286165 (SFD)- DEPARTMENT OF BUILDING & SAFETY.
FIELD OFFICE --,NNW
BUILDING PERMIT __ —._.. __ _...__
J I F I M A M J J A S O N D
.
PE RMIT NO65
28
'low
bV V1�l1 i Or KIVCKJIU[
'
COMMUNITY y
1114�1/(� s s
VALUATION
$ P� i qui 0"
DST
CONSTRUCTION ESTIMATE
OFFICE
NO. ELECTRICAL FEES
M H PERMIT FEE
NO. PLUMBING FEES
$
1ST FL:
2ND FL.
POR. P15A
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ / $
!s!i
UNITS
NO
SQ. FT. @ YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC. BAR SINK
4e61
SQ. FT. @���J�+�i POWER OUTLET ROOF DRAINS
SQ. FT. @ ypQ CXI DRAINAGE PIPING
65
SQ. FT. @ DRINKING FOUNTAIN
COPIES
SQ. FT. @ URINAL
VALUATION $ pa. WATER PIPING
S?E
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
Aw-
MECHANICAL FEE
MECHANICAL FEES
$
ISWIM POOL, COMM
USE NO. ZONE
WATER SOFTENER
LOT SIZE
410
GRP TYPE
VENT SYSTEMU FAN ❑ EVAP. COOLHOOD
Q�
SIGN
WASHER (AUT ISH)
APPLIANCE DRYER 2
FURNACE ❑ UNIT ❑ WALL ElFLOOR ❑ SUSPENDED
IP-1
I l
GARBAGE DISPOSAL
LAUNDRY TRAY
!f
S R !
}�
1 /4
AIR HANDLING UNIT CFM
9.5
IDLE METER
KITCHEN SINK
BOND AMT.
ABSORPTION SYSTEM B.T.U.
PLAN CHECKER
TEMP USE PERM SVC
WATER CLOSET
-
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
Off'
HEATING SYSTEM D<FORCED ❑ GRAVITY
QC? p-,40StAMPERES SERV ENT
OFFICE
SHOWER
ELECTRICAL FEE
DBL
BOILER B.T.U.
19
SQ.FT. @ ¢
BATH TUB
a6
3/1
SQ. FT. @ a
WATER HEATER
STRONG MOTION
$
_-7000.FT.RESID @ 11/4¢
r�
SEWAGE DISPOSAL
>4
SQ.fT.GAR @ 3/4¢
7
HOUSE SEWER
FEE
$
ADDRESS ADDRESS
PLUMBING FEE
DBL
$
3S-
/
CITY ZIP CODE CITY
ZIP CODE
`
TOTAL FEES $
3
�
TEL, NO, AREA
CODE TEL.
NO.
AREA CODE
LICENSE 4
CASH ❑CHECK .O.❑N.C.❑ .^
,RECEIVED BY TREES REQUIRED
` y a MIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
�P' OR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
�'
Of
'SEWAGE SYSTEM 1^^yt
%
R Y AGREE THATALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
T +J V
LL
P (if /C1
TH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO CARRY
wmrcrvaA I wN INbURANCE 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 (REV. 6-76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.