206306 (AR)BUILDING PERMIT
ESTIMAT
[CONSTRUCTION
WASHER (AUTO) (DISH)
1ST FL. T /
SQ. FT. @
2ND FL.
SQ. FT. @
POR. �s�
ss!�
SQ. FT. Ca
GAR. a*O
SQ. FT. @
CM P.
Hif, Z W
SQ. FT. @
wnrL-4-17
SQ. FT.
COMPRESSOR E== HP 9
SO. FT.
ESTIMATED VALUATION Is
MECHANICAL FEES
DEPARTMENT OF BUILDING & SAFET
COUNTY OF RIVERSIDE
E ELECTRICAL FEES
p Al _?_;Ar I NO.
— I I MOTOR 1 OR LESS H.P
MOTOR 5 OR LESS H.P
MOTOR 20 OR LESS H.P.
K.W. UN
FIELD OFFICE `
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER CCICTFMFR
VENT SYSTEM OrFAN ❑ EVAP.COOL ❑ HOOD
SIGN
WASHER (AUTO) (DISH)
APPLIANCE
TRANSFORMER =K•W.
GARBAGE DISPOSAL
FURNACE❑UNIT ❑WALL❑FLOOR ❑SUSPENDED
OUTLETS
LAUNDRY TRAY
AIR HANDLING UNITI CFM
FIXTURE OR SOCKET
KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE
WATER CLOSET
COMPRESSOR E== HP 9
POLE
01
LAVATORY
APPLIANCE VENT
AMPERES SERV. ENT.
SHOWER
ABSORPTION SYSTEM O B.T.U.
SQ. FT.@ - ?
BATH TUB
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SQ. FT.@ 4
WATER HEATER
HEATING SYSTEM ,®°FORCED ❑ GRAVITY
, SQ. FT. RESID. @ i Q
SEWAGE DISPOSAL
BOILER � B.T.U.
SQ. FT. GARAGE @ 'z Q
HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE
GAS PIPING
MOBILEHOME HOOKUP FEE
J F M A M J J A S O
N D
JOB ADDRESS EiT%!%
OWNERy�
73
USE OF BUILDING
C.
DATEP1EN6306
NO74
.4D,L� ,v -ZL � �Y
, 3v - -•2
75
COMMUNITY
DST
UNITS
OOMJ
VALUATION
SUPP. TO PERMIT
OFFICE
76
AA 7A
I
MOBILEHOME
$
LEGAL ESCRIPTIONry
rG -- 1—,7
" '
HOOKUP FEE
�� 3 � 14 ��' i4Ari,4 C .� X IT
MECHANICAL FEE
DBL
$
SET BACK
LOT SIZE
ZONE
USE NO.
GRP
TYPE
CK BY
aPi�(G�
..�
F S/ R
PLAN CHECK FEE
$ G)
BOND AM
PLAN NO.
PLAN CHECKER
FINgj DAT INSPECTOR
E� 1
g
�(e
DBL
D�
NAME OF CONST. LENDER
BRANCH OFFICE
NO LENDER INVO/ED
CONSTRUCTION FEE
ry
DBL
ADDRESS
CITY STATE
ELECTRICAL FEE
$
r..
$'?
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS.
...—CESSATION
OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
�JI FEE
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE
IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIF -
DBL
_
PLUMBING FEE
ORNIA. I ALSO AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES.
/
�j
COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS
IS ALSO GUARANTEED.
E I FI -
elf
TOTAL FEES $
AI
CATIONS DONE IN ACCORDANCE WITH SECTION 55441TOF THENB BUSINESS ND
"'��
PROFESSIONS CODE OF THE STATE OF CALIFORNIA. +
CASH ED CHECK M.O. C] N.C. 0
OWNER ti , 6CA
CONTRACTOR
Received By
ADDRES9
L � ;, me 4 /_ 14 t,�Z—
ADDRESS
Sewage System
!
y
T LL P
`
CITY
CITY
Trees Required Yes No
. f
�+I•
INFORMATION
TEL. NO. �
TEL. NO. LICENSE
l,/ { f (/fl
/
k� -
FORM 284-208 (REV. 4/71) V/
C
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