301847 (SFD)DEPARTMENT OF BUILDING & SAFETY� FIELD OFFICE
BUILDING PERMIT PY11 Iwlry ^r Rllir r no 1
J S O D
J F M A M J A N
PERMIT NO. 4 71
301
0111111111'VVVI\11
Vr" RIYGRJIYG
77
COMMUNITY
DST
CONSTRUCTION ESTIMATE
DSTFF
NO. ELECTRICAL FEES
NO. PLUMBING FEES
$ 9-,r
1 ST FL. SQ.
2ND FL.
FOR.
GAR.
CAR P. SQ.
WALL SQ.
ESTIMATED CONSTRUCTION
FT. e2
UNITS
M H PERMIT FEE
$
SQ. FT. YARD SPKLR SYSTEM
USE OWPERMIT
SQ. FT. MOBILEHOME SVC. BAR SINK
SUPP TO PER IT La
SQ. FT. @ QQ POWER OUTLET ROOF DRAINS
FT. @ DRAINAGE PIPING
FT. @ DRINKING FOUNTAIN
SQ. FT. @ URINAL
VALUATION$ WATER PIPING
�O
NOTE: Not to be used os property tax valuation
018 4
SWIM POOL, PVT
MICROFILM FEE
FLOOR DRAIN
$
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
_ af_
MECHANICAL FEE
VENT SYSTEM AN p EVAP. COOL &eHOOD
Ve
SIGN
USE 95.
IWASHER(AUTO)(Dr
C!Q
LOT SIZE GRP
APPLIANCE RYER
Qp
GARBAGE DISPOSAL
O
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METERKITCHEN
SINK
ABSORPTION SYSTEM B.T.U.
R
TEMP USE PERM SVC
WATER CLOSET
9-22
$
COMPRESSOR HP
BOND AMT,
POLE, TEMP/PERM
PLAN CHECKERFINAL
LAVATORY
0
HEATING SYSTEM ORCED ❑GRAVITY
!iO
d AMPERES SERV ENT
SHOWER
CONSTRUCTION FEE
BOILER T.U.
$
SQ.FT. @ ¢
SQ. FT. @ ¢
NAME OF CONST LENDER jf BRANCH
ATH TUB
WATER HEATER
Cki
d0
S Q.FT.RESID @ l l/a¢
SEWAGE DISPOSAL
lYJ
ELECTRICAL FEE
DBL
$
SQ.FT.GAR @ 3/a¢
ADDRESS CITY
HOUSE SEWER
STATE
37
GAS PIPING
r.C�
STRONG MOTION
PERMIT FEE
OO
PERMIT FEE
OWNER/AGENTS SIGNATURE CONTRACTOR
PERMIT FEE
(,ip
DBL
I TOTAL FEES
MOB... FEE
MICRO FEE
J
MOM. FEE
PL. CK. FEE
CONST. FEE
ELECT. FEE
Iff
SMI FEEFEE
PL
FEE
J S O D
J F M A M J A N
JOB ADDRESS SP NO
I
-6�2 —920 11ple Ik
OWNER
i
76
77
COMMUNITY
VALUATION
DA E
DSTFF
$ 9-,r
/
d
_J78
M H PERMIT FEE
$
USE OWPERMIT
FC.
SUPP TO PER IT La
MI
018 4
MICROFILM FEE
COPIES
$
OOKPAGE PARCEL LEGAL DE TI N
_ af_
MECHANICAL FEE
DBL
$
USE 95.
ZONE
SET BAC
LOT SIZE GRP
TYPE CK BY
5V
...S
S
R
PLAN CHECK FEE
$
BOND AMT,
PLAN NO.
PLAN CHECKERFINAL
DATE INS CTOR
CONSTRUCTION FEE
DBL
$
NAME OF CONST LENDER jf BRANCH
OFFICE
NO DERINVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
37
STRONG MOTION
$
OWNER/AGENTS SIGNATURE CONTRACTOR
1 )
INSTRUMENTATION FEE
A0,11C
SPECIALINSP
$
ADDRESS ADDRESS
DEMOLITON
FEE
�l
REGISTRATION
e2l
PLUMBING FEE
DBL
$
CITY ZIP CODE C
Fry ZIP CODE
pts
.....
TOTAL FEES $
TEL. NO. AREA
CODE TEr
NO EA CODE
LIC NSE a
CASH ❑CHECK .O.❑N.C.❑
L
(�
RECEIVED BY TREES REQUIRED
HI SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
OR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID,
SEWAGE SYSTEM
BY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
T
LL
P
VH -THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
l.vmrrnJAliON Iry DUKANC.t UI'UIV MT tMrLUTttJ. C.VMYLIANt,t WITH IHC LAwS OF IHE S AIt OF
CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
FORM 284.208 .REV. 6.761 SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.