260271 (SFD) BUILDING PERMIT DEPARTMENT OF BUILDING&SAFETY FIELD OFFICE
COUNTY OF RIVERSIDE
1-0 DST
CONSTRUCTION ESTIMATE �� NO. ELECTRICAL FEES NO. PLUMBING FEES
I ST FL. 1927 SQ.FT. @ 15.40 21675.801 UNITS
2ND FL. SQ.FT. @ YARD SPKLR SYSTEM
POR. 379 SQ.FT. @ 3.00 1137.00 MOBILEHOME SVC. 1 BAR SINK 1
GAR. 510 SQ.FT. @ 5.00 2550.00 POWER OUTLET I ROOF DRAINS 2
CAR P. SQ.FI. @ DRAINAGE PIPING
WALL SQ.FT. @ DRINKING FOUNTAIN
SQ.FT. @ URINAL
ESTIMATED CONSTRUCTION VALUATION $ 33363.00 Y WATER PIPING I so
NOTE:Not to be used CIS property tax valuation SWIM POOL,PVT FLOOR DRAIN
MECHANICAL FEES SWIM POOL,COMM WATER SOFTENER
VENT SYSTEM3g FAN ❑ EVAP. COOL 4HOOD 9 00 SIGN 1. WASHER IAUT(&DISH) 3 00
APPLIANCE dr3i= 3 00 GARBAGE DISPOSAL
FURNACE ❑UNIT ❑WALL ❑FLOOR ❑SUSPENDED LAUNDRY TRAY
AIR HANDLING UNIT CFM IDLE METER I KITCHEN SINK 1
ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC 3 WATER CLOSET 4 50
COMPRESSOR t, t HP 7 SU POLE,TEMP/PERM 4 LAVATORY 600
HEATING SYSTEM FORCED ❑ GRAVITY AMPERES SERV ENT 2 0 SHOWER 50BOILER 0 B.T.U. SQ FT @ ¢ 2 BATH TUB 3
00
SQ FT @ ¢ 1 WATER HEATER Y 54
SQ FT RESID @ 1¢ 29 '� 1 SEWAGE DISPOSAL t0 clo
SQ FT GARAGE @ '/]¢ 2 J HOUSE SEWER
PERMIT FEE 3 00 1 1 GAS PIPING 3Q
MOBILE HOME PERMIT FEE $ 1 PERMIT FEE jF -0d Z PERMIT FEE 2
PERMIT NO. TOTAL FEES MOB.HM.FEE MICRO FEE MECH.FEE DBL. PL.CK.FEE CONST.FEE DBL. ELECT.FEE DBL. SMI FEE FEE PLUMB.FEE JDBL.
26027 1 235.16 26.50 x.39.04 27.82 2.34 39.50
J I F I M A I M I J I J A I S 1 O 1 N I D JOB ADDRESS SP NO OWNER
74
75 USE OF PERMIT I JE PERMIT NO.
76 -75 260271
M H PERMIT FEE $ COMMU DUNITS ROOMS VALUATION SUPP.TO PERMIT OFFICE
MICROFILM FEE COPIES $ LEGALDE CRIPTION
T,nr 13- A06
MECHANICAL FEE DBL $ SETBACK LOT SIZE ZONE USE NO. GRP TYPE CK BY
F 5 R
.5n 2A
IR-1
PLAN CHECK FEE $ BOND AMT. PLAN NO, PLAN CHECKER FINAL DATE SPECTOR
16;z �L� I � � ()
CONSTRUCTION FEE DBL $ NAME OF CONST.LENDER BRANCH OFFICE NO LENDER INVVF
ELECTRICAL FEE DBL $ ADDRESS CITY STATE
27 82
STRONG MOTION $ OWNER/AGENT'S SIG NATURE CONT =t Banrh Cal If
R ACTOR
INSTRUMENTATION FEE '�'t. C •� ` z~`' {rC �✓` C
$ ADDRESS 'AlBEV' ADDRamp
ESS IIIIIIIIIIIIIIIIIIIIIII 51
FEE IE
PLUMBING FEE. DBL $ CITY ZIP CODE CITY ZIP CODE
$ TEL.NO. TEL.NO. LICENSE
TTOTAL FEES 235 16
347-4920
CASH ❑ CHECK( M.O. ❑ N.C. ❑ - �
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS.Cf`SSA-
RECEIVED BY j`l�ts TREES REQUIRED TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC-
�SEWAGESYSTEM CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO
11 T J LL/.� '!f 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 (Rev. 10-74)QL HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE
OF THE STATE OF CALIFORNIA.