302098 (SFD)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
BUILDING PERMIT ,.,�,,..— — .,,�,r..1. I
J F M A M J J A S O N D
PERMIT NO.
'Row
VVYI\11 Vr RIYGR7IYC
Now
DST
1
I f
CONSTRUCTION ESTIMATE
C1OM MU NITVf�J\
NO. ELECTRICAL FEES
NO. PLUMBING FEES
DST OFFICE
1 ST FL.
2ND FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. $
�p
UNITS
SQ. FT. @ YARD SPKLR SYSTEM
SQ. FT. 2.OR MOBILEHOME SVC. BAR SINK
SQ. FT. @ clS►40 POWER OUTLET ROOF DRAINS
F.C.
SQ. FT. @ DRAINAGE PIPING
PERMIT
SQ. FT. @ DRINKING FOUNTAIN
O.
SQ. FT. @ URINAL
VALUATION $ D'0 WATER PIPING
!j
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
302098
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
MICROFILM FEE
COPIES
VENT SYSTEM FAN ❑ EVAP. COOL U400D
ISIGN
! WASHER(AUTO)(
APPLIANCE WDRYfR
e a
P_PARCEL
o Al
GARBAGE DISPOSAL
6 p
DBL
FURNACE C) UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
..
USE NO.
LAUNDRY TRAY
SSE BACK
LOT SIZE GRP
AIR HANDLING UNIT CFM
BY
IDLE METER
KITCHEN SINK
Z
5..,.•
ABSORPTION SYSTEM B.T.U.
`/
TEMP USE PERM SVC
WATER CLOSET
1
COMPRESSOR .y HP
POLE, TEMP/PERM
LAVATORY
016
HEATING SYSTEM . FORCED ❑ GRAVITY
(/Q
AMPERES SERV ENT
SHOWER
R Z
BOILER B.T.U.
SQ.FT. @ it
BATH TUB
U
BOND AMT.
PLAN NO.
SQ.FT.. @ ¢
WATER HEATER
Gb
Q.FT.RESID @ 11/4a
SEWAGE DISPOSAL
SQ.FT.GAR @ 3/4a
HOUSE SEWER
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO Lr INVOLVED
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
Q
DBI
DBL.
I TOTAL FEES
JMOB.H FEE
MICRO FEE
ME H. FEE
PL. CK. FEE
I CONST. FEE
EL T. FEE SMI FEE
�� > 7
FEE
PLUMB. FEE
J F M A M J J A S O N D
JOB ADDRESS SP NO
I
OWNER
1
"fes
76
77
C1OM MU NITVf�J\
AL A 10
DATE
DST OFFICE
/
// ..1�
M H PERMIT FEE
$
USE OF PERMIT
F.C.
SUPP, TO PERMIT
PERMIT
O.
C3Ca
302098
MICROFILM FEE
COPIES
$
OK
LEGAL DESCRIPTION
P_PARCEL
o Al
# 3)" U /V / z Z_
MECHANICAL FEE
DBL
$
USE NO.
ZONE
SSE BACK
LOT SIZE GRP
BY
Z
5..,.•
`/
;WKT
1
K.
t
1 S,
S
R Z
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE
INSP , R
CONSTRUCTION FEE
DBL-
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO Lr INVOLVED
ELECTRICAL FEE
DBI
$
ADDRESS CITY
STATE
STRONG MOTION
OWNER/ IGNATURE CONTRACTOR
�
°
INSTRUMENTATION FEE
�
' st
SPECIALINSP
$
ADDRE ADDRESS
FEE�j
r
RECEIVED BY TREES REQUIRED
T RMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
A
120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I �I Y AGREE THAT All WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
T E LAWS OF
:SEWAGE SYSTEM
T r�
11
P6
��11ti RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
!! "MPF1'ATInlJ 1/,111 IDAwI!-c I ID!'1AI ——A.1_ccc !' ADI IA wi`-c %AnTU TUC 1 A%A/1 nc TUC cTAYc nc
CALIFORNIA COVERING CONTRACTORS IS ALSO 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 264-209 (REV. 6-76) OF CALIFORNIA.