280527 (SFD)' FIELD OFFICE
BUILDING PERMIT DEPARTMENT OF BUILDING&SAFETY IIIIIIIIIIIILD 12
COUNTY OF RIVERSIDE IE IIIIIIII
1
CONSTRUCTION-ESTIMATE , e NO. ELECTRICAL FEES N /v�fffl'�1G`FE'ES- j �5
1ST FL. ��7 SOFT, r 314 / / +^' UNITS
2ND FL. SO.FT. @ - YARD SPKLR SYSTEM
POR. SO.FT. @3' MOBILEHOME SVC. BARSINK ......
SO.FT. @ �"� A ` / POWER OUTLET ROOF DRAINS
1lr�f�JE7kR'P, ` SOFT. @ r �� DRAINAGE PIPING
WALL / SQ.FT. @ A Ste' j... DRINKING FOUNTAIN
SQ.FT. @ URINAL
ESTIMATED CONSTRUCTION VALUATION $ t WATER PIPING
NOTE:Not to be used as property tox voluotion SWIM POOL,PVT FLOOR DRAIN
MECHANICAL FEES SWIM POOL,COMM WATER SOFTENER
VENT SYSTE FAN O EVAP. COOL $HOOD SIGN WASHER(AUTO*DISH)
APPLIANCE t GARBAGE DISPOSAL
FURNACE O UNIT O WALL ❑FLOOR ❑SUSPENDED LAUNDRY TRAY
AIR HANDLING UNIT CFM IDLE METER / KITCHEN SINK
ABSORPTION SYSTEM �B.T.U. TEMP USE PERM SVC WATER CLOSET
COMPRESSOR_ IbAJ L� HP POLE,TEMP/PERM LAVATORY
HEATING SYSTEM AFORCED Cl GRAVITY 430 AMPERES SERV ENT a SHOWER O
BOILER� B.T.U. 'SQ FT @ a i BATH TUB
SQ FT @ a T WATER HEATER
'4007 SQ FT RESID @14A
SEWAGE DISPOSAL o ...+
SQ FT GARAGE @ q HOUSE SEWER
PERMIT FEE l GAS PIPING
MOBILE HOME PERMIT FEE $ PERMIT FEE PERMIT FEE
280527
PERMIT NO. TOTAL FEES MOB.HM.FEE MICRO FEE 4111H,FE� DBL. e ONS��E DBL. f�T. OBL. SM FEEAcal
�MBDBL.
8 52 a?3. S Qq+J 7.�jj(/
J F M A M J J A S O N D .JOB ADDRESS SP NO OWNER
!,I
74 T V 1/� SUh7rr�e��F?�A Pell,
USE OF PERMIT PERMIT NO.
76 F.C. DATE 4* �jP � e 0a 9 / 280527
M H PERMIT FEE $ COMMUNITY DST UNITS ROOMS I VALUATION h SUPP.TO PERMIT
MICROFILM FEE COPIES $ LEGAL DESCRIPTION
MECHANICAL FEE DBL $ -M SET BACK LOOTSIZE / / fNFr� E�lp. GRP TYPE ICK BY
i
S.S 5"" R //OXsS 0(14 14 S's
PLAN CHECK FEE 4el $ �D BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE IaTOOR
CONSTRUCTION FEE DBL $ 0 NAME OF CONST.LENDER BRANCH OFFICE NO LENDER INVOLVED
157 9
ELECTRICAL FEE DBL $ X1.7 ADDRESS CITY STATE
39 '_-
STRONG MOTION $ OgE MfSNrS sIATIN{t }( �`_".�I,'3 J(+< CONTRACTOR
INSTRUMENTATION FEE ��a7 R 1,04 Z �,/,
$ ADDRESS ,7 v ADDRESS F
FEE `T !^" �D VIA
PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE
17 s® L.4u
��yy�� TEL.NO TEL.TEL.NO. LICENSE
TOTAL FEES * $ .L.%' >�7, b 3Cr
CASH ❑ CHECK>f M.O. O f N C O THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS.CESSA-
RECEIVED BY lG� TREES REQUIRE 4ION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
i 1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC-
CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO
SEWAGE SYSTEM Tltoo 1 LL P X o 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.