303370 (SFD)DEPARTMENT OF BUILDING & SAFETY
FIL
BUILDING PERMIT PERMIT NO. COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
NO.
PLUMBING FEES
1ST FL.
2ND FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ '{ .
SQ. FT- @
SQ. FT. @
SQ. FT. @ +'&
SQ. FT- 3
SQ. FT. @ :
SQ. FT,
VALUATION
$ . ti :,4'
UNITS
YARD SPKLR SYSTEM
MOBILEHOME SVC.
,
BAR SINK
_
�
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
- It
DRINKING FOUNTAIN
URINAL
$ ti
WATER PIPING
NOTE: Not to 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) .ISH)
wl
APPLIANCE ' DRYER
=
ti,k
GARBAGE DISPOSAL
'2;
_
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM
B.T.U.
TEMP USE PERM SVC
WATER CLOSET
_
COMPRESSOR '- - t-4- 0 HP
POLE, TEMP/PERM
--
LAVATORY
HEATING SYSTEM 'Q FORCED ❑ GRAVITY
-'s-..
AMPERES SERV ENT
c�{�
"SHOWER
�z.
BOILER B.T.U.
SQ.FT. @ a
,{
BATH TUB
SQ. FT. @ a
l
WATER HEATER
-,. SQ.FT.RESID @ 11/4a
;,
SEWAGE DISPOSAL
I
SQ.FT.GAR @ 3/4a
HOUSE SEWER
!
GAS PIPING
PERMIT FEE
'q
_-
PERMIT FEE
PERMIT FEE
DBL TOTAL FEES
MOB HM-FEE
MICRO FEE
J
MECH FEE
PL, K. FEE
CONST FEE
i
[LEC-,r,'FEF.
SMI FEE
FEE
PLUMB. FEE
J
F
M
A
M
J
J
A
5
O
N
D
JOB ADDRESS SP NO
[L:
OWNER
VILLA DE
76
77
COMMUNITY
VALUATION
DATE
OFFICE
M H PERMIT FEE
$
USE OF PERMIT F.C. SUPP, 70 PERMIT PERMIT NO.
r
MICROFILM FEE
COPIES
$
BOOK PAGE PpRCEL' LEGAL �ESCRf 1CN
MECHANICAL FEE
DBL
$
USE NO.
ZONE
SIZE GRP
LLLLnK
LL]LOT
C
t= J
777T.'�"Y.
77
t- ��
-
1/ f
i,+
PLAN CHECK FEE
$
BOND AMT PLAN NO PLAN CHECK/ER FINAL DATE NSp CTOR
DBL
$
NAME OF CONST LENDER BRANCH OFFICE NO LENDER INVOLVED
CONSTRUCTION FEE
ELECTRICAL FEE
DBL
$
ADDRESS
CITY
STATE
S
STRONG MOTION
$
OWNER/AGENT'S SIGNATURE
CONTRACTOR
INSTRUMENTATION
FEE
'SPECIAL INSP
$
ADDRESS
ADORg
DEMOLITION
ffFEE7
REGISTRATION
;
PLUMBING FEE
DBL
:$
clTv ZIP CODE
BON
CITY • - ZIP CODE
x
fR�`
TOTAL FEES
$
TEL NO, AREA
CODE
TEL. N
CASH❑CHECK
c;
.O,f]N.C.❑
y„
RECEIVED BY
TREES REQUIRED
IS T SHALL BECOME VOID IF WORK. IS NOT COMMENCED WITHIN 120 DAYS- CESSATION OF
20 DAYS SHALL ALSO CAUSE PERMIT TO BECOME ':'OID.
FI kGREE THAT All WORK IN CONNECTION VOTH THIS PERMIT WILL BE DONE IN'ACCORDA:Nck
SEWAGE SYSTEM
-
T
LL
p — '� d
HE LAWS OF RIVERSIDE COUNTY AND 'I HE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
,�iAbc
FORM 264-208 (REV 6-76)
-J, �LffW UAFf ..0 vv 1 1 n Irjr LA Z, Vi'1ITC J4 A i P Ur
CALIFORNIA COVERltJ C6NT.RACTOR5 IS ALSO GUARANTEED,
HEREBY CERTIFY THATTHE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
SO 1N ACCORDA14CE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.