SFD (239765)BUILDING PERMIT.. ^
DEPARTMENT OF BUILDING & SAFETY " . FIELD OFFICE
COUNTY OF RIVERSIDE
CONSTRUCTION.
1 ST FL. �
2ND FL.
POR. G
GAR. Z 910
CAR P.
WAL
r
ESTIMATED CONSTRUCTION
ESTIMAT . 1 _.;_ ELECTRICAL•FE_ E_S: - ,R;.,-,,,., ,., PLUMBING FEES DST
YUNO. NO.
SQ. FT. (a�/ --�
SQ. FT.. @
SQ. FT. @ 2' ' MOTOR I OR LESS H.P.
SQ.FT. @ `:.j MOTOR 5 OR LESS H.P.
SQ. FT. @ MOTOR 20 OR LESS H.P. DRAINAGE PIPING'
DRINKING FOUNTAIN
SQ.FT. @ ---' S
SQ. FT. @ �$42 z URINAL
VALUATION K.W. UNITS WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM X.FAN ❑EVAP. COOL HOOD
( SIGN WASHER (AUTO)WDISH) ; 8
APPLIANCE f
FORMER D K.W. GARBAGE DISPOSAL "
FURNACE ❑ UNIT ❑ WALL ❑F
OR ❑SUSPENDED
OUTLETS LAUNDRY TRAY
AIR HANDLING UNIT
CFM
FIXTURE OR SOCKET KITCHEN SINK 3Q
GAS PIPE ❑ NATURAL ❑ L.P.G.
❑ OIL
CONST. SERV. ENTRANCE WATER CLOSET
COMPRESSOR -_`' -
HP
POLE LAVATORY"
APPLIANCE VENT
AMPERES SERV. ENT. �� _ SHOWER (�
ABSORPTION SYSTEM,
0 B.T.U.
SQ. FT. @ • Q BATH TUB
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. "
'SO. FT. @ I WATER HEATER
HEATING SYSTEM ORCED ❑ GRAVITY
00 "FT. .RESID: @ 14 � I� SEWAGE DISPOSAL Q
BOILER 0 B.T.U.
SO. FT. GARAGE @t/2¢ HOUSE SEWER
PERMIT FEE
QS BALAN E OF MIN. FEE GAS PIPING
MOBILE HOME HOOKUP FEE
$
PERMIT FEE C} PERMIT FEE
JgI70
6Uqit
TOTAL FEGS
MO �� HK. FEE MICRO FEE
•MECH. FEE: •SBL.
PL.-CK*FEE CONST. FEE DBL.
ELECT, FESLJD.L.
SMI.FEE�
FEE PLUMB. F •
DBL.e77"
J F M A M J I J
A I S 1 O 1 N I D
JOB ADDRESS
�`f� .�Ae "0i
«
OWNER ^_ ''
c, ala' , ic
73
74
USE
OFOF�BUILDING
.f . F 'F3 �t`
F.C.
d3
DATE ". ,�/'
i f,.. ! r
PER N
9 5
75
MIH. HOOKUP FEE
$
COMMUNITY'
DST
NITS
ROOMS
VALUATION
SUPP. TO PERMIT
OFFICE
MICROFILM FEE
COPIES
$
LEGAL DESCRIPTION
i -Ba
MECHANICAL FEE
DBL'
$
SET BACK
-"
LOT SI E - ZONE
USE NO.
GRP
TYPE CK BY
PLAN CHECK FEE •
$•
/
V
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE INSPE
OR
CONSTRUCTION FEE'
DBL
$
NAME OF CONST. LENDER - BRANCH
OFFICE .' ' .N
LENDER INVOLVED -
ELECTRICAL FEE
" -
DBL
$
-
ADDRESS * -
CITY „ ST ATE,
a
i
SMI FEE
-
$
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSA-
~ TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC-
CORDANCE WITH THE LAWS, OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, 1 ALSO
AGREE TOCARRY 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 SPECIFICATIONS
, HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS, AND PROFESSIONS.
STATE OF CALIFORNIA.
FEE
$
-
'
PLUMBING FEE
DBL
$
TOTAL FEES
$
/
!oK
�y
^
CASH ❑ CHECK M.O. ❑ N.C.❑l��f
OWNER- -
- CONTR Og "` 1 J ,
'RECEIVED BY
ADDRESS
ADDRESS
Y`tf i L�
SEWAGE SYSTEM T+
LL
Pf
_
TREES REQUIRED•
YES
NO
CITY.. . - _. -
CITY
.�- INFORMATION
FORM 284.208 (Rev. 1)7721 -
_
vi_(ia4
TEL. NO,
TEL. NO. LICENSE