SFD (217778)BUILDING PERMIT
SIGN
WASHER (AUT.* SH)
DEPARTMENT OF BUILDING & SAFET
COUNTY OF RIVERSIDE
FIELD OFFICE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
Z4 70 1ST FL.
2ND FL.
POR.
GAR.
CAR P.
WALL
ST'LIGrC
OUTLETS
SQ. FT. @ �'�}
� �F.�F�.y
NO. r
NO.
SQ. FT. @
PLUM0N F
SQ. FT. @ MOTOR 1 OR LESS H. R.
CONST. SERV. ENTRANCE
SQ. FT. @ MOTOR 5 OR LESS H.P.
SQ."FT. @ _ MOTOR 20 OR LESS H.P.
DRAINAGE PIPING
Q. FT. Ca) I
DRINKING FOUNTAIN
SQ. FT. @ �!'✓
URINAL
OK.W.UNITS
WATER PIPING S
ESTIMATED VALUATION $7
SQ. FT.@ Q"
BATH TUB
FLOOR DRAIN.
--2
MECHANICAL FEES
WATER HEATER
G
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑'EVAP.COOL HOOD
SIGN
WASHER (AUT.* SH)
_
APPLIANCE 00
TRANSFORMER OK•W•
` GARBAGE DISPOSAL
, 1
FURNACE❑UNIT ❑WALL❑FLOOR❑SUSPENDED
OUTLETS
LAUNDRY TRAY
� �F.�F�.y
AIR HANDLING UNITI CFM
FIXTURE OR SOCKET
.. KITCHEN SINK,
PLUM0N F
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE
j WATER CLOSET
COMPRESSOR % HP
POLE
LAVATORY
APPLIANCE VENT
AMPERES SERV. ENT.
00 SHOWER
DST
ABSORPTION SYSTEM E== B.T.U.
SQ. FT.@ Q"
BATH TUB
f
INCINERATOR ❑ DOMESTIC C] INDUS. OR COMM.
SQ. FT.@ (rl
WATER HEATER
G
HEATING SYSTEM ;Lin FORCED ❑ GRAVITY 0 2
SQ. FT. RESID. @ 1 Q
SEWAGE DISPOSAL
BOILER 0 B.T.U.SQ.
FT. GARAGE @ 2 Q
1 HOUSE SEWER
PERMIT FEE
9ALANCE OF MIN. FEE
GAS PIPING
HOOKUP FEE.
MOBILEHOME HOOKUP FEE I$ I '
I I / IPERMIT FEE
J�C LJ� f
I PERMIT FEE
I G_� �-�v
PERMIT NUMBER
I TOTAL F
FEE
HEAT &. VE�IJyFjEE
DBL
.60._F EJ,F
� �F.�F�.y
IDBLI _3.3Ft
OBL
�_J'l'��
PLUM0N F
JDBL
75
MUNITY
�s
DST
JUNITS�ROOMJVALUATION-77-
` &0
37� /
J F M A M J •J A S O
N D
JOB D(�D] S
OW, EAR��^� a, 1
72t�i��d+iiV�Z�I�s
0
73
USE OF BUILDING
t�l�C-1 16�.)
.
.DATE
T -
PERMIT
21,7778
NO.
74
75
MUNITY
�s
DST
JUNITS�ROOMJVALUATION-77-
` &0
37� /
SUPP. TO PERMIT
OFF
76
1
MOBILEHOME
$
� , —�
LEGAL DESCRIPTION :34#6-
LUT '4R :34j� 6_ G `- t6 f ! M
HOOKUP FEE.
/
MECHANICAL FEE
DBL
$ :3&
v�YJ
SET BACK
LOT SIZE
ZONE
USE NO.
GRP
TYPE
J,CK BY
A�-7�5
- R 'ZC)
F S
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE 1
SPECTOR
CONSTRUCTION FEED
.DBL
NAME OF CONST. LENDER
BRANCH OFFICE
NO LENDER INVOLVED
V
ELECTRICAL FEE
DBL
$ 3
ADDRESS
CITY STATE
Ae'
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.
PERMIT
! FEE
I I HEREBY AGREE THAT ALL WORK IN,CONNECTION WITH THIS 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.
COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS
'IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFI-
CATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS* AND
/�-
TOTAL FEES $
/ ►^�
G� ✓
�D
PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
CASH 0 CHECK .O• ❑ N•C• a
OWNE D t
CONTRACTOR
Received By
ADDfjFjES ,
/f
{j> ° ' , o l v r c.- -. c>
ADDRESS
) )
C'
/-/ — � 3 3
Sewage System
�.1�
P30d)
CITY
Z/rj.�
1
"OPT�
C�( �7L
T
L L
117
Trees Required
Yes
No
INFORMATION
_
TEL.
yq�+•-/}�
TEL. NO. LICENSE
l�.{r/., f /t t,� '��j i/
FORM 284-208 (REV. 4/71)61 /� � � � �6'�r'
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