286898 (SATT)DEPARTMENT OF BUILDING & SAFETY
BUILDING PERMIT __,._._._ __
FIELD OFFICE
•
PERMIT NO.
2868981
7wr.
,
t
VV VIv11 Vr RI v cmino
�'
COMMUNITY
VAL�UjATION -
DST
CONSTRUCTION ESTIMATE
O ' ICE
�
NO. ELECTRICAL FEES
M H PERMIT FEE$
NO. PLUMBING FEES
' 1 ST FL.
2ND FL. '
POR. •
' GAR:
CAR P. SQ.
WALL SQ.
ESTIMATED CONSTRUCTION
SQ. FT. @ # $
F.C.
UNITS
PERMIT NO.
2868
SQ. FT. @ YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC. BAR SINK
SQ. FT. @ POWER OUTLET ROOF DRAINS
t
FT. @ DRAINAGE PIPING
FT. @ DRINKING FOUNTAIN
SQ. FT. @ URINAL
COPIES
VALUATION$ WATER PIPING,
NOTE: Not to be used as property tax valuationSWIM
LEGAL DESCRIPTION
POOL, PVT
FLOOR DRAIN
!.7r - ' /
MECHANICAL FEES
MECHANICAL FEE
SWIM POOL, COMM
$
WATER SOFTENER
USE NO.
ZONE
VENT SYSTEM FAN ❑:, EVAP. COOL HOOD
>
SIGN
WASHER(AUTO pISH)
APPLIANCE RYER
rSET
1.
GARBAGE DISPOSAL
Cad
FURNACE ❑ UNIT ❑ WALL ❑FLOOR El' SUSPENDED
` OPLAN
LAUNDRY TRAY
$
AIR HANDLING UNIT CFM
BOND AMT.
IDLE METER
CHECKER
KITCHEN SINK
s 9
-
ABSORPTION SYSTEM B.T.U.
TEMP USE PERM SVC__,a
WATER CLOSET
G3tJ
.
COMPRESSOR 0 HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM ORCED E:) GRAVITY
'r AMPERES SERV ENT
1100
ISHOWER
$ /j
i
BOILER B.T.U.
BRANCH OFFICE
SQ.FT. @a
:ELECTRICAL FEE
BATH TUB
_
ADDRESS
CITY,
SQ.FT. @ ¢
WATER HEATER •
(�
Q.FT.RESID @ 11/4¢
9
SEWAGE DISPOSAL
$
OWNERS ENTS SIGNA RE /
`
CONTRACTOR
SQ.FT.GAR @ 1/4a
HOUSE SEWER
'SPECIAL INSP
DEMOLITION
FEE
GAS PIPING
$
PERMIT FEE,
ADDRESS'
PERMIT •FEE
PERMIT FEE
Qt"1
DBL.
TOTAL FEES
]MOB.HM.FrEj
MICRO FEE
MEC FEE
,
E
W?l
CONST. FEE
/� ,ea
ELECT. F
SMI FEE
FEE
PLUMB. FEE
-JOB
1 F M A M J J A S O N D
ADDRESS' A SP NO
�. I
OWNER -
d
ek.4
76
77
COMMUNITY
VAL�UjATION -
DATE / rp.
DST
O ' ICE
�
78
M H PERMIT FEE$
USE F PERMIT •
F.C.
SU P. TO PERMIT
PERMIT NO.
2868
:MICROFILM FEE
COPIES
$
1001, -'PAGE PARCEL
LEGAL DESCRIPTION
!.7r - ' /
11-64
MECHANICAL FEE
DBL
$
USE NO.
ZONE
BACK./� OT ZE
GjRPP TVP CK BY
,
)/
rSET
1.
` OPLAN
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
CHECKER
DATE I
PECTOR
J.FlNAL
CONSTRUCTION FEE
DBL
$ /j
i
NAME OF CONST, LENDER
BRANCH OFFICE
NO LENDER INVOLVED
:ELECTRICAL FEE
DBL
+
$
ADDRESS
CITY,
STATE
STRONG MOTION
:INSTRUMENTATION FEE
$
OWNERS ENTS SIGNA RE /
`
CONTRACTOR
'SPECIAL INSP
DEMOLITION
FEE
$
ADDRESS ". '
�F�r
423
ADDRESS'
REGISTRATION
J 1
.PLUMBING FEEpgl'
$
CITY ZIP CODE
CITY ZIP CODE
TOTAL FEES $ �j'
. ` AREA
TEL. 100. )�
CODE
TEL, NO.
AREA CODE
LICENSE u
-CASH ❑GREG M.O.❑N.C.❑✓#`
t
J/'!
'RECEIVED BY TREES REQUIRED'.
"V14 WW SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN) 20 DAYS. CESSATION OF
'w0 5 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID,
I B AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY,
nMPFNCGTInW IncI IDAI.Ir_ IIDnwl AAV c 131r VCCf 1^11 ♦�DIIA �II`c
SEWAGE SYSTEM
yr T
.... ,. "'
LL
P
CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
Rte„ SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
�761 OF CALIFORNIA.
•
k
5
'