303790 (SFD)' DEPARTMENTYOF BUILDING& SAFETYW' FIELD,OFFICE
BUILDING PERMITr�+ - „
,- PERMIT NO. -
PERMIT NO. r -
'-:
COUNTY OF RIVERSIDE
f i
~NO.
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r
DST
CONSTRUCTION ESTIMATE
"
ELECTRICAL -FEES
NO. PLUMBING FEES
.1ST FL. SQ.
•2ND FL.
POR. SQ.
GAR. SQ
CAR P. SQ.
WALL .y SQ.
.
ESTIMATED CONSTRUCTION
FT. @a Ail)$
UNITS'
SQ. FT. j, YARD SPKLR SYSTEM '
® '
FT. -g 0 MOBILEHOME SVC. , BAR SINK
,
- POWER POWER OUTLET ROOF DRAINS
e.
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•
FT. , (a} DRAINAGE PIPING
4 - a e
C/� •.
FT. Q .. DRINKING FOUNTAIN
f.
SQ. FT. ,.8 - URINAL
VALUATION $ WATER PIPING
,MH Permit Fee $
NOTE: Not to be used as'property tox voluotion
Cop $
SWIM POOL, PVT
FLOOR DRAIN.
{
MECHANICAL FEES
Parcel No.14
'Set
SWIM POOL, COMM
WATERSOFTENER
'Meth. Fee Dbl E
�Pl. Ck. Fee
•
VENT SYSTEM FAN.' EVAP. COOL• HOOD
SIGN
WASHER IAUTO HI
- -
Y
APPLIANCE - RYE
- Lot Size
GARBAGE DISPOSAL
FURNACE O UNIT 0 WALL 0 Ff'009'Q SUSPENDED
.Legal
LAUNDRY TRAY
F $ S
AIR HANDLING UNIT 't CFM
IDLE METER
KITCHEN SINK
- #r
ABSORPTION SYSTEM 0 B.T.U.-
TEMP USE PERMIT SVC
WATER CLOSET
Unir112
COMPRESSO /HP. '
$
POLE, TEMP/PERM -
LAVATORY
_r
HEATINGSY.TE FORCED"GRAVITY '
AMPERES SERV ENT .
SHOWER
,Plumbing Fee
Dbl $
BOILER B.T.U.'
Bond Amt. •
SO. FT. Q- ¢
710WATER
BATHTUB
Plan Checker
`Final
}
SQ. FT. p ¢
HEATER
O
'
Sp.Inip.Fee
$
—6Q.FT.RESID•,p 1'A¢-
SEWAGE DISPOSAL
Q
SQ. FT. GAR '/.¢
;I HOUSE SEWER '
-Demol. Fee -
GAS PIPING
Const. Lender
-
PERMIT FEE
-
PERMIT FEE
PERMIT FEE
-
Fee $f{
.Registr.
•Mileage
=TOTALFEES
jM0B.HM.FEEj*MICRO
FEE
H. EE
PL. CK. FEE
CONST. FEEEL :FEE
S/
SMI.FEE
-FEE
P
,- PERMIT NO. -
Supp. Per mitJob
Address
c
r
Space Zip Owner .
-
j
o 3 7 �9
�
1
"Community -
e.
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•
Valuation
$
4 - a e
C/� •.
Dist.
f.
,MH Permit Fee $
Micro Film Fee
Cop $
Use of i -
-
a
Parcel No.14
'Set
Use No. -
.by
r
-
'Meth. Fee Dbl E
�Pl. Ck. Fee
$
Descr ption
ime
- -
e -
, ocks
N
- Lot Size
'Construction Fee D I $
.Legal
F $ S
'Electrical fee
Dbl $
- #r
i
one• Grp TYPe
Unir112
SMI Fee
$
_r
.
,Plumbing Fee
Dbl $
d'
Bond Amt. •
Plan No.
Plan Checker
`Final
DaQrye '
Inspe
-
Sp.Inip.Fee
$
'$
%
-Demol. Fee -
$',
Const. Lender
-
Branch -
-
'I.certdy that in the performance of a
not employ any person in any manner s as
work for which rh¢,permiris issued I shoo
to become subject to the workmen s com-
-
-
Fee $f{
.Registr.
•Mileage
_
Address
-
- City -
Zip
-
pensation laws ooli}ornia.' .
- -
Owner Signature
,
-
Fee • $ t
;Witness Fee $
Builder Sionature
'Reinsp. Fee
$
Owner/Agent
Tel.
-
Zip
'•^
:Total Fees
g
Address
-
T
City -
-
Zip
M.O. O N.C.0 Cos h Chec
•
:Received by
G.
Conrrocto
-
Tel. -
License
N
,Trees requi e
'Sewage System -
Address
-
,.
City -
Zip
ark rs' p.
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a ..
..
Y.S.2no
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Sewer DntriCtt —
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Form 284.208 (Rev. 4.771 os
THIS PERMIT SHALL. BECOME VOID 1F WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF 'r�'erdied by:
/ dORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. i1
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WIT THE LAWS OF RIVERSIDECOUNTYAND THESTATE.OFCAL
IFORNIA�ti
I HEREBY CERTIFY THAT. THE.INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE -
SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROF ESSIONS•CODE OF THE STATE OF
.CALIFORNIA.