RER (210112)BUILDING PERMIT
•DEPARTMENT OF BUILDING & SAFET
COUNTY OF RIVERSIDE
E ELECTRICAL FEES
NO. I I I I NO.
MOTOR t OR LESS H.P.
MOTOR 5 OR LESS H.P.
MOTOR 20 OR LESS H.P.
K.W.
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATFR SOFTFNFR
VENT SYSTEM ❑ FAN ❑ EVAP.COOL ❑ HOOD
CONSTRUCTION ESTIMAT
1ST FL.
SQ. FT. @
2ND FL.
SQ. FT. Co)
POR.
SQ. FT. @
GAR.
SQ. FT. @
CAR P.
SQ. FT.
WALL
SQ. FT. @
rlJittl„
SQ. FT. @
POLE
LAVATORY
ESTIMATED VALUATION $
MECHANICAL FEES
•DEPARTMENT OF BUILDING & SAFET
COUNTY OF RIVERSIDE
E ELECTRICAL FEES
NO. I I I I NO.
MOTOR t OR LESS H.P.
MOTOR 5 OR LESS H.P.
MOTOR 20 OR LESS H.P.
K.W.
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATFR SOFTFNFR
VENT SYSTEM ❑ FAN ❑ EVAP.COOL ❑ HOOD
SIGN
WASHER (AUTO) (DISH)
APPLIANCE
TRANSFORMER =K.W.
GARBAGE DISPOSAL
FURNACE❑UNIT ❑WALL❑FLOOR ❑SUSPENDED
OUTLETS 7
LAUNDRY TRAY
AIR HANDLING UNITI I CFM
FIXTURE OR SOCKET
KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
ICONST. SERV. ENTRANCE
WATER CLOSET
COMPRESSOR HP
POLE
LAVATORY
APPLIANCE VENT
AMPERES SERV. ENT.
SHOWER
ABSORPTION SYSTEM E:= B.T.U.
SQ. FT.@ Q
BATH TUB
INCINERATOR ❑ DOMESTIC C:) INDUS. OR COMM.
SQ. FT.@ Q.
WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SQ. FT. RESID. @ 1 Q
SEWAGE DISPOSAL
BOILER E== B.T.U.
SQ. FT. GARAGE@ 2-
HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE
GAS PIPING
MOBILEHOME HOOKUP FEE I$ I I I I / IPERMIT FEE I —5 I ;;---1 I PERMIT FEE I I
PERMIT
210112
JOB ADDRESS /j
Alm �/£iYpYs,7A
NUMBER
72
I TOTAL FE 5
I MOB. HOOK FEE
I HEAT & VENT FEE
JDBL�
PL, CK. FEE
CONST. FEE
IDBLI ELEC. FEE DBL
FEE
PLUMBING FEE
JDBL
.SRF
75
COMMUNITY���/��
O
UNITS�OOMJVALUATIONFICE
`�-
S iit0✓P�EQRMIT
OF
J F M A M J J A S O
N D
JOB ADDRESS /j
Alm �/£iYpYs,7A
OWN R
�i/s'w�"l�ri
72
�
73
USE,31F BUILDING
��,�,�
F.C.
DATE
� -./ - 77i-
PERMIT NO.
210112
74�,�/
.SRF
75
COMMUNITY���/��
O
UNITS�OOMJVALUATIONFICE
`�-
S iit0✓P�EQRMIT
OF
76
/
MOBILEHOME
$
LEGAL DESCRIPTION
Adr/J-9, —//P 7—
HOOKUPFEE
MECHANICAL FEE
DBL
$
SET BACK
LOT SIZE
ZONEUSE
/ji/t
NO.
GRP
TYPE
ICKBY
F s R
/i
4
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE INSPECTOR
r
PLAN CHECK FEE
$
,r
S - j_—.
DBL�u
NAME OF CONST. LENDER
BRANCH OFFICE
NO LENDER INVO ED
CONSTRUCTION FEE
DBL
ADDRESS
CITY STATE
ELECTRICAL FEE
$ 49
,.._
$
G1/
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS.
�~
PERITHIS
WORK FOR IAOLLDWORKAYS FIN
CESSHEREBYATION OAGREE OCT OBE
FEE
ITWILLME
PERMIT
CONNEALL
THATON WITH 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.
COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS
IS ALSO GUARANTEED.
1 HEREBY CERTIFY AT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFI-
TOTAL FEES $ /
""�`—
CATIONS DONE IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND
PROFESf N CODE F-TH£ STATE OF CALIFORNIA.
