260435 (SFD)A
BUILDING PERMIT
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES
I ST FL. UNITS
2ND FL. SQ. FT. @
POR. SO. FT., @ MOBILEHOME SVC.
GAR. SO. FT. @ POWER OUTLET
CAR P. SO.Fl. @
WALLSO. FT. @
--dSd. FT. @
ESTIMATED CONSTRUCTION VALUATION $
NOTE: Not to be used as propeity tax voluotion
MECHANICAL FEES
VENT SYSTEM O FAN O EVAP. COOL O HOOD
SWIM POOL, PVT
SWIM POOL, COMM
SIGN
FPELfl'OFFICE
NO. PLUMBING FEES
YARD-SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
WASHFR IAIITCII MIS Hl
APPLIANCE r
JOB ADDRESS SP No
6 ! Ski A/ M.
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OWNER_
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f �fle � 114,1051--W
75
GARBAGE DISPOSAL
F.C.
FURNACE ❑ UNIT O WALL O FLOOR O SUSPENDED
P M N
��435
76
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LAUNDRY TRAY
�-is-'
AIR HANDLING -UNIT CFM
M H PERMIT FEE
IDLE METER
$
KITCHEN SINK
COMMUNITY
ABSORPTION SYSTEM 0 B.T.U.
I UNITS
TEMP USE PERM SVC
VALUATION
WATER CLOSET
OFFICE
COMPRESSOR 0 HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM ❑ FORCED ❑ GRAVITY -
AMPERE5SERV ENT
SHOWER
MICROFILM FEE
BOILER 0 B.T.U.
$
SO FT @ ¢
LEGAL DESCRIPTION
-BATH TUB
SQ FT @ ¢
WATER HEATER
'
A STs
SQ FT RESID @ i;
-Dfk-- .
SEWAGE DISPOSAL
SET BACK
LOT SIZE ZONE
SOFT GARAGE @ 1/2¢
GRPTYPE
HOUSE SEWER
CK BY
PERMIT FEE
/fI
/ (/L.
GAS PIPING
y:1 "/
MOBILE HOME PERMIT FEE Is
•
PERMIT FEE
PLAN CHECK FEE
PERMIT FEE
$
PERMIT NO.
260435
TOTAL FEES
?--
MOB. HM.FBE
MICRO FEE
MEC.. FEEPL.
14"�44
CK. FEE
CONST. FEE
v `
DBt
ELECT. FEE
l�°°/;
SMI FEE
FEE
PLUMB. F
CB'r
J F M A M J J A 5 O N D
a
JOB ADDRESS SP No
6 ! Ski A/ M.
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OWNER_
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f �fle � 114,1051--W
75
USE OF PERMIT �� i'/^/e^ G l` J�_ �'1` +�
E
F.C.
DATE
pa
P M N
��435
76
t.}� 4 AT.lCAr�
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M H PERMIT FEE
$
COMMUNITY
DST
I UNITS
ROOMS
VALUATION
SUPP. TO PERMIT
OFFICE
MICROFILM FEE
COPIES
$
LEGAL DESCRIPTION
U 0
A STs
MECHANICAL FEE
-Dfk-- .
$
SET BACK
LOT SIZE ZONE
USE NO.
GRPTYPE
CK BY
F �.. S .CJS Rv V
/fI
/ (/L.
,�✓
y:1 "/
•
,�
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL TE .INSPECTOR
CONSTRUCTION FEE
bbt
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDER INVOLVED
r'7
ELECTRICAL FEE
$
ADDRESS clTr
srnr�E .
STRONG MOTION
$/¢
N /A S SIGNATURE t J
CONTRACTOR
INSTRUMENTATION FEE
(
$
ADDRESS
ADDRESS '
' FEE
PLUMBING FEE
88L�
$
CITY ZIP CODE
CITY ZIP CODE
1$TEL.
TOTAL FEES
ij
NO. -
_
LICENSE
CASH p HECK M.O. O N.C. ❑
THIS PERMIT SHAWBECOME VOID IF WORK IS NOT'COMMENCED WITHIN 120 DAYS. CESSA
t TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. -
RECEIVED BY
TREES REQUIRED
r
�` 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
SEwAGESYSTEM
/
T -
LL
p tQi`
AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES_ COMPLIANCE.WITH THI
A/C lIC TUC CTATC /lC l•AI ILIII]AII'A l-ll\/CI]I AI P` -K1 -A/ -Tl - IC A I CA - I IT-
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
t OF THE STATE OF CALIFORNIA.