.C.C.
s
MH Permit Fee $
Micro Film Fee Cop s
Use of Permit [ 7
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Parcel No. Use/Case No.,;
; 77 �—• 04a5, t�
Ck. By
,
Mech. Fee Diet s
PI. Ck. Fee $
Set Backs .
Lot Size .
r
Construction Fee ,Dbl S
legal Description ry `'
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FS
S / R
Electrical Fee Diet $
Zone RReststdri/citrons
i' �`�•• wI
Group
Type
._.1
..SMI Fee $ _.
Plumbing Fee - Dbl $
Bond Amt.
S
Plan No.
Plan Checker
Final Dote Ainspector
Unit tr• �}
Sp. Insp. Fee " S
Dental. Fee$
Const. Lender - Branch
Supplimentol Permit Numbers " • <
/ -
-
Registr. Fee S
•Alileoge Fee S
Witness Fee • $
Address City Zip
Reinsp. Fee $
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n.A C/�,jV�"„^-+•ter%
Tel. Zip
R
Tocol Fees. $
Ad6d�. reSs/,�/ -
City Zip
",�/'�,�' •
M.O. E) N.4 0 Cash Q Check
Received by ��..
AO
Contractor r .,
•
Tel.
Vicente#
'
Trees required
Sewage System 1
.. 1.
Address -City
. ,.
Zip
T LL THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
Sewer District ' FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
(,s•, I HEREBY, GREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT'WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF.RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. ;s
EBY CERTIFY THAT. THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN _ ti
Form 284-208 (Rev. 1/80) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. G�\Y/
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'BUILDING PERMIT
t'j.n
PERMIT NO.
r
J -7 1 U
v)ob'Address`"
DEPARTMENT OF BUILDING'. & SAFETY COUNTY OF RIVERSIDE
FIELD OFFICE
DST
CONSTRUCTION ESTIMATE '
NO. ELECTRICAL FEES-
NO. PLUMBING FEES
dST FL.
2ND. Fl.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS •
• r
+ r
SQ. FT. @
':.YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
"ROOF DRAINS '
SQ. FT. @ •
DRAINAGE PIPING'
SO., FT'@
DRINKING FOUNTAIN
SQ. FT. @ _i
URINAL
VALUATION $L26113 cone >
WATER PIPING
NOTE: Not to be used as prdpertyitax 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
4
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED.
LAUNDRY•TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK '
ABSORPTIOIJ 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.
I
SQ. FT. @ a
BATH TUB
•• ,
SQ. FT. @ a
WATER HEATER -
S0. FT. RESID- @ I %c
SEWAGE DISPOSAL
S0. FT. 'GAR - @ t/<c
HOUSE SEWER
•
GAS PIPING
PERMIT FEE. r
PERMIT FEE"
PERMIT FEE "
DBL.
TOTAL FEES
MOB. HM. FEEMICRO'FEE•
MECH. FEE PL. CK. FEE
CONST. FEE - ELECT,FEE
SMI FEE
FEE PLUMB. FEE
y x _ . .....-..-.._•.
PERMIT NO.
' • �.�
-_^ —Y,
v)ob'Address`"
- ....•_ _ .,,..-.._.._-- --•... ._... ,,--..-.�.. �....
- Space
-Zip-"-.. Owner.
Community Vo nation Da Dist. Of F.C.C.
Us of ermit �7^ 7 arc-3714o:se/Cosi No. Ck. By
•/ (I _
f�7/J/ �.� f1//, Se Bac s Lot Size
[fv�l(��iiJJJJ//�1/�•• /"T ""'iii
L gal Description r/may �/q� %jy /yam F S S R
Zone Restrictions Group Type
MH Permit Fee
Micro Film Fee Cop S
Mech. Fee Dbl $ ,.
PI. Ck. Fee $
Construction Fee Diet S
Efectrical,Fee Dbl $
SMI, Fee S
Plumbing Fee Dbl $
Bon Amt.
g
Plan No.
Ion Checker
Final Dote
7
Inspector
Unit '
Sp. Insp. Fee $
Demol. Fee $
Const. Lender
v
Bronkh
Supplimentol Permit Number -
-
• ", ,
14- e)o7�5 c
s
Regislr. Fee s $
Mileoge Fee $- -
•Address. City Zip
-
Witness Fee g
Reinsp. Fee g
OX/ ent
-
At,
Tel. - - � -, Zip,
4
Totol Fees $
Address
City s Zip
Tela eg
, Ltcens-
M.O. E] N.C. ❑ Cosh 0 he<
Received byContractor
Trees requiro
Sewage System oe
Address
City - •• - Zip
- -'
T. Ll THIS PERMIT,SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION Of WORK verilied by:
Sewer District 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
E
' TH
Form 284-208 (Rev.. 1/80LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA..
s
I H REBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
1 RDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE Of CALIFORNIA.