214584 (ELEC)BUILDING PERMIT
is
DEPARTMENT OF BUILDING & SAFETJO
COUNTY OF RIVERSIDE
APPLIANCE
FIELD ONCE
GARBAGE DISPOSAL
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
LAUNDRY TRAY
PLUMBING FEES
1ST FL.
2ND FL.
POR.
GAR.
CAR P.
WALL
KITCHEN SINK
SQ. FT. @
CONST.SERV.ENTRANCE
NO.
COMPRESSOR O HP
NO.
SQ. FT. @
APPLIANCE VENT
SQ. FT. @ MOTOR 1 OR LESS H.P.
SHOWER
SQ. FT. @ MOTOR 5 OR LESS H.P.
SQ. FT.@ q
SQ. FT. @ MOTOR 20 OR LESS H.P.
DRAINAGE PIPING
SQ. FT. @ I
DRINKING FOUNTAIN
SQ. FT. @
URINAL
OK.W.UNITS
WATER PIPING
ESTIMATED VALUATION Is
HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE
I FLOOR DRAIN
MECHANICAL FEES
MOBILEHOME
$
IWATPP S0FTFIJFR
VENT SYSTEM ❑ FAN ❑ EVAP.COOL ❑ HOOD
SIGN
WASHER (AUTO) (DISH)
APPLIANCE
TRANSFORMER =K.W.
GARBAGE DISPOSAL
FURNACE❑UNIT ❑WALL❑FLOOR ❑SUSPENDED
OUTLETS
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIXTURE OR SOCKET
KITCHEN SINK
G,4S PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST.SERV.ENTRANCE
WATER CLOSET
COMPRESSOR O HP
POLE
LAVATORY
APPLIANCE VENT
AMPERES SERV. ENT.
SHOWER
ABSORPTION SYSTEM E= B.T.U.
SQ. FT.@ q
BATH TUB
INCINERATOR Cl DOMESTIC ❑ INDUS. OR COMM.
SQ. FT.@ Q.
WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SQ. FT. RESID. @ 1 2
SEWAGE DISPOSAL
BOILER E== B.T.U.
SQ. FT. GAR AGE @ i Q
HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE
GAS PIPING
MOBILEHOME HOOKUP FEE
,I$ , I I
I ' IPERMIT FEE I
-VI- '
I PERMIT FEE I I
PERMIT NUMBER
I TOTAL FEES
MOB. HOOK FEE
HEAT & VENT FEE
DBL
PL. CK. FEE
CONST. FEE
DBL ELEC
DBL
FEE
PLUMBING FEE
DBL
214584
1
75
COMMUNITY
DST
UNITS
�ROOMSVALUATION
J
J
OFFICE
%
J
J F I M I A M J J A S O
N D
JOB ADDRESS
OWNER _
72
cf U 3 N7-114
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73
USE OF BUILDING C�I: i/y�� 1�
F.C.
DATE IF
PERMIT NO.
214584_
74
75
COMMUNITY
DST
UNITS
�ROOMSVALUATION
_..
SUPP. TO PERMIT
OFFICE
%
76
/� v� N fa
%r
MOBILEHOME
$
LEGAL DESCRIPTION
HOOKUP FEE
//� � #' c n -7
.L 0/--?0/--?.4 0.1 *7- 671%CP -4;S,513
DBL
SET BACK
LOT SIZE
ZONE
GRP
TYPE
CK BY
MECHANICAL FEE
$
�/
JUSENO.
F s R
,.PLAN
!
'PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
CHECKER
FINAL DATE INSP
CTOR
CONSTRUCTION FEE
DBL
NAME OF CONST. LENDER
BRANCH OFFICE
NO LENDER %W VED
f{'/tom"
DBL
U,p
ADDRESS
CITY STATE
ELECTRICAL FEE
$
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-
CATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND
TOTAL FEES $
o
PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
CASH � CHECK M.O. � N.C. LI
OWNER
CONTRACTOR C
—f-
11 U Imo- o
C C. "
Received By
ADDRESS
ADDRESS
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Sewage System
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Trees Required
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