260020 (CP) - � _
BUILDING PERMIT - DEPARTMENT OF BUILDING&SAFETY FlaD OFFIIIIIIIIIIIIIIIIIIIIIIIIII35
COUNTY OF RIVERSIDE
a, IE F=71
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES
I ST FL. SQ.FT. @ UNITS
2ND FL. 50.FT. @ YARD SPKLR SYSTEM
POR. SQ.FT. @ MOBILEHOME SVC. BAR SINK
GAR. SQ.FT. @ POWER OUTLET ROOF DRAINS
CAR P. SOFT. @ DRAINAGE PIPING
/WALL SQ.FT. @ DRINKING FOUNTAIN
SO.FT. @ URINAL
ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING
NOTE:Not to be used as property tox valuation SWIM POOL.PVT FLOOR DRAIN
MECHANICAL FEES SWIM POOL,COMM WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP.COOL ❑HOOD SIGN WASHER(AUTO)(DISH)
APPLIANCE GARBAGE DISPOSAL
FURNACE ❑UNIT ❑WALL ❑FLOOR ❑SUSPENDED LAUNDRY TRAY
AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK
ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC WATER CLOSET
COMPRESSOR 0 HP POLE,TEMP/PERM LAVATORY
HEATING SYSTEM Cl FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER
BOILER�B.T.U. SQ FT @ ¢ BATH TUB
SQ FT @ ¢ WATER HEATER
SQ FT RESID @ 1¢ SEWAGE DISPOSAL
SQ FT GARAGE @ 'h¢ HOUSE SEWER 77/r ` Cd
PERMIT FEE GAS PIPING
MOBILE HOME PERMIT FEE $ PERMIT FEE PERMIT FEE Q�
2
PERMIT
0 2 0 8 OTAL IE a- JMOB.HM_FEE MICRO FEE MECH.FEE DBL. .FE� T.i� D L E F DRL. SMJ FEE FEE %M
J F M A M J J A S Q N D JOB ADDRESS 7 V� SP NO OCWGN�ER 7�
74 / 9' �J r i Y itr >n_ /CL
75
USE OF PERMIT F.C. DATE PERMIT NO
761 1 ±Cm/y, ,�t,�,,� o�/ oa o -/�- .5 260020
M H PERMIT FEE $ COMMUNITY DST UNITS ROOMS I VALUATION GO ISUPP,TO PERMIT OFFICE
MICROFILM FEE COPIES $ LEGAL DESCRIPTION
/o7-.� �"'_ 60
MECHANICAL FEE DBL $ SETBACK / LOT SIZE ZONE SE NO. GRP TYPE
F S / R� 4T 1/�'/lJ lyy .eC
PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR
CONSTRUCTION FEE DBL $ NAME OF CONST.LENDER BRANCH OFFICE NO LENDER INV L D
ELECTRICAL FEE DBL $ ADDRESS CITY STATE
/ . ted
STRONG MOTION $ OWNER/AGENT'S SIGNATURE CONTRACTO
INSTRUMENTATION FEE
$ ADDRESS ADDRESS
FEE -
Oc /�1,4a�
PLUMBING FEE DBL $ CITY ZIP CODE CITYG� ZIP CODE
`
/Vp/D A 4
TEL.NO. TEL.NO. LICENSE
TOTAL FEES $ 311,417-312 j 9 ;2 35 �D
CASH ❑ HECK M.O. ❑ N.C. ❑ L)�y„�`THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS.CEA-
BY TREES REQUIRED /� TION OF WORK 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 AC-
I SEWAGE SYSTEM CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO
T LL P AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE
LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY,CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS
FORM 284-208 (Rem. 10-74)@L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE
OF THE STATE OF CALIFORNIA.