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217728 (SPIN)BUILDING PERMIT SIGN DEPARTMENT OF BUILDING & SAFET COUNTY OF RIVERSIDE APPLIANCE TRANSFORMER K.W.O CONSTRUCTION- ESTIMATE tr ELECTRICAL FEES OUTLETS 1ST FL. 2ND FL. POR. GAR. CAR P. WALL AIR HANDLING UNIT.1 I CFM SQ. FT. @ KITCHEN SINK NO. NO. SQ. FT. @ COMPRESSOR HP SQ. FT. @ MOTOR 1 OR LESS H.P. LAVATORY SQ. FT. @ MOTOR 5 OR LESS H.P. SQ. FT. @ MOTOR 20 OR LESS H.P. AMPERES SERV. ENT. SQ. FT. @ ABSORPTION SYSTEM E:= B.T.U. SQ. FT. Co) O K.W. UNITS BATH TUB ESTIMATED VALUATION Is SQ. FT.@ ¢: WATER HEATER HEATING SYSTEM ❑ FORCED ❑ GRAVITY SQ. FT. RESID. @ 1 ¢ MECHANICAL FEES BOILER B.T.U. SQ. FT. GAR AGE @ i ¢ HOUSE SEWER FIELD OFFICE PLUMBING FEES DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER VENT SYSTEM ❑ FAN ❑ EVAP.COOL❑ HOOD SIGN WASHER (AUTO) (DISH) APPLIANCE TRANSFORMER K.W.O GARBAGE DISPOSAL FURNACE❑UNIT ❑WALL❑FLOOR❑SUSPENDED OUTLETS LAUNDRY TRAY AIR HANDLING UNIT.1 I 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. @ ¢ BATH TUB INCINERATOR ❑ DOMESTIC []INDUS. OR COMM. SQ. FT.@ ¢: WATER HEATER HEATING SYSTEM ❑ FORCED ❑ GRAVITY SQ. FT. RESID. @ 1 ¢ SEWAGE DISPOSAL BOILER B.T.U. SQ. FT. GAR AGE @ i ¢ HOUSE SEWER PERMIT FEE BALANCE OF MIN. FEE I GAS PIPING MOBILE HOME HOOKUP FEE I$ I .I I ' IPERMIT FEE I I ' I PERMIT FEE PERMIT NUMBER TOTAL FYE.�,E/✓S) MOB, HOOK FEE HEAT & VENT FEE' DBL PL. CK. FEE ,CONST. FEE DBL EI EC.SEE, DB/L FEE PLUMBING FEE PERMIT 217728 74 /'� � ]r, COMMUNITY' iV f.r' /O. JDBL J F M A M J J A S O N D JOB ADDRESSc 7�' 764 C,41, 4,E' 5,6? OWNER 4 Svrtf /7 A' Iq Z 7 L 72 1) 73 USE OF BUILDING F.G. DATE PERMIT 217728 74 ]r, COMMUNITY' D UNITS OOM VALUATION SUPhP. T(O�PE RMIT OFFICE 76 / wf /�^ MOBILEHOME $ LEGAL DESCRIPTION - U�' �� - HOOKUP. FEE (� r f(�' DBL - SET BACK LOT SIZE ZONE GRP TYPE CK BY MECHANICAL FEE $ f..-3 JUSENP'. FS R - BOND AMT. PLAN NO.' PLAN CHECKER FINAL DATE INSPECTOR PLAN CHECK FEE $ DBL NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOL ED CONSTRUCTION FEE 7 DBL ADDRESS . ` CITY STATE ELECTRICAL FEE $ ,5,P4C A 4w$ 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 PLUMBING FEE $ 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- Of TOTAL FEES S' ACCORDANCE WTH 0 5 �� USI ESS AND /U PROFESSIONS CODE OFOTHE'S ATE OF CALI OIRNIgECTlIN CASH ❑ CHECK M,O, O N.C.O OWNER CONTRACTOR/ _r Received By L ADDRESS ADDRESS 7 A rrtJr1 � S�� Sewage System T LL P CITY CITY `% , f/ f y�� f,''�•!^' Trees Required Yes No INFORMATION • - TEL. NO. TEL. NO. LICENSE rr,'" �`�'� �•�` o FORM 284-208 (REV. 4/71) A