290236 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY Ab FIELD OFFICE
J F M A M J J A S O
PERMIT NO.
-2902361
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VVUIV I T Vt KIVEKSIDE
DST
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
VALUATION (� DATE{r•/•• t y
NO. PLUMBING FEES
OFFICE
1 ST Fl.
2ND FL.
POR.
GAR. SQ.
CAR P. SQ.
WALL SQ.
ESTIMATED CONSTRUCTION
SQ. FT. @
M H PERMIT FEE
UNITS
$
USED ERMIT
A# -i LT
SQ. FT. @ YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC. BAR SINK
.,
FT. @ POWER OUTLET ROOF DRAINS
COPIES
FT. @ DRAINAGE PIPING
FT. @ DRINKING FOUNTAIN
LEG%AL DESCf PTION ,.y
SQ. FT. @ URINAL
DBL
VALUATION $ 4,0 WATER PIPING
00
NOTE: Not to be used as property tax valuation
ZONE /`
SWIM POOL, PVT
LOT SIZE
FLOOR DRAIN
TYPE CKBY
MECHANICAL FEES
rJ�
SWIM POOL, COMM
I.
WATER SOFTENER
LJ
VENT SYSTEM WAN ❑ EVAP. COOL tVOOD
grow /
SIGN
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WASHER (AUTO) (Dj5j;i4a►
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APPLIANCE RYER
C
PLAN CHECK FEE
GARBAGE DISPOSAL
BOND AMT.
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR [:)SUSPENDED
PLAN CHECKER
/
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
EE
ABSORPTION SYSTEM B.T.U.
TEMP USE PERM SVC
NAME OF CONST. LENDER BRANCH
WATER CLOSET
d
COMPRESSOR � HP
—0-1E
POLE, TEMP/PERM
LAVATORY
{!
ELECTRICAL FEE
I'DEMOLITION
HEATING SYSTEM RORCED ❑ GRAVITYxCMPERES
$
SERV ENT
Ott
SHOWER
STATE
MOTION
BOILER B.T.U.
$INSTRUMENTATION
SQ.FT. @ a
OWNER/AGENTS SIGNATURE CON
BATH TUB
FEESPECIAL
SQ.FT. @ a
WATER HEATER
dp
FEEREGISTRATION
$ADDRESS
Q.FT.RESID @ 11/aa
AD
SEWAGE DISPOSAL
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HOUSE SEWER
V
PERMIT FEE,
'PLUMBING FEE
PERMIT FEE
*
PERMIT FEE
G1C�7
`% ZIP CODE
DBL.
TOTAL FEES
MOB.HM.FEE
MICRO FEE
WEcH.FEE
PL. CK. FEE
CO/}N%ST. FEE
ELECT. FEE
SMI FEE
PIP
FEE
P+L''jU B. FEE
J F M A M J J A S O
N D
JOB ADDRESS SP NO OWNER
/
C,!"�+-�
76
40 ep, �
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COMMMUNITY
VALUATION (� DATE{r•/•• t y
DST/
OFFICE
M H PERMIT FEE
$
USED ERMIT
A# -i LT
F.C. QSUeP, ®AR T &
if
.,
MICROFILM FEE
COPIES
$
BBOOfOKK'//� �AGGJE PARCEL
LEG%AL DESCf PTION ,.y
' MECHANICAL FEE
DBL
$
USE NO.
ZONE /`
SET BACK,
LOT SIZE
GRP
TYPE CKBY
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I.
LJ
grow /
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) �/y/�
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PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE —1 INS%TOR
/
EE
DBL
NAME OF CONST. LENDER BRANCH
OFFICE
tJO LEN DERINVOLVE0
ELECTRICAL FEE
I'DEMOLITION
DBL
$
ADDRESS CITY
STATE
MOTION
$INSTRUMENTATION
OWNER/AGENTS SIGNATURE CON
A ORSTRONG
FEESPECIAL
(NSP
FEEREGISTRATION
$ADDRESS
AD
E
V
'PLUMBING FEE
pgl
CITY/,✓�.}9 ZIIPP CODE CITY
`% ZIP CODE
TOTAL FEES $Q�j
TELN�O�.G AREA
CODE Tel.
NO.
AREA CODE
LICENSE R
- CASH ECK❑M.O.❑N.C.❑
RECEIVED BY T ES7;��wm
IT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
AGREE THATALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
'SEWAGE SYSTEM
T/�
LL
ENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE OF
CALiFUKINIA LVVt KINU C,UNIKAI-IUKJ IJ ALJU UUAKANICCU.
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
OF CALIFORNIA.