399176 (MISC)BUILDING PERMIT
PERMIT NO, DEPARTMENT OF BUILDING & SAFETY
9
9176 COUNTY OF RIVERSIDE
FIELD DST
F,
CONSTR ION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FE15§
IST FL. SQ. FT..@ $
UNITS
Space Zip Owner
Doe ` i O .
.i .:--
V 2ND. FL. SO. FT. @
POR. SO. FT. @
GAR. SO. FT. @
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR.. SINK
ROOF DRAINS
CAR P. SQ. FT. @
•V"
'
DRAINAGE PIPING
WALL SO. FT. @
SO. FT. @
ESTIMATED CONSTRUCTION VALUATION $
-
DRINKING FOUNTAIN
URINAL
WATER PIPING '
NOTE: Not to be used os property tax voluotion
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Type
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Bond 'tSSt.
S
LAUNDRY TRAY
AIR HANDLING UNIT CFM
NtE'MVTE0.
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. @ a
BATH TUB
Address City Zip
SQ. FT. @ a
WATER HEATER
Owner/Agent
r
S0. FT. RESID @ 1'/4a
SEWAGE DISPOSAL
'
S0. FT. GAR @ 3/44
HOUSE SEWER
Total Fees $
M.O.: ❑ N.C. ❑ Cash ❑ Che
ddress 'f
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBI.
TO I, FE;!2MOB. HM. FEE
1
MICRO'FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT.
tc7"�
SMt FEE..
� FEE PLUMB. FEE
If
PERMIT NO.
399176
Job Address
Community
-
.
-
f 1Valuation
• $ '
Space Zip Owner
Doe ` i O .
.i .:--
' F.C.C.
MH Permit Fee $
Micro,Film Fee Cop $
Use of Permit _ �••/ l
Legal Descript n
-
`
•V"
'
Parcel No.
7, —
Use/Case No.
Ck. By
Meeh. Fee Dbl $
PI. Ck. Fee $
Construction Fee Dbl' $
Set Backs
Lot Size
.
F
S
S / R
Electrical Fee Obl $
SMI Fee S
Zone Restrictions Z
Group
Type
Plumbing Fee Dbl b
Bond 'tSSt.
S
Ian N,
n Cbecker
Final Dote
7 Sr 80
Inspector
Unit
Sp. Insp. Fee S
Demol. Fee $
Const. Lender
Branch
Supplimgntol Permit Numbers
,
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee S
Owner/Agent
r
Tel. %
Zi
Total Fees $
M.O.: ❑ N.C. ❑ Cash ❑ Che
ddress 'f
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City /�
f/
Zip
Received by
Confroctotst,
Licenses
Trees required
Sewage System
jjj /�
/1J
Address
City Zip
T LL '! P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer District FOR 120 DAYS SHALL ALSO CAUSE ,PERMIT TO BECOME VOID.
e •1 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.
BY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev. 1/80)A ORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA'.
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Ruun1AIA PCQMIT'/ - • '
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PERMIT NO. -'
3 9 917 6
PERMIT NO.
991 76-
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF -RIVERSIDE
FIELD OFFICE
DST
CONSTR TION ESTIMATE
NO. ELECTRICAL FEES
NO: PLUMBING FEES
oe
1ST FL.
2ND. FL
POR.
GAR. ••
CAR P.•
WALL
t
ESTIMATED CONSTRUCTION
SO. FT.•.@ $
UNITS
.Set Socks -
SO. FT. @ • •
YARD SPKLR'SYSTEM
50. FT. @ ' MOBILEHOME SVC.
BAR SINK
SO. FT. @ POWER.OUTLET
ROOF DRAINS'
SO. FT. @ '
DRAINAGE PIPING
SO. FT. @
DRINKING FOUNTAIN
SO. FT; @.
URINAL
VALUATION $ t
WATER PIPING
NOTE: Not to be used as'property 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
Demol. Fee S
PARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
AIR HANDLING UNIT . , CFM
slIfe AETEV'^KITCHEN
LAUNDRY TRAY
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. @ a
BATH TUB
M.O.N.C.E] Cash ❑ Che
SO. FT. @ a
WATER HEATER
Received by
S0. FT. RESID @ 1 t%c
SEWAGE DISPOSAL
Licensell
S0. FT. GAR @ 3/4a
HOUSE SEWER
s
Sewage System '�/%[/�•
GAS PIPING '~
PERMIT, FEE
,
PERMIT FEE
PERMIT FEE .
DBL.
TOTL FEE?.),,
MOB: HM. FEE
MICRO FEE.
MECH. FEE, PL. CK: FEE
I CONST. FEE 1 E . FEE
SMI FEE
y FEE PLUMB.• FEE
'
PERMIT NO. -'
3 9 917 6
Job Address Space Zip Owner
'
Community Valuation to --Dist. 0 F.C.C..
' $ ' -
L ' / y
/ iii
MH Permit Fee S•
Micro Film Fee Cop S
Use of Permit -
Parcel No.,
I,
\ , v<09
Use/Case o.Ck..
_ -
By
Mech. Fee Dbl S
PI. Ck. Fee S
.Set Socks -
Lo f Size
Fee Dbl S
PA
Legal Description
F
S
IConstruction
S
R
Electrical Fee Dbl S
Zone Restrictions
Group-
Type
SMI Fee SSe
Plumbing Fee Dbl S +
Bond X7717
S
tion1401n Checker +
Final Dole ••'
Inspector
Unit
Sp. Insp. Fee S
Demol. Fee S
Const. Lender, Branch s '
Supplimental Permit. Numbers • _ -
., • °
�-
Regior. Fee g
Mileage Fee S
Address City Zip
Witness Fee g
Reinsp. Fee g
Owner/Agen/�f.
Tel. .' - Zi _P
�•
moi" t' � s �'�.^�^�•' .r {FT'"" C.
,,,.r Y
Total Fees $
ddress
M.O.N.C.E] Cash ❑ Che
Received by
Co act , , -
Tel. ''
Licensell
Trees required
~
s
Sewage System '�/%[/�•
Address - _
City Zip
,
1 T LL i.l P I HIb PtRMII SHALL BECOME VOIU 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. X,-
d _ ss
.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, - • -
BY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284.208 (Rev. 1/801 A ORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.