236452 (ELEC)BUILDING PERMIT
CAR
P I
DEPARTMENT OF BUILDING &SAFETY
TOTAL FEES MOB. HK. FT:::��A'k
MECH. FEE ,'DBL
COUNTY OF RIVERSIDE
CONST. FEE
CONSTRUCTION ESTIMA,TE�.
r _ ELECTRICAL. FEES,��
I ST FL:•`'*SQ.
SMI FEE
FT.
@
NO.
2ND FL.
SQ. FT.
@
��POR.SQ.
FT.
@
MOTOR I OR LESS H.P.
SQ.FT.
@
MOTOR 5 OR LESS H.P.
GAR.
P
_ J I F I M A- I M I J I. J -A-1-S-1 O 1 N I D
JOB ADDRESS , ' '� c
. '..J�
ri �J�
OW J -- _- f�17
MOTOR 26 OR LESS H.P.
WALL SQ.FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
NOTE: Not to be used as property tax valuation
MECHANICAL FEES
VENT SYSTEM ❑ FAN ❑EVAP. COOL ❑ HOOD
APPLIANCE
FURNACE ❑UNIT ❑WALL ❑FLOOR ❑SUSPENDED
AIR HANDLING UNIT CFM -
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
COMPRESSOR 0 HP
APPLIANCE VENT
ABSORPTION SYSTEM B.T.U.
INCINERATOR ❑ DOMESTIC ❑ -INDUS. OR COMM.
HEATING SYSTEM ❑ FORCED ❑GRAVITY
BOILER 0 B.T.U..
PERMIT FEE
MOBILE HOME HOOKUP FEE
K.W. UNITS
SIGN
TRANS K W
FORMER D
OUTLETS
FIXTURE OR SOCKET
CONST. SERV. ENTRANCE
POLE
AMPERES SERV. ENT.
SO. FT. @ ¢
SO. FT. @ ¢
�-SQ. FT. RESID. @) 4
SQ. FT. GARAGE@/2d
BALANCE OF MIN. FEE
' PERMIT FEE
FIELD OFFICE
PLUMBING FEES ,QST,
t
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
WASHER (AUTO) (DISH)
GARBAGE DISPOSAL
LAUNDRY TRAY
KITCHEN SINK
WATER CLOSET
LAVATORY
SHOWER
BATH TUB ,
WATER HEATER
SEWAGE DISPOSAL
HOUSE SEWER
GAS PIPING
PERMIT FFF
P I
N
TOTAL FEES MOB. HK. FT:::��A'k
MECH. FEE ,'DBL
PL: CKxFEE -
CONST. FEE
DBL. .ELECT.
FEE
DBL.
SMI FEE
EEE PLUMB. FEE -.
DBL'
._23"452
9Y-
_ J I F I M A- I M I J I. J -A-1-S-1 O 1 N I D
JOB ADDRESS , ' '� c
. '..J�
ri �J�
OW J -- _- f�17
73
a
f D �' d✓ «/Q `,
e4Tv 1JlC�° 7� /U®
74 f
USE OF BUILDING - -
-
� �
F.C.
DATE
;
PER N -
n6452
75 -
,
M.H. HOOKUP FEE
$"
COMMUNITY.
DST UNITS'
ROOMS
VALUATION
TO PERMIT
OFFICE q
I
ISUPP.
MICROFILM FEE
'COPIES
$
LEGAL DESCRIPTION • •
j /� /
4 A17A
MECHANICAL FEE' -
DBL
$ -
SETBACK.' ' '
LOT SIZE . - ZONE
USE NO.
GRPTYPE
CK BY
F s, R
PLAN CHECK FEE
$
BOND AMT.-
PLAN NO.
PLAN CHECKER -
FINAL DATE • INSPE
TOR -
..
_ ?-
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE - .NO
LENDER INVOLVED -
ELECTRICAL FEE
DBL
$
• ,*
j
y
0•
ADDRESS - CITY
-- '' STATE
SMI FEE
$
THIS PERMIT SHALL'BECOME VOID IF -WORK IS NOT COMMENCED WITHIN -60 DAYS. CESSA-
TION 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,AC.
CORDANCE WITH TNEJAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO
PLUMBING FEE
DBL
$
.,
•
AGREE TO CARRYCOMPENSATION INSURANGEAUPON MY EMPLOYEES. COMPLIANCE WITH
THE LAWS OFIlk ST T�OF'CALIFORNIA„COVBRING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY �ERTIFY I1 AT THE INDIVIDUAL . PREPARED.THE PLANS AND SPECIFICATIONS °
$
TOTAL FEES .
-CL
��
HAS DONE O �AQCORDANCE WITKS ION 5541 OF THE BUSINESS AND PROFESSIONS'
ATE -OF CALIFORIQIA. f�
CASH ❑ CHEC M.O. ❑ N.C. ❑
OWNER: %' - ,.!-b
1/
// .7 OR ... -
,
,. y
,
RECEIVED BY f
-
ADDRESS
ADDRESS -
SEWAGE SYSTEM
.. - T
LL-,.
p
".
TREES REQUIRED
YES -
NO
CITY _. ..
n
CITY
-
INFORMATION
TEL NO.
TEL. NO. t. LICENSE
FORM 284-208 (Re, 11/721
r