222829 (SATT)BUILDING PERMIT
DEPARTMENT OF BUILDING & SAFETY
COUNTY.OF RIVERSIDE 4
CONSTRUCTION ESTIMATEr_ ELECTRICAL FEES..:..a
1 ST FL. 4Z4ZO
SQ. FT. / r
<+ NO.
MECH. FEE DBL.
2ND FL.
SQ. FT. @
APPLIANCE
TRANS- O K.W.
FORMER
SQ. FT.
<?
MOTOR I OR LESS H.P.
POR.
GAR. J=eZ 41
SQ.FT. @ �S1
�+
MOTOR 5 OR LESS H.P.
CAR P.
SQ. FT. @
GSE'
MOTOR 20 OR LESS H.P.
WALL
SQ.FT. @
CONST. SERV. ENTRANCE
'
SQ. FT. @
COMPRESSOR HP
POLE
ESTIMATED CONSTRUCTION VALUATION
$
'
0 K.W. UNITS
NOTE: Not to be used os property tax valuation
j
SHOWER
MECHANICAL FEES
ABSORPTION SYSTEM. B.T.U.
SO. FT. @ Q
FIELD OFFICE
PLUMBING FEES, I DST
NO. I 11 1
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
MOBILE HOME HOOKUP FEE Is I 1 1 J 1 NtKM17 t-tt I lid !i 1 J, I PtKMII 1 -ft I I6t7
1
VENT SYSTEM FAN ❑EVAP. COOL RHOOD
SIGN
MECH. FEE DBL.
WASHER (AUTO)gDISH)
CONST FEE
APPLIANCE
TRANS- O K.W.
FORMER
DBL
GARBAGE DISPOSAL
PLUMB. FEE
FURNACE ❑UNIT ❑WALL ❑FLOG ❑SUSPENDED
OUTLETS
LAUNDRY TRAY
AIR HANDLING UNIT I = CFM
FIXTURE OR SOCKET
GSE'
KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE
WATER CLOSET
V
COMPRESSOR HP
POLE
LAVATORY
r
APPLIANCE VENT
AMPERES SERV. ENT,
j
SHOWER
/.
ABSORPTION SYSTEM. B.T.U.
SO. FT. @ Q
J - --F. I M
BATH TUB
-A.-
INCINERATOR Cl DOMESTIC ❑ INDUS. OR COMM.
SQ. FT. (7a Q
I OWNER - - .• .
r
WATER HEATER
74
HEATING SYSTEM ORCED ❑ GRAVITY
SQ. FT. RESID. @ I d a%4,1 4
SEWAGE DISPOSAL
.C.
d�
BOILER 0 B.T.U.
SQ. FT. GARAGE @1�2Q
M.H. HOOKUP FEE
HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE
GAS PIPING
MOBILE HOME HOOKUP FEE Is I 1 1 J 1 NtKM17 t-tt I lid !i 1 J, I PtKMII 1 -ft I I6t7
1
TOTAL FEESi�
MOB. HK. FEE MICRO FEE
MECH. FEE DBL.
PL. CK. FEE
CONST FEE
OBL
ELECT. FEE
DBL
SMI FEE FEE
PLUMB. FEE
DBI.
2 2PE
ZZ
`".,,M
GSE'
0
4 "
/.
J - --F. I M
A I M .I J -J.-
-A.-
S- I O - -N - -D
JOB ADDRESS - - - - - - -
I OWNER - - .• .
r
7 3.9+
74
USE OF BUILDING -
.C.
d�
VATE
. — 28529
75
M.H. HOOKUP FEE
$
COMMUNITY'
DST
I UNIT
ROOMS
VALUATION
SUPP. TO PERMIT
"a.
./
/
e r
rFFICE
MICROFILM FEE
COPIES
$
LE ALCIESSRIPTION
^USE
MECHANICAL FEE
-
DBL
$
SET BACK
LOT SIZE ZONE
NO.
TYPE
CK BY
r
!. 7
JGRP
i}
R .
F stPLAN
PLAN CHECK FEE
$
BOND AMT. NO.
PLAN CHECKER
FINAL DATE
INSPECTOR
"4
1
1 9 —30 '73
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER , BRANCH
OFFICE .
NO LENDER INVOLVED
0
s 0
ELECTRICAL FEE
DBL
$
ADDRESS - y CITY
f'' �' ?
s3 ''� T r
STATE
' 'I
L✓ e
/7
SMI FEE$
1'"7
THIS PERMIT SHALL BECOME V�ID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CES�A-
TION OF WORK FOR 120 DAYS SFfALL ALSO CAUSE PERMIT TO BECOME VOID.
FEE
$
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 ALSO
PLUMBING FEE
DBL
$
AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH
490
THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARE THE R S AND SPECIFICATIONS
$
TOTAL
FEES
HAS DONE SO IN ACCORDANCE WITH SECTION 5 F T' BUS ESS PROFESSIONS
`
rr)nP OF THE STATE OF CALIFORNIA.
CASH ❑
CHECK [FIs M.O. Cl
` N.C. ❑
OWNER.
CORAC OR
,r�''�
p / ! .-
RECEIVED BY
ADDRESS
ADDRESS—
SEWAGE SYSTEM
SEWAGE
TPLL
CITY
CITY
TREES REQUIRED
YES
NO
INFORMATION
TEL. NO.
E . NO. LICENSE
FORM 284.208 (Rev. 11 /721
'