303902 (SATT)RUILOING PERMIT
PERMIT NO.
303902 t
CONSTRUCTION ESTIMATE
1ST FL. SQ. FT. 8
2ND FL. SQ. FT. @
POR. -- SQ. FT.
GAR. SQ. FT.
CAR P. SQ. FT. (a}
WALL SQ. FT. (a}
SQ. FT.
ESTIMATED CONSTRUCTION VALUATION
NOTE: Not to be used as property tax voluation
DEPARTMENT OF BUILDING & SAFETY
{ COUNTY OF RIVERSIDE
NO. I ELECTRICAL FEES
UNITS
MOBILEHOME SVC.
POWER OUTLET
SWIM POOL. PVT
FIELD OFFICE
NO. I PLUMBING FEES
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FIC)OR DRAIN
PERMIT NO.
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
Space
VENT SYSTE FAN ❑ EVAP. COOL k HOOD
SIGN
WASHER (AUT ( DISH)
303902
APPLIANCE
DRYER
Ap
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ f OOR ❑-SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
Cammuni
-N�
ABSORPTION SYSTEM
B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR.
HP
POLE, TEMP/PERM
4fi
LAVATORY
HEATING SYSTE FORCED ❑ GRAVITY
9.0
2 AMPERES SERV ENT
SHOWER
.Micro Film Fee
BOILER B.T.U.
SQ. FT, p a
BATH TUB
Porcel No. O (q +� Use No. k.by
Mech. Fee
-.Pl. Ck. Fee
SQ. FT. Qct ¢
WATER HEATER
$
SQ. FT. RESID Oa 1'Aq
SEWAGE DISPOSAL
Set acks
Lot Size
s
�d
Construction Feefgj Dbl $
i SQ. FT. GAR Ga 'Kit
HOUSE SEWER
Zone Grp Type
Unit
,SMI Fee
GAS PIPING
�� ! ��-
PERMIT FEE
PERMIT FEEPERMIT
FEE
Bond Amt.
DBL.
TOTAL FEES
11408. Ii M. FEE
MICRO FEE
CH. FEE L. CK. FEE
DO
CONST. FEE E T. E
1/,72,04V S
SMI FEE
`�-
FEE P B. EE
- Do
PERMIT NO.
Supp. Permit
Job Address,? G { y
o I
Space
Zip
Owner
y
303902
-
Cammuni
-N�
Valuation
E
�+
J
Dote
' ��
Dist.
II
Off.
7—
r
F.C.
J
MH Permit fee $
.Micro Film Fee
Cop $
Use of Permit
Porcel No. O (q +� Use No. k.by
Mech. Fee
-.Pl. Ck. Fee
Dbl
$
(yL`N
Legal DescriptionF
L/
Set acks
Lot Size
s
�d
Construction Feefgj Dbl $
: Electrical Fee
Dbl $ cr
Zone Grp Type
Unit
,SMI Fee
b
�� ! ��-
®
14A-/�
;Plumbing Fee
Dbl $
Bond Amt.
Plan No.
Plan Checker
Final Date
Ins p ffalr-
5p. Insp. Fee
$
$
f�
.Demol. Fee
E
Const. Lender
Address
B nch
City Zip
't ceridy that in the Perlormonce of
not employ any person in any manner
pensation laws of California
Owner Signature
Budder Signature
work Tor whKh this permit is issued I Sholl
us +o become suMect ro rhe workmen s rom-
'
Registr. Fee $
Mileage Fee $
Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel.
Zip
Total Fees
$
Address
City
Zip
M.O. ❑ N.C. ❑ CoFU Chec
Received byControctpr
/ A�
Tel.
License N
Trees required
j_�/ ,r A/ 066
a7 Gv's` w
d _' z
�Wioorrkkeerrss'
Sewage System
ress
City
Zip
Comp.
//aHli
``''
6 y4A
Yet.0 no ❑.
I LL P
'Sewer District
Form 284-208 (Rev. 4.771 OS
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS, CESSATION OF er l,ed by.
WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE s
" WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA,
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
SD IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF
CALIFORNIA.