CASH X CHECK M M.O. ❑ N.C. O
OWN ^^ER
CONTRACTOR
Received By
ADDRESS
ADDRESS
g'
Sewage System
T
LL
P
°
Trees Required
Yes
No
CITY
��
CITY
iii �/���
INFORMATION
TEL
TEL. NO. LICENSE
!�
FORM 284-208 (REV. 4/71)
J L.!
FT
SCL FT.
20. FT. W
7OR I OR Lt��-,S ii.
------
.qAFI.
OR LESS 14, P.
wT
OF 0jV-;,91ND of SAFETY
WMR Z-) OF, M.P. 1,
-,AINA
L
xt3i.W10 pp
71 k
AYCK'
OF
, %V
OUTLET;
101 A T ER. SOt�T. r- m e i.l:. I
4AUM
0 Aa;. % mS�
L.A UN.2 Ry T ivA�f.*
KiTC4,VIATER�E" SiiiK
UNIT misr -,Nuc
rM%,iANW.I
U.T
.,
7tq �Fj
___rJ7_ —1t i:• 7- t <N=py I:-
ELECI'Rl(',A-,. FEES
r,A4 F i C- TURAL
COWAT-w- OR
±iwKlmcc_ v�NT
AGSCMPTIGNSYSTEM
INDUS
91OIL �. SEW. EKIF, -, c
AMPERES SEW. ENT
- -'TU9
SO. FT.ti t
FT
SCL FT.
20. FT. W
7OR I OR Lt��-,S ii.
------
.qAFI.
OR LESS 14, P.
wT
GL% FT. 0._ -4
WMR Z-) OF, M.P. 1,
-,AINA
L
71 k
AYCK'
e.
APF?L!ATj(,*E
, %V
OUTLET;
101 A T ER. SOt�T. r- m e i.l:. I
4AUM
0 Aa;. % mS�
L.A UN.2 Ry T ivA�f.*
KiTC4,VIATER�E" SiiiK
UNIT misr -,Nuc
rM%,iANW.I
U.T
.,
7tq �Fj
r,A4 F i C- TURAL
COWAT-w- OR
±iwKlmcc_ v�NT
AGSCMPTIGNSYSTEM
INDUS
91OIL �. SEW. EKIF, -, c
AMPERES SEW. ENT
- -'TU9
SO. FT.ti t
L 0 S
I
ll.,ANIATORY
SHOWER.WER.
BATH'
WATER -HE
WCMERAT41,R 0 DOMZSTIC Q -OR cOm".
_�i __
rw A GF_�)I S005_L
X-EATIM3 5YSTV.W - CI FORCf.
So. FT. PESID-;! t C
50. FT. G.Ar, AGE
HOUSE SE%vr;.R
*-to! Ell
--- -1 O.T.U.
PE IT FFF.
SALA=E OF MW. FEE I
tGAS POP
ftTWLF_H=','F WOOKU? FEE
7 rct 1 h5 Al
1PERMIT FEE I
pap
PEP!IT FE
.0"L.
A__
7=w
f
it
Joel A 00RESS
A M S
F
T-71 Ile- A "Allif-kf
72
4R7 USE OF GUILGING
7
4 COE1�11�4 0 F F.ew�•.
WNAUNITY UNI " -
TG Z
4� 'm roamVALA ION il
27:6,45
LEGAL VIE-ScagpTlom
u &Ale 1 J-1 -
e.
HOOKUPFEE .8y /)2
DSL SVT BACK L.QT SIZE zomt I Use It
(,;JECHANICAL FEE
POND AMT, PLAW NO. PLAN CHECKER FINAL DRTE
PLAW CHCCR FEE
zr4ANCH OFFICE NO LE:rAvKp. 114vot..Vco
DEIL NAW,16 Of CONSY. LCHOCIV .
CONSTRUCTION FEE %_5 W Z�� . .
A DR9SS CITY aTATQ i':
ELECTRICAL :;21Eis
L
VOID ir VJORK 15 NOT COPAMENCE0 WITHIN 60 DAYS.
THIS Pt R'.41'( SHALL SECMir' , _r � .
CESSATION 0".)F WORK FOR 1200AY",SHALL- ALSO CAUSE PERNi TTO Dr. 014E VOID,
FEE I HEREUY AiE LAOIS Oj:
FE THAI ALL V.-OPK IN CON'Nz_7.CTt,-)N V4;TH THIS PERMIT WILL CIS DONE
PN ACCC.RDANCWITH THE LAOIS ,jjvrifIOL COUNTY AND THE S'f/kTf
01: CA; I;:-
031. OFINIA ALSO A#,' -IEC To C,*.P.RY COtAl"ENSATION :NSVRAf,:CE V?01.1 NIV LEAPLI
PLUMBING FEE
C!7.?k-IP L I A N C E V.1 I T H THE LAWS OF 'y H V STATE 0 F CAL I F On N I A COVERING CONTRACTORS
IS ALSO GUARANTEED.
