208195 (ELEC)BUILDING PERMIT
0
DEPARTMENT OF BUILDING & SAFETO
COUNTY OF RIVERSIDE
FIELD OFFICE
TRANSFORMER =K.W•
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
OUTLETS d(J
PLUMBING FEES
1ST FL.
2ND FL.
POR.
GAR.
CAR P.
WALL
FIXTURE OR SOCKET
SQ. FT. @
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
NO.
NO.
COMPRESSOR HP
SQ. FT. @
LAVATORY
SQ. FT. @ MOTOR 1 OR LESS H.P.
AMPERES SERV. ENT, dPCJI
SQ. FT. @ MOTOR 5 OR LESS H.P.
ABSORPTION SYSTEM E:= B.T.U.
SQ. FT. Co) MOTOR 20 OR LESS H.P.
DRAINAGE PIPING
SQ. FT. @ I
DRINKING FOUNTAIN
SQ. FT. @ I
URINAL
OK.W.UNITS
WATER PIPING
ESTIMATED VALUATION Is
SQ. FT. GARAGE @ 'z ¢
HOUSE SEWER
PERMIT FEE
FLOOR DRAIN
GAS PIPING
MECHANICAL FEES
UNITS
!f?®?PA S
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP.COOL ❑ HOOD
SIGN
WASHER (AUTO) (DISH)
APPLIANCE
TRANSFORMER =K.W•
GARBAGE DISPOSAL
FURNACE❑UNIT ❑WALL❑FLOOR❑SUSPENDED'
OUTLETS d(J
LAUNDRY TRAY
AIR HANDLING UNITI CFM
FIXTURE OR SOCKET
KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE
WATER CLOSET
COMPRESSOR HP
POLE
LAVATORY
APPLIANCE VENT
AMPERES SERV. ENT, dPCJI
SHOWER
ABSORPTION SYSTEM E:= B.T.U.
SQ. FT. @ Q
BATH TUB
INCINERATOR ❑ DOMESTIC C] INDUS. OR COMM.
SQ. FT.@ 2.
WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SQ. FT. RESID. @ 1 Ir
SEWAGE DISPOSAL
BOILER E== B.T.U.
SQ. FT. GARAGE @ 'z ¢
HOUSE SEWER
PERMIT FEE
ALANCE OF MIN. FEE
GAS PIPING
MOBILE HOME HOOKUP FEE
I$ I I
I I `IPERMIT FEE I
91 C/c.l
I PERMIT FEE I I
PERMIT
NUMBER
TOTAL FEES
MOB. HOOK FEE
HEAT 4 VENT FEE
DBL PL. CK, FEE
CONST, FEE
ELEC. FEE
DBL FEE
PLUMBING FEE
DBL
208195
F.C.
DATE
►G�
PEFjjy1UU
74
IDBL
e► �S
J
J F M A M J J
A
S O
N D
JOB ADDRESS
OWNER
72
49-798 Coachella Dr.
La Qminto Dev.
73
USE OF BUILDING
F.C.
DATE
►G�
PEFjjy1UU
74
e► �S
4-7-72
�j�/
8 19
5
75
COMMUNITY DST
UNITS
OOMJ
VALUATION G
SUPP. TO PERI
OFFICE
76
MOBILEHOME
LEGAL DESCRIPTION
$
HOOKUP FEE
Lot W A
DBL
SET BACK LOT SIZE
ZONE
USE NO.
GRP
TYPE
CK BY
MECHANICAL FEE
$
F s R
BOND AMT.
PLAN NO. PLAN CHECKER FINAL DATE INS
PE TOR
PLAN CHECK FEE
$
I
Y
Lv�
DBL
NAME OF CONST. LENDER
BRANCH OFFICE
NO LENDER INVOfVED
CONSTRUCTION FEE
DBL
ADDRESS
CITY STATE
ELECTRICAL FEE
$
d U
$
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.
FEE
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE
IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIF-
DBL
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-
TOTAL FEES $
CATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND
If
PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
CASH F-1 CHECK C&, M.O. ❑
N.C. F-1
OWNER
co TR C o
Received By
ADDREttl
ADDRESS
� 3
Sewage System
T
LL
P
CITY
CITY
(VG Wp,(,Q r R�
t
Trees Required Yes
No
INFORMATION
TEL. NO.
TEL. NO. LICENSE
f/,/�
56 L! �+` l J/( k'!
FORM 284-208 (REV. 4/71)
v "