296818 (PAT)DEPARTMENT OF BUILDING & SAFETY FIELD O
- FFICE
BUILDING PERMIT _ _ _ __ ^ _ _
J F M A M 7 J .A S O N D
PERMIT NO.
2 96,818.11
1 w -_%jum1 i Vr RIYCRiINC
- - .. •' -
DST
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES
IST FL_
2ND FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SO. FT: @ $ UNITS
SQ. FT. @ YARD SPKLR SYSTEM
SQ. FT. MOBILEHOME SVC. BAR SINK
SQ. FT. @ POWER OUTLET ROOF DRAINS,
SQ FT. , @ DRAINAGE PIPING ,
SQ. FT. @ " DRINKING FOUNTAIN
SQ. FT. @ URINAL
VALUATION $ WATER PIPING
NOTE: Not to be used as property tax valuation SWIM POOL, 'PVT l FLOOR DRAIN
78
MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL .❑ HOOD SIGN WASHER (AUTO) (DISH)
APPLIANCE. ❑ DRYER ... GARBAGE DISPOSAL
F.C.
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR • ❑ SUSPENDED LAUNDRY TRAY
PERMIT NO.
AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK
_FEE
ABSORPTION SYSTEM B. T. TEMP USE PERM SVC WATER CLOSET
COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY
,r
t IpAkiC "�i i�PZ
HEATING SYSTEM ❑ FORCED. ❑ GRAVITY AMPERES SERV ENT SHOWER '
: Z
BOILER B.T.U. ", SQ. FT. @ ¢ BATH TUB
SQ.FT. @ ¢ WATER HEATER
COPIES
SQ.FT:RESID @ 11/4a SEWAGE DISPOSAL
' SQ.FT.GAR @ i/4a HOUSE SEWER
GAS.PIPING
PERMIT FEE
PERMIT FEE PERMIT FEE
DBL
DBL.
TOTAL FEES�/�-
MOB.HM.FEE
'MICRO FEE MECH. FEE PL. CK. FE/Ey,
CONST: FFEEE� ELECT. FEE SMI.FFE�E
_ FEE PLUMB. 'FEE
J F M A M 7 J .A S O N D
JOB ADDRESS SP NO
I{
OWNER '
77
COMMUNITY VALUATIO
DATEaw
DST
OFFICE
} df IAC/A?$
�
�
78
,M H 'PERMIT
$
USE OFIPERMIT
F.C.
SUPP. TO PERMIT
PERMIT NO.
_FEE
,r
t IpAkiC "�i i�PZ
�1 aid
: Z
MICROFILM FEE
COPIES
$
'BOOK PAGE ARC l LEGAL DESCRIPTION
MECHANICAL FEE
DBL
$.
USE•NO.
ZON�fE/] SET BACK
LOST
GRP
TYPE
CK BY
{SIZE `•
PLAN CHECK FEE
$
BOND AMT. -
PLAN NO.
PLAN CH CKER- ` FINAL DATE INSPECT
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER
BRANCH OFFICE -
NO LENDER INVO D
4J
ELECTRICAL FEE
DBL
$
ADDRESS
CITY '
STATE
STRONG MOTION
$ -
OWNER/AGENTS SIGNATURE
CONTRACTOR
INSTRUMENTATION FEE .
ell,71
/,
_
SPECIAL:NSP
$
ADORES
ADDRESS
DEMOLITIONr
FEE
REGISTRATION
Fd
�1
'ZIP
PLUMBING FEE
DBL
$
CITY ZIP CODE
CITY CODE
_
TOTAL FEES$
TEL N
AREA CODE
TEL. NO. .
AREA CODE
LICENSE u'
CASH ❑CHECK .O.❑N.C.❑ ,
RECEIVED BY TREES REQUIRED'
IS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
W RK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
HEREBY,�WGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
SEWAGE SYSTEM
T`
..nTinwi
LL .f
p
WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF,CALIFORNIA,, (ALSO AGREE TO -CARRY -
,
.. _.... ....,, ..,•„ „•mow....,. v, „•�. .. ..,�v
' CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.•' • ,
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
_FORM 264-2 .08 (REV. 6-76) ` SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
NF OF CALIFORNIA.