290731 (ELEC). DEPARTMENT OF BUILDING & SAFETY -
BUILDING PERMIT ,.,�„�,T„ ~ ,,,�,r„1. ,
FIELD OFFICE
M
J F M A J J A S O N D
PERMIT NO,
7.311
OWNER
LV V1911 VI' RIYCRaIVC
76
/D/ST
1
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
DATE
� �� `1
NO. PLUMBING FEES
OFFICE
1 ST FL. SQ.
2ND FL. SQ.
FOR. SQ.
GAR. SQ.
CAR P. EEE]SQ.
WALL SQ.
ESTIMATED CONSTRUCTION
FT. @ $
UNITS
+��.
7'
FT. @ YARD SPKLR SYSTEM
M H PERMIT FEE
FT. @ MOBILEHOME SVC, BAR SINK
$
FT. @ POWER OUTLET ROOF DRAINS
UjSEO ERMI,�
FT. @ DRAINAGE PIPING
SUPP. TO PERMIT12900'
FT. @ DRINKING FOUNTAIN
SQ. FT. @ URINAL
VALUATION $ WATER PIPING
COPIES
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
BOOK PAGE PARCEL
FLOOR DRAIN
MECHANICAL FEE
DBL
MECHANICAL FEES
SWIM POOL, COMM
USE NO.
WATER SOFTENER
SET BACK
JLOT SIZE GRP
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
SIGN
WASHER (AUTO) (DISH)
APPLIANCE ❑ DRYER
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
e,;�
LAUNDRY TRAY
$
AIR HANDLING UNIT CFM
IDLE METER
PLAN NO.
KITCHEN SINK
FINAL DATE
TOFA
ABSORPTION SYSTEM B.T.U.
TEMP USE PERM SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
DBL
$
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
AMPERES SERV ENT
OFFICE
SHOWER
BOILER B.T.U.
SQ.FT. @ a
BATH TUB
1✓
ELECTRICAL FEE
DBL
SQ.FT. @ 41
WATER HEATER
STATE
SQ.FT.RESID @ 11/4(1
SEWAGE DISPOSAL
SQ.FT.GAR @ 3/441
HOUSE SEWER
OWNER/AGENTS SIGNATURE CONTRACTOR
\'
� � � �•- ”'
INSTRU/AENTATION FEE
GAS PIPING
�� '
PERMIT FEE
PERMIT FEE
O
PERMIT FEE
ADDRESS ADDRESS
DBL.
I TOTAL FEES
nen
IMOB.HMXEEJ
MICRO FEE
MECH. FEE PL. CK. FEE
I CONST. FEE
ELECT. FEE
SMI FEE
FEE
PLUMB. FEE
M
J F M A J J A S O N D
JOB ADDRESS SP NO
OWNER
76
77
COMMUNITY
VALUATION
$
DATE
� �� `1
DST
OFFICE
78744
+��.
7'
M H PERMIT FEE
$
UjSEO ERMI,�
F.C.
SUPP. TO PERMIT12900'
MICROFILM FEE
COPIES
$
BOOK PAGE PARCEL
LEGAL DDESCRIPTIONj ) f
MECHANICAL FEE
DBL
$
USE NO.
ZONES
SET BACK
JLOT SIZE GRP
TYPE
CK BY
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE
TOFA
ICS
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDER INVOLVED
1✓
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
STRONG MOTION
$
OWNER/AGENTS SIGNATURE CONTRACTOR
\'
� � � �•- ”'
INSTRU/AENTATION FEE
�� '
SPECIAL INSP
TIION
FEE
$
ADDRESS ADDRESS
�( J• `!
REGIDEMSTRATUT
�� f /
PLUMBING FEE
DBL
$
CITY ZIP CODE CITY
ZZIIPP CODE
TOTAL FEESTEL.
NO. AREA
CODE TEL.
NO. AREA COD/E
LICENSE a
CASH ❑CHECK O.❑N.C.❑$
IJ
y ✓►/
07Z.31
RECEIVED BY ` TREES REQUIREF`�
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
W'IWORK
FOR 120 DAYS SHALL ALSO GAUSE 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
l-vmr[NSAllvry IIVJUKAI'll UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE VY
CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
[FORM 264-206 IREV. 6-761 SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.