303514 (SATT)DEPARTMENT OF BUILDING & SAFETY. _ FIELD OFFICE
BUILDING PERMIT
J F M Aim J I J A S O N D
PERMIT NO.
303514
OWNER
VVVI\11 Vr RIYCRJIVC .111W'
77
COMMUNITY
DST
�.
CONSTRUCTION ESTIMATE
DSTOFFICE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
M H PERMIT FEE
1ST FL.
2ND FL.
POR. je2
GAR.
CAR P.
WALL SQ.
" ESTIMATED CONSTRUCTION
SQ: FT. @-I-t qP $
UNITS
F,C.
SUPP. TO PERMI
SQ. FT.' @ YARD SPKLR SYSTEM
SQ. FT. @ e1�Ls MOBILEHOME SVC. BAR SINK
SQ. FT. "@ =A POWER OUTLET ROOF DRAINS
SQ. FT. @ DRAINAGE PIPING
Z
FT. @ DRINKING FOUNTAIN
SQ. FT. @ URINAL
VALUATION $ WATER PIPING
MICROFILM FEE
NOTE: Not to be used as property tax'voluation
$
SWIM POOL, PVT
FLOOR DRAIN
L GAL DESCRIPTION -
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
MECHANICAL FEE
VENT SYSTEM qf FAN ❑ EVAP. COOL HOOD
4010
SIGN
WASHER (AUTO) (Dh&bi�
ZONE
SET BACK
APPLIANCE 5eDRYER
'GRP
TYPE
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
V✓
LAUNDRY TRAY
1 yq
S
AIR HANDLING UNIT CFM
R
IDLE METER
KITCHEN SINK
rJ
/`►
ABSORPTION SYSTEM B.T.U.
TEMP USE PERM SVC
WATER CLOSET
BOND AMT.
PLAN NO.
COMPRESSOR 34i, HP
INS�P\/5G%,�/7OR
POLE, TEMP/PERM •
LAVATORY
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
AMPERES SERV ENT
ISHOWER
DATE
BOILER B.T.U.
DBL
SQ. FT. @ a
BATH TUB
NAME OF CONST. LENDER BRANCH
OFFICE NO R INVOLVED
SQ.FT. @ a
WATER HEATER
_
ELECTRICAL FEE
DBL
Q.FT.RESID @ 111/4a
SEWAGE DISPOSAL
ADDRESS CITY
STATE
SQ.FT.GAR @ 3/4a
HOUSE SEWER
-
STRONG MOTION
$
GAS PIPING
.,,,. -4
!
INSTRUMENTATION FEE
PERMIT FEE
PERMIT FEEPERMIT
FEE
'SPECIAL
DBL.
TOTAL FEES
MOB.H M. FEE
MICRO FEE
ME �JFEE
PL. CK. FEE
CON)IS��T.+F/E.E.� ELECT. FEE
4'92
SMI FEE y
FEE
PLUMB. FEE
J F M Aim J I J A S O N D
JOB ADDRESS SP NO
I
OWNER
76.1. 1 _T
77
COMMUNITY
VALUATION
DATE
DSTOFFICE
78
M H PERMIT FEE
$
USE OF PERMIT
F,C.
SUPP. TO PERMI
PERMIT NO.
Z
303514
MICROFILM FEE
COPIES
$
BOOK- PAGE'PARCEL
L GAL DESCRIPTION -
•
MECHANICAL FEE
DBL
$
USE NO.
ZONE
SET BACK
LOT SIZE
'GRP
TYPE
CK BY
V✓
e.
1 yq
S
S +'rs
s1FINAL
R
rJ
/`►
PLAN CHECK FEE -
$
BOND AMT.
PLAN NO.
PLAN CHECKER
INS�P\/5G%,�/7OR
DATE
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE NO R INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
-
STRONG MOTION
$
OWNER/AGENTS. SIGNATURE CONTRACTOR
.,,,. -4
!
INSTRUMENTATION FEE
�•
'SPECIAL
$
ADDRESS ADDRESS
:NSP
DEMOLITION
FEE
REGISTRATION
PLUMBING FEE
DBL,
$
CITY ZIP CODE CITY
ZIP CODE
C.✓C�
" 7V 2.7
TOTAL FEES —u.
$
TEL. NO. AREA
CODE TEL.
NO.
AREONACODELICENSE.tt
CASH❑CHECKCVM.O. N.C.
4=24>
7j2S—
41C;276
f
RECEIVED BY i'
TREES REQUIRED
T SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS: CESSATION OF
20 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
RK*BA
GREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
SEWAGE SYSTEM
Oe•"
i1f
T SLL
p %�
THE LAWS OF RIVERSIDE COUNTY, AND THE STATE OF CALIFORNIA, I ALSO AGREE 70 CARRY
('hAACCwICATIlIwI IwICI n
...
......
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
' FORM 284-206 (REV. 6-76) OF CALIFORNIA.