297396 (SFD)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
BUILDING PERMIT _ _ _ __ ___ _ _ _ _ __ ___ ___
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J F I M A M J J A S O N D
PERMIT NO.
2973
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CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES
1ST FL.
2ND FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $ UNITS
SQ. FT. @ YARD SPKLR SYSTEM
SQ. FT. ,@ MOBILEHOME SVC: BAR SINK
SQ. FT. @ POWER OUTLET ROOF DRAINS
SQ. FT. @ DRAINAGE PIPING
SQ. FT. @ DRINKING FOUNTAIN
SQ. FT. @ URINAL
VALUATION $ WATER PIPING
NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN
MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER
M H PERMIT -FEE
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO)(DISH)
$
APPLIANCE ❑ DRYER GARBAGE DISPOSAL
USE OF PERMIT 41F.C.
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY
SUPP. O/P�ERMIT
AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK
ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC WATER CLOSET
COMPRESSOR 0 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
MICROFILM FEE
SQ.FT.RESID @ 11/44 SEWAGE DISPOSAL
$
SQ.FT.GAR @ 3/44 HOUSE SEWER
ROOK PAGE PARCEL
LEGAL DESCRIPTION
GAS PIPING
PERMIT FEE
PERMIT FEE PERMIT FEE
�pf/
TOTAL FEES
]MqB,HM.FEEI
MICRO FEE MECH. FEE PL_CK'. FEE
CONST. FEE ELECT. FEE SMI FEE
�r
3 At 0
r3
FEE PLUMB. FEES
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J F I M A M J J A S O N D
JOB ADDRESS - SP NO
A I
/ / " G ! t{ll 5 f i, J6� I
OWNER -
/
� u' % ee. it
76
77
COMMUNITY -
VALUATION
DATE
DIST
OFFICE
11
'`ice % s
$
�6 ✓
/Y
78
M H PERMIT -FEE
$
USE OF PERMIT 41F.C.
SUPP. O/P�ERMIT
PERMIT NO.
* g !g
C.�
Ill r%
MICROFILM FEE
COPIES
$
ROOK PAGE PARCEL
LEGAL DESCRIPTION
�pf/
MECHANICAL FEE
Reil,.,
$
USE NO.
ZONE
SET BACKLOT SIZE
GRP
TYPE ICK 33Y
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.cy
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TJ
:
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I S - S 4- R 5 /.rll.�r
Ii
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PLAN CHECK FEE
$
BOND AMT.
PLAN
PLAN CHECKER
FINAL DATE� INSPECTOR
'
.NO.
/
:CONSTRUCTION FEE
0116-
$
NAME OF CONST. LENCER
BRANCH OFFICE
NOLEERINVOLVED
ELECTRICAL FEE„
$
ADDRESS
CITY
STATE
✓
6T«7
STRONG MOTION-
$
OWNER/AGENT'S SIGN,�TU -
CONTRACTOR
INSTRUMENTATION FEES
SPECIAL:NSP
DEMOLITION
FEE
$
ADDRE w.. "r- f
ADDRESS
REGISTRATION
.s
?. `��3e>�
PLUMBING FEE
Pat—
$
CITY ZIP CODE
CITY ZIP CODE
AL
P7
TOTAL FEESTEL.
NO. AREA
CODE
TEL. NO.
AREA CODE
LICENSE 4
CASH❑CHEC 0.0N.C.❑$ x
Of
..;....
RECEIVED BY ;- T ES REQUIRED '
HIS T SHALL BECOME VOID IF WORK IS NOT'COMMENCED WITHIN 120 DAYS. CESSATION OF
f'
120 LAYS SHALL ALSO CAUSE. PERMIT TO BECOME VOID.
BY AGREETHAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
Z
RADII
SEWAGE SYSTEM
L
p
HE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
IC A TIllwl 1If 1'-
CALIFORNIA COV=RING CONTRACTORS IS ALSO GUARANTEED.
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 284-208 (REV. 6-76) OF CALIFORNIA. - -