280965 (ADD)AIR HANDLING UNIT
I,CFM
FIELD OFFICE`
5
76
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY
ABSORPTION SYSTEM
0 B.T.U.
TEMP USE PERM SVC
COUNTY OF RIVERSIDE
WATER CLOSET
COMPRESSOR E�Q
-
POLE, TEMP/PERM
DST
D T
CONSTRUCTION
'AMPERES'SERV ENT
SUPP. TO PERMIT
SHOWER
BOILER B.T.U.
ESTIMATE
NO. ELECTRICAL FEES
,
NO. ...,PLOMBING FEESmr
BATH TUB
1ST FL. 50. LT..''@
h
UNITS
WATER HEATER
K
2ND FL. SO. FT., @ -
+
YARD SPKLR SYSTEM
$
POR. SQ. FT. @
MOBILEHOME SVC.
BAR SINK
SQ FT GARAGE @
GAR.' SO. -FT. �5� . -��
POWER OUTLET
ROOF DRAINS
LOT�SSIZE�y ZOO✓NyE
CARP_ SOFT. @
USE NO.
DRAINAGE PIPING
MOBILE HOME PERMIT FEE
-WALL SQ. F.T. @ - r
q 8*$+0
DRINKING FOUNTAIN
-DBL.
;r SO. FT. @
PERMIT NO.
260965
URINAL
M08. HM.FEE
ESTIMATED CONSTRUCTION VALUATION $ , V
MECH: FEE'
WATER PIPING
PL. CK. FEE
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT ;e
FLOOR DRAIN
$
MECHANICAL FEES
SWIM POOL, COMM
WATERSOFTENER t
68L.
FINAL
VENT SYSTEM ❑ FAN ❑ EVAP. COOL O HOOD
SIGN
WASHER (AUTO) (DISH)
APPLIANCE
GARBAGE DISPOSAL
FURNACE O UNIT. O WALL ❑ FLOOR ❑ SUSPENDED
DBL
LAUNDRY TRAY
AIR HANDLING UNIT
I,CFM
IDLE METER
5
76
KITCHEN SINK
ABSORPTION SYSTEM
0 B.T.U.
TEMP USE PERM SVC
M H PERMIT FEE
WATER CLOSET
COMPRESSOR E�Q
HP
POLE, TEMP/PERM
DST
LAVATORY
HEATING SYSTEM ❑ FORCED ❑ GRAVITY ' •
'AMPERES'SERV ENT
SUPP. TO PERMIT
SHOWER
BOILER B.T.U.
SQ FT @ ¢
BATH TUB
SQ FT @ ¢,
WATER HEATER
MICROFILM FEE
SQ FT RESID @ 1 ¢
$
SEWAGE DISPOSAL
-
LEGAL DESCRIPTION / 6;
MECHANICAL FEE'
SQ FT GARAGE @
$
HOUSE SEWER
PERMIT FEE
LOT�SSIZE�y ZOO✓NyE
USE NO.
GAS PIPING
MOBILE HOME PERMIT FEE
Is.
q 8*$+0
PERMIT FEE
-DBL.
PERMIT FEE_
PERMIT NO.
260965
TOTAL FEES
A5,
M08. HM.FEE
Yi�]
MECH: FEE'
DBL.
PL. CK. FEE
CONST. FEE•
=
DBL.
ELECT. FEE
�
$
SMI FEE
FEE
PLUMB. FEE
68L.
J F M A M J J A 5 O N D
74
JOB ADDRESS i • SP NO
� ,f tp i��e -rt4 cc,4
OWNER
art
5
76
USE OF P%MIT' . I
oa
F.C.
DATE
1011—olyL
PERMIT NO
280 965
M H PERMIT FEE
- < S
$
COMMUNITY
114j
DST
UNITS
ROOMS
[VALUATION
SUPP. TO PERMIT
OFFIC
MICROFILM FEE
COPIES
$
30
-
LEGAL DESCRIPTION / 6;
MECHANICAL FEE'
DBL
$
SET BACK
LOT�SSIZE�y ZOO✓NyE
USE NO.
GRP
TYPE
CC V
q 8*$+0
PLAN CHECK FEE
$
BOND AMT.PLAN
NO.
PLAN CHECKER
FINAL
IN ECTOR
CONSTRUCTION FEE
DBL
$
NAME OF CONS`. LENDER + BRANCH
OFFICE
NO LENDERINVOLVED
V
ELECTRICAL FEE
DBL
$
l
ADDRESS CITY
,
STATE
STRONG MOTION
INSTRUMENTATION FEE
$
OWNER/�G&N,7'S SIGNATURE
�•
CONTRACTOR
fC3�
`-
FEE'
$
ADDRESS A, F
�CAr' �/(3 �r
ADDRESS "
PLUMBING FEE
DBL
$
CITYZIP CODE
d 9",o /
CITY ZIP CODE
TOTAL FEES
$" `
TEL. NO.
3411 _atJ76
TEL. NO. LICENSE
-
CASH ❑ CHECK' M.O. ❑ N.C. ❑
THIS PERMIT 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.
11 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 ALSO
RECEIVED,13 ��
TREES REQUIRED
SEWAGE SYSTEM
T
LL
P
AGREE TO CARRY COMPENSATION. INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE
I I HEREBY OFCALIFORNIA.
ERIFY THAT THE INDIVIDUAL WHO PREPAREDTHEPLANS AND SPECIFICATIONS
FORM 284-208 (Rem. 10-74) QP L HAS DONE SON CCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE
OF THE STATE