290638 (GRES)BUILDING PERMIT `k FIEID OFFICE
DEPARTMENT OF BUILDING & SAFETY
J F M A M J J A S O N D
PERMIT NO.
OWNER
COUNTY OF RIVERSIDE
`" t� a�
DST2906381 1JI
1�/
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
DATE w�q
' 1 ST FL.
2ND FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
M H PERMIT FEE
SQ. FT. @ YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC. BAR SINK
F.C.
SQ. FT. @ 130 POWER OUTLET ROOF DRAINS
PERMIT NO.
SQ. FT. @ DRAINAGE PIPING
SQ. FT. @ DRINKING FOUNTAIN
SQ. FT. @ URINAL
0/4474.
VALUATION $ 4040 WATER PIPING
290638
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
PAGE PARCEL
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
SIGN
WASHER (AUTO) (DISH)
DBL
$
APPLIANCE ❑ DRYER
USE NO,
GARBAGE DISPOSAL
SET BACK LOT SIZE
GRP
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
C AKB Y
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
I S 5 S f R14' vFes'
0.
ABSORPTION SYSTEM B.T.U.
TEMP USE PERM SVC
WATER CLOSET
$
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
PLAN CHECKER
FINAL DATE I
,_ ;L
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ.FT. @ a
BATH TUB
l
CONSTRUCTION FEE
SQ.FT. @ a
WATER HEATER
NAME OF CONST. LENDER
BRANCH OFFICE
SQ.FT.RESID @ 11/4a
SEWAGE DISPOSAL
. ,.,..
C&OSQ.FT.GAR @ a/4a_
HOUSE SEWER
voll
ELECTRICAL FEE
DBL
$
GAS PIPING
CITY
STATE
PERMIT FEE
PERMIT FEE
ciQ PERMIT FEE
DBL.
I TOTAL FEES IMOB.HM.FEEI
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE
ELECT. FEE SMI FEE
FEE
PLUMB. FEE
J F M A M J J A S O N D
JOB ADDRESS SP NO
/ A
OWNER
76
`" t� a�
�
77
CO/MM�U NI1 T
VALUATION
DATE w�q
DST
I OFFICE
M H PERMIT FEE
$
USE OF PERMIT
F.C.
SUPP. TO PERMIT
PERMIT NO.
3r(9AV &ot ?A E , R-1 e
0/4474.
290638
MICROFILM FEE
COPIES
$
PAGE PARCEL
LEGAL DESCRIPTION
sBBOO'OK
/
MECHANICAL FEE
DBL
$
USE NO,
E
SET BACK LOT SIZE
GRP
TYpE
C AKB Y
le o!
I S 5 S f R14' vFes'
0.
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE I
,_ ;L
PECTOR
l
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER
BRANCH OFFICE
NOL DERINVOLVED
. ,.,..
voll
ELECTRICAL FEE
DBL
$
ADDRESS p 7
CITY
STATE
15
y
STRONG MOTION
$
OWNER/ GENT'S6IGNAT E J
CONTRACTOR
INSTRUMENTATION FEE
7
•'SPECIAL INSP
$
ADDRESS
ADDRESS
DEMOLITON
FEEj�0y�
L_i
REGISTRATION
..« 'ff"��// (,�i� j�,J
PLUMBING FEE
DBL
$
clTr ZIP CODE
CITY ZIP CODE
TOTAL FEES $
TEL. NO. AREA
CODE
TEL, NO,
AREA CODE
LICENSE 0
CASH ❑CHECK. .O.❑N.C.❑
RECEIVED BY TREES REQUIRED
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. e
'SEWAGE SYSTEM1
HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
T LL p x I
ITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
CONPENS
ATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE 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 264-206 (REV. 6-76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.
BUILDING PERMIT
NO. PLUMBING FEES
PERMIT NO,
YARD SPKLR SYSTEM
CONSTRUCTION ESTIMATE
1 ST Fl. SQ. FT.
@ $
2ND FL. SQ. FT.
@
POR. SQ. FT.
@
GAR. r- SQ. FT.
@
CAR P. SQ. FT.
@
WALL SQ. FT.
@
SQ. FT.
@
ESTIMATED CONSTRUCTION VALUATION $
MECHANICAL FEES
VENT SYSTEM ❑ FAN .❑ EVAP. COOL ❑ HOOD
APPLIANCE ❑ DRYER
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
AIR HANDLING UNIT CFM
ABSORPTION SYSTEM B.T.U.
