290361 (SFD)DEPARTMENT OF BUILDING & SAFETY
BUILDING PERMIT .—Il - 1 0 COUNTY OF RIVERSIDE
NO. I ELECTRICAL FEES
UNITS
cooI IMOBILEHOME SVC.
42 1 IPOWER OUTLET
POOL, PVT
FIELD OFFICE
CONSTRUCTION ESTIMATE
1 ST FL.
SWIM POOL, COMM
SQ. FT.
@� $
' 2ND FL.
TND
.77
SQ. FT.
@
ROOF DRAINS
DST
i
DRAINAGE PIPING
edA
- POR.
APPLIANCE WRYER
SQ. FT.
@
GAR.
!a
SQ. FT..
@
CAR P.
NO.
SQ. FT.
@
WALL
SQ. FT.
@
IDLE METER
SQ. FT.
@
ESTIMATED CONSTRUCTION
VALUATION $
NOTE: Not to be used as property tax valuation
NO. I ELECTRICAL FEES
UNITS
cooI IMOBILEHOME SVC.
42 1 IPOWER OUTLET
POOL, PVT
FIELD OFFICE
DST
J
NO. PLUMBING FEES
SWIM POOL, COMM
WATER SOFTENER
YARD SPKLR SYSTEM
TND
.77
BAR SINK
00
ROOF DRAINS
DST
i
DRAINAGE PIPING
edA
DRINKING FOUNTAIN
APPLIANCE WRYER
URINAL
$
WATER PIPING
!a
FLOOR DRAIN
SUPP, O PERMIT
J F M A M f J A S Q
MECHANICAL FEES
OWNER .
SWIM POOL, COMM
WATER SOFTENER
TND
.77
VENT SYSTEM FAN ❑ EVAP. COOL HOOD
00
SIGN
DST
i
WASHER (AUTO)PISH)
edA
APPLIANCE WRYER
QO'
$
GARBAGE DISPOSAL
00
SUPP, O PERMIT
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
NO.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
i7i!
KITCHEN SINK
C
0361
ABSORPTION SYSTEM B.T.U.
TEMP USE PERM SVC
'MICROFILM FEE
WATER CLOSET
00
COMPRESSOR ro;J � HP
$
POLE, TEMP/PERM
LAVATORY
00
'MECHANICAL FEE
HEATING SYSTEM FORCED [:1 GRAVITY
fJt1
(y.� AMPERES SERV ENT
USE NO.
SHOWER
ptJ
LOT
BOILER B.T.U.
SQ. FT. @ ¢
BATH TUB
Ott
/
SQ. FT. @ ¢
JJCK
WATER HEATER
92
Q.FT.RESID @ 11/4¢
SEWAGE DISPOSAL4
O.FT.GAR @ /4¢
S
HOUSE SEWER
R -
JI� V /�B.
PLAN CHECK FEE
GAS PIPING
O
PERMIT FEE('aQl
PLAN NO.
PERMIT FEE
0
PERMIT FEE
OCA
RA
DBL.
I TOTAL FEES
MOB.HM.FEE
MICRO FEE
MECH. FEEPL.
CK. F E
CONST. FEE
ELECT. FEE
SMI FEE
FEE
PLUMB. FEE
J F M A M f J A S Q
JOB ADDRESS
� I' SP NO
OWNER .
TND
.77
COMMUNITY 1
14,0 � f f
VAL ATION
$ 22
DATE
7
DST
i
OFFICE
78
M H PERMIT FEE
$
USE OFwPERMIT ow
F.C.
SUPP, O PERMIT
PE MI
NO.
A'�p�
s G.t 7 i 'f f� C7 /Yfl e
i7i!
0361
'MICROFILM FEE
COPIES
$
BOOK PAG E PARCEL LEGAL DESCRIPTION
`'�"��
If* m's
'MECHANICAL FEE
DBL
$
USE NO.
ZONEy�
SETBACK
LOT
GRP
BY
/
ySIZE
.yyJf
JJCK
S
5
R -
JI� V /�B.
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE INSPECT9R
RA
/�
0
iR1 S�'
—
�l
CONSTRUCTION FEE
DBL
0
NAME OF CONST. LENDER JF BRANCH
OFFIC
NO LENOEIR INVOLVED
40
'ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
'
' STRONG MOTION
INSTRUMENTATION FEE
$
OWNER/AGENTS SIGNATURE CONTRA
OR - +•
t,:. Y __•, Via. 'r. Y_. ' i s. +�
SPECIAL INSP
$
ADDRESS ADDRESS
DEMOLITION
'REGISTRATION
FEE
fft
'PLUMBING FEE
DBL
$
CITY ZIP CODE CITY
ZIP CODE
TOTAL FEES $
TEL. NO. AREA
CODE TEL.
N .!L
AREA CODE
LICENSE I
'CASHDCHEC .O.ON.C.0�j7�
I'
zJ°
RECEIVED BY TREES REQUIREDOEREE
SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
0'DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
THAT ALL WORK IN CONNECTION WITH THIS PERMITWILL BE DONE IN ACCORDANCE
OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
SEWAGE SYSTEM T r
yn�a✓ LL
L �f t
P f4/�iS
-- - - vl 111. Ill In Inc �r�rY�vr In�ol/alc yr
CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
FORM 284-208 (REV. 6-76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.