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210564 (PAT)DEPARTMENT OF BUILDING & SAFET FIELD OFFICE BUILDING PERMIT COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE 1ST FL. SQ. FT. @ 2ND FL. SQ. FT. @ POR. SQ. FT. GAR. SQ. FT. @ CAR P. SQ. FT. @ WALL SQ'FT * FT. Irp�w1-0 WATER CLOSET PA- SQ. FT. C- t p APPLIANCE VENT ESTIMATED VALUATION is MECHANICAL FEES NO. ELECTRICAL FEES MOTOR 1 OR LESS H.P. MOTOR 5 OR LESS H.P. MOTOR 20 OR LESS H.P. K.W. 11911 PLUMBING FEES DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATFR SOFTFNFR VENT SYSTEM ❑ FAN ❑ EVAP.COOL❑ HOOD SIGN WASHER (AUTO) (DISH) APPLIANCE TRANSFORMER OK•W• GARBAGE DISPOSAL FURNACE❑UNITED WALL❑FLOOR❑SUSPENDED OUTLETS 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. SHOWER ABSORPTION SYSTEM E:::= B.T.U. SQ. FT.@ Q BATH TUB INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. SQ. FT.@ It. WATER HEATER HEATING SYSTEM ❑ FORCED ❑ GRAVITY SQ. FT. RESID. @ 1 4 SEWAGE DISPOSAL BOILER E== B.T.U. fl SQ. FT. GARAGE @ , Q HOUSE SEWER PERMIT FEE BALANCE OF MIN. FEE GAS PIPING MOBILEHOME HOOKUP FEE $ 1 1 _ I IPERMIT FEE I I I I PERMIT FEE I I PERMIT NUMBER TOTAL FF:: MOB. HOOK FEE HEAT & VENT FEE DBL PL. CK. FEE CO� ^IF E DBL ELEC. FEE DBL q'E O y PLUMBING FEE DBL �1uAA - j�• V .S J F M A M J J A S O 72 N DOy NER Q A��a PItt-r, C'*/.AOC(_/ �cl001jALl(t/ 73 711 USE OF BUILDING elVL .ase� /Art 0 ,� )�,�� F C. DATE °�t-��---�� PERMIT NO. 210564 75 76 CO JPMUNIT')}_.SDST I UNITS OOIVIJ VALUATION SU PP. TO PERMIT I OFFICE MOME HOOKUPFEE $ LeaLDESCRIPTION Gn -� 7 Wit-- MECHANICAL FEE DBL SET BACK LOT SIZE NE _/ USE NO. GRP TYPE ICII-BY /,� c— PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR 0--� 3 7- CONSTRUCTION FEE DBL S ijp NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INV VED ELECTRICAL FEE DBL ADDRESS CITY STATE SII I 1 FEE $ 02,,. 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. 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- ORNIA. I ALSO AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS DBL IS ALSO GUARANTEED. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFI- CATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND TOTAL FEES $ OZ- �+.+► PROFESSIONS CODE OF THE STATE OF CALIFORNIA. CASH CHECK ❑ N.C. ❑ OWNER CONTRACTOR ./ ' / f ; ", �, /_ �v Received By I' 1 ,M.O. '7 ADDRESS ADDRESS ADDRESS 21:;e, Sewage System T LL CITY CITY 9 ' � r Trees Required Yes No IN,F jTI OnN 0 � O Z.. TEL. NO. TEL. NO—�..,y.. S aAi J FORM 284-208 (REV. 4/71) f,LICE/N 6' / �. "�� •r X..+/// /�/!