280317 (SATT)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE ,
CAR P. SQ.FT. @
WALL SQ. FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $ ♦ -2
NOTE: Not to be used as property tax valuation SWIM POOL, PVT
MECHANICAL FEES SWIM POOL, COMM
VENT SYSTEM aFAN tgEVAP. COOL 14 HOOD SIGN
FIELD OFFICE
PLUMBING FEES
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO
1 ST.FL.
/,v 40
.y
SQ.FT. @ } �• �,�c tl
�7 tf ^' UNITS
F.C.
/
2ND FL.
�}
SQ. FT. @
LAUNDRY TRAY
DRINKING FOUNTAIN
POR.
1 6'
SQ. FT. @ - "''
t' ♦!J� l� MOBILEHOME SVC.
$
GAR
%" V
Sr) FT @ ^A ' t
1 `?J -- POWER OUTLET
f!
CAR P. SQ.FT. @
WALL SQ. FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $ ♦ -2
NOTE: Not to be used as property tax valuation SWIM POOL, PVT
MECHANICAL FEES SWIM POOL, COMM
VENT SYSTEM aFAN tgEVAP. COOL 14 HOOD SIGN
FIELD OFFICE
PLUMBING FEES
"' "`
� •-�^'
'
YARD SPKLR SYSTEM
75
76
BAR SINK
F.C.
/
ROOF DRAINS
�}
DRAINAGE PIPING
LAUNDRY TRAY
DRINKING FOUNTAIN
AIR HANDLING UNIT CFM
URINAL
IDLE METER
WATER PIPING
$
FLOOR DRAIN
C
WATER SOFTENER
UNITS
WACHFR IAI ITnI irrR f
;54
on
APPLIANCE D'rs /"
T.`
"' "`
� •-�^'
OWNER_ y
GARBAGE DISPOSAL
75
76
FURNACE O UNIT WALL ❑ FLOOR ❑ SUSPENDED
F.C.
/
DATE
is/IIS
PERMIT NO.
280317
LAUNDRY TRAY
a
AIR HANDLING UNIT CFM
IDLE METER
$
KITCHEN SINK
C
ABSORPTION SYSTEM B.T.U.
UNITS
TEMP USE PERM SVC
;54
WATER CLOSET
COMPRESSOR t'> HP
POLE, TEMP/PERMV
li 1 e"-
LAVATORY
HEATING SYSTEM 0 FORCED O GRAVITY
3 _ AMPERES SERV ENT
7 C,''
j
SHOWER
LEGAL DESCRIPTION
j p / �}
ZC'� t1�� 1�i tfS �rf
BOILER � B.T.U.
DBL
SQ FT @ ¢
c'
..--�-
BATH TUB
LOT SIZE 70N,�
USE NO.
SQ FT @ ¢
TYPE
J'C
WATER HEATER
'
4:2 6 Q SQ FT RESID @jX0
/S - 7s
/
SEWAGE DISPOSAL
--
b� SOFT GARAGE @
>K.
HOUSE SEWER
--
PERMIT FEE
`'
PLAN CHECKER
FINAL DATE
GAS PIPING
MOBILE HOME PERMIT FEE Is
PERMIT FEE
"
5- ara.,_.
PERMIT FEE
PERMIT NO.
2803 ' 7
TOTAL+EES �,
:?
MOB. HM.FEE
MICRO FEE
MECH. FEE
Mg
DBL.
P FEI=
�� -,,
CONST. FEE
<.
DBL.
ELECT. F1EE
i. ,
DBL.
SMI !E
r�
FEE
PLUMB. FV
- . �
DBL.
J I F I M A I M I J I J A I S 1 Q 1 N I D
LOB ADDRESS1 Q SP NO
OWNER_ y
75
76
US OF PERMIT
44)c -1,R,: / �t _ �
F.C.
/
DATE
is/IIS
PERMIT NO.
280317
M H PERMIT FEE
$
COMMUNITY (
c tat
DST
/
UNITS
ROOMS
VALUATION l SUPP. TO PERMIT
~7� `P��`JU
FFI,GE�
T
li 1 e"-
MICROFILM FEE
COPIES
$
LEGAL DESCRIPTION
j p / �}
ZC'� t1�� 1�i tfS �rf
MECHANICAL FEE
DBL
$
/O
♦
c'
..--�-
SETBACK
LOT SIZE 70N,�
USE NO.
GRP
TYPE
J'C
F
J
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE
5- ara.,_.
CONSTRUCTION FEE
DBL
$ ♦
/ �f('E
/ /1
NAM F CONST. LENDERBRANCH
Y'
OFFICE
NO LENDER INVOLVED
ELECTRICAL FEE
DBL
$
d f
nab �V �`t/•`
Allelt97 {„ kKjyOk) �� cITY�
c!�
101 Jr1^Flll't
STRONG MOTION
INSTRUMENTATION FEE
$
I
C71
OWNER/AGENT'S SIGNATURE
CONTRACTOR / !
% r,
L /,DT e•6!` t xf
-
$
ADDRESS
ADDRESS .,>
3'PLUFEE 7 -3 -
PLUMBING
MBING FEE
DBL
$ �^
CITY ZIP CODE
CITYy % j JZIPCODE
p
es
TOTAL FEES
$ ��
'��',!
.../�
TEL. NO.
TFC NO.(�LICENS Z
C��(J
CASH Q CHECK M.O. O N.C. O
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA
RECEIVED BYr% ,_.2,.
TREES REQUIRED
*AION
�. OF WORK.FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC
CORIDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I,ALSC
SEWAGE SYSTEM
T
LL
P
AGREE TO CARRY COMPENSATION INSURANCE UPON MY ,EMPLOYEES. COMPLIANCE WITH THI
I I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPAREDTHEPLANS AND SPECIFICATIONS
FORM 284-208 (Rev. 10-74) @L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE
OF THE STATE OF CALIFORNIA.