260535 (TT)•FIELD OFFICE
BUILDING PERMIT'. DEPARTMENT OF BUILDING & SAFETY.
COUNTY OF RIVERSIDE
' y.'. ^ . , - • `. r _ .� r DST
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. - PLUMBING FEES
I ST FL SO FT @ UNITS
-2ND,FL.
' POR.SO�'FT.
" GAR.
CAR P. -
WALL
SO. FT.. 1@
' OWNER'S
. YARD SPKLR SYSTEM._
@ w MOBILEHOME SVC.
BAR SINK
SO. FT. @ - POWER OUTLET > •
ROOF DRAINS '
SOFT. @ -
DRAINAGE PIPING''
_
°`
SO. FT. • @ -
DRINKING FOUNTAIN
• SO. FT. @
ESTIMATED CONSTRUCTION VALUATION $
TEMP USE PERM SVC •
URINAL k
WATER PIPING
NOTE: Not to be used CIS property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL. COMM
WATER SOFTENER
- +>
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑-HOOD
SIGN -.
WASHER (AUTO) (DISH)
APPLIANCE
GB`ADDRESS — - ^ SF N6
' OWNER'S
GARBAGE DISPOSAL
FURNACE ❑ UNIT`0 WALL Q FLOOR ❑ SUSPENDED
''
LAUNDRY TRAY
AIR HANDLING UNIT
CFM : _
IDLE METER "
KITCHEN SINK
ABSORPTION'SYSTEM-
B.T.U:
TEMP USE PERM SVC •
- WATER CLOSET _
COMPRESSOR 0
HP
POLE, TEMP/PERM "
LAVATORY
HEATING SYSTEM Q FORCED ❑GRAVITY
AMPERES SERV ENT
SHOWER
BOILER 0 B.T.U.
SOFT @' ¢
BATHTUB -
del
` SO FT, @ ¢
WATER HEATER
SO FT RESID @ .1 ¢
SEWAGE DISPOSAL _
`
$
- SOFT"GARAGE @ .112¢
HOUSE SEWER
PERMIT FEE
GAS PIPING
MOBILE HOME PERMIT FEE
$
DBL
PERMIT FEE
PERMIT FEE
PERMIT NO.
2 6 0 5 3 5
TOTAL FEES
—`=-
MOB. HM.FEE
MICRO FEE
MECH. FEE
DBL.
' PL. CK. FEE
CONST. FEE.
DBL.
ELECT. FEE,
DBL.
SMI FEE
FEE
�—
PLUMB. FEE
DBL.
J F • M` •A M J 71 A�^$y O N ` D'
GB`ADDRESS — - ^ SF N6
' OWNER'S
74
75
76lo6�
USE OF PERMIT !
:- .Ys`,- f f,�>i�]DATE
F.C.
'
PERMIT NO.
260535 .
M H,PERMIT FEE
$
cOMMUNI *
DST
UNITS
ROOMS
VALUATION
SUPP. TO PERMIT'
OFFICE
del
MICROFILM FEE
COPIES
$
LEGAL DESCRIPTION - r
MECHANICAL FEE
DBL
$
SETBACK
LOT SIZE ZONE
USE NO.•
GRP
TYPE
(."
�CKBY"
...
PLAN CHECK FEE
-$
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE -
NSPECTOR
•
l�
�j
CONSTRUCTION FEE
DBL
$ . ' -
''
NAME OF CONST. LENDER --y - BRANCH
OFFICE
NO LENDER INVOL ED
JU
ELECTRICAL FEE
DB'L
$
ADDR s CITY
STATE
STRONG MOTION
IN STRUMENTATIOWFEE,
$ '- -
OWNEAXGEhT�L SIGN RE
CONTRACTOR
$
ADDRESS ,. - ..1
ADDRESS
FEE
°°i
PLUMBINGFEE '
DBL
$
CITY I ZIP CODE
CITY ZIP CODE
TOTAL FEES �..
'
$
•TEL. NO. - '-7 - .,
TEL. NO, LICENSE
CASH GHECK Q •.ZM.O.�Q .. N.C.❑ -
'THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED -WIT HIN 120 DAYS. CESSA
TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
CONNECTION WITH THIS PERMIT WILL BE DONE IN AC
YT
RECEIVED BY TREES RECdUIRED,
'
SEWAGE SYSTEMAGREE
I HEREBY AGREE THAT ALL WORK IN
CORDANCE WITH'THE LAWS OF RIVERSIDE. COUNTY AND THE STATE OF CALIFORNIA, I ALSC
T LL P
TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THI
1 eXA/f nF TUG CTAT[ OF i•AI IFn DNIA rOVER!Nr, rOA1TDACTODC IC ALSO (,I IADANITFFn'
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS
FORM 284-208 (Rev. 10-74) OIL ♦ HAS DONE SO,IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE
OF-THE7STATE OF CALIFORNIA. - .