260536 (ELEC)° p.
- BUILDING PERMT
DEPARTMENT OF "BUILDING & SAFETY
COUNTY OF RIVERSIDE,
.FIELD OFFICE .
.
,DST
71
CONSTRUCTION'ESTIMATE
NO. ELECTRICAL -FEES
NO`'•,' PLUMBING FEES
f.•/'
USE OF PERMIT - �. -
`-
1 ST FL.SQ.FT.
ZND FL.
POR.
GAR.
CAR P.
WALL
°
` ESTIMATED CONSTRUCTION
' @
UNITS
IDLE METER
SQ. FT.
-YARD SPKLR SYSTEM
SQ. F.T. @ MOBILEHOME SVC.
BAR SINK
SQ. FT..@ POWER,OUTLET
ROOF DRAINS
SO.FI. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN ,
SO t FT . @
URINAL
VALUATION $
WATER PIPING
_ NOTE: Not to be used as property tax voluo tion
SWIM POOL, PVT
FLOOR DRAIN
' MECHANICAL FEES
SWIM POOL, COMM
- WATERSOFTENER
BATH TUB
VENT.SYSTEM ❑ FAN ❑ EVAP. COOL • Cl HOOD
aA SIGN
WASHER (AUTO) (DIS HI
Ut
0
APPLIANCE"
-JOBjADDRESS --
`1 SP NO
OWNER -
74,i.�/�/
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
75. e'
USE OF PERMIT - �. -
`-
LAUNDRY TRAY
AIR HANDLING UNIT,
CFM-
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM
0 B.T.U...
TEMP USE PERM SVC
WATER CLOSET
COMPRESSOR
HP
POLE, TEMP/PERM-
ROOMS.
LAVATORY
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
AMPERES SERV ENT
SHOWER °
BOILER 0 B.T.U.
SQ FT. @ a
BATH TUB
r
-
SQ FT @ ¢
'"
WATER HEATER.
`
SQ FT RESID @ 1 a
SEWAGE DISPOSAL .
SQ FT GARAGE•@ '/aa
MECHANICAL FEE
HOUSE SEWER
PERMIT FEE
SETBACK
LOT SIZE ZONE
GAS PIPING
MOBILE HOME PERMIT FEE
$
TYPE
PERMIT FEE
F)
PERMIT FEE
PERMIT NO.
2605-36=
TOTAL FEES
MOB. HMSEE
MICRO FEE
MECH. FEE
DBL.
PL. CK. FEE"
CONST. FEE
,DBL.
ELECT. FEE
DBC
SMI FEE
FEE
PLUMB. FEE
DBL`.
J F. M A M 'J J .°A S O .N° 'D
-JOBjADDRESS --
`1 SP NO
OWNER -
74,i.�/�/
/
75. e'
USE OF PERMIT - �. -
`-
F.C.
DATE '
PE MIT NO.
X60.536
76
MH•PERMIT FEE
$
COMMUNITY .. DST
UNITS.
ROOMS.
"VALUATION:
SUPP. TO,PERMIT
OFFICE
MICROFILM FEE
COPIES
$
LEGAL DESCRIPTION
MECHANICAL FEE
'DBL
$
SETBACK
LOT SIZE ZONE
USE NO.
GRP
TYPE
CK BY '
F- S
PLAN CHECK FEE
$+ °
BOND AMT.PLAN
NO .
PLAN CHECKER
FINAL DATE "
IN PECTOR f+
CONSTRUCTION. FEE,
DBL
$ ,
NAME OF CONST. LENDER iY BRANCH
-OFFICE
NO LENDER INVOLVED
s
ELECTRICAL FEE
„ DBL
ADDRESS. CITY
STATE
nv
STRONG;MOTION
INSTRUMENTATION FEEr/`�.�
$
OW ER/A NTSSIGNATURE/./ ..
CONTRACTOR j� •. y .
rv'
$
ADDRESS " o-
ADDRESS
FEE..
PLUMBING FEE
DBL
$
..CITY ZIP CODE
CITY _ ZIPCOD_E
TOTACFEES�.
$ ` Z
%
TEL. NO.' - -
j =�1✓
TEL. NO. LICENSE
�3-
c��f
CASH CHECK ❑ ' , M.O. ❑ N.C. ❑
`
THIS PERMIT SHALL BECOME VOID IF WORIZ. NOT COMMENCED WITHIN 120 DAYS.'CESSA
v TION OF WORK FOR T20 DAYS SHALL ALSO'CAUSERERMIT TO BECOME VOID.
-
RECEIVED B YY �%
TREES REQUIRED.
`
• I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL -BE DONE -IN AC
tiP CORDANCE WITH THE LAWS OF •RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I.ALSC
1
SEWAGE SYSTEMAGREE
T LL
P
TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THI
\�/f -/IC TUC CTATG/l -IIC-11A!•/1\/CDI AII" rIKITDA(TIOC'IC AI C/ f-1 IA DA NITCCn
I HEREBY CERTIFY THAT THE
.INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS
FORM 284-208,(Re�. 10-74) QL ' ' HAS DONE SO IN ACCORDANCE WITH SECTION 5,541 OF THE BUSINESS AND PROFESSIONS CODE-
,} - t - - OF THE STATE OF CALIFORNIA: