304009 (SFD)WILDING FMff
PERMIT NO.
4.009
CONSTRUCTION ESTIM
TST FL. SO. FV . Qte06
2 2ND FL: SQ; ff.
POR. .$Q; FT.
S
NT
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F
R
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BUILDING
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FIR
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C C Is
ARP; SQ..FT; Q_
WALL SQ. FL,
SQ..FT.'
'ESTIMATLED-CONSTRUCrION"VALUA-TION
NOTE: tot'i. propeq� t valuation
Not4wbeiused os, y alk val tion
DEPARTMENT BUILDING& SAFETY
em
COUNTY OF RIVERSIDE:
.E NO. ELECTRICAL FEES
10.� — - .— 1,41.4 1 1 UNITS
POWER OUTLET
- [SWIM POOL., PVT
FIELD OFFICE
NQ
PLUMBING
YARD, SPKLR SY!
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN.'
'PEAMITN-n'Supp.
M, ECHAN.IcAL FEES
SWIM POOL, COMM
WATER SOFTENER
40-0
VENT SYSt.%
)p -FAN [I EVAP. COOL tp 1400d
SIGN
WASHER 1AUT
U (DISH)
e
APPLIANCE DRYER
6ARIIAGEDIS-POSAL
MitrorFlImFice cop 4Porc
:FURNACE _0.QNIT 0WALL CfECOISR 0 SUSPENDED-
.-Fee Dbl $
LAUNDRY TRAY
Ck
11L I fee
PI
P
,AIR HANDLING UNIT CFM
-1'IDLE METER
KITCHEN SINK
Consiruction Fee C)blCegql�06efipfioh
ABSORPTION SYSTEM R.T.U.
USE FERMIT'SVC
WA.TERCLOSET
COMPRESSOR,
I -POLE, TEMPVPERM
LAVATORY
HEATII9GV9EM FORCED ❑ bRAVIrr-Y
X
BOILER B.T.U.
AMPERES;SERV ENT
SQ.
SHOWER
BATH TO
Bo.&Amt-
SQ, F14'.49 q
WATERHEATER
,.J.J;SQ. FT. RESID 0 1-1/,4'
F.T;'GAR V4C
SEWAGE DISPOSAL
HOUSE SEWER
%wl 40. 1
GA5PIPIN&JQWYAVft
PERMIT- FEE
:PERMIT FEE,
PERMITTEE
Faint- Lender Branch -1 carofy-that in,the perlarv'ridnce of the work for whigh this iwrmii is issued:I shbil.
not employ ony, perttot 16 ony rxtpnnersci asto becortie subject to Ilve workmen i crim.
k MM. FEE
MICRO7FEE,. J
E' FEE -JtCONST.:FEE
'I! leg
LEC I F E FEE
FEE
Z se -#10,
'PEAMITN-n'Supp.
'er"
J&,Wdirest zI. Owner
40-0
Commonly P T 0 DI
7 iel'N 'No.
U
MitrorFlImFice cop 4Porc
.-Fee Dbl $
Ck
11L I fee
PI
P
$
I Lot Size
* PO—
'K W
Consiruction Fee C)blCegql�06efipfioh
," "ideal Fee
._'i -_I
Grp, Type Unit jr
SMI Fee
_6bI
.#1
_/W_R .1
JUMbing fee
Tw
Bo.&Amt-
-1
,Plan No- K Chides-
Date
ffvp. The
id
$
7 �1
mol, Fee
Faint- Lender Branch -1 carofy-that in,the perlarv'ridnce of the work for whigh this iwrmii is issued:I shbil.
not employ ony, perttot 16 ony rxtpnnersci asto becortie subject to Ilve workmen i crim.
stqFee
$
9qnswibn'.1ciws,.oF California.
Address City Zip Owner Signature
— - - Builder Signorure
is
Witness.06a, S__
Wirtrsp. Fee"
$
G�AiirierlAc:jent
Tel- Zip
Tittal Fees,
f.,;&jAV Po
Address
cit,, Zip,
*O._[3 NX'
Received by
•
Tel.
Trees required
Sewdge System
A City _ip Workers Cgtnp.
-J gw V nz to
.0 lot —too !e2 gi
i'HAEL 'BECOME
4
T47157PiPMIT VOID IF., WORK: 15 NOT COMMENCED WITHIN 170 DA'YS.,CESSATION -OF —thed by-
WOFK FOR 1.20 DAYSSHALL ALSO. CAUSbPERM17, TO BECOME VOID.
1 HEREBY ,AGREE THAT ALL WORK .A.CONNECTION. WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE 6F�Lf�ypkp t4q S
Rj
J
.1 HEREBY CERTIFY THAT' THE INDIVIDUAL PREPARED THE PLANS AND SPECIHCATIONS� HAS DONE
§lN ACCORDANCE WITH' SECTION 5&4.1 F THE BUSit,,E 8 AND PROFESSION& CODE OF THE. STATE OF
OF
Form,78`4-208 (Rev. 4-771
8s
CALIFORNIA.