290572 (SFD)BUILDING PERMIT
PERMIT NO.
DEPARTMENT OF BUILDING St SAFETY
COUNTY OF RIVERSIDE
NO. I ELECTRICAL FEES
UNITS
TOME SVC.
OUTLET
SWIM POOL„ PVT
FIELD OFFICE
NO. I PLUMBING FEES
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
WATER PIPING
FLOOR DRAIN
CONSTRUCTION ESTIMATE
IST FL.
SWIM POOL, COMM
SO. FT.
@
" 2ND FL.
'
SQ. FT.
@
SIGN
r M H PERMIT FEE
WASHER (AUTO SH)
~!�
POR.
APPLIANCE RYER
SQ. FT.
SUPIP. TOP MIT
PERMIT
GARBAGE DISPOSAL
D
rd's
GAR.
SQ. FT.
@-f
CAR P.
SQ. FT.
@
WALL
IDLE METER
SQ. FT.
@
+1111110
BOOK PAGE PARCEL
SQ. FT.
@
ESTIMATED
CONSTRUCTION
VALUATION
$
NOTE: Not to be used as Property tax valuation
DEPARTMENT OF BUILDING St SAFETY
COUNTY OF RIVERSIDE
NO. I ELECTRICAL FEES
UNITS
TOME SVC.
OUTLET
SWIM POOL„ PVT
FIELD OFFICE
NO. I PLUMBING FEES
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
WATER PIPING
FLOOR DRAIN
'-
O
J F M A M 1 J A S N D
MECHANICAL FEES
OWNER
SWIM POOL, COMM
77
WATER SOFTENER
VALUATION
'
VENT SYSTEM ❑ FAN ❑ EVAP. COOL WOOD
OFFICE
SIGN
r M H PERMIT FEE
WASHER (AUTO SH)
~!�
APPLIANCE RYER
Off'
SUPIP. TOP MIT
PERMIT
GARBAGE DISPOSAL
D
l
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
i
LAUNDRY TRAY
AIR HANDLING UNIT
IDLE METER
COPIES
KITCHEN SINK
+1111110
BOOK PAGE PARCEL
ABSORPTION SYSTEM B.T.U.
TEMP USE PERM SVCWATER
CLOSET
,?
COMPRESSOR HP
DBL
POLE, TEMP/PERM
LAVATORY
EM
HEATING SYSTORCED El
d�:>
MPERES SERV ENT
PLAN CHECK FEE;�Jg,'+'y/
SHOWER
BOILER B.T.U.
k
SQ.FT. @ a
BATH TUB
A4LI
CONSTRUCTION FEE
DBL
$
SQ. FT. @ a
NAME OF CONST. LENDER
WATER HEATER
NO LEND NVOLVED
/ yJ
Q.FT.RESID @ 1' /aa
.g
SEWAGE DISPOSAL
ELECTRICAL FEE
DBL
$
SQ.FT.GAR @ 1/4a
30
HOUSE SEWER
STATE
GAS PIPING
STRONG MOTION
PERMIT FEE
$
PERMIT FEE
OWNER/AGE FS SIG NATUR
IPERMIT FEE
INSTRUMENTATION FEE
DBL.
I TOTAL FEES IMOB.HM.FEEI
EMICREE
MEC H. FEE
PL, CK, FEE
I CONST. FEE
ELECT. FEE
SMI FEE
FEE F
PLUMB. FEE
'-
O
J F M A M 1 J A S N D
JOB ADDRESS SP NO
OWNER
77
COMMUNITY
VALUATION
DATE
DfT
OFFICE
r M H PERMIT FEE
$
USE PER T
F.C.
SUPIP. TOP MIT
PERMIT
NO.
l
i
4 MICROFILM FEE
COPIES
$
/
BOOK PAGE PARCEL
LEGAL' DESCRIPTION
V 49
,?
MECHANICAL FEE
DBL
$
USE NO. SET BACK LOT SIvZE
00
1101E �j� /�
40e I ;;t S ..7 -IS R /f.f J{14/V �I bAi�r
PLAN CHECK FEE;�Jg,'+'y/
$
BOND AMT. PI/AN NO,PLAN CHECKER FINAL DATE INSPE O
k
7
/ , / ' e77
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER
BRANCH OFFICE
NO LEND NVOLVED
/ yJ
ELECTRICAL FEE
DBL
$
ADDRESS
CITY
STATE
STRONG MOTION
$
OWNER/AGE FS SIG NATUR
CONTRACTOR
INSTRUMENTATION FEE
SPECIAL INSP
$
ADDRESS
ADDRESS
DEMOLITION
REGISTRATION
FEE1
CITY ZIP CODE
TOTAL FEES $
TEL. NO.
AREA CODETEL.
NO.
AREA CODE
LICENSE A
J
�CASHOCHECK) .O.❑N.C.❑ /
fZ
RECEIVED BY : _ TREES REQUIRED
T SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
THISOBY
WO'120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
AGREE THAT ALL 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
MPFt%ISGTInIj WV IDAmrc I RIVERSIDE,
AAV CAADI^VCCC ��. Ie.�i-c �.nTu ruc i AXA- Tu c An �c
.SEWAGE SYSTEM
/
L(
LL
P Q3 V,/
/\
CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
LF -R -2.i-208 IREV. 6.76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.