374971 (SPIN)BUILDING PERMIT PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD D�
374971 COUNTY OF RIVERSIDE
f,,
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
NO.
71
PLUMBING FEES
1ST FL.
2ND. FL.
FOR.
1 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
IBOILER B.T.U.
SQ. FT. @ <
BATH TUB
SQ. FT. @ C
WATER HEATER
SQ FT_ RESID @1'/4c
SEWAGE DISPOSAL
SQ- FT. GAR @ IN c
HOUSE SEWER
GAS PIPING
(PERMIT FEE
PERMIT FEE
PERMIT FEE
1DBL-
TOTAL FEES
MOB-HM-FEE
MICRO FEE
MECH- FEE
PL. CK. FEE
CONST. FEE
ELECT FEE
SMI FEE FEE
ire —in Ap
PLUMB FEE
310.00
PERMIT NO,
37497
Job Address Space
Z p
Owner
Community
Valuation
$
F CC
MH Permit Fee
b
Micro Film Fee
Cap
Use of Permit
jimFectim fee1�
2# (20
Parcel No
use No k. By
/
Mech. Fee
Dbl $
PI. Ck- Fee
$
Lot i•:v
Construction Fee
Dbl .$
Legal Description
'+ 3 Q� Q��y *
lot 30 blu-1� qM■ L% #319
F
S
S
R
Electrical Fee
Dbl '6
Zone Restrictions
Group
Type
SMI Fee
'6
Plumbing Fee
Dbl :6
Bond Amt.
$
Plan No.
Plan Checker
Fi'Rd e
/ / / —
Inspector
Unit
5p. insp- Fee
16
Demol- Fee
$
Const- Lender Branch
Supplimenlal Permil Number
J
Regislr- Fee
;6
Mileage Fee
$
Address City Zip
Witness Fee
:6
Rntnsp- Fee
a
Owner/Agent
Tel. Zip
Total Fees g3.0
Address
City Zip
M.O. N.C. Cash Check n
Recelved by
Contractor
ctor�� Cpay. +,
MhVw�ruIatim
Tel
Tel
-'
License#
Trees required
Sewage System
T LL P
Address �/
�"
Cily Zip
THIS PERMIT SHALL BECOME VOID 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 q
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
iForm
Sewer District
1 • .
284-208 (Rev
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