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286145 (SFD)FIELD OFFICE BUILDING PERMIT DEPARTMENT „ OF BUILDING & SAFETY �„ J F M A M J J A S O N D PERMIT NO. 28,6145 NEW COUN 1 T Or RI V CK3!UC 77 COMMUNITY LCJ DST CONSTRUCTION ESTIMATE DST fl NO. ELECTRICAL FEES NO. PLUMBING FEES M H PERMIT FEE 1 ST FL. 2ND FL. POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ $ IP 6, S11, Q. UNITS US F PIfRMIT,6oC4F.C. SQ. FT. @ ' YARD SPKLR SYSTEM PE MIT NO ���+- MOBILEHOME SVC. BAR SINK SQ. FT. @% SQ. FT. @6',!E POWER OUTLET ROOF DRAINS COPIES SQ. FT. @ DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN DE ON RIPTI.a SQ. FT. @ URINAL DBL VALUATION $ WATER PIPING NOTE: Not to be used os property tax valuation ZONE SWIM POOL, PVT FLOOR DRAIN G+R�P/f TYPE CK BY MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER $ VENT SYSTEM ❑ FAN ❑ EVAP. COOL p HOOD BOND AMT. SIGN WASHER(AUTO)(DISH) I FINAL DATE I INSPE OR APPLIANCE ❑ DRYER DBL $ GARBAGE DISPOSAL NAME OF CONST. LENDER BRANCH OFFICE FURNACE ❑ UNIT- ❑ WALL ❑ FLOOR Cl SUSPENDED ELECTRICAL FEE DBL LAUNDRY TRAY ADDRESS CITY AIR HANDLING UNIT CFM STATE IDLE METER KITCHEN SINK ' $ ABSORPTION SYSTEM B.T.U. CTTRAORS r - TEMP USE PERM SVC WATER CLOSET FEE COMPRESSOR l� HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY DBL AMPERES SERV ENT SHOWER CITY ZIP CODE CITY ZIP r�. ZIP CODE 5 k+ 9� 90 BOILER B.T.U. 5,,,,.. SQ.FT. @ a BATH TUB NO. �'!6J/ AREA /COtDDE 7f';" LICENSE a Ilr—P/9'f.: RECEIVED BY TREES REQUIRED SQ.FT. @ a WATER'HEATER 01 TSO LL / �/ P © A %V SQ.FT.RESID @ 11/4a SEWAGE DISPOSAL SQ.FT.GAR @r 3/4a HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL.' TOTAL FEES IMOB.HM,FEEI MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE J F M A M J J A S O N D J OB ADDRESS SP NO .� / G ' I OWNER E(9(- , O 76 77 COMMUNITY LCJ VALUATION $f DATE f �^ 7G+� DST fl OFFICE ` t --- 78 M H PERMIT FEE $ US F PIfRMIT,6oC4F.C. SUPP. OPE IT PE MIT NO MICROFILM FEE. COPIES $ BOOK AGE PARCELLEGAL &/� - DE ON RIPTI.a MECHANICAL FEE DBL $ USE NO. ZONE BACK LOT IZZE /� G+R�P/f TYPE CK BY r,SSrErT 10 PLAN CHECK FEE $ 'r.•.�rd BOND AMT. PLAN NO. PLAN CHECKER I FINAL DATE I INSPE OR CONS RUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER IV VOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION INSTRUMENTATION FEE $ OWNER/AGENI-S SIGNATURE CON,-^ CTTRAORS r - 'SPECIALINSP DEMOLITION REGISTRATION FEE $ ADDRESS ADDRESS 73- f Q w PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP r�. ZIP CODE 5 k+ 9� 90 TOTAL FEES $ CASH ❑CHEC M.O.❑N.C.❑ 5,,,,.. TEL. NO. AREA CODE TEL. NO. �'!6J/ AREA /COtDDE 7f';" LICENSE a Ilr—P/9'f.: RECEIVED BY TREES REQUIRED IT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF 120 DAYS SHALL ALSO'CAUSE PERMIT TO BECOME, VOID. GREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WTHE AWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY SEWAGE SYSTEM 01 TSO LL / �/ P © A %V -- LOMPtNSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE FORM 284-208 IREV. 6-76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE . r OF CALIFORNIA.