272410 (AR) - ffELD OFFICE
BUILDING PERMIT DEPARTMENT OF BUILDING&SAFETY IIIIIIIIIIIIIIIIIIIIIIIII
COUNTY OF RIVERSIDE 28
IE DST
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES
IST FL. IZ T Q SQ.FT. @ / y` ! f16 UNITS
2ND FL. SO.FT. @ YARD SPKLR SYSTEM
POR. SQ.FT. @ MOBILEHOME SVC. BAR SINK
GAR. SO.FT. @ POWER OUTLET ROOF DRAINS
CAR P. SO.FI. @ DRAINAGE PIPING
WALL SO.FT. @ DRINKING FOUNTAIN
SO.FT. @ URINAL
ESTIMATED CONSTRUCTION VALUATION $ 411;16 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 1,0FAN ❑ EVAP. COOL ❑HOOD SIGN WASHER iAUTOI(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 HP POLE,TEMP/PERM 1 LAVATORY LSU
HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT r SHOWER
BOILER 0 B.T.U. SQ FT @ ¢ BATH TUB
SQ FT @ ¢ WATER HEATER
Y0 SQ FT RESID @ J 2 G SEWAGE DISPOSAL
SQ FT GARAGE @ 'h¢ HOUSE SEWER 00
PERMIT FEE J '=lo GAS PIPING
MOBILE HOME PERMIT FEE Is PERMIT FEE PERMIT FEE d D
TOTAL FEES MOB.HM.FEE MICRO FEE MECH.FEE DBL. PL,CK,FEE CONST.FEE DBL. ELECT.FEE DBL.IS��E FEE PLUMB.FEE DBLfj //" Uo ?,2ad >i j S
J F M A M ) J A S Q N D LOB ADDRESS SP NO OWNER
74
75 USE OF PERMIT j F.C. DATE PE I 0.
76 Ant- 7—/) Pmj/!'' r J —/D-%!� 12 410
M H PERMIT FEE $ COMMUNITY DST UNITS ROOMS VALUATION SUPP.TOP RMIT OFFICE
F
MICROFILM FEE COPIES $ LEGAL DESCRIPTION
MECHANICAL FEE DBL $ STEN fB�ACK // LOT SIZE �Z/y�O��NE / USE NO. GRP TYPE la"%'
CKKBYO F�o S /` R/S� f`-i
PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE I SPECTOR /
/ 00 to a� 1� ' Ok-All
CONSTRUCTION FEE DBL $ NAME OF CONST.LENDER BRANCH OFFICE NO LENDER INVOLVED
ELECTRICAL FEE DBL $ ADDRESS CITY STATE
.10 t
STRONG MOTION $ OWNER/AGENT'S SIGNATURE CONTRAC+�:_
INSTRUMENTATION FEE / !�
$ ADDRESS ADDRESS
FEE ,j
PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE
44 Sll j j Al T /A C 4 1
TEL.NO. TEL.NO. LICENSE
TOTAL FEES *
Is /�'� +�c,7 S•--r•�� yf� -
CASH ❑ CHECK !N!4-
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS.CESSA-
• ON OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
RECEIVED BY I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC-
SEwAGESYSTEM CORDANCEWITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO
TLL 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
t OF THE STATE OF CALIFORNIA.