290154 (SFD)BUILDING PERMIT
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
NO. ELECTRICAL FEES
UNITS
MOBILEHOME SVC.
POWER OUTLET
SWIM POOL, PVT
FIELD OFFICE
NO. I PLUMBING FEES
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
CONSTRUCTION ESTIMATE
1ST FL.
I
SQ. FT. @ F $
2ND FL.
SQ. FT. @
POR.
VALUATION
$' 3,0`
SQ. FT. @
DST
OFFICE
APPLIANCE DRYER
GAR.
SQ. FT. @
CAR P.
USE PER IT
SQ. FT. @
WALL
PERMIT NO.
SQ. FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
NOTE: Not to be used as property tax valuation
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
NO. ELECTRICAL FEES
UNITS
MOBILEHOME SVC.
POWER OUTLET
SWIM POOL, PVT
FIELD OFFICE
NO. I PLUMBING FEES
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
t
MECHANICAL FEES
SWIM POOL, COMM
I
IWATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL X HOOD
SIGN
VALUATION
$' 3,0`
WASHER (AUT SH)
DST
OFFICE
APPLIANCE DRYER
M H PERMIT FEE
GARBAGE DISPOSAL
USE PER IT
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
.SUP . TO PERMIT
PERMIT NO.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
L-
290154
ABSORPTION SYSTEM B.T.U.
TEMP USE PERM SVC
COPIES
WATER CLOSET
OBJ
BOOK PAGE PARCEL
COMPRESSOR � HP
!K"3 POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM ORCED ❑GRAVITY
00 AMPERES SERV ENT
DBL
SHOWER
00
USE NO. IZONE
BOILER B.T.U.
SQ.FT. @ ¢
GRP TYPE CK BY
BATH TUB
00
J/}7
SQ.FT. @
y�/�
f��%irk/
j# WATER HEATER
0 ,
�
Q.FT.RESID @ l kc
>
SEWAGE DISPOSAL
_
SQ.FT.GAR @/4¢
Eat?
HOUSE SEWER
R
✓`�
,PLAN CHECK FEE
$
GAS PIPING
BOND AMT.
PLAN NO, PLAN CHECKER
PERMIT FEE
ECTOR
PERMIT FEE
PERMIT FEE
DBL,
I TOTAL FEES
M.FEE
MIF
'0000
M. PL. CK. ,EE
CONST. FE
;4
FEE
PLUMB. FE�
t
JOB ADDRESS SP NO
I
OWN R
176
77
COMMUNITY
t +
VALUATION
$' 3,0`
DATE
!�
DST
OFFICE
78
M H PERMIT FEE
$
USE PER IT
F.C.
.SUP . TO PERMIT
PERMIT NO.
1
4161
L-
290154
MICROFILM FEE
COPIES
$
BOOK PAGE PARCEL
LEGAL DESCRIPTION
`MECHANICAL FEE
DBL
$
USE NO. IZONE
SEE.T+BACK
LOT SIZE
GRP TYPE CK BY
J/}7
y�/�
f��%irk/
Ir' �r+
�
_
I�Za
S
S
R
✓`�
,PLAN CHECK FEE
$
BOND AMT.
PLAN NO, PLAN CHECKER
FINAL DATE IN
ECTOR
7
CONSTRUCTION FEE
DBL
$
NAME OF CONST, LENDER BRANCH
OFFICE
NO LENDER INVOLVED
1/
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
STRONG MOTION
$
RE CONTRACTOR
OWNER/AGEN9;2-a
INSTRUMENTATION FEE
,—j4 -A7�
SPECIALINSP
$
ADDRES ADDRESS
DEMOLITON
FEE
REGISTRATION
PLUMBING FEE
DBL
$
I ,Of�-
CIT/Y Q ZIP CODE CITY
�� / , 112-
ZIP CODE
TOTAL FEES$
RECEIVED BY TEES REQUIRED
ST SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
20 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
r>'KEBYAGREETHATALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
NCATInM 11Jf1IDn wlr•c I io�w♦ c �[
SEWAGE SYSTEM c ci
TP�?
LL
r
/�Y
CALIFORNTO
IA COVERING CONTRACRS IS LS
AO GUARANTEED.
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
FORM 284-208 IREV. 6-761 OF CALIFORNIA.