391508 (SFD)' ' BZIII DINd PERMIT
PERMIT No.
DEPARTMENT OF BUILDING & SAFETY
391g
COUNTY OF RIVERSIDE
FIELD
asT
CONSTRUCTION ESTIMATE NO.
ELECTRICAL FEES NO.
: r
PLUMBING
FEES
IS7 FL.
SQ. FT. @
l=
UNITS
2ND, FL.
SQ. FT. @
YARD SPKLR SYSTEM
y
FOR.
SQ. FT. @
2. 0,A
MOBILEHOME SVC.
BAR SINK
GAR.
SQ, FT. @
POWER OUTLET
ROOF DRAINS
CAR P-
SQ. FL @
DRAINAGE PIPING
WALL
SQ, FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
ESTIMATED CONSTRUCTION VALUATION
ry
NOTE: Not to be used as property fax valuation
WATER PIPING
SWIM POOL, PVT
FLOOR DRAIN
FEES
SWIM POOL, COMM
WATER SOFTENER
VENMECHANICAL
SYSTEM FAN EVAP. COOL HOOD
SIGN
APPLIANCE DRYER
"I WASHER (AUTO)(DISH)
•,
FURNACE UNIT WALL FLOOR SUSPENDED
GARBAGE DISPOSAL
.�
AIR HANDLING UNIT CFM
LAUNDRY TRAY
ABSORPTION SYSTEM
SINK
B,T.Uac
COMPRESSOR
WATER CLOSET
HPr+r
MIDLEMETERKITCHEN
LAVATORYHEATING
SYSTEM FORCED GRAVITY
BC7ILER B.T.U.
SHOWER
BATH TUB
SQ. FT. @ c
WATER HEATER
"Z+? SQ FT. RESID @ 1 ! , c i'
SEWAGE DISPOSAL
-
• l SQ FT GAR @ �14 c r
HOUSE SEWER
PERMIT FEE
El
GAS PIPING
DBL TOTAL FEES MDB.HM.FEE MICRO FEE
i
MECH.
PERMIT FEE •:
FEE Pl. CK. PEE CONST FEE ELECT" FEE
PERMIT FEE
.
SMI FEE FEE
PLUMB. FEE
�
Job Address r^ C1,G, '�C, —."_. _—� - __ .v _• __ — _
5- Space
Zip
--411- --
Owner8
— --
=91i`•
nw
„"
.
MH Permit Fee
$
Community
m
Valuation Dale,
Disf.
Off.
F C"C"
Micro Film Fee
Cop
$
q 1
Use of Permit
$ ?
+ r i rI r �
M ;,• c
Parcel
Parcel No
Use/Case No
Ck, By
I Mech. Fee
Dbl
$ yy ��yy
,�/ 77� TT ��
■ d Y L I N A JN i,1 A TT V' A. A S E
yy qq ryy
i t�.i �7 IU l l �;
' c;
PI" Ck. Fee
5
Set Backs
Lot Size
Contiruatlpn Fee
Dbl
$ � i
Legal Description
F AA ?`
5
R
Electrical Fee
Dbl
$ 2
c
G O T •� LL rr 0(8 S n S�
v A JJ s� b lJ J 1, Sr L 4 # 4 SS
f...ei
Zone ReslrltNops
1�
!••. '• ' a'
'' �-'' � 6.
Group type "
� y If,
SMI Fee
Plumbing Fee
Dbl
S +11 2'!L
"} Bond Amt"
Plan No. Plan Checker
Ffno re v
Sp" nyp, Fee
5
$
r I
` ��
r Unrt
Demal. Fee
S
Cons} Lender Branch
Supplimenial Permit Numbers
Regls}r" Fee
S
ry
Mileage Fee
5
Address City Zip
Witness Fee
5
Reirtsp. Fee
$
Owner/Agent "-
Tel.
Zfp
,Address
• r * -� is •!r f
t rt
h[sD. ',E Cash Chorl 5 2( i G V N I A
{
City
r
MA E
ZiP
Received by, �� 1 r Contractor
"-
.
_
'
Tel
License#
Trees nrquirred •,
Sewage System Address
City
Zip
T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS., CESSATION OF WORK verified by:
Sewer DistricI FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNgCTION WfTH THI5
PERMIT WILL Pf DQN* I�tiACCORDANCE
THE LAWS OF RIVERSIDE COUNTY AND THE STATE
WI'rH
OF CALIFORNIA.
By
E E CERTIFY THAT THE JNDIVIDUA�WHO PREPARED THE PLANS AND HAS DONE 50 IN
ACCORDANCE WITH SECTION 5541
OF THE BUSINESS AND PROFESSIONS CODEECIFICATIONS OF HE STATE
•arm`?944DB IRev.8�78 F s _—���
OF CALIFORNIA,
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