260436 (RPL)BUILDING PERMIT .
DEPARTMENT OF BUILDING & SAFETY
COUNTY`OF RIVERSIDE"
- FIELD OFFICE
DST
CONSTRUCTION ESTIMATE.
- NO. ELECTRICAL FEES .
NO. PLUMBING FEES
CFM
IDLE METER
1ST FL.
2ND FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ.FT. @
UNITS
ABSORPTION SYSTEM
SO. FT. @
YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC.
BAR SINK
SO. FT. @ POWER OUTLET
ROOF DRAINS
SOFT. @
DRAINAGE PIPING
SO. FT. @
DRINKING FOUNTAIN
SO. FT. @ =
URINAL
VALUATION_ $
WATER PIPING
NOTE: Not to be used as peoperty tax voluotion
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL.FEES
SWIM POOL, COMM
WATERSOFTENER
BATH TUB'
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN
WASHER(AUTO)IDISHI
APPLIANCE
I GARRAGF nISPC1CAl
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
JOB 'ADDRESS SP NO
OWNER ,
4
LAUNDRY TRAY
AIR HANDLING UNIT
CFM
IDLE METER
F.C. ,DATE
KITCHEN SINK .
PERMIT NO.
ABSORPTION SYSTEM
0 B.T.U.
TEMP USE PERM SVC
9-;2 .S�'- ��
WATER CLOSET
M H PERMIT FEE
COMPRESSOR 0
"HP
POLE,,TEMP/PERM
COMMUNITY
LAVATORY
UNITS
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
VAMPERES SERV ENT
P)P. TO PERMIT
SHOWER
BOILER B.T.U.
SOFT @ a
BATH TUB'
SO FT @ ¢
WATER HEATER
COPIES
$
SQ FT RESID @ =' I ¢
SEWAGE DISPOSAL
•
1A,?.fh.,x a
SQ FT GARAGE @ Va
DBL
HOUSE SEWER
PERMIT FEE
LOT SIZE ZONE
USE NO.
GRP
GAS PIPING
MOBILE HOME PERMIT FEE .
$
PERMIT FEE
PERMIT FEE
PERMIT NO.
2604361
TOTAL FEES
MOB. HM.FEE
MICRO FEE
MECH. FEE
DBL.
PL CK. FEE
CONST. FEE
.
' ELECT. FEE
.
1
' SMI FEE
FEE
PLUMB. F ,
5
J F M A M J J A S Q N D
JOB 'ADDRESS SP NO
OWNER ,
4
74
75:FFF
USE r1 f' A/4 W ly �
! 7
F.C. ,DATE
PERMIT NO.
76
�OF^PERMIT
SLc1 / i.�+« Q -
9-;2 .S�'- ��
2 6 0 4 3 6.
M H PERMIT FEE
$
COMMUNITY
DST
UNITS
ROOMS
VALUATIONSU
P)P. TO PERMIT
OFFICE
MICROFILM FEE
COPIES
$
LEGAL DES RIPTION
1A,?.fh.,x a
MECHANICAL FEE
DBL
$
SET BACK.
LOT SIZE ZONE
USE NO.
GRP
TYPE
ZY�
IR
PLAN CHECK FEE
$
BOND AMT. JLAN
NO.
PLAN CHECKER
FINA ri,71
IN 6CTOR
CONSTRUCTION FEE
•BeBL—
$
NAME OF CONST. LENDER BRANCH
OFFICE_.
NO LENDER INV LVED
ELECTRICAL FEE
g$}—
$
ADDRESS CITY
STATE
STRONG MOTION
FEE�(A
$
JOERMaNAT. RE
1�
•
CONTRACTOR.INSTRUMENTATION
$
-
ADDRESS ,- '- I - -
..
ADDRESS -
FEE
�L z v/
PLUMBING FEE
-9&6
$
ZIP�CODE
CITY�q
CITY ZZIIPCODE
•
• '
/6••
u
/+ L`
Fe`s �I 5 -3� ^'I e'/ lam+'{•-
• C [.
TOTAL FEES
$,
• TEL.
VOID IF WORK ISNOT COMMENCED WITHIN 120 DAYS. CESSA
ry-�+ TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
RECEIVED BY
TREES REQUIRED
I HEREBY AGREE THAVALL 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
-EMPLOYEES.
SEWAGE SYSTEM
T
LL
P ((�,
AGREE TO CARRY COMPENSATION INSURANCE UPON MY COMPLIANCE WITH THI
I HEREBY CERTIFY THAT .THE INDIVIDUAL WHO PREPAREDTHEPLANS AND SPECIFICATIONS
FORM 284-208 (Rev. 10-74) OL HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE
OF THE STATE OF CALIFORNIA.