260810 (SATT)BUILDING PERMIT
JOB ADDRESS_
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DEPARTMENT OF BUILDING & SAFETY '
COUNTY OF.' RIVERSIDE
OST
/
CONSTRUCTION ESTIMATE-
- NO. ELECTRICAL FEES
ISTFL.
2ND FL..'
POR.
GAR.
CAR P.
WALL
�''
SQ.FT.
@ % f
s. UNITS;.,
c�7yy
SQ. FT. @
.BAR SINK
SO. FT. @ —
SQ. FT. @ �""
i Cj`MOBILEHOME SVC.
oR �%p POWER OUTLET
SO FT @
SQ. FT. @
DRAINAGE PIPING
A
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION - $
NOTE: Not to be used as property tax voluotion SWIM POOL, PVT
MECHANICAL FEES SWIM POOL, COMM
VENT SYSTEM O FAN O. EVAP. COOL WHOOD I 16j-111SIGN
FIELD'OFFICE
APPLIANCE R
JOB ADDRESS_
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74
OST
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NO: PLUMBING FEES
75
USE OF, PERMIT
? l . �1601)
FURNACE ❑ UNIT ❑ WALL 0 FLOOR O USPENDED
DATE
/-0!:;1q-, �s
YARD SPKLR SYSTEM
,.b
.BAR SINK
ROOF DRAINS,
IDLE METER
DRAINAGE PIPING
COMMUN Y;
KITCHEN SINK
DRINKING FOUNTAIN
ABSORPTION SYSTEM 0 B.T.U.
VALUA-TION "
URINAL
OFFICE
WATER CLOSET
WATER PIPING (J
COMPRESSOR –r HP
FLOOR DRAIN'
POLE, TEMP/PERM
1
WATER SOFTENER -
LAVATORY
t
f
WASHER (AUTO) (9151 1)
APPLIANCE R
JOB ADDRESS_
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74
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GARBAGE DISPOSAL
75
USE OF, PERMIT
? l . �1601)
FURNACE ❑ UNIT ❑ WALL 0 FLOOR O USPENDED
DATE
/-0!:;1q-, �s
P M N
810
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LAUNDRY TRAY
AIR HANDLING UNIT ' CFM
IDLE METER
COMMUN Y;
KITCHEN SINK
_� [
ABSORPTION SYSTEM 0 B.T.U.
VALUA-TION "
TEMP USE PERM SVC
OFFICE
WATER CLOSET
;r G C�
COMPRESSOR –r HP
POLE, TEMP/PERM
1
LAVATORY
3.00
HEATING SYSTEM FORCED. O GRAVITY
'AMPERES SERV ENT
�a
!
SHOWER
! SG
BOILER 0 B.T.U.
SOFT _ @ ¢
BATH TUB
MICROFILM FEE
COPIES
$ .
` SQ FT `@ ¢
LEGAL DESCRIPTION r r
WATER HEATER
DBL
'L
'
SETBACK -•
SQ FT RESID @ 1¢
�}
USENO.
SEWAGE DISPOSAL
f ��
18Y -
SQ FT GARAGE @ 'h¢°a
:�
1 P0
HOUSE SEWER
7rRPJ
PERMIT FEE
(SIi
RZ
-GAS PIPING
f
G
MOBILE HOME PERMIT FEE - $
BOND AMT.PLAN
NO,
PERMIT FEE
•
PERMIT FEE
d,
PERMIT NO.
260610
,TOTAL FEES
MOB. HM. ,EE
MICRO FEE •
MECH. FEE
}�«�,��
DBL.
PL. CK. FEE
CONST. FEE
DBL.
ELECT. FEE
�f°
DBL.
SMI FEE
FEE
PLUMB, FEE
JOBL.
J I F I M A I M I J I J A I S •O 1 N I Dj
JOB ADDRESS_
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74
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[dJlElfr%i7. 'Ic.
75
USE OF, PERMIT
? l . �1601)
F.C.
DATE
/-0!:;1q-, �s
P M N
810
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M H PERMIT FEE
$
COMMUN Y;
DST- ,
„' UNITS
'ROOMS
VALUA-TION "
SUPP. TO PERMIT
OFFICE
iJrA
I % f. "
i4vt
MICROFILM FEE
COPIES
$ .
LEGAL DESCRIPTION r r
MECHANICAL FEE -
DBL
$
SETBACK -•
LOT SIZE- ZONE
-
USENO.
TYPE
18Y -
27
1 P0
7rRPJ
RZ
PLAN CHECK FEE
$
BOND AMT.PLAN
NO,
PLAN CHECKER .
FINAL DATE INSPECTOR '
d,
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENI? BRANCH
CF
IFICE NO LENPER- VOL' ED
•� �
He iia
_
ELECTRICAL FEE
DBLADDRESS'
$
90
C
t
IT ���,
STA
���--
4
117
STRONG MOTION
$ -
OWNED/AGE T• 51 TU
CONTCACTOR `-
INSTRUMENTATION FEE
/"
t/
7,7yLCA
FEE
$
ADDRESS - -"ADDRESS
11
'
p
PLUMBING FEE
DBL
$
5`D
CITY ZIP CODE
CITY ZIP CODE
44-
,TOTAL FEES
$ '
TEL. NO..
TEL. NO. LICENSE
CASH p CHECK M.O. O ' N.C. O
THIS PERMIT SHALL BECOME VOID IF WORK IS MOT COMMENCED WITHIN 120 DAYS.,CESSA
TION OF WORK FOR 120'DAYS SHALL ALSO CAUSE DERMIT TO BECOME VOID.
RECEIVED BY
TREES REQUIRED
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC
WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSC
TO CARRY,
SEWAGE SYSTEMCORDANCE
X
T
LL
P fi/'
AGREE COMPENSATION INSURANCE UPDN MY EMPLOYEES. COMPLIANCE WITH THE
A/C— r uC CT A Tc!l C! A 1 I E K11A r!l\/Llllw1/ !`M 1—A!-Tll—i
I I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS
FORM 284-208 (Rev. 10-74) OP 'L HAS DONE SO I ,1 'N ACCORDANCE WITH SECTION 55OF THE BUSINESS AND PROFESSIONS CODE
I OF THE STATE OF CALIFORNIA.