272743 (GRES)BUILDING PERMIT
DEPARTMENT.OFBUILDING&SAFETY
FIELD `OFFICE
' r
.COUNTY OF RIVERSIDE
GARBAGE DISPOSAL
75
USE OF PERMIT �'GM �~ Ft�� a �, Y�
FURNACE '❑ UNIT ❑ WALL- ❑ FLOOR ❑ SUSPENDED
CONSTRUCTION ESTIMATEJJ
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1 ST ftr
SO.FT. @ I
/19 UNITS
AIR HANDLING UNIT
2ND FL.
SO. FTS @
t r
HARD 5PKLR. SYSTEM
POR.,
SO. FT..@
MOBILEHOME SVC.
BAR SINK '
SO. FT._.@
POWER OUTLET.'
ROOF DRAINS
GAR.
SQ.FT., @
1 G C)
DRAINAGE PIPING
CAR P.
SQ. FT: @-
/
+; DRINKING FOUNTAIN
WALL
_ SO. FL @ - #
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
URINAL
ESTIMATED'CONSTRUCTION VALUATION $:
$
WATER PIPING
NOTE: Not to be used as pr,operty•tox valuation
'., SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL .FEES
SWIM POOL, COMM
WATER SOFTENER
BATH TUB
VENT SYSTEM ❑ FAN , '❑ EVAP. COOL ❑ H`OOD SIGN
WASHER (AUTO) (DISH)
U
APPLIANCE
.
JOWNER
A
74
GARBAGE DISPOSAL
75
USE OF PERMIT �'GM �~ Ft�� a �, Y�
FURNACE '❑ UNIT ❑ WALL- ❑ FLOOR ❑ SUSPENDED
DATE
PE I O.
7e,
LAUNDRY TRAY
gC.
f
/ //y//
l l/ Ys`
AIR HANDLING UNIT
CFM
IDLE METER
'
KITCHEN SINK
.
UNITS
ABSORPTION SYSTEM
0 B.T.U.
TEMP USE PERM SVC
OFFICE
WATER CLOSET
1 G C)
COMPRESSOR
HP
POLE, TEMP/PERM
/
LAVATORY
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
AMPERES SERV ENT
COPIES
$
SHOWER
�)J
BOILER B.T.U.
SQ FT @ ¢
! /1 /l1 -� �jl,/` /A4JINTA
BATH TUB
DBL
$
SET BACK
SQ FT @ ¢
USE NO.
WATER HEATER
TYPE
CK BY
l�ra1 SQ FT RESID
SEWAGE DISPOSAL
!FINAL
�r 0 SO FT GARAGE (9~7 ¢
1-10
�
HOUSE SEWER
PERMIT FEE
PLAN NO.
PLAN CHECKER
DATE
INSPECTOR
GAS PIPING
MOBILE HOME PERMIT FEE
Is
PERMIT FEE
/kI'I� )(-
PERMIT FEE
i1O
R IT
24
TOTAL FEES
MOB. HM.FEE
MICRO FEE
MECH. FEE
DBL.
PL. CK. FEE
CONST. FEE
DBL.
ELECT. FEE
DBL.
SMI FE_E
FEE
;LUM%F.EE
DBL.
J I F IM A M J J A S O N D
.LOB ADDRESS SP NO
JOWNER
A
74
75
USE OF PERMIT �'GM �~ Ft�� a �, Y�
F/.
DATE
PE I O.
7e,
TL, T:�7lf r LcJ r /t r� 09, CJ
gC.
f
/ //y//
l l/ Ys`
2 7 4 3
M H PERMIT FEE
$
COMMUNITYDST
.
UNITS
ROOMS
VALUATION
SUPP. TO PERMIT
OFFICE
4yof)V7.
%I
/
% o
Z.
MICROFILM FEE
COPIES
$
LEGAL DESCRIPTION / is / Ij
TV � � ——G%lr.1 �o �+5
! /1 /l1 -� �jl,/` /A4JINTA
MECHANICAL FEE
DBL
$
SET BACK
LOT SIZE ONE
USE NO.
GRP
TYPE
CK BY
f '
!FINAL
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER
DATE
INSPECTOR
/kI'I� )(-
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDER INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS . CITY,
STATE
�1
g.r
STRONG MOTION
INSTRUMENTATION FEE
$
OWNER/AGENT'S SIGNATURE �, jI 4 'r.r
CONTRACTOR
7
/ 4 1A 14
Y 7 i
$
ADDRESS
ADDRESS
FEE
PLUMBING FEE
DBL
$
CITY ZIP CODE
t
CITY ZIP CODE
h �.j L.-'/ Al
TOTAL FEES
$
TEL. NO.
TEL. NO. LICENSE
i
CASH Cl CHECK 10, M.O. ❑ N.C. Q
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA
�L+f�ON OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
d 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
RECEIVED BY,
TREES REQUIRED
SEWAGE SYSTEM
T
LL
P 0161.�`f
AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE
I I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPAREDTHEPL!v�NS AND SPECIFICATIONS
FORM 284-208 (Rev. 10-74) Ov L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE
OF THE STATE OF CALIFORNIA.