24397 (SFD)BUILDING PERMIT
DEPARTMENT OF'BUILDING & SAFETY
COUNTY OF RIVERSIDE
NO. . ELECTRICAL FEES
7 UNITS
MOBILEHOME SVC.
(j G POWER OUTLET
SWIM POOL, PVT
SWIM POOL. COMM
FIELD OFFICE
CONSTRUCTION ESTIMATE
1ST FL.
///(I'
SQ.FT. @42 % 40
2ND FL.
BOILER B.T.U.
SQ. FT. @
POR.
t30
SQ. FT. @a'
GAR.!"
DRAINAGE PIPING
SQ. FT. @
CAR P.
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR 9f SUSPENDED
SQ.FT. @
WALL
WATER PIPING
SQ. FT. @
FLOOR DRAIN
/DST
SQ. FT. @
ESTIMATED
CONSTRUCTION
VALUATION $
NOTE: Not to be used as property tax valuation
COPIES
$
MECHANICAL FEES
DEPARTMENT OF'BUILDING & SAFETY
COUNTY OF RIVERSIDE
NO. . ELECTRICAL FEES
7 UNITS
MOBILEHOME SVC.
(j G POWER OUTLET
SWIM POOL, PVT
SWIM POOL. COMM
FIELD OFFICE
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73
74 .
8
DST
NO. PLUMBING FEES
SIGN
PERMIT.
'397
WASHER IAUTOI�E)ISH1
BOILER B.T.U.
BAR SINK
t30
ROOF DRAINS
UNI/TS
DRAINAGE PIPING
"
DEINKING FOUNTAIN
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR 9f SUSPENDED
URINAL
WATER PIPING
LAUNDRY TRAY
FLOOR DRAIN
/DST
WATERSOFTENER
VALUATION �y
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74 .
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VENT SYSTEM 0 -FAN ❑ EVAP. COOL 6 HOOD
!?0'
SIGN
PERMIT.
'397
WASHER IAUTOI�E)ISH1
4d
APPLIANCE r •. 493 y '
t30
COMMUNITY
UNI/TS
GARBAGE DISPOSAL
"
SUPP..TO PERMIT
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR 9f SUSPENDED
LAUNDRY TRAY
/DST
AIR HANDLING UNIT CFM
VALUATION �y
IDLE METER
KITCHEN SINK
COPIES
$
ABSORPTION SYSTEM 0 B.T.U.
LEGAL DESCRIPTION
TEMP USE PERM SVC
�'
WATER CLOSET
�dt- l ..Pim
COMPRESSOR HP
000
POLE, TEMP/PERM
s�
LAVATORY
MECHANICAL FEE
DBL
HEATING SYSTEM LSP FORCED C)GRAVITY
f U
AMPERES SERV ENT '
(j r/
SF'OWER
USE NO.
GRP "
TYPE
C BY
SQ FT @ a
BATH TUB
/ �J
? -
SQ FT @ a %
WATER HEATER
e�+
PLAN CHECK FEE-
SQ FT RESID @ I ¢ J6 j�
SEWAGE DISPOSAL
e j
BOND AMT.
PLAN NO.
PLAN CHECKER
SQ FT GARAGE @ 'h¢
HOUSE SEWER
PERMIT FEE•
D
TEMP ELEC SVC
GAS PIPING
�7
MOBILE HOME PERMIT FEE $
CONSTRUCTION FEE
DBL
/ PERMIT FEE
!Y ,0&
PERMIT FEE
D
PSR T
/. TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. F
DBL.
PL tC KJ. FEE
�CONNSST'. FEE�ry
DBL.
ELECT. FEE
DBL.
SMI FErE.7
FEE
PLUMB. F �
DBLAr
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8
USE OF PERMIT _
���,
F.C.
DATE
, _.,_��
PERMIT.
'397
75rt
M H PERMIT FEE
$
COMMUNITY
UNI/TS
ROOMS
SUPP..TO PERMIT
O-TO
/DST
VALUATION �y
MICROFILM FEE
COPIES
$
LEGAL DESCRIPTION
�dt- l ..Pim
S,
f% pa fd(.r Yt49� � c� 7• f G1
MECHANICAL FEE
DBL
$
SET BACK
LOT SIZE
ZONE
USE NO.
GRP "
TYPE
C BY
? -
PLAN CHECK FEE-
$
BOND AMT.
PLAN NO.
PLAN CHECKER
_
FINAL DATE �� j/' INSPECTOR
j�
M
4/
�7
,
'
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH OFFICE
NO LENDER INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS CITY _
STATE i
SMI FEE
$
10Z
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIBQ;IBO DAYS. CES$A•
0
TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME
f
VOID. ;
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC.
$
FEE
CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO
AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE
LAWS OF THE STATE OF CALIFQRNIA.COVERING CONTRACTORS IS ALSO GUARANTEED.
PLUMBING FEE
DBL
$
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 CALI ORNIA-
$
OWNER/AGENT'S SIGNATURE +��-�e.jy�
CONTRACTOR
TOTAL FEES
Is2
Ln
CASH ❑ CHECK M.O. ❑ N.C. ❑
ADDRESS'
/r 1_j % h✓Gy�'1'L^
ADDRESS
RECEIVED BY�
TREES REQUIRED
CITY ZIP CODE
CITY ZIP CODE
SEWAGE SYSTEM
T
LL
P
INFORMATION
9
TEL. NO.
TEL. NO. LICENSE
FORM 284-208 (Rev. 9731 (5s
v 0