SFD (272660)p_
FIELD OFFICE x'
BLIILDWG PERMIT DEPARTMENT OF BUILDING &SAFETY"
COUNTY OF RIVERSIDE
.16 DST
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES INO
I ST FL.. %f> `isr� SOFT. @ �^ .% c? UNITS
2ND FL. 50. FT. @
POR. %la' SQ. FT.
GAR. ! '� SQ. FT., @.� �•-=�� _�,S-..�-, �%
CAR' P. SQ.FT. @
WALL ]SQ. FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $'
NOTE: Not to be used as property tax valuation
MECHANICAL FEES
VENT SYSTEM OFAN ❑ EVAP. COOL X HOOD t
MOBILEHOME SVC.
POWER OUTLET
SWIM POOL, PVT
SWIM POOL, COMM
SIGN
PLUMBING FEES
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER ,
WASHFR IAI ITCTPTrP'gM—
APPLIANCE
( �, p Y` � Q�
"aWNEk-'--- "— -" -- --'r ---- -
74
GARBAGE DISPOSAL
/-
FURNACE O UNIT ❑ WALL ❑ FLOOR O �&PENDED
USE OF PERMIT
F. C.
LAUNDRY TRAY
76
AIR HANDLING UNIT
CFM
IDLE METER
`
KITCHEN SINK
; U
ABSORPTION SYSTEM
0 B.T.U.
DST l
TEMP USE PERM SVC
ROOMSLALUATIONn----FFFICSUPP.TOPERMIT
WATER CLOSET
7 ),q
COMPRESSOR
HP ��%
t�
POLE, TEMP/PERM
LAVATORY
{y'
HEATING SYSTEM E4 FORCED ❑GRAVITY
.,01 AMPERES SERV ENT
5—JV�1
SHOWER
.VGl
BOILER B.T.U.
$
SQ FT @ ¢
/
BATH TUB
Ag
MECHANICAL FEE
SQ FT @ ¢
l
WATER HEATER
SET BACK
LOT SIZE�Z/O^'NE
USE NO.
SQ FT RESID ( -
�
SEWAGE DISPOSALDe
SQ FT GARAGE @ "?
,i , Q
HOUSE SEWER
PERMIT FEE
c
-
f
GAS PIPING
1
MOBILE HOME PERMIT FEE
Is
PLAN CHECKER
FINAL DATENS
f PERMIT FEE
lU
PERMIT FEE
'ev
E IT NO.
2� 660
TOTAL FEES
f,_7
MOB. HM.FEE
MICRUEE
sr
MECH. FEE
r,�
DBL
PL. CK. FEE
CONST. FEE
,
DBL.
^�
ELECT. FEE
DBL.
SMI FEE
FEE
PLUMB. FEE
JDBL.
J I F I M A I M I J I J A 1 5 1 O 1 N I D
JOB ADDRESS - _/` .--- _ _ 'SP NU-
"aWNEk-'--- "— -" -- --'r ---- -
74
14
/-
75
USE OF PERMIT
F. C.
76
JDATE
JPM660
M H PERMIT FEE
$
COMMUNITY/
DST l
' UNITS
ROOMSLALUATIONn----FFFICSUPP.TOPERMIT
E
If
MICROFILM FEE
COPIES
$
LEGAL DESCRIPTION
Ag
MECHANICAL FEE
DBL
$
SET BACK
LOT SIZE�Z/O^'NE
USE NO.
GRP
TYPE
CK Y
/
PLAN CHECK FEE
$
BOND AMT.
PLAN CHECKER
FINAL DATENS
CTOR
IPLANNO.
CONSTRUCTION'FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDER INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
g
STRONG MOTION
$
OWNER/AGENT'S SIGNATURE
CONTRACT (.% r
INSTRUMENTATION FEE
(i p e� f� +! 16 � �'!�c epi
$
ADDRESS
ADDRESS
FEE
PLUMBING FEE
DBL
$
CITY ZIP CODE
CITY ZIP CODE
- tel.
'�
/ t.a i ,r�'t c}
TOTAL FEES
/ Gc
� •�
TEL. NO.
TEL. NO. /LICENSE
-7&C) -'-
CASH p CHECK ( M.O. O N.C. OO
JTHIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA
OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
'
RECEIVED BY ,� ''
REES REQUIRED
l4kN
I HEREBY AGREE THAT ALL WORK IN COMNECTION WITH THIS PERMIT WILL BE DONE IN AC
CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSC
SEWAGE SYSTEM r
/ % IJ
I'LL
t
T'P? t,
AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE
I I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPAREDTHEPLANS 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 OE CALIFORNIA.