290573 (SFD)BUILDING PERMIT
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE I
FIELD OFFICE
S O
1 F M A M J J A N D
I
PERMIT NO,
2 90 u 3
1
76
77
COMMUNITY �,,G. VALUATION qtr
-07
DATE
DST
1 //
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
M H PERMIT FEE
NO. PLUMBING FEES
$
1 ST FL. SQ.
2ND FL.
POR.
GAR.
CAR P.
WALL SQ.
ESTIMATED CONSTRUCTION
FT. @ 4f4
F.C.
UNITS
PE MIT
NO.
SQ. FT. @ YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC. BAR SINK
SQ. FT. @ 419, POWER OUTLET ROOF DRAINS
SQ. FT. @ DRAINAGE PIPING
FT. @ DRINKING FOUNTAIN
573-
SQ. FT. @ URINAL
COPIES
VALUATION $ WATER PIPING
NOTE: Notto be used as property tax valuation
LEGAL DESCRIPTION
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
MECHANICAL FEE
SWIM POOL, COMM
$
WATER SOFTENER
L-eo.
ZONE
VENT SYSTEM ❑ FAN ❑ EVAP. COOL OOD
m
SIGN
WASHER(AUTO) SH)
/
APPLIANCE RYER
��.
5—
a
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL Cl FLOOR ❑ SUSPENDED
LAUNDRY TRAY
3 ./
W'"
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
00
PLAN CHECKER
ABSORPTION SYSTEM E::� B.T.U.
TEMP USE PERM SVC
WATER CLOSET
OC:
COMPRESSOR HP
q, a
POLE, TEMP/PERM
LAVATORY
esb
$
HEATING SYSTEM ORCED ❑ GRAVITY
taa
MPERES SERV ENT
NO LENDE INVOLVED
SHOWER
G7�Q
J
I
BOILER B.T.U.
SQ.FT. @ a
BATH TUB
DBL
$ ry
ADDRESS
SQ.FT. @ ¢
STATE
WATER HEATER
D
%,2 Q.FT.RESID @ I'At
,r!s
SEWAGE DISPOSAL
zsE7
$
OWN R/AGENTS SIGNATURE
414&5 FT. GAR @ 3A4
INSTRUMENTATION FEE
HOUSE SEWER
SPECIALINSP
GAS PIPING
YS
PERMIT FEE
ADDRESS
DEMOLITION
PERMIT FEE
40
r PERMIT FEE
r:K7
DBL.
I TOTAL FEE-'SjMll.HM.FEEj
MICRO EE
MMEECrH.. 'FEE
PL. CK. FSE
CON^{T. FEE
ELE T. FEE
SMI FEE
FEE
PLUMB. FEE
99
S O
1 F M A M J J A N D
I
JOB ADDRESS SP NO
I
OWNER
76
77
COMMUNITY �,,G. VALUATION qtr
-07
DATE
DST
OFFICE
M H PERMIT FEE
$
USE OF PERMIT
F.C.
5UPP, TO PERMIT
PE MIT
NO.
i
573-
MICROFILM FEE
COPIES
$
BOOK AGE PARCEL
LEGAL DESCRIPTION
MECHANICAL FEE
DBL
$
USE NO.
ZONE
SET BACK LOT SIZE
G/RRPP
TYPE ICK BY
/
5—
a
A
I S S -SIRJI)l J V
3 ./
W'"
PLAN CHECK FEE
$
BOND AMT.
PLAN NO. Q�
PLAN CHECKER
FINAL DATE INSPECTOR
J
"CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER
BRANCH OFFICE
NO LENDE INVOLVED
J
I
g:>0
ELECTRICAL FEE
DBL
$ ry
ADDRESS
CITY
STATE
STRONG MOTION
$
OWN R/AGENTS SIGNATURE
CONTRACTOR
INSTRUMENTATION FEE
SPECIALINSP
$
TOTAL FEES $
RECEIVED B -' REES REQUIRED
THIS ' IT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
R 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
"
'SEWAGE SYSTEM
AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
;Avi.-
1
T
LL
P
LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
.
' -cIJMF'tNJA IUN INJUKANC,E UPON MT EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE OF
CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
FORM zea-zoB (REV. 6-761 SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.