302087 (SFD)w
FIELD .OFFICE
.; DEPARTMENT OF BUILDING & SAFETY i
BUILDING PERMIT
J F M A M J J A S O N D
PERMIT NO.
020871
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%.VVIYI i Vr RI VCK�IUC
COMMUNITY U ION
DA E DST OFFICE
DST
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
M H PERMIT FEE
NO. PLUMBING FEES
$
1ST FL.SQ.
2ND FL.
POR.
GAR.
CAR P.
WALL SQ.
ESTIMATED CONSTRUCTION
FT. @ $
su P. O PER IT
UNITS
ITN
SQ. FT. @ YARD SPKLR SYSTEM
SQ. FT. @ dQ41M, MOBILEHOME SVC. BAR SINK
1 -
SQ. FT. @ GX3 POWER OUTLET ROOF DRAINS
302087
SO. FT. @ DRAINAGE PIPING
FT. @ DRINKING FOUNTAIN
COPIES
SQ. FT. @ URINAL
VALUATION $ WATER PIPING
LEGAL ESCHWTION
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
MECHANICAL FEE
DBL
VENT SYSTEM kFAN ❑ EVAP. COOL HOOD
SIGN
9ET BACK LOT2IZE
WASHER (AUTO%QISH)
TYPE CK BY
APPLIANCE RYER
C
GARBAGE DISPOSAL
CiIJ
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
PLAN CHECK FEE
IDLE METER
$
KITCHEN SINK
BOND AMT.
PLAN NO.
ABSORPTION SYSTEM 0 B.T.U.
DATE INS
TEMP USE PERM SVC
WATER CLOSET
COMPRESSOR HP
154
POLE, TEMP/PERM
-77
LAVATORY
f7Fi
DBL
HEATING SYSTEMORCED ❑ GRAVITY
lk
AMPERES SERV ENT
BRANCH OFFICE
SHOWER'
BOILER B.T.U.
SQ.FT. @ a
BATH TUB
ELECTRICAL FEE
DBL
$
SQ. FT. @ a
CITY
WATER HEATER,t
300,
SQ.FT.RESID @ 1 Vk
SEWAGE DISPOSAL
STRONG MOTION
$
SQ.FT.GAR @ 3/aa
CONTRACTOR
HOUSE'SEWER
%e— GAS PIPING.
PERMIT FEE
Cyj
PERMIT FEE
G'r��
PERMIT FEE
�(a
ADdRE55
DBL.
I TOTAL FEES
MOB.HM.FEE
MICRO FEE
MEIM. FEE
L. CK. FEE
CONST. FEEE�Ew EL
FELE%
SMI y�F /Er,E/j�
- FEE
PL Fk
J F M A M J J A S O N D
JOB ADDRESS SP NO
I
fly'—'?4v
OWNER
t
%
76
77
COMMUNITY U ION
DA E DST OFFICE
I $
�i�!
78
M H PERMIT FEE
$
S OWPLKWT F.c.
su P. O PER IT
PE $M
ITN
1 -
302087
MICROFILM FEE
COPIES
$
K ' PA E'PARCEL
LEGAL ESCHWTION
Y
MECHANICAL FEE
DBL
$
U E ZONE
9ET BACK LOT2IZE
GRP
TYPE CK BY
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN C CKRFINAL
DATE INS
CTOR
-77
LL
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER
BRANCH OFFICE
NO LENDER INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS
CITY
STATE
300,
STRONG MOTION
$
OWNE�4AtNTS SI ATU E' ,i
CONTRACTOR
INSTRUMENTATION FEE
'SPECIAL INSP
$
ADdRE55
ADDRESS
_
DEMOLITION
FEE
REGISTRATION
PLUMBING FEE
DBL.
$
CITY ZIP CODE
CITY ZIP CODE
-37
. �.•.•
TOTAL FEES $
EL. O.
AR A ODE
TEL. NO.
AREA CODE
LICENSE tt
l
—17
'
CASH ❑CHEC .O.❑N.C.❑
d�x Z/—. 41D
RECEIVED BY TREES REQUIRED
SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
0 DAYS SHALL ALSO CAUSE PERMIT TO.BECOME VOID.
&Ei *YG THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
SEWAGE. SYSTEM
.REE
;'-
T
LL
P
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY r
_.. . _. _ ..- ._R_ ... .._ _.. -' - - --
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CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
FORM zea-zoe (REV. a -le) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE, OF THE STATE
OF CALIFORNIA.