302024 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY
FIELD OFFICE
PERMIT Na.
C24 OUNTY OF RIVERSIDE
FT
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
NO.
PLUMBING FEES
1ST FL. A4f)
2ND FL.
POR. g
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @
SQ. FT. @
SQ. FT. @ ♦ik
SQ. FT. @
SQ. FT. @
SQ. FT. L.
SQ. FT, @
VALUATION
$
UNITS
YARD SPKLR SYSTEM
C�
MOBILEHOME SVC.
j
BAR SINK
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
r
DRINKING FOUNTAIN
URINAL
$
WATER PIPING
GO
NOTE: Not to be used as properly tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM AN ❑ EVAP. COOL 3elOOD
1w
SIGN
WASHER (AUT H)
ro
APPLIANCE RYER
00
GARBAGE DISPOSAL
00
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT
CFM
IDLE METER
KITCHEN SINK;
ABSORPTION SYSTEM B.T.U.
TEMP USE PERM SVC
4
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
(LAVATORY
HEATING SYSTEM FORCED ❑ GRAVITY
?
(AMPERES SERV ENT
��
SHOWER
eel
BOILER B.T.U.
SQ. FT. @ a
IBATH TUB_
SQ. FT. @ a
'WATER HEATER
C
FT.RESID @ 11/k
(SEWAGE DISPOSAL
Q.FT.GAR @ 3/4¢
HOUSE SEWER
GAS PIPING
r
��
PERMIT FEE
C
PERMIT FEE
(PERMIT FEE
CQ
D6L
TOTAL FEES
MOB.kM.FEE
MICRO FEE
M H. FEE
PL-CIS. FEE'
CONST FEE
EL FEE
SMI FEE
FEE
PL B FEE
J
F
M
A
M
J
J
A
S
O
IN
J013 ADDRESS BP NO
OWNER
76
i
77
COMMUNITY
VALUATION
DA E
DST
OFFICE
f.
ry
�!
78
1
M H PERMIT FEE
$
USE bP pOtRmrr
F.0
SUPP 0 PER IT
PERMIT
NO.
MICROFILM FEE
COPIES
$
8 OK ^IwE PARCEL
LEGAL p=SCRIPT N
42 ?(--
MECHANICAL FEE
DBL
$
USE NO
ZONE
SET BACK
LOT SIZE
GRP
TYPE GK BY
4224
e
I �210
S
S R
PLAN CHECK FEE
`
$
BOND AMT
PLrA�N NOQ►
PLAN CHECKER
PIA+ OAiE INS
TO 1
•
(�'f/
`"ice
d� �Q
I� i11� Q
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CONSTRUCTION FEE
DBL
$
NAME OF CONST LENDER EMANCHOFFICE
NOi rRlryyOLVED
Ay
Z)oP�
�J
ELECTRICAL FEE
DBL
;$
ADDRESS CITY
STATE
,•
STRONG MOTION
$
ALI
OWNER/AGENT'S SIGNATURE CONTRAC
f
INSTRUMENTATION FEE
_ r
SPECIALINSP
I
$
ADDRESS ADDR
S
DEMOLFFION
FEE
REGISTRATION
/�"
PLUMBING FEE
DBL
'$
CITY ZIP CODE CITY
ZIP CODE
tc
TOTAL FEES $
TEL NO AREA
CODE 7EL.
N
CODE
LICENSE C
[AREA
CASH❑CHECK O.❑N.C.❑dz40"//A4rr
RECEIVED BY• TREES REQUIRED
1'-5FIALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 12CI DAYS. CESSATION OF
126 DAYS S1� LL ALSO CAUSE PERMIT TO BECOME VOID.
OA�1, REE THATALI_ WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN A:CORDANCFF_
S WAGE SYSTEM
LL
P
WS +7F RIVERSIDE COUNTY AND THE. STATE OF CAUFORNIA, I AL517 ACREF. TO C RRY
lr,
�G �r� mr EmrLvYEES. COMPl-IAN t wiT THE
LAWS OF THE ST ATE OF
CAlIFORNIA COl'FR1NG 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 284-208 (REV. 6-761 OF CALIFORNIA.