296527 (ELEC)DEPARTMENT OF BUILDING 81 SAFETYFIELD OFFICE.
BUILDING PERMIT
1 F I M A M J j A S O -N D
PERMIT NO.
296527
-low
1 Vr RI Y rm.,miC
77
COMMUNITYVALUATION
/T
DST
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
78
NO. PLUMBING FEES
1 ST FL.
2ND FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
F.C.
SUPFI TO PERMIT
PE MI NO.
SQ. FT. @ YARD SPKLR SYSTEM
MICROFILM FEE
SQ. FT. @ MOBILEHOME SVC. BAR SINK
$
SQ: FT. @ POWER OUTLET ROOF DRAINS
BOOK PAGE PARCEL
G'J`� � �! �
SQ., FT. @ DRAINAGE PIPING
MECHANICAL FEE
SQ. FT. @ DRINKING FOUNTAIN
$
SQ. FT. @ URINAL
USE NO.
VALUATION $ WATER PIPING
SETBACK -
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
TYPE CK By
"s
FLOOR DRAIN
S
S
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
BOND AMT.
VENT SYSTEM [j FAN ❑ EVAP. COOL ❑ HOOD
SIGN
FINAL DATE SPECTOR
--)(•-77
WASHER (AUTO) (DISH)
CONSTRUCTION FEE
DBL
APPLIANCE ❑ DRYER
NAME OF CONST. LENDER BRANCH
GARBAGE DISPOSAL
NO LENDER INVOLVED
ELECTRICAL FEE
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑,SUSPENDED
/
LAUNDRY TRAY
STATE
AIR HANDLING UNIT r—� CFM
IDLE METER
$
KITCHEN SINK
OWNER/AGENTS SIGNATURE CONTRACTOR
n r
ABSORPTION SYSTEM B.T.U.
TEMP USE PERM SVC
FEE
I
WATER CLOSET
$
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
PLUMBING FEE
DBL
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
AMPERES SERV ENT
CITY ZIP CODE CITY
SHOWER
TOTAL FEES $
.O
CASH❑CHECK .❑N.C.❑ �
4010
BOILER B.T.U.
SQ.FT. @ e
NO. ,e-ff
>�'r"
BATH TUB
LICENSE I
.r 7Z i��•—
-. "
RECEIVED BY 4kTREES REQUIRED
SQ.FT. @ ¢
SEWAGE SYSTEM
WATER HEATER
LL
P
SQ.FT.RESID @ 11/4(1
SEWAGE DISPOSAL
SQ.FT.GAR @ 3/4¢
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
<3c>
PERMIT FEE
DBL. I
TOTAL FEESMOB.H
M.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST: FEE
ELECT.FEE
SMI FEE
FEE
PLUMB. FEE '
1 F I M A M J j A S O -N D
JOB ADDRESSI SP NO
OWNER
6d,
76
77
COMMUNITYVALUATION
/T
DATE
r
DST
OFFICE
78
M H PERMIT FEE
$
USE OF PERMIT
err t� Svc,
F.C.
SUPFI TO PERMIT
PE MI NO.
6
MICROFILM FEE
COPIES
•
$
BOOK PAGE PARCEL
G'J`� � �! �
LEGAL DESCRIPTION
iar'+t/r' �f �.fl �!Gt /A�i1Si / �.'�.�,. i'
MECHANICAL FEE
DBL
$
USE NO.
ZONE
SETBACK -
SIZE
GRP
TYPE CK By
"s
S
S
R
PLAN CHECK FEE
$-
BOND AMT.
PLAN NO,
PLAN CHECKER
FINAL DATE SPECTOR
--)(•-77
��
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDER INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
STRONG MOTION
INSTRUMENTATION FEE
$
OWNER/AGENTS SIGNATURE CONTRACTOR
n r
'SPECIALINSP
DEMOLITIONti
REGISTRATION
FEE
I
$
ADDRESS ADD
SS
_
PLUMBING FEE
DBL
$
CITY ZIP CODE CITY
ZIP CODE
TOTAL FEES $
.O
CASH❑CHECK .❑N.C.❑ �
4010
TEL. NO. AREA
CODE TEL.
NO. ,e-ff
>�'r"
AREACODE
ACj
f 1
LICENSE I
.r 7Z i��•—
-. "
RECEIVED BY 4kTREES REQUIRED
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
ORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
00 I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
SEWAGE SYSTEM
T
LL
P
urury mT [mrLVTCCJ. I.VMrUAIVI-t- VVI IH IHt LAWJ Ut INt JIAIt Vt
CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAI THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
FORM 284-208 (REV. 6-78) 50 IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.