208194 (ELEC)BUILDING PERMIT
0
DEPARTMENT OF BUILDING & SAFET
COUNTY OF RIVERSIDE
APPLIANCE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
FURNACE❑UNIT ❑WALL❑FLOOR ❑SUSPENDED
IST FL.
2ND FL.
POR.
GAR.
CAR P.
WALL
LAUNDRY TRAY
SQ. FT. @
SQ. FT. @
FIXTURE OR SOCKET
NO.
NO.
SQ. FT. @ MOTOR 1 OR LESS H.P.
WATER CLOSET
SQ. FT. @ MOTOR 5 OR LESS H.P.
POLE
SQ. FT. @ MOTOR 20 OR LESS H.P.
APPLIANCE VENT
SQ. FT. @
SHOWER
SQ. FT. @
SQ. FT.@ ¢
O K.W. UNITS
INCINERATOR ❑ DOMESTIC E] INDUS. OR COMM.
ESTIMATED VALUATION is
WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SQ. FT. RESID. @ 1 (r
SEWAGE DISPOSAL
MECHANICAL FEES
SQ. FT. GARAGE @ i ¢
HOUSE SEWER
_5
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAII`
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP.COOL ❑ HOOD
SIGN
WASHER (AUTO) (DISH)
APPLIANCE
TRANSFORMER OK•W•
GARBAGE DISPOSAL
FURNACE❑UNIT ❑WALL❑FLOOR ❑SUSPENDED
OUTLETS !J
LAUNDRY TRAY
AIR HANDLING UNIT 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. O
SHOWER
ABSORPTION SYSTEM B.T.U.
SQ. FT.@ ¢
BATH TUB
INCINERATOR ❑ DOMESTIC E] INDUS. OR COMM.
SQ. FT.@ Q.
WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SQ. FT. RESID. @ 1 (r
SEWAGE DISPOSAL
BOILER E== B.T.U.
SQ. FT. GARAGE @ i ¢
HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE
GAS PIPING
MOBILEHOME HOOKUP FEE
$
PERMIT FEE
O
PERMIT FEE
PERMIT NUMBER
TOTAL FEE$_
MOB. HOOK FEE
MEAT & VENT FEE
DBL
PL. Cl. FEE
CONST. FEE
DBL ELEC.
PERMIT NO.
1208194
FEE
PLUMBING FEE
DBL
20
4-7-72
75
COMMUNITY
DST
UNITS�ROOMJVALUATIONf
J
41LI
OFFICE
J
I
,.
I
76
l
J F M A M J J A S O
N D
JOB ADDRESS
OWNER
72
49-795 Co&ehelle Drive
is Quint& Derr. Co.
73
USE OF BUILDING
F.C.
DATE
PERMIT NO.
1208194
74
, r G�
4-7-72
75
COMMUNITY
DST
UNITS�ROOMJVALUATIONf
SUPP. TO PERMIT
OFFICE
I
,.
I
76
l
MOBILEHOME
$
LEGAL DESCRIPTION
HOOKUP FEE
DBL
SET BACK
LOT SIZE
ZONE
USE NO.
TYPE
CK BY
MECHANICAL FEE
$
JGRP
F S R
-'�
1
obs
BOND AMT,
PLAN NO.
PLAN CHECKER
FINAL DATE INSP
CTOR
PLAN CHECK FEE
$
I
, -/(, .7 )--
L%-
DBL
NAME OF CONST. LENDER
BRANCH OFFICE
NO LENDER INV LVED
CONSTRUCTION FEE
$
DBL
ADDRESS
CITY STATE
ELECTRICAL FEE
$
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.
1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFI-
TOTAL FEES $
HAS DONE WITH SECTION 41 OF THE BUSINESS AND
SOT I
PCATIONS SACCORDANCE TATE OFF CALL
ROFESSIONS CODE
CASH F-1 CHECK [Q.., M.O. O N.C. O
7ERi J 1 q CO
!1' �I+J
ll
C r cr
Received By
ADDRESS
ADDRESS
Sewage System
T
LL
P��
Trees Required
ver
No
CITY
CI&&a)%�
Y ;3,E-44,-"#
INFORMATION
TEL. NO.
TEL. NO. LICENSE
f \_
T 6 Lj y
��
FORM 284-208 (REV. 4/71) �
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