280465 (SFD)BUILDING PERMIT
t
FIELD OFFICE
DEPARTMENT OF BUILDING
NO.
PLUMBING' FEES
n
COUNTY OF RIVERSIDE
PE IT O
90465
KITCHEN SINK`
h
ABSORPTION SYSTEM B.T.U.
'
..CONSTRUCTION' ESTIMATE ' '
NO. ELECTRICAL FEES
.1 ST FL.
SO.FL
, @ �"'� f
I ! UNITS
SQ. FT.
@ -
DRAINAGE PIPING
k
2ND FL.
POR.
SO. FT.
@3,5
' 5 MOBILEHOME SVC.
SO. FT.
tt�
@ J•
2 POWEROUTLET -
GAR. !S
CAR P.
FLOOR DRAIN
SO.FTt'
@ '`
WATER SOFTENER
.,WALL SQ. FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
NOTE: Not to be used as property tox•voluotion
MECHANICAL FEES `
VENT SYSTEM FAN" ❑ EVAP. COOL i9 HOOD
APPLIANCEn r?(9 C /4 -
SWIM POOL, PVT
SWIM POOL, COMM
SIGN
FURNACE ❑ UNIT ❑ WALL O FLOOR ❑ SUSPENDED
FIELD OFFICE
OWNER t ,/
G►l f { E'�Z �� V i!
NO.
PLUMBING' FEES
AIR HANDLING UNIT CFM
IDLE METER
PE IT O
90465
KITCHEN SINK`
h
ABSORPTION SYSTEM B.T.U.
'
YARD 5PKLR -SYSTEM
WATER CLOSET
U
BAR SINK A
POLE, TEMP/PERM
SUPP. TO PERMIT
ROOF DRAINS
MICROFILM FEE
HEATING SYSTEM MFORCED ❑,GRAVITY
DRAINAGE PIPING
SHOWER
DRINKING FOUNTAIN
BOILER 0 B.T.U.
_ SQ FT @ C
URINAL
BATH TUB
LOTS��y//� ZONE
WATER PIPING
�(
GRP
FLOOR DRAIN
WATER SOFTENER
("'y \,
'
WASHER (AUTO) MM)
BONDD AMT.
j, 51SQ FT GARAGE @cj
C;A RArF nirprlcAl
HOUSE SEWER
FURNACE ❑ UNIT ❑ WALL O FLOOR ❑ SUSPENDED
IOB ADDRESS /^ %( SP NO
`77 '` j t.. p, Ifs Sw�`► /O
OWNER t ,/
G►l f { E'�Z �� V i!
LAUNDRY TRAY
OF PERMIT
Dw�$ e coo
AIR HANDLING UNIT CFM
IDLE METER
PE IT O
90465
KITCHEN SINK`
0
ABSORPTION SYSTEM B.T.U.
TEMP USE PERM SVC
COMMUNITYDST
'I
AM
WATER CLOSET
U
COMPRESSOR HP
POLE, TEMP/PERM
SUPP. TO PERMIT
LAVATORY
MICROFILM FEE
HEATING SYSTEM MFORCED ❑,GRAVITY
AMPERES SERV ENT
SHOWER
MECHANICAL FEE
BOILER 0 B.T.U.
_ SQ FT @ C
BATH TUB
LOTS��y//� ZONE
SQ FT '@ ¢
GRP
WATER HEATER
r a2 3Y SQ FT RESID @
("'y \,
SEWAGE DISPOSAL
BONDD AMT.
j, 51SQ FT GARAGE @cj
PLAN CHECKER
HOUSE SEWER
INSrP R
!
PERMIT FEE
DBL
$ } sn�
GAS PIPING
NAME OF CONST. LEADER BRANCH
MOBILE HOME PERMIT FEE S
NO LENDER INV LVED
I PERMIT FEE
f
PERMIT FEE
--
2 pERh11T N 6
L FEES
MOB HM.FEE
MICRO FEE
HL FEE
DBL.
PJ SCK%FEE
�C/ % E�
DBL.
ELECT
DBL.
S EE
FEE
PL B ;
DBL.
1 I F I M I A I M I J J A I S 1 Q 1N D
74
IOB ADDRESS /^ %( SP NO
`77 '` j t.. p, Ifs Sw�`► /O
OWNER t ,/
G►l f { E'�Z �� V i!
75 — I I . _i_USE
76
OF PERMIT
Dw�$ e coo
F.C.
DATE
7/0
PE IT O
90465
M H PERMIT FEE
$
COMMUNITYDST
'I
AM
I UNITS
I ROOMS
I VALUATION ,u T
p
SUPP. TO PERMIT
MICROFILM FEE
COPIES
$
LEGAL DESCRIPTION
773 - p 3 13!/ Zloi- r1 B / AS'" -
MECHANICAL FEE
DBL
$
SiEfT BACK
LOTS��y//� ZONE
USE NO.
GRP
TYPE
PLAN CHECK FEE
("'y \,
$
BONDD AMT.
PLAN NO.
PLAN CHECKER
FINAL D T (}�jI•i� id
INSrP R
!
CONSTRUCTION FEE
DBL
$ } sn�
NAME OF CONST. LEADER BRANCH
OFFICE
NO LENDER INV LVED
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
STRONG MOTION
INSTRUMENTATION FEE
$
�"
OWNER/AG NT'S SICNATURE
"✓�. it" lee Devi
CONTp OR
FEE
$
ADDRESS
F.or�K WQ rJ
ADDRESS
PLUMBING FEE
DBL
$1
CITY ZIP CODE
CITY I ZIP CODE
TOTAL FEES Is
TEL. /NOl. ) fir•
�Jif341 n t+
TEL. N0. LICENSE
CASH ❑ CHECK M.O. ❑ N.C. ❑
) THIS FERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA
ION 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
CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSC
AGREE TC CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THI
n¢ — — cr wry I �rnni� r-�nrnnr-rr�nc m n i cry �i i
RECEIVED BY
TREES REQUIRED �(
+�
SEWAGE SYSTEM
T lOOt!
LL
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"/(�
p ' j y
I I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPAREDTHEPLANS AND SPECIFICATIONS
FORM 284-208'(Rev. 10-74) OL HAS DON= SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE
1 OF THE Si�TE OF CALIFORNIA.