359882 (RPL)BUILDING PERMIT -
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY
359882 FS1
COUNTY OF RIVERSIDE FIELD
4
CONSTRUCTION
ESTIMATE
NO.
ELECTRICAL FEES
NO.
PLUMBING FEES
IST FL.
2ND. FL.
POR.'
GAR
CAR P.
WALL
ESTIMATED CONSTRUCT16N
SQ. FT. @
SQ. FT. @
SQ. FT. @'
SQ: FT. @
SQ: FT. @
SQ. FT. @
SQ. FT. @
VALUATION
`P
UNITS
YARD SPKLR SYSTEM
MOBILEHOME SVC
BAR SINK
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
$
WATER PIPING
NOTE: Not t9.be used as property tax,valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B. T U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ t
BATH TUB
SQ. FT- @ C
WATER HEATER
SQ- FT RESID @1114c
SEWAGE DISPOSAL
SQ. FT- GAR @ 3/4 c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
-
TOTAL FEES MOB. HM. FEE
% I4F
MICRO FEE
MECH FEE
PL CK. FEE
I CONST FEE
/ �
ELECT. FEE
0; 'o�".
SMI FEE—T
FEE
PLUMB. FEE
L Z:
PERMIT NO
359882
Job Address Space
_
Zip Owner
r
-
Commu U Y r Nl� r
Valuation
Date Dicl,
E _
Off.
i
,C_C.
MH Perm)) Fee
$
Mrcro Film Fee
Cori $
Use of perw ' `
/L'�1.- "r 1 L "r 1 L �•
Parcel No
Use/Case No. Ck. By
Mech. Feo
Dbl $
PI. Ck. Fee
- tki-
Lot Size
Cpfl1<IrLjvion. Fee
Dbl S
Legal Description
F
S
S
R
Elecirical Fee
Dbl S
Zano Re I ctians" C.-U)lS
Type
SM1 FeeAl
Ptumbtng Fee
Dbl S
Bond Amt-
$
Plan No,
Plan Checker
F not Date
--'79
Inspector Unit
�'r2�
Sp. insp- Fee
$
Demol. Fee
S
Const. Lender Branch
Supplimental Permit Numbers OO
Reg[str. Fee
S/j/J/r�J(j
Mileage Fee
S
Address City Zip
Wilne:s Fee
S
Reinsp. Fee
S
❑wrier/Agent + , .
Tal. Z.p
Tonal Fees
Address •� •• r' •
City Zip
f
M.O. N. Cash Check .
Recelved4y
Contractor
Tel ` " '-
License§
Trees required L '
Sewage System
Address
City Zip
7 - - LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE T� ANE01"tON WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVER C UNITY D THE STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN G(7
Form 2BG-20B (Rev-B/78;
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. -
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