374797 (SPIN)BUILDING PERMIT
PERMIT NO DEPARTMENT OF BUILDING & SAFETY FIELD DST
3 7 4 7 9 7 COUNTY OF RIVERSIDEF
CONSTRUCTION
ESTIMATE
NO.
ELECTRICAL FEES
NO.
PLUMBING FEES
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT, @
SQ. FT. @
SQ. FT. @
SQ, FT, @
SQ. FT, @
SQ. FT. @
SQ. FT. @
VALUATION
$
UNITS
YARD SPKLR SYSTEM
MOBILEHOME SVC
BAR SINK
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
$
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)(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. @ C
BATH TUB
SQ, FT. @ t
WATER HEATER
SQ. FT. RESID @1'/ CPELECT.
SEWAGE DISPOSAL
SQ. FT_ GAR @ '/, cHOUSE
SEWER
GAS PIPING
(PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL. TOTAL FEES
MOB. HM, FEE
MICRO FEE
MECH FEE
PL, CK, FEE
CONST, FEE
SMI FEE
H r FEE
t
PLUMB FEE
PERMIT NO,
374797
Job Address Space �Z;Own F
Community
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Va tiara
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Dale
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Off.
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MH Permit Fee
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Micro Film Fee
Cop $
Use of ermi-•",
1 ) < .-� � `
Parcel No.
Use/Case. No.
Ck. By
Mech, Fee
Dbl $
PI. Ck Fee
$
SatBacks
Lot Size
Construction Fee
Dbl
Legal Descriptio
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F
S
S
R
Electrical Fee
Dbl s
Zone Restrictions
Group Type
SMI Fee
s
Plumhing Fee
Dbl 5
Bond Amt.
S
Plan No.
Plan Checker
Flrtal Doran l
[ 13 . 7 4f
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Inspec—L"'�^^^
Unit
Sp. lnsp- Fees
Demol. Fee
$
Const, Lender Branch
Supplimenctal Permit Numbers
`
Regnlr. Fee
.5
Mileage Fee
S
Address City Zip
Witness Fee
$
Reinsp. Fee
LC
Owner/Agent
Tel. Zip
Total Fees 5
'-e
Address
Ciry Z'p
M.O. NCO Cash Ckatlka
Received by r
Conlractor
r, r
�
Tel
LicenseN
r i
Trees requeed
Sewage Syslem
Address
CNy Zip
T ILL P
Sewer Districl
Form 284-208 (Rev.8/78)
THIS PERMIT SHALL BECOME VQID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
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 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 SO IN ti
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
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