375952 (SPIN)NO. COUNTY OF RIVERSIDE FIEL DST
PER 595-1 DEPARTMENT OF BUILDING & SAFETY D
3 7"' 2
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
$
UNITS
I ST FL. SQ. FT. @
2ND. FL. SQ. FT. @
YARD SPKLR -SYSTEM
MOBILEHOME SVC.
BAR SINK
FOR. 50. FT. @
F.C.C.
MH.Permit Fee Is I
Micro Film Fee
POWER OUTLET
ROOF DRAINS
GAR. 50. FT, @
.4 , 7'7q—IIY—
Parcel No.
Use/Cose
No.
I
DRAINAGE PIPING
CAR P. F . @
Pl. Ck. Fee 1$
Set Backs
WALL so. FT. @
DRINKING FOUNTAIN
Legal Descripti ion
URINAL
SQ. FT. @
Electrical Fee DbI 1$
Zone Restrictions
/Z — " / I
ESTIMATED CONSTRUCTION VALUATION $
Type
WATER PIPING
NOTE: Not to be used as property tax 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
Unit
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
$
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B. T. U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLEJEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B. T. U.
SQ. FT. @ C
BATH TUB
SQ. FT. @ c
WATER HEATER
Total Fees
SQ. FT. RESID @I,/, c
SEWAGE DISPOSAL
Address
SO. FT. GAR @ 3/4 c
HOUSE SEWER
Zip
M.O. C] N.C. E) Cash E] Check (9
GAS PIPING
PERMIT FEE
I/
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FFESI
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE
SMI FEE
Of
A r -D
I
PERMIT NO.
13759521
-
Job Address
�/ --/
A -Q
Space
'�—
C mm
OZ
Aucilion
$
Dote
Dist.
Off
F.C.C.
MH.Permit Fee Is I
Micro Film Fee
Copis
Use of PA—IO
.4 , 7'7q—IIY—
Parcel No.
Use/Cose
No.
I
Ck. By
Mech.Fee- DbI1$
Pl. Ck. Fee 1$
Set Backs
Lot Size
Construction Fee DbI 1$
Legal Descripti ion
R
Electrical Fee DbI 1$
Zone Restrictions
/Z — " / I
Group
I
Type
SMI Fee 1$
Plumbing Fee
DbI $
Bond Am%
$
Plan No.
Plan Checker
Fi I Date
13- 7'�
Inspector
Unit
Sp. Insp. Fee
Demol. Fee
$
Const. Lender
Branch
Supplimental Permit Num)g4/ 000,
0/
Regisir. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
$
O�ner/Agent
Tel.
Zip
Total Fees
$
CZ.
Address
4r
it 01
C"Z
Zip
M.O. C] N.C. E) Cash E] Check (9
Recei�ecl by
I/
Contronor
�`T e
License#
Trees requirek
Sewage System
Address
Of
Zip
' N11— T U. P
,S;wer District
DZ �
Form 284-208 (Rev.&78) as
THIS PERMIT SHALL BECOME VOO-I'FWORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK �erifiecl by:
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
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.
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 OF CALIFORNIA.
DEPARTMENT OF BUILDING AND SAFE.TY o COUN
OFFICE DATE TIME PERMIT NUMBER
e-?
ADDRESS
I OWNER
COMMUN
� BUILDING I PLUMBING I ELECTRICAL
REMARKS:
OWN E R/CON TRACTOR TEL.NO.
OF RIVERSIDE
SPACE NO.
:HANICAt
INSPECTION
REQUESTED
FOR:
A.M.
P.M.
F-1 MON
TUES
WED
F� FRI
294-" ti/75
DEPARTMENT OF BUILDING AND SAFETY 9 COUNTY OF RIVERSIDE
OFFICE DATE T I NY � �C5 PERMIT NUMBER
7—/0 1 1 1 INSPECTION
ADDRESS SPACE NO.
OWNER
BUILDING
I'COMMUN,�y
PLUMBING ELECTRICAL MECHANICAt
REMARKS:
0
OWN E R/CON TRACTOR TELAO. -Z
REQUESTED
FOR:
A. M.
P.M.
mc�
TUIES
WrtlD
THUR
FRI
26446 11/75