302044 (SATT)�. DEPARTMENT OF BUILDING.& SAFETY FIELD OFFICE
BUILDING PERMIT
.
1 F M A M "J- J 'A S O N D
PERMIT NO.DST
02044'
�NEW
•
V 1 Vr ne v cfrt J1YG 'ROW'3
.. -
COMMUNITY
f
CONSTRUCTION ESTIMATE
DST
1.
NO. ELECTRICAL FEES
NO. PLUMBING FEES
M H PERMIT FEE
PST FL
2ND FL.
FOR. -
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
-'tet U $
SQ. FT.@
UNITS
F.C.
SUPP, TO PERMIT
SQ. FT. ,@ YARD SPKLR SYSTEM
NO.
SQ. FT. @ MOBILEHOME SVC. BAR SINK' '
SQ. FT. @ 6- POWER OUTLET ROOF DRAINS
COPIES
-
SQ. FT. ,@ DRAINAGE PIPING.
50. FT. @. DRINKING FOUNTAIN
LEGAL ESCRIPTIO
/RL PV 0 X1.1t77 „
SQ. FT. @ URINAL
DBL
VALUATION $ go WATER PIPING
NOTE: Not to be used as property tax valuation
SET BACK
SWIM POOL, PVT
FLOOR DRAIN
TYPE
CK BY
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
PLAN CHECK FEE- -
EP
VENT SYSTEMFAN ❑ EVAP. COOL HOOD
dt'�
SIGN
WASHER T ISH
PLAN CHECKER
FINAL DATE- ` INSP
d!/
APPLIANCE DRY
CONSTRUCTION. FEE
DBL$
GARBAGE SPO
NAME OF CONST. LENDER BRANCH
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED .
NO LENDER INVOLVED
ELECTRICAL FEE
LAUNDRY -TRAY
$
AIR HANDLING UNIT CFM
IDLE METERKITCHEN
SINK
$
J
ABSORPTION SYSTEM B.T.U.
OWNER/AGENTS SIGNATURE CONTRACTOR
ADOR S ADDRESS
1 /
TEMP USE PERM SVC
11 1 WATER CLOSET
g� .
FEE
COMPRESSOR 0 HP
$
POLE, TEMP/PERM
LAVATORY
PLUMBINGFEE,
HEATING SYSTE FORCED E) GRAVITY
$
AMPERES SERV ENT
SHOWER
ad
-TOTAL FEES $ . hTEL
CASH❑CHECK .O.❑N.C.❑'>[�
BOILER B.T.U.
NO.O.y, ( -]AREACOOE
X ice/
SQ.FT. @ ¢
.BATH TUB
AREA CODE
J
LICENSE.a
RECEIVED BY TREES REQUIRED
THIS PERMI HALL BECOME VOID IF.WORK.IS NOT COMMENCED WITHIN 120 DAYS. CESSATION'OF
OR FO 2 DAYS SHALL ALSO CAUSE PERMIT'TO BECOME VOID.
REE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO (CARRY
ADLAI�A TI(lwl li.lfiio♦
SQ.FT. @ ¢
WATER HEATER
e�nSQ.FT.RESID '@ 11/4¢
SEWAGE DISPOSAL
dGy
SQ-FT.GAR @ 1/4¢
HOUSE SEWER
GAS PIPING
PERMIT FEE O ��
PERMIT FEEPERMIT
FEE
DBL.
TOTAL FEES MOB.HM.FEE
MICRO•FEE
M H. FEE
PL, CK, FEE
CONST. FEE EL FEE
SMI FEE
FEE
PLUMB. FEE
.
1 F M A M "J- J 'A S O N D
JOB ADDRESS - SP NO
I
.: e-14 1
OWNER -
�,
76
77
COMMUNITY
ALU TION
40
j
DATE
DST
1.
OFFICE
78
M H PERMIT FEE
$
USE OF PERMIT
F.C.
SUPP, TO PERMIT
PERMIT
NO.
MICROFILM FEE
COPIES
-
$
o P PA EL
1
LEGAL ESCRIPTIO
/RL PV 0 X1.1t77 „
MECHANICAL FEE
DBL
$
USE NO. ZONE
SET BACK
LOT SIZEGRP
TYPE
CK BY
PLAN CHECK FEE- -
EP
$ '-
BOND AMT.
PLAN NO.
2•�
PLAN CHECKER
FINAL DATE- ` INSP
d!/
CTOR' -
I /
CONSTRUCTION. FEE
DBL$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDER INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE '
STRONG MOTION
INSTRUMENTATION FEE'
$
J
-
,�
OWNER/AGENTS SIGNATURE CONTRACTOR
ADOR S ADDRESS
1 /
- -
'SPECIAL NSP
I
DEMOLITON�l
REGISTRATION
FEE
$
PLUMBINGFEE,
DBL
$
CITY ZIP COD Cm
a `
ZIP CODE
-TOTAL FEES $ . hTEL
CASH❑CHECK .O.❑N.C.❑'>[�
Xf
a..;.
NO.O.y, ( -]AREACOOE
X ice/
TEL.
NO.
AREA CODE
J
LICENSE.a
RECEIVED BY TREES REQUIRED
THIS PERMI HALL BECOME VOID IF.WORK.IS NOT COMMENCED WITHIN 120 DAYS. CESSATION'OF
OR FO 2 DAYS SHALL ALSO CAUSE PERMIT'TO BECOME VOID.
REE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO (CARRY
ADLAI�A TI(lwl li.lfiio♦
SEWAGE SYSTEM
T. LL
/
FORM 264-208 (REV. 6.76)
CALIFORNIA COVERING CONTRACTORS IS 'ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
50 IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF.CALIFORNIA.