230124 (SATT)BUILDING PERMIT
CONSTRUCTION ESTIMA
1 ST FL. 9
SQ. FT. D
2ND FL.
SQ. FT. @_
a
POR. .�` -
SQ. FT.
GAR. ' s
SQ.FT.
CAR P.
SQ. FT. �a
WALL
SQ.F.T. Cal
J I F I M A I M I I I J A I $ 1 O. 1 N D
SQ. FT. @_
ESTIMATED CONSTRUCTION VALUATION
74
NOTE: Not to be used as property tax valuation
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE 1111
F, I- � ,, ELECTRICAL FEES
42 o NO;r
J MOTOR I OR LESS H.P.
MOTOR 5 OR LESS H.P.
MOTOR 20 OR LESS H.P.
F____________j K W. UNITS
FIELD OFFICI
PLUMBING FEES DSTs_4
NO.
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
f WATER PIPING
FLOOR DRAIN
WATIPD -nrTrmrD
MOBILE HOME HOOKUP FEE Is . J PLRMII rtt E! PERMIT FEE
c
VENT SYSTE4-U' FAN ❑EVAP.000L [&HOOD
p
SIGN
MOB. HK. FEE MICRO FEE MECH. FEE
�
WASHER(AUT(*DISH)
�
NO.
!!�i
APPLIANCE j
DBL. SMI FEE
TRANS -
FORMER 0 K.W.
PLUMB. FEE
�
GARBAGE DISPOSAL
J I F I M A I M I I I J A I $ 1 O. 1 N D
JOB ADDRESS - -- OWNER
78-0 La fl Circle
FURNACE ❑ UNIT ❑ WALL ❑FLOOR ❑ USPENDED
74
OUTLETS
F.C. DATEPERM
01 6-4-73 101
LAUNDRY TRAY
24
" 75
AIR HANDLING UNIT CFM
BRANCH OFFICE -
FIXTURE OR SOCKET
KITCHEN SINK
DSTUNITS
11
1
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
VALUATION
35 149.0€3
CONST. SERV. ENTRANCE
OFFICE
1
WATER CLOSET
COPIES
_
COMPRESSOR -^ HP
LEGAL DESCRIPTION
Lot -la -'.Tr-3941
POLE
DBL
LAVATORY
00
SET BACK
APPLIANCE VENT
AMPERES SERV. ENT.
GRP
SHOWER
CK BY
F S R
ABSORPTION SYSTEM O B.T.U.
$O. FT. @ Q
f
BATH TUB
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SO. FT. @ Q
j
WATER HEATER
_
HEATING SYSTEM -P4 FORCED ❑ GRAVITY
13p
r SQ. FT. RESID. @a )
SEWAGE DISPOSAL
j
_
BOILER 0 B.T.U.
SQ. FT. GARAGE @1�2Q
HOUSE SEWER
PLUMBING FEE
DBL
PERMIT FEE
0
BALANCE OF MIN. FEE
/
GAS PIPING
(f
MOBILE HOME HOOKUP FEE Is . J PLRMII rtt E! PERMIT FEE
c
_239
P j N
24
TOTAL FEES
Z
MOB. HK. FEE MICRO FEE MECH. FEE
�
GBL: PL. CK. FEE
CONST. FEE
R �jDBL.6ELEICT.FEE�
NO.
!!�i
DBL. SMI FEE
FEE
PLUMB. FEE
�
JDBL.,
J I F I M A I M I I I J A I $ 1 O. 1 N D
JOB ADDRESS - -- OWNER
78-0 La fl Circle
73
74
USE OF BUILDIN -
Ca�d.N .& Ate/ ara a
F.C. DATEPERM
01 6-4-73 101
N
24
" 75
M.H. HOOKUP FEE
BRANCH OFFICE -
$
COMMUNITY -
1.a . #;lata:
DSTUNITS
11
1
ROOMS
VALUATION
35 149.0€3
SUPP. TO PERMIT
OFFICE
1
MICROFILM FEE
COPIES
$
LEGAL DESCRIPTION
Lot -la -'.Tr-3941
MECHANICAL FEE'
DBL
$
00
SET BACK
LOT SIZE ZONE
USE NO.
GRP
TYPE
CK BY
F S R
PLAN CHECK FEE
$
R-1 Var-1034
DOnleN
NO.
!!�i
PLAN CHECKER FINAL DATE n 4 �-//I�/e�/J7
I—I: - N/ /
INSPE R t//�
CONSTRUCTION FEE
DBL
$ ,,
6
I
NAME OF CONST. LENDER -
BRANCH OFFICE -
.NO LENDER INVOLVED
VCj3 'B A1A_L
€
P
ELECTRICAL FEE
DBL
$
ADDRESS
CITY
STATE
) J
f
SMI FEE
$ .
s '
/rS
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT -COMMENCED WITHIN 60 , DAYS. CESA-
$
FEE
TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AtREE THAT ALL WORK IN CONNECTION WITH THIS.PERMIT WILL BE DONE IN AG
CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, i ALSO
PLUMBING FEE
DBL
$
g
AGREE .TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH
-
T
THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLAN D SPECIFICATIONS
$
TOTAL FEESHAS
DONE SO IN ACCORDANCE WITH SECTION 5.Y fibP: E 6 SI -D FESSIONS
>�CODE
OF THE STATE OF CALIFORNIA. �.
CASH ❑ CHECK (3�-' M.O. ❑ ' N.C. ❑
OWNER,
CONTRACTOR
RECEIVED BY
ADDRESS
qp `p5
-
SEWAGE SYSTEM T
LL
P
CITY
Cm
TREES REQUIRED YES
NO
Maert*
INFORMATION
TEL. NO. _
c
'Palm
TEL. NO. - LICENSE
�
FORM 2841 Rev. 11/72)
r