SFD (268409)BUILDING PERMIT
X_ '
FIELD OFFICE
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
.E/STIMATE
--._ ... SP NO
IDB AooaEs"s -
OWNER
CONSTRUCTION
NO. ELECTRICAL FEES ".
"" NO:.' PLUMBING' FE
1 ST FL.,
.2ND FL.
POR. O •
GAR.
CAR P.
WALL
/
SQ.FT.'
UNITS
DATE
Sq. FT. .@ _
YARD SPKLR SYSTEM"
+S
Sq. FT. '.L.� "-+� MOBILEHOME SVC.
BAR SINK
SQ. FT. § �S POWER OUTLET
ROOF DRAINS
Sq.FT. @
DRAINAGE PIPING
Sq: FT.' .
SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION fj
ABSORPTION SYSTEM B.T.U.
VDRINKING:FOUNTAIN
PING
NOTE: Not to be used os property fox voluotion
SWIM POOL, PVT
AIN
MECHANICAL FEES
SWIM POOL, COMM
FTENER
(a{J
VENT SYSTEM O FAN O EVAP. COOL HOOD I,-3
60' SIGN
WASHER IAUTOI ,^^ "
7 DST
f�
�VIVA-W7 m
APPLIANCE / qtJ
--._ ... SP NO
IDB AooaEs"s -
OWNER
GARBAGE DISPOSAL
/'�
7S
FURNACE O UNIT ❑ WALL O FL R ❑SUSPENDED
F.C.
DATE
P M N
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
COMMUNIT
ABSORPTION SYSTEM B.T.U.
UNITS
TEMP USE PERM SVC"
VALUATIOON
WATER CLOSET
L
COMPRErSOR HP
(a{J
POLE, TEMP/PERM
LAVATORY
�.
f
HEATING SYSTEM FORCED ❑ GRAVITY
+�f. (J(j
AMPERES SERV ENT
"" Ci
SHOWER
$
BOILER B.T.U.
SQ FT @ C
f
BATH TUB
i%
DBL
$
SQ FT @ a
!
WATER HEATER
USE NO.
GRP
® SQ FT RESID . -k
%
SEWAGE DISPOSAL
1,4Ll
/i
o0
37p SQ FT GARAGE @
HOUSE SEWER
PERMIT FEE
PLAN,CHECK FEE
GAS PIPING'
tF%
MOBILE HOME PERMIT FEE Is
PLAN CHECKER
FINAL DATES
PERMIT FEE ..
.
PERMIT FEE
2 _PE$MITJd 00
�TAL FEE$
MOB. HM.FEE
MI:;��,,,MECH.DBL
CONSTRUCTION FEE
PL. CK. FEE
�CTDBL.
ELECT. FE
DBL.
SMI FEE
FEE
PLUMB. F
(�
DBL.
_
J F M A M J J A S O N D
--._ ... SP NO
IDB AooaEs"s -
OWNER
/'�
7S
USE OF PERMIT _
F.C.
DATE
P M N
76
H PERMIT FEE
$
COMMUNIT
DST
UNITS
ROOMS
VALUATIOON
OFFICEM
�IUPP.TOPERMIT
MICROFILM FEE
COPIES
$
LEGAL DESCRIPTION
MECHANICAL FEE
DBL
$
SET BACK
LOT SIZE ZONE
USE NO.
GRP
TYPE
CK BY
/i
o0
P-.0
PLAN,CHECK FEE
$
BOND AM
PLAN NO.
PLAN CHECKER
FINAL DATES
PECTOR
CONSTRUCTION FEE
DBL
$
NQMjEEOF CONST..LENDER BRANCH
OFFICENO
LENDER INV•O VED
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATTEE��
3
/"r"•
i
STRONG MOTION
$
OWNER/AGENT'S SIGNATURE
CONT 6Ty^r6L_ 61
INSTRUMENTATION FEE
ADDRESS
ADDRESS
FEE
PLUMBING FEE.
DBL
$
ZIP CODE
CITY ZIP CODE
w,CITY
loln
TOTAL FEES
$
TEL. NO.
TEL. NO. LICENSE
CASH ❑ HECK' M.O. ❑ N.C. ❑
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA
'ION OF WORK FOR 120 SHALL
RECEIVED BY
TREES REQUIRED O
DAYS ALSO CAUSE PERMIT TO BECOME VOID.
tj
I 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 ALSC
TO
SEWAGE SYSTEM
T LL
p
AGREE CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITHJHE
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS
FORM 284.208 (Rev. 10.7x) @L HAS DONE SO IN ACCORDANCE WITH SECTION, 5541 OF THE BUSINESS AND PROFESSIONS CODE
OF THE STATE OF CALIFORNIA.