302268 (ELEC)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
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J F M Aim J I J A S O N D
PERMIT NO,
02268,1
COUNTY OF RIVERSIDE
DST
1 //
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES
1ST FL.
2ND FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $ UNITS
SQ. FT. @ YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC. BAR SINK
SQ. FT. @ POWER OUTLET ROOF DRAINS
SQ. FT. @ DRAINAGE PIPING
SQ. FT. @ DRINKING FOUNTAIN
SQ. FT. @ URINAL
VALUATION $ WATER PIPING
NOTE: Not to be used as property tax valuation SWIM POOL, PVT • FLOOR DRAIN
USE OF PERMIT 1
MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER
SUPP. TO PERMIT PERMIT
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH)
APPLIANCE ❑ DRYER GARBAGE DISPOSAL
FURNACE ❑ UNIT Cl WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY
AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK
ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC WATER CLOSET
3022
COMPRESSOR HP POLE, TEMP/PERM LAVATORY
MICROFILM FEE
HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER
$
BOILER B.T.U. SQ.FT. @ a BATH TUB
BOOK PAGE PARCEL LEGALL DESCRIPTION
SQ. FT. @ a WATER HEATER
SQ.FT.RESID @ 11/4a SEWAGE DISPOSAL
SQ.FT.GAR @ 3/4a HOUSE SEWER
MECHANICAL FEE
DBL
GAS PIPING
PERMIT FEE
PERMIT FEE PERMIT FEE
ET BACK
DBL.
I TOTAL FEES
IMOB,HM.FEE1
MICRO FEE MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE SMI FEE
FEE PLUMB, FEE
J F M Aim J I J A S O N D
JOB ADDRESS SP NO
f I
S je
v
OWNER
76
77
COMMUNITY
/.IVF Y
VALUATION
$ loo�j
'DATE
D
OFFICE
78
M H PERMIT FEE
$
USE OF PERMIT 1
F.C.
SUPP. TO PERMIT PERMIT
3022
MICROFILM FEE
COPIES
$
BOOK PAGE PARCEL LEGALL DESCRIPTION
MECHANICAL FEE
DBL
$
USE NO.
ZONES
ET BACK
LOT SIZE
GRP
TYPE CK
BY
`
I
S
S
R�
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE INS ECTOR
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDER INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
STRONG MOTION
-
OWNER/AGENTS SIGNATURE - CONTRACTOR
<'
INSTRUMENTATION FEE
tcJrR_.�
h
SPECIALINSP
$
ADDRESS ADDR
SS
DEMOLITON
REGISTRATION
FEE
1
Qy 0
,PLUMBING FEE
DBL
$
CITY ZIP CODE 0
TY ZIP CODE
rl � 9!t
TOTAL FEES $
400CASH
TEL. NO.' AREA
CODE TEL.
NO.
C
AREA CODE"'�
LICENSE 4
❑CHECK.O.❑N.C.❑ 8
RECEIVED BY TREES REQUIR
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.
SEWAGE SYSTEM
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
T LL P
WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
rnee ocwlcnnr�w
-VFVIN ml cmrwr[[a. I.VMPL1ANCE WITH THE LAWS OF INE SIATE 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.