290441 (SATT)FIELD OFFICE
DEPARTMENT OF BUILDING & SAFETY.
BUILDING PERMIT
Y F M A M J' J A S O N D
PERMIT NO.
2904f
'Raw
1
--mum 1 i Vr KI V CK31UC -
1411W.
. .
DATE
OST
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
l ST FL.
2ND FL.
POR.
GAR.
CAR P. .
WALL .
ESTIMATED CONSTRUCTION
SQ.. FT. @ $
SUPP. TO PERMIT
UNITS
SQ. FT. @ YARD SPKLR SYSTEM
SQ. FT. @ euz MOBILEHOME SVC. BAR SINK
SQ. FT. @ y POWER OUTLET ROOF DRAINS
!�' ♦ "'S y
SQ. FT. @ DRAINAGE PIPING
SQ. FT. @- DRINKING FOUNTAIN
SQ. FT. @ URINAL
VALUATION $ dflWATER PIPING
00
NOTE: Not to be used as property tax valuation
$
SWIM POOL, PVT
BOOK AGE PARCEL LEGA%L,DESCRI ION
FLOOR DRAIN
MECHANICAL FEES
®'
SWIM POOL, COMM
DBL
WATER SOFTENER
USE NO. -
VENT SYSTEM:D<AN ❑ EVAP. COOL ' HOOD
SET BACK
SIGN
GRP
WASHER (AUTO) (D;$W).CdfJ
APPLIANCE
GARBAGE'DISPOSAL
-
FURNACE. ❑ UNIT ❑ WALL,❑'FLOOR ❑SUSPENDED
PLAN CHECK FEE
LAUNDRY TRAY
$
AIR HANDLING UNIT CFM
PLAN NO.PLAN
IDLE METER
n
KITCHEN SINK
ABSORPTION SYSTEM 0 B.T.U.
TEMP USE PERM SVC
WATER CLOSET
?J0
DBL
COMPRESSOR HP
POLE, TEMP/PERM'LAVATORY
OFFICE'
NO LENDER INVOLVED
HEATING SYSTEM XORCED ❑ GRAVITY
MPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ.FT. @ a
BATH TUB
FEE
DBL
$
SQ. FT.. @ a
-
WATER HEATER
ca
{
2,12SO.FT.RESID @ 11/aa
O
SEWAGE DISPOSAL
STRONGJ-
MOTION.
'INSTRUMENTATION.
$
,Cyd/
SQ.FT.GAR @ s/aa
HOUSE SEWER :-
SPECIAL INSP
_DEMOLITION
GAS PIPING
FEE
PERMIT FEE
PERMIT FEE
PERMIT FEE
REGISTRATION
DBL.
TOTAL FEES
MOB. M.FEE
MICRO FEE'
MECH. FEE
®
L. CK. FEE
r.
CONST. FEE
ELECT. FEE
SMI FEE
Jti
�`�J
FEE
PLUMB. FEE
Y F M A M J' J A S O N D
JOB ADDRESS - SP NO
, I
OWNER
76
77COMMUNITY
=,B
VALUATION
$,153 a
DATE
DST
I
OFFICE
M H PERMIT FEE
$
USE OF PERMIT
��dC �
.
�J 3
ygF.,CC.,
SUPP. TO PERMIT
PE MIT NO.
9
!�' ♦ "'S y
LBCf
'MICROFILM FEE
COPIES
$
BOOK AGE PARCEL LEGA%L,DESCRI ION
f
®'
MECHANICAL FEE
DBL
$
USE NO. -
ZONE
SET BACK
LOT SIZE
GRP
I TYPE CK'BY
PLAN CHECK FEE
•
$
BOND AMT.
PLAN NO.PLAN
CHECKER _ FINAL DATE INSPECTOR
n
,CONSTRUCTION FEE
DBL
$
NAM OF ONST. LE DERBRANCH
OFFICE'
NO LENDER INVOLVED
FEE
DBL
$
ADDRESS CITY
STATE
.ELECTRICAL
.
{
A
.
STRONGJ-
MOTION.
'INSTRUMENTATION.
$
,Cyd/
OWN rV S S1,GNATURE CONTRACTOR
--
FEE
SPECIAL INSP
_DEMOLITION
FEE
$
ADDRESS ' ADDRESS
Q�+, /r�er•r^`
REGISTRATION
-
,PLUMBING FEE
DBL
$
CITY ZIP CODE CITY
ZIP CODE
TOTAL FEES
$
/97
TEL. NO.
AREA CODE TEL.
NO.
AREA CODE
LICENSE n
CASH HECK❑M.O.❑N.C.❑
RECEIVED.BY `
c
TREES REQUIRED
f,{��
Tfh IT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
K�R 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME. VOID. -
f°
SEWAGE'SYSTEM
/EBY
AGREE 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 .
vi. n.ovrttarv�-c Urvry II I=mrLVT[ca. L.UMruArvL-E WIIH.IHt LAWS OF IHE STATE OF
CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
FORisa-los (REV.6,76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.