COMPRESSOR � HP
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
BOILER B.T.U.
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
NO. ELECTRICAL FEES
UNITS
MOBILEHOME SVC.
5, en CS POWER OUTLET
PERMIT FEE a, e
DBL. TOTAL FEES Imos. HM.FEE MICRO FEE MECH. FEE
SWIM POOL, PVT
SWIM POOL, COMM
SIGN
IDLE METER
TEMP USE PERM SVC
POLE, TEMP/PERM
AMPERES SERV ENT
SQ.FT. @
SQ. FT. @ c
SQ.FT.RESID @ 11/4Q
5 SQ.FT.GAR @/4Q
f PER FEE
CK. FEE CONST. FEE
reeler vrrc%.c
DST
h
FEE
_
NO. PLUMBING FEES
A M J J A S O N D
YARD SPKLR SYSTEM
76
BAR SINK
ROOF DRAINS
-4; /'J - ✓I
COMMUNITY'52
DRAINAGE PIPING
DRINKING FOUNTAIN
VALUATION DATE DST OFFICE
o44 / A
1...-- ''�+�.
URINAL
WATER PIPING
h1 H PERMIT FEE
FLOOR DRAIN
WATER SOFTENER
WASHER (AUTO)(DISH
GARBAGE DISPOSAL
F.C. SUPP. TO PERMIT PERMIT NO.
LAUNDRY TRAY
KITCHEN SINK
611!4 41 A. 90638
MICROFILM FEE
WATER CLOSET
$
BOOK PAGE PARCEL LEGAL DESCRIPTION
LAVATORY
SHOWER
C5
...-wr'�
BATH TUB
WATER HEATER
$
SEWAGE DISPOSAL
:{'.%
:.0 ss?:�I
USE NO. ZONE SET BACK LOT SIZE I TYPE CK BY
HOUSE SEWER
GAS PIPING
PERMIT FEE
.FEE
�
SMI FEE
r
FEE
DST
h
FEE
_
J FM
A M J J A S O N D
JOB ADDRESS SP NO OWNER
-..� f/ }j'je
Alm /�4-
76
77
-4; /'J - ✓I
COMMUNITY'52
VALUATION DATE DST OFFICE
o44 / A
1...-- ''�+�.
78
h1 H PERMIT FEE
$
y�l
USE OF PERMIT
F.C. SUPP. TO PERMIT PERMIT NO.
611!4 41 A. 90638
MICROFILM FEE
COPIES
$
BOOK PAGE PARCEL LEGAL DESCRIPTION
•MECHANICAL FEE
C5
...-wr'�
�
y1.w
.I �«r 4f�e✓ f 1 i� Y-� �' f'T^"iSJ
DBL
$
:{'.%
:.0 ss?:�I
USE NO. ZONE SET BACK LOT SIZE I TYPE CK BY
`?� I 5 5 % R 0 Ili
PLAN CHECK FEE$
+'/
BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH OFFICE NOL DER INVOLVED
ADDRESSCITY �r
ELECTRICAL FEE
pgl
$
STATE
STRONG MOTION
INSTRUMENTATION FEE
$
OWNER/ .GENT'S;SIG NAT E f
CONTRACTOR
ADDRESS
'SPECIALIN'SP
DEMOLITION
REGISTRATION
FEE
$
ADDRESS`
}`
I 'v J, i
l `
PLUMBING FEE DBL $
ZIP CODE
CITY ZIP CODE
TOTAL FEES $
TEL. NO. AREA CODE
TEL. NO. AREA CODE LICENSE
CASH❑CHECK O.❑N.C.❑�~
j��(.� , j�
RECEIVED BY 14*j+ TREES REQUIRED
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
..WORK FOR 120 DAYS SHALL
SEWAGE SYSTEM
T 1
ALSO CAUSE PERMIT TO BECOME VOID.
e o I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
THE
LL p i
,k1'WITH LAWS OF RIVERSIDE COUNTY AND THE STATE nF C Af IFn Cf`un 1 11— . —11
MIVt,� UrUr l MY tMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE OF
CALIFORNIA COVEP.ING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDiVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
FORM 284.208 IREV. 6.761 SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.