302237 (SFD)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
BUILDING PERMIT a ,
J F M A M J A S O N D
PERMIT NO.
OWNER
�i
RUC
.VVI\1 t Vr RIYL7I
77
COMMUNITY
VALUA
DST
OST
OFFICE
i I�
$
)
/
78
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
F.C.
1 ST FL.SQ. FT. @
E MIT
UNITS
2ND FL. SQ. FT. @
F.4 049'Et
YARD SPKLR SYSTEM
0223
POR. SQ. FT. @ d�2
OR91
MOBILEHOME SVC.
BAR SINK
LEGAL DESCRIPTION
GAR. SQ. FT. @
POWER OUTLET
ROOF DRAINS
r
2:7 11
CAR P. SQ. FT. @
DBL
$
DRAINAGE PIPING
ZONE
WALL SQ. FT. @
GRP
TYPE
ICK BY
DRINKING FOUNTAIN
SQ. FT. @
k
URINAL
ESTIMATED CONSTRUCTION VALUATION $
PLAN CHECK FEE
WATER PIPING
NOTE: Not to be used as property tax valuation
PLAN NO.
SWIM POOL, PVT
FLOOR DRAIN
Re
MECHANICAL FEES
SWIM POOL, COMM
ase f"'-5..77
WATER SOFTENER
CONSTRUCTION FEE
DBL
VENT SYSTEM [-j FAN p EVAP. COOL OOD
SIGN
BRANCH OFFICE
ji IWASHER(AUTO)Q"►
ELECTRICAL FEE
DBL
APPLIANCE R ER
EAS
ADDRESS
CITY
GARBAGE DISPOSAL
STRONG MOTION
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
OWNER/AGENTS SIGNATURE
CONTRACTOR
LAUNDRY TRAY
AIR HANDLING UNIT CFM
l
IDLE METER
SPECIALINSP
DEMOLITION
KITCHEN SINK
FEE
ABSORPTION SYSTEM B.T.U.
TEMP USE PERM SVC
ADDRESS
WATER CLOSET
QD
COMPRESSOR HP
QQ
POLE, TEMP/PERM
LAVATORY
Gam'
DBL
HEATING SYSTEMSk ORCED ❑ GRAVITY
e�0
MPERES SERV ENT
CITY ZIP CODE
SHOWER
x,70
BOILER [��B.T.U.
SQ.FT. @ a
TOTAL FEES * $
BATH TUB
CX>
CODE
TEL, NO,
AREA CODE
SQ.FT. @ a
CASH ❑CHECK .0.0N.C.❑ Ift—
WATER HEATER
00
SQ.FT.RESID @ 11/aa
RECEIVED BY TREES REQUIRED
SEWAGE DISPOSAL
4C7
SEWAGE SYSTEM
SQ.FT.GAR @ 3/aa
3"Q
HOUSE SEWER
H THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY `
GAS PIPING
PERMIT FEE
CJD
PERMIT FEE
PERMIT FEE
DBL.
TOTAL
MOB.HM.FEE
MICRO FEE
M FEE
PL.
PL. CK. FEE
CONST. FEE EL
. FEE
SMI FEEEE.{ry
FEE
PL B. FEEE/y
�FEES
2
G/�✓
.�wr'�.�.
/
�./`u�
J F M A M J A S O N D
SOB ADDRESS I SP NO
!✓ Y'�t.�
OWNER
�i
76
77
COMMUNITY
VALUA
DATE
OST
OFFICE
i I�
$
)
/
78
M H PERMIT FEE
$
USE OFRMIT
F.C.
SUPP O PERMI
E MIT
NO.
F.4 049'Et
0223
MICROFILM FEE
COPIES
$
BOOK PAG PARCEL
LEGAL DESCRIPTION
r
2:7 11
MECHANICAL FEE
DBL
$
USE N07
ZONE
SET BACK I FOT` IZE
GRP
TYPE
ICK BY
k
I S JR/40 5
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER FINAL DATE I SPECTOR
Re
ase f"'-5..77
:s
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER
BRANCH OFFICE
NO LE DER INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS
CITY
STATE
STRONG MOTION
$
OWNER/AGENTS SIGNATURE
CONTRACTOR
INSTRUMENTATION FEE
l
SPECIALINSP
DEMOLITION
FEE
$
ADDRESS
ADDRESS
REGISTRATION
Q
PLUMBING FEE
DBL
$
CITY ZIP CODE
CITY ZIP CODE
TOTAL FEES * $
TEL. NO. AREA
CODE
TEL, NO,
AREA CODE
LICENSE V
CASH ❑CHECK .0.0N.C.❑ Ift—
/
RECEIVED BY TREES REQUIRED
IT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
20 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
*EBAGREE
SEWAGE SYSTEM
I THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE ,
T LL
P
H THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY `
�IJUKArvLC UrI.RV MT CMrLUTCC a. LUMrUANLC YYIIr7 Irl[ LAVVJ Vr IrIC )I AIC Ur
RING CONTRACTORS IS ALSO GUARANTEED.
THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
CE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE