272498 (SATT)BUILDING PERMIT
DST{
DEPARTMENT OF BUILDING & SAFETY
NO. PLUMBING -FEES
COUNTY OF RIVERSIDE
USE OF PERMIT
BAR SINK
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
ROOF DRAINS
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
I ST FL.
�i�
SQ.FT., @�/ CAU
-
f .�!!y ^^-- ' UNITS
' 2ND FL.
WATER PIPING
SQ. FT. @
KITCHEN SINK
POR.
'
SQ. FT.- @
/ y
1 6' U MOBILEHOME SVC.
GAR.
Z Li
Sq FT @
; /} . j POWER OUTLET
CARP. SO.Fl. @
WALL SQ. FT. @
SO. FT. @
ESTIMATED CONSTRUCTION VALUATION
NOTE: Not to be used CIS property tox voluotion SWIM POOL, PVT
MECHANICAL FEES SWIM POOL.'COMM
VENT SYSTEM r73,FAN ❑ EVAP. COOL ,@ HOOD % SIGN
FIELD OFFICE
J I F I M A I M I J I J A I S 1 O 1 N I D
DST{
OWNER
NO. PLUMBING -FEES
YARD SPKLR SYSTEM
USE OF PERMIT
BAR SINK
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
ROOF DRAINS
DRAINAGE PIPING
LAUNDRY TRAY
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
KITCHEN SINK
' WATER SOFTENER
• WASHER IALrT01 IDISHI...•
J I F I M A I M I J I J A I S 1 O 1 N I D
APPLIANCE
OWNER
GARBAGE DISPOSAL
USE OF PERMIT
F.C.
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
P M
n
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
M H PERMIT FEE
ABSORPTION SYSTEM. B.T.U.
TEMP USE PERM SVC
:;t-
WATER CLOSET
-
VALIATION
COMPRESSOR � HP
41
POLE, TEMP/PERM
-2
LAVATORY
L fwd
HEATING SYSTEM X FORCED .❑ GRAVITY
d
AMPERES SERV ENT
J''
SHOWER
;
COPIES
BOILER � B.T.U.
SQ FT @ C
la
BATH TUB
S
ars 77 i /
MECHANICAL FEE
DBL
SQ FT @ a
/
WATER HEATER
490
USE NO,
GRP
SQ FT RESID @ la
,' "
SEWAGE DISPOSAL
/
!>
.."'.
?
SQ FT GARAGE @ 'ha
HOUSE SEWER
ySBACK
F✓Z.,h R
PLAN CHECK FEE
PERMIT FEE
.�
BOND AMT.
TN NO.
GAS PIPING
Flt- L AT r
MOBILE HOME PERMIT FEE $
EC R
I
CONSTRUCTION FEE
PERMIT FEE
`9
PERMIT FEE
�� a
E IT O.
TOES
MOB. HM.FEE
MICRO FEE
MECH. FEE
DBL.
PL. CK. FEE
I CONST. FEE
DBL.
ELECT. FEE
I DBL.
I SMI FEE
- FEE
PLUMB
I DBL.
J I F I M A I M I J I J A I S 1 O 1 N I D
JOB ADDRESS SP NO
OWNER
75
USE OF PERMIT
F.C.
DATE
P M
n
M H PERMIT FEE
$
COMMUNITY
DST
UNITS
ROOMS
VALIATION
SUPP. TO PERMIT
OFFICE
MICROFILM FEE
COPIES
$
LEGAL D SCRIPTION
la
ars 77 i /
MECHANICAL FEE
DBL
$
SET
LOT SIZE ZONE
USE NO,
GRP
TYPE
CK BY
!>
.."'.
?
ySBACK
F✓Z.,h R
PLAN CHECK FEE
$
BOND AMT.
TN NO.
PLAN CHECKER
Flt- L AT r
INSp
EC R
I
CONSTRUCTION FEE
DBL
$'
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDER INV LVED
,
ELECTRICAL FEE
DBL
$
�g'
ADDRESS CITY
STATE
rr
STRONG MOTION
$
OWNER/AG VT' ;SIGNA`TIlRES j (
CONTRACTOR
INSTRUMENTATION FEE
$
ADDRESS
ADDRESS
FEE
PLUMBING FEE
DBL
$
CITY ZIP CODE
CITY ZIP CODE
TOTAL FEES
TEL. NO.
TEL. VO. LICENSE
CASH ❑ CHECK M.O. ❑ N.C. ❑
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA-
TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
RECEIVED eye{
TREES REQUIRED
%�'� '
sf
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC-
CORDANCE WITH THE LAWS OF RIVERSIDE COUVTY AND THE STATE OF CALIFORNIA, I ALSO
SEWAGE SYSTEM
T
LL
P
AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE
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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.