I i-wrwny CERTIFY -_4OMT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECif-I.:
OADANCE -.�VjTti Sr-C-rlOfq cansOF '1_14E 5LISI.
INSS. ANOI
TOTAL FEES $ CATIONS ACCPROFEqvrt�Y, co HE STATE OF CALIFORNIA.
!CON
R A CUT R
cHr:CK M.O. i - -i
CASH N.C. rt i
AQ0ReS`J
ived By
Rere kl—
sawage Systfim T Ll P — - - A .I - --- 1 —1 _
• CITY CITY
Trees Required 01 'A- "A 61VIXI-7-4-
IN F RIVIATION. T & I_ TEL. NO. LICENSE
/7
2 A4.2 0a crjr. -'71 1
i/il� .'...��' � � C!:J..7r . +. •:A i✓+.S.G:...1••h. �. ......- •. .. ... ... .. .• .. ... ..- ... .. -�( ,.� � y�}�� �}' _'FC7
",
?' "'�„'.i�':`'��_... �__.....fit._..,....._......._......_ ....._... �,_..._:..,r.,:...�..... -•-�• '�(:
33vIFjJ dG APPROVALS W � 1,3�CS i��!t r�i ice' P6+ 1'��ie.$ ,•••;'.,
.33 �4e1tfiiG, ,f`lots Sys"�ret y.'„ - !.•a. y-, "c,,: ,t;,i �'IcT � � .�....,.�--,�...._:...w.:,,.,..;.:a� :�":�:�.
�4 • • Plonurrnn,
35. i=irr'r:GLf: 4^. i51rjQT'�. - K '.. ' •.•i:,'-.:., ..( y. �:Y^,..•
1�,��1:..�' '� {��;,��'.Ui--I�.{�7tS' •. :. ' : •.'. ': . �A �AtT:�: U�'S1��!1•i'�c��' �.::�yi-�•• :'=�:
�y rl,�.'•:'F•'g+csirkt.r• i3m�o;rs� ' '-, •', �':3s��, Car:�£i�rart� •','-':,:': :,.:
.47
F.L. Lela
- i2A tvarl4 =
final _ f, . 7 �— -rev.-,s—�—1----�
PtUMBINO APPROVALS
iS ' Ground plumb
16 iltlolar PI i
i'
17 . Rtitich_Plumb
f ' ,1P si - 'w*Dk sal
• F alt •-Sex�xr
� 2 i - 'Yd4t01' M�86t+9?
22 Wafer So -i . suer
i �- 'Water Su- ?Vice
Gas Tea?
r
ELECTRICAL APPROVAL$
27
I Carriuit
_.
2i;
5eryiee E:tfrcance .
I
24
YJirin
299
Grounding Wire
34
Fixtures
31
Service
32
Final �.. t, J 7•—�
r +r.r.•ta,
Tanis Pit L. hire
3■
KEY.- INSIDE Cl OUTSIDE El M
Cts$rirt l -Hood
,.._ . ADMI .OAN L INIF09MATTO
' Rr
,s
Tanis Pit L. hire
3■
KEY.- INSIDE Cl OUTSIDE El M
•.'L�: - ..affil• - — _ - .. _ �•y.•,
!ir , q
t LA: Tonto 1 ��
t
WO
rn vest, W90' 9tv*arlt. A
i }d a t.
i��:R.. � • +�rif���. ��� +.•� '� ins or, our . -
C 0210092
:.1
MA" •laft o nAA dull rwa aces nm cwnpiy wits
tbm UafdrA..Butlding *
i,
i,
Bova OverwAtmw
rl
1 1� t p
vim$ C
...aiill.o�i. $� �lli.'�Ie::�do�a►� •8.t..1
:UM -teas:.kms
the 'P-bm Imst3 on ii i.:1 Sa r4, IP-Spem-tOx
waw t1%
a:dm, COMT-1vi- e th the U' Ell
in CmUnucus. foots p required u=dr W teAor MIIZQ
a d -:inter o and interior 34ghts i fired at 'reek dam.
30 Ejae .a of tl*-Us mquimd within 6f. of Moor and each 32t
theme. (2 !DUt3R)
Seo fix' dt requ4.rod for construction and electric vdring#
ite t'• ia wall hmaters L -wt& d In the dsmlling do ccmpav nth
5t equir nta of the .
very trVIy 3='esr
9 *E. Ovwholfter
Super3aIng Gaming inspector