302252 (SATT)S DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
BWL�ING PERMIT - -__ _ __ __ _
'
PERMITNO.
- "low
VVVI\1 i Vr Rivrm.3 NG
- �'
-
-
DST
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
D
NO. PLUMBING FEES
1ST FL.
2ND FL.
FOR. +�
GAR.
151& P
WALL
ESTIMATED CONSTRUCTION
SQ. FT.
C9
UNITS
78
SQ. FT. @ YARD SPKLR SYSTEM
SQ. FT. @ 00 MOBILEHOME SVC. BAR SINK
SQ. FT. @� POWER OUTLET ROOF DRAINS
F.C.
SQ. FT. @ C�4- DRAINAGE PIPING
IT
ERM1302252
SQ. FT. @ DRINKING.FOUNTAIN
SQ. FT. @ URINAL
VALUATION $3,1y 6C2, 0 WATER PIPING
CS
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT -
FLOOR DRAIN
COPIES
$
MECHANICAL FEES
ISWIM
POOL, COMM
WATER SOFTENER
//RIFT
31
VENT SYSTEM ❑ FAN ❑ EVAP. COOL NeOOD
OCA?
SIGN
WASHER (AUTO H)
B
APPLIANCE 5eRiER
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR 0 SUSPENDED
C1
_
GARBAGE DISPOSAL
LAUNDRY TRAY
q�
AIR HANDLING UNIT CFM
/OG
IDLE METER
20
KITCHEN SINK
ETJ
ABSORPTION SYSTEM B.T.U.
TEMP USE PERM SVC
—
WATER CLOSET
�
I
COMPRESSOR HP
s
POLE, TEMP/PERM
LAVATORY
2?
HEATING SYSTEMRCED ❑ GRAVITY
O
rC3 o
MPERES SERV ENT
� /7G3
SHOWER
f
BOILER T. U.
SQ.FT. @ a
BATH TUB
—SO FT. @ 3
DBL
WATER HEATER
Cam,
NAME OF CONST. LENDER BRANCH
OFFICE
NOL DER INVOLVED
Q.FT.RESID @ l l44
SEWAGE DISPOSAL
"'SQ.FT.GAR @/4a
f
HOUSE SEWER
ADDRESS CITY
STATE
GAS PIPING
PERMIT FEE
PERMIT FEE
QLj
PERMIT FEE
e3[�
OWNER/AGENTS SIGNATURE CONTRACTOR
DBL.
TOTAL FEES
MOB.HM.FEE
MICRO FEE
MOM. FEE . CK. FEE
I CONST. FEE
ELE01f. FEE
SMI FEES
FEE
PLUMB. FEE
0
J F M A M J J A S O N D
JOB ADDRESS SP NO
I
OWNER
76.E
�+
77
COMMUNITY
VALUAT/ION
DATE
D
'OFFICE
,c)
$ 3l O L13. � �
78
M H PERMIT FEE
$
USE OF. ERM
F.C.
SUPP. TO PERMIT:
IT
ERM1302252
O.
&W-0
MICROFILM FEE
COPIES
$
BOOK FFAGE PARCEL LEGAL DE N
//RIFT
31
MECHANICAL FEE
DBL
$
USE NO.
B
SI E
GRP TYPE-[.kqK
_
IZONELOTSET
/OG
;
20
1
—
�
I
s �
s
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECK/ER
FINAL DATE INSPFI'OR
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
NOL DER INVOLVED
}
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
STRONG MOTION
$
OWNER/AGENTS SIGNATURE CONTRACTOR
INSTRUMENTATION FEE
:xN .a 1 r i _f• r
'SPECIALINSP
DEMOLITION
$
ADDR Z ADDRESS
FEE
$�
REGISTRATION
I
t
PLUMBING FEE
DBL
$
CITY ZIP CODE CITY
ZIP CODE
TOTAL FEES $
TE . NO. AREA
CODE TEL.
NO.
AREA CODE
LICENSE
CASH EICHECK .O.E]N.C.❑
RECEIVED BY r' TREES REQUIRED
THI T SHALL BECOME VOID IF WO KIS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
I
120 DAYS SHALL ALSO CAUSE PERMIT -TO BECOME VOID.
t 1 EB AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
SEWAGE SYSTEM
f
T LL
P
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
(IAADLIJCATII kl IklCI ---
w
FORM 284-208 (REV. 6-76)
CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.