280526 (SFD) ;'AFFill
BUILDING PERMIT DEPARTMENT OF BUILDING&SAFETY �IIIIIIIIIIIIIIIIIIIIIIIII 25
COUNTY OF RIVERSIDE
_ IE
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES . NO. PLUMBING FEES /�
1.ST FL. 00 SOFT. @/7� �� �. UNITS
2ND FL. _ 50.FT. @ YARD SPKLR SYSTEM
y �- ^ MOBILEHOME SVC. BAR SINK
POR. 50.FT. @
SO.FT. @ 5• 630,t"" POWER OUTLET ROOF DRAINS
C�7IcIm I�. -j �—�^ DRAINAGE PIPING
1�-'7 SOFT. @ /• ism �i - '
WALL 50.FT: @1 l �� DRINKING FOUNTAIN
SO.FT. @ URINAL
ESTIMATED CONSTRUCTION VALUATION is3T. T WATER PIPING
NOTE:Not to be used as property tax valuation SWIM POOL,PVT FLOOR DRAIN
MECHANICAL FEES SWIM POOL.COMM WATER SOFTENER
VENT SYSTE FAN ❑ EVAP. COOL 05 HOOD SIGN WASHER IAUTOhDISHI
APPLIANCE /e 3 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 Q � HP 7 POLE,TEMP/PERM LAVATORY �+
HEATING SYSTEM ,FORCED ❑ GRAVITY AMPERES SERV ENT ' SHOWER
BOILER B.T.U. SO FT '@ ¢ BATH TUB
SO FT @ ¢ WATER HEATER
50 FT RESID @/Aa SEWAGE DISPOSAL Q
SO FT GARAGE @4VA Aj .3 HOUSE SEWER
PERMIT FEE + GAS PIPING _
MOBILE HOME PERMIT FEE $ PERMIT FEE PERMIT FEE
_PE$MIL
2 O_ FE S MOB.HM.FEE MICRO FEECH.Fr,E� DBL. PJUFEE CONST. DBL. ELECT.FEE DBL, IFEE FEE PLUMB.F DBL.
J
J I F I M A I M I J I J A I S 1 O 1 N D JOB AUDRESS / SP NO OWNER
74
USE OF�IlTfAfi FC.75 DATE
76 b(A) � y 74 Y8Z
526
M
H PERMIT FEE $ COMMUNI DST UNITS ROOMS VALUATION SUPP.TO PERMIT OFFICE-
3 ,
MICROFILM FEE COPIES $ LEGAL DESCRIPTION
t/S -TR 61441 PA` 61/7- 5. -6//
MECHANICAL FEE DBL $ S� SET BACK LOT SINZE/�/ /�/ �Enf/�� U$E NO. GRP TYPE CK BY
F,r s L'� R/9� s.7 /l//f" Vrs tiJ
PLAN CHECK FEE n�,d $ ®
BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSP TOR
Ad � L.
CONSTRUCTION FEE DBL $ �a NAME OF CONST.LENDER BRANCH OFFICE NO LENDER INVOLVED
ELECTRICAL FEE DBL $ ADDRESS CITY STATE
317
STRONG MOTION $ y� OW n� A`EN G TU • aFyy� }�' c Y CONTRACTOR
INSTRUMENTATION FEE * / J����� -'Q7le VG il'rr
$ v' AD,DDRRESS L` ADDRESS
FEE IF to, 1.?Ia-)(
PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE
TOTAL FEES $ TEL. O. TEL.NO. LICENSE
/� 73 L-- 1. Q�
CASH ❑ CHECK Ex M.O.t/❑' N C ❑ �r., THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS.CESSA-
RECEIVED BY TREES REQUIRE ON 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 SYSTEM40 T/aV� ILL P/ � Q CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO
C!? 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)OP L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE
OF THE STATE OF CALIFORNIA.