302185 (SATT)DEPARTMENT OF BUILDING 8r SAFETY
FIELD -OFFICE
!BUILDING PERMIT
1 F M A M J J A S O N D
,."PERMIT NO.
8
NEW
C%ju i 1 i Vr RI V CK31UC
77
COMMUNITY* A N
t� $
DATE S - OFFICE
DST
CONSTRUCTION ESTIMATE
USE OF F.C.
NO. ELECTRICAL FEES
NO. PLUMBING FEES
021
1ST FL.
2ND FL.
FOR.
GAR. /
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
6
UNITS
"'BOOK P G PARCEL
LEGAL DESCRIP 10
SQ. FT. @ YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC. BAR SINK
SQ. FT. @ h7 f 6kO POWER OUTLET ROOF DRAINS
SQ. FT. @ DRAINAGE PIPING
SQ. FT. @ DRINKING FOUNTAIN
SQ. FT. @ URINAL
MECHANICAL FEE
VALUATION $ WATER PIPING
�` eno
NOTE: Not to be -used as property tax valuation
USE N6.
SWIM POOL, PVT
SET BACK
FLOOR DRAIN
TYPE CK BY
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
LONE
VENT SYSTEM ❑ FAN ❑ EVAP. COOL OOD
e.\r,)
SIGN
WASHER,(AUT ICSH)
p(j
..,.'
APPLIANCE RYER
GARBAGE DISP SAL
pp
S
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
R
LAUNDRY TRAY
PLAN CHECK FEE
AIR HANDLING UNIT CFM
IDLE METER
PLAN NO, PLAN CHEC,KfERFISN�AL
KITCHEN SINK
C)1F3
ABSORPTION SYSTEM B.T.U.
TEMP USE PERM SVC
WATER CLOSET,
CONSTRUCTION FEE
DBL
COMPRESSOR HP
rj
POLE, TEMP/PERM
BRANCH OFFICE
jr LAVATORY
HEATING SYS EM ORCED ❑ GRAVITY
(,i&S-AMPERES
SERV ENT
SHOWER
ELECTRICAL FEE
DBL
BOILER B.T.U.
SQ.FT. @ a
CITY
BATH TUB
SQ.FT. @ a
WATER HEATER
!r fLg
$
Q.FT.RESID @ 11/4a
CONTRACTOR
SEWAGE DISPOSAL
�tl+
YjbqSQ.FT.GAR @ 3/44 .
�j
HOUSE SEWER
ADDR
ADDRESS
SPECIAL INSP$
GAS PIPING
PERMIT FEE
�v�
PERMIT FEES
PERMIT FEE
1
DBL.
TOTAL FEES
•` �° , 7!
MOB.HM.FEE
MICRO FEE
�
L. CK. FEE
....,..-
CONST. FEE
EL T. FEE
1. SMI FEE
'lei
FEE
PL .FEE
t ap
1 F M A M J J A S O N D
JOB ADDRESS SP NO
I
OWNER
76
77
COMMUNITY* A N
t� $
DATE S - OFFICE
78
M H PERMIT FEE $
USE OF F.C.
SUPP'. TO PERMIT PE MI
J
021
MICROFILM FEE
COPIES
$
"'BOOK P G PARCEL
LEGAL DESCRIP 10
MECHANICAL FEE
DBL
$
USE N6.
SET BACK
LO S ZE
TYPE CK BY
LONE
WP
..,.'
I
S
S
R
PLAN CHECK FEE
$
BOND AMT.
PLAN NO, PLAN CHEC,KfERFISN�AL
DATE INSP(E�CT,OR
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER
BRANCH OFFICE
NO LEND R INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS
CITY
STATE
STRONG MOTION
$
OWNER7A ENTS SIGNAT0RE
CONTRACTOR
INSTRUMENTATION FEE
ADDR
ADDRESS
SPECIAL INSP$
DEMOLITION ]��]
FEE
REGISTRATION
PLUMBING FEE
DBL
$
CITY ZIP CODE
CITY ZIP CODE
..r
TOTAL FEES $
EL. NO.
cf0bE
TEL. NO.
AREA CODE
LICENSE u
CASH ❑CHEC .O.❑N.C.❑ �?�
JAReA
RECEIVED B }f TREES REQUIRED
'
THIS PfORMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
WORK 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
1 Af,REE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
) WS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
SEWAGE SYSTEM
T
LL
'�
P
�.vmrErvar�nvry Irv'U""".r UVULA MT tMVLUTttS. C.UMPLIANCt WITH THE LAWS OF THE -STATE OF
CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
FORM 284-208 (REV. 6.76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.