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268934 (SFD)
FIELD OFFICE BUILDING PERMIT _ DEPARTMENT OF BUILDING&SAFETY IIIIIIIIIIIIIIIIIIIIIIIII COUNTY OF RIVERSIDE 29 IE DST CONSTRUCTION ESTIMATE NO. :.ELECTRICAL FEES NO. PLUMBIN FEES I ST FL.,2 SQ.FT. @ Q (0 --�- UNITS :� i 2ND FL. SQ.FT. @ YARD SPKLR SYSTEM POR. _ SQ.FT. @ 9 MOBILEHOME SVC. BAR SINK GAR., 6rL SQ.FT. @i -yrc^+ POWER OUTLET ROOF DRAINS CARP. SO.FT, @ DRAINAGE PIPING WALL SQ.FT. @ DRINKING FOUNTAIN SQ.FT. @ URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING ] NOTE:Not to be used as property tax voluation SWIM POOL,PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL,COMM WATER SOFTENER VENT SYSTE0,7712LFAN ❑ EVAP. COOL 9HOOD [,go SIGN. ! WASHER(AUTO#DISH) APPLIANCE y- GARBAGE DISPOSAL FURNACE ❑UNIT ❑WALL OF OR ❑SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK r 2 ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC WATER CLOSET 6 tj;) COMPRESSOR HP POLE,TEMP/PERM LAVATORY Q�j HEATING SYSTEM FORCED ❑ GRAVITYUL' AMPERES SERV ENT � SHOWER BOILER B.T.U. SQ FT @ a /`' BATH TUB Z. SQ FT @ a , WATER HEATER (f(� f SQ FT RESID @ ]a 5 SEWAGE DISPOSAL A-) SQ FT GARAGE @ Vvr + I HOUSE SEWER PERMIT FEE u3 GAS PIPING �l�J MOBILE HOME PERMIT FEE $ /' PERMIT FEE p(j S PERMIT FEEVI PE MIT NO TOTAL FEES MOB.HM.FEE MICRO FEE MECH.FFA. DBL. PL.CK.F4 E� CONST.FEE DBL. ELECT.FEL. SMI FEE. FEE PLUMB.FEE DBL. 26934 `- : � � r - J I F I M A I M' 7 I J A I S 1 O 1 N I D JOB ADDRESS SPNO OWNER ,(( I F- 74 75 USE OF PERMIT F.C. JDATE P M N 76 n8934 M H PERMIT FEE $ COMMUNITY DST r NITS ROOMS VALUATION SUPP.TO PERMIT OFFICE .. �� 7 6_�"`.�'� I �! �' ��>'ice-• f, MICROFILM FEE COPIES $ LEGAL DESCRIPTION MECHANICAL FEE DBL $ SET BACK LOT SIZE ZONE [ USE NO. I GRP TYPE JCK BY S/ {'•W Gy F g) S 6I' PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER I FINAL DATE JINUEC(ZT�O R CONSTRUCTION FEE DBL $ NAME OF CONST.LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE 7 STRONG MOTION $ OWNER/AGENT'S SIGNATURE CONT ACTO j INSTRUMENTATION FEE F F' CDe .�•� $ ADDRESS ADDRESS FEE1-4 G'/� s- PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE ra $ TEL.NO. TEL.NO. LICENSE TOTAL FEES ' 1 f CASH ❑ CHECK M.O. ❑ N.C. ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS.CESSA. RECEIVED BY TREES REQUIRED 4 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. SEWAGE SYSTEM U 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 (Rev. 10-74)©L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF.THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.