260559 (AR)BUILDING PERMIT
JOB ADDRESSSJ / rt^�S_P No
3 /(.sc _
DEPARTMENT OF BUILDING & SAFETY
GARBAGE DISPOSAL
USE OF PERMIT
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FURNACE ❑ UNIT ❑ WALL ❑FLOOR 0 SUSPENDED
COUNTY OF RIVERSIDE
LAUNDRY TRAY
MH PERMIT FEE
AIR HANDLING UNIT
CFM
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
I ST FL.
ABSORPTION SYSTEM
SQ.FT. @ "" 3
97� -"--• UNITS
2ND FL.
OFFICE
SO. FT. @
HP
POR.-
4-3
SQ. FT. @ "''
MOBILEHOME SVC.
GAR
SHOWER
�
AlI ! f r
POWER OUTLET
CAR P. SQ.FT. @
WALLSO. FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION
NOTE: Not to be used as property tax voluotion
MECHANICAL FEES
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
SWIM POOL, PVT
SWIM POOL. COMM
SIGN
FIELD OFFICE
NO. PLUMBING FEES
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
WASHER (AUTO) (DISH)
APPLIANCE
JOB ADDRESSSJ / rt^�S_P No
3 /(.sc _
- OWNER
L- s�{ 5 rwlz C FFi.,A rV i� -
GARBAGE DISPOSAL
USE OF PERMIT
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FURNACE ❑ UNIT ❑ WALL ❑FLOOR 0 SUSPENDED
DATE'
%-�9-7s
LAUNDRY TRAY
MH PERMIT FEE
AIR HANDLING UNIT
CFM
IDLE METER
KITCHEN SINK
DST
ABSORPTION SYSTEM
B.T.U.
TEMP USE PERM SVC
r WATER CLOSET
OFFICE
COMPRESSOR
HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
AMPERES SERV ENT
SHOWER
�
AlI ! f r
BOILER 0 B.T.U.
SQ FT @ a
BATH TUB
$
y
LEGAL DESCRIPTION
SQ FT @ a
• WATER HEATER
Wil! pe -/
SQ FT RESID @ la
SEWAGE DISPOSAL
$
SETBACK
SQ FT GARAGE @ lba
HOUSESEWER
USE NO.
PERMIT FEE
TYPE Ch BY
..
I GAS PIPING
,
MOBILE HOME PERMIT FEE
$
)
PERMIT FEE
Q I PERMIT FEE
dv
PERMIT NO.
260559
TOTAL FEES
G y�y
MOB. HM.FEE
.
MICRO FEE
MECH. FEE
DBL.
PL. CK. FEE
�>° �>G7
CONST. FEE
-?A t.
DBL.
ELECT.
& —
DBL.
SMI FEE
310
FEE
PLUMB. FEE
a N
JDBL.
J I F I M A I M I J I J A I S 1 O 1 N I D
74
JOB ADDRESSSJ / rt^�S_P No
3 /(.sc _
- OWNER
L- s�{ 5 rwlz C FFi.,A rV i� -
7S
76
USE OF PERMIT
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F.C.
DATE'
%-�9-7s
ERMIT NO.
2 6 0 5 5 9
MH PERMIT FEE
$
COMMUNITY
DST
UNITS
OOMS
VALUATIO
/N
PP. TO PERMIT
OFFICE
�
AlI ! f r
MICROFILM FEE
COPIES
$
LEGAL DESCRIPTION
Wil! pe -/
MECHANICAL FEE
DBL
$
SETBACK
LOT SIZE ZONE
USE NO.
TYPE Ch BY
..
,
i/
#?-
)
JGRP
F'30 S. / R J J�
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE
INSPECTOR
CONSTRUCTION FEE
DBL .
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDER IJVOLV D
/s h
6/ U
/rte`..
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
STRONG MOTION
$
OWNER/AGENT'S SIGNATURE
CONTRACTOR Off t
INSTRUMENTATION FEE/�
13
FEE
$
ADDRESS
44 �t�S
ADDRESS '
i7tGN�Aib �/t/Ji.
R
PLUMBING FEE
DBL
$
CITY ZIP CODE
l4
CITY ZIP CODE
- 0
TOTAL FEE S
$
,
TEL. NO. _
TEL. NO. LICENS=
CASH CHECK ❑ M.O. ❑ N.C. ❑
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA
TION 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 DO -JE IN AC
CORDANCE WITH -THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSC
RECEIVED BY . frtw�-�
TREES REQUIRED
SEWAGE SYSTEM
ILL
T
P
AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THI
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
OF THE STATE OF CALIFORNIA.