224883 (AR)BUILDING PERMIT
SQ. FT. @
DEPARTMENT OF BUILDING & SAFETY
1' COUNTY OF RIVERSIDE Ild
4,ELECTRICAL FEES�.,j
NO. �.
MOTOR I OR LESS H.P.
MOTOR 5 OR LESS H.P.
I
FIELD OFFfCR
PLUMBING FEES ;Ds?
NO.
MOTOR 20 OR LESS H.P. DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
ESTIMATED CONSTRUCTION VALUATION Is 3�7_ 5-f K.W.OUNITS WATER PIPING
NOTE: Not to be used os property tox'voluotion FLOOR DRAIN
MECHANICAL FEES
CONSTRUCTION EST
1 ST FL. ,
��=
SQ. FT.
@f
2ND FL.
TRANS-. O K W
FORMER
SQ. FT.
@_
POR.
LAUNDRY TRAY
SQ. FT.
@_
GAR.
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
SQ.FT.
@_
CAR P.
POLE
SQ. FT.
@_
WALL
SHOWER
SQ.FT:
@_
SQ. FT. @
DEPARTMENT OF BUILDING & SAFETY
1' COUNTY OF RIVERSIDE Ild
4,ELECTRICAL FEES�.,j
NO. �.
MOTOR I OR LESS H.P.
MOTOR 5 OR LESS H.P.
I
FIELD OFFfCR
PLUMBING FEES ;Ds?
NO.
MOTOR 20 OR LESS H.P. DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
ESTIMATED CONSTRUCTION VALUATION Is 3�7_ 5-f K.W.OUNITS WATER PIPING
NOTE: Not to be used os property tox'voluotion FLOOR DRAIN
MECHANICAL FEES
COPIES'
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
SIGN
WASHER (AUTO) (DISH)
APPLIANCE
TRANS-. O K W
FORMER
GARBAGE DISPOSAL
FURNACE ❑UNIT ❑WALL ❑FLOOR ❑SUSPENDED
OUTLETS
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIXTURE OR SOCKET
KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE
WATER CLOSET
_ COMPRESSOR 0 HP
POLE
LAVATORY
APPLIANCE VENT
AMPERES SERV. ENT.
SHOWER
ABSORPTION SYSTEM 0 B.T.U.
SO. FT. @ ¢ BATH TUB
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SQ. FT. @ WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
- SO. FT. RESID. @ 14 SEWAGE DISPOSAL
BOILER 0 B.T.U.
SQ. FT. GARAGE @° HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE
GAS PIPING
MOBILE HOME HOOKUP FEE Is.
.�
PERMli FEE
G is PERMIT FEE
PE t IT NO •
u�i 2
TOTAL FEE,a,
MOB. H.K. FEE MICRO FEE-
MECH. FEE
DBL.
PL. CK. FEE
y,
CONST. FEE
DBL.
ELECT. FEE
DBL.
SMI FEE
I FEE.
PLUMB. FEES
J F M A M J J A I S 1 O 1 N I D
JOB ADDRESS
/T/lr�il /ft�t� S It4jd 5
R
���r�j t1
73
74
USE OF BUILDING p" /,,x ,i.''f'
Cr� jl/_ _v
ELECTRICAL FEE
F.C.
DATE
9- 1
PER N �,
4 8
75 v
M.H. HOOKUP FEE
d
$
ADDRESS
COMMUNITY }
DST
UNITS
ROOMS
I VALUATION
SUPP. TO PERMIT
OFFICE
MICROFILM FEE
COPIES'
$ '
LEGAL DESCRIPTION
i
� � - 70c
MECHANICAL FEE
DBL
$ -
SET BACK.
LOT SIZE
ZONE
USE NO.
GRP
TYPE
CK BY
�A
:PLAN CHECK F.EE.
$
..
_
`
40
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE
INSPECTOR
CONSTRUCTION FEE
DBL
$
-
Q
NAME OF CONST:.LENDER •
BRANCH OFFICE-
NO LENDER INVOLVED
ELECTRICAL FEE
DBL
d
ADDRESS
.CITY
STATE
SMI FEE
$
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSA-
$
FEE
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, I AL:O
PLUMBING FEE DBL $
AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH
S OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
$
I HEREB CERTIFY THA �1 INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS
TOTAL FEES %
HAS DO . SO I ACC AIiCE WIT14 SECTION 5541 OF THE BUSINESS AND PROFESSIONS
.
F STAJE OF LIFORNIA.
CASH (V CHECK ❑ M.O. ❑ '' N.C. ❑
'owN' r '- .
tO TRACTOR
RECEIVED BY.
ADDRESS
SEWAGE SYSTEM
j T
LL
p. .
CITY
CIN
TREES REQUIRED
YES
NO
g 11
'{ 11" e 5,--v7-7- r_!�x
INFORMATION
TE,L..'N'OO.!�
LICENSE
V
FORM 284.208 IRev. I I %721
.
.
-