214626 (SFD)`
DEPARTMENT OF .BUILDING & SAFET
PERMIT
ERMIT - .
' , COUNTY OF RIVERSIDE
'FIELD OFFICE
~_
-
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
IST FL.
2ND FL.
POR.
GAR.
CAR P.
'WALL
1600,
240
550
SQ. FT. @ 13.40 ..21,"0.-00
NO.
NO.+
SQ. FT. @ •
-
SQ. FT. @ Zy .OQ MOTOR 1 OR LESS H.P.
FURNACE❑UNIT❑WALL❑FLOOR❑SUSPENDED
SQ. FT. @ 4.43 2,338.00 MOTOR 5 OR LESS H.P.
OUTLETS
SQ. FT. Co) MOTOR 20 OR LESS H.P.
DRAINAGE PIPING
SQ. FT. @ '
DRINKING FOUNTAIN
SQ. FT. @
URINAL 1 •
OK.W.UNITS
1 WATER PIPING 1.50
ESTIMATED VALUATION- $ 24,378.00
KITCHEN SINK
FLOOR DRAIN
GAS PIPED NATURAL ❑ L.P.G. ❑ OIL '.
' m;zrw ANICAI FFFR
CONST. SERV. ENTRANCE
vwerco encrcnlro
VENT SYSTEM [X FAN ❑ EVAP.COOL X HOOD
5:00
SIGN
I PERMIT FEE
1
WASHER (AUTOOPISH)
3.00
APPLIANCE Dryer
3.00
TRANSFORMER OK•W•
PL. CK. FEE_
.1
GARBAGE DISPOSAL
1.50
FURNACE❑UNIT❑WALL❑FLOOR❑SUSPENDED
PLUMBING FEE
OUTLETS
PERMIT NO.
2.14626
213.46
LAUNDRY TRAY
_
AIR HANDLING UNIT CFM
IDBLI,
FIXTURE OR SOCKET
'89'00
1,
KITCHEN SINK
1 50
GAS PIPED NATURAL ❑ L.P.G. ❑ OIL '.
JDBL
CONST. SERV. ENTRANCE
OFFICE
2
WATER CLOSET
3'00
COMPRESSOR HP
7.50
POLE
3
LAVATORY •
4 50
APPLIANCE -VENT
y
AMPERES SERV. ENT.
1 0o
1
SHOWER
1.50
ABSORPTION SYSTEM O B.T.U.
SQ. FT.@ It
-
i
BATH TUB „
1.50
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
GRP
SQ. FT.@ V
CK BY
1
WATER HEATER
1.50
HEATING SYSTEM CX FORCED ❑ GRAVITY
4.M
SQ. FT. RESID. @ 1 q
16,00
-1
SEWAGE DISPOSAL
10,00
BOILER E== B.T:U.
i
SQ. FT. GARAGE @ 'z Q
F S.+ S R10-
HOUSESEWER
PERMIT FEE
3...00
BALANCE OF MIN: FEE .
•
1'
GAS PIPING
1 St}
MOBILEHOME HOOKUP FEE •I$
I " I I I ' IPERMIT FEE I
3y89 1
I PERMIT FEE
I 400
PERMIT NUMBER TOTAL FEES
MOB.
HOOK FEE
HEAT & VENT FEE
PL. CK. FEE_
CONST. FEE
DBL ELEC. FEE
FEE
PLUMBING FEE
DATE
PERMIT NO.
2.14626
213.46
I
_
22.50
IDBLI,
44.54..
'89'00
22.75•
IDBL
SM 1.71
33. DO
JDBL
•J F I M _A M •J I J. I A S O•
N D
JOB ADDRESS
OWNER
_
v
72
7R -47R r
ltv4 T_.TV
73 - -
- .'
USE OF BUILDING
-
F.C.
DATE
PERMIT NO.
2.14626
74
_
'4_
75
COMMUNITY
DST
UNITS
OOMJ VA,L`UATII�ON
SUPP..TO PERMIT
OFFICE
76
I
e
v
MOBILEHOME
^
$
y
LEGAL DESCRIPTION
HOOKUP FEE
`
DBL-
-
-
SET BACK. LOT SIZE
ZONE
USE NO.
GRP
TYPE
CK BY
' MECHANICAL FEE
$
22
C
50.,
`
s
i
F S.+ S R10-
•
•
.I•
..
BOND AMT..
PLAN NO. PLAN CHECKER .
FINAL DATE` " .INSPECTOR
,
PLAN CHECK FEE,,
$ t
SA
t
DBL-
NAME OFCONST. LENDERS
BRANCH OFFICE ,.
NO LENDER INVOLVED
CONSTRUCTION FEEg
•.
' ^., ,
DBL
ADDRESS
CITY -STATE
-
ELECTRICAL FEE
$2
75
'
+
THIS
THIS PERMIT SHALL BECOME VOID IF "WORK ' ISNOT COMMENCED WITHIN 60 DAYS.
Sffi
$
1 71
OF,WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
FEE
_
I HEREBY AGREE THATALL 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.
PLUMBING FEE
,y3
3
am �n
tKT
COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS
IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE P ANS AN SPECIFI-
DANCE IN ACCOR WITH .. N 1 F( SI SS AND
TOTAL FEES $ ii
�6
j3
PROFESSIONS OFOTHE STATE OF ALI ORNIA
CO, DE
'
CASH 0 - CHECK .O. CD N.C. 0
'OWNER -
CONTRACTOR -_ �►•� -
R@C@IVBCJ BY -
ADDRESS
ADDRESS j
Sewage System
T
LL
P/
CITY
CITY t•.�
Trees Required
ves .
No
f
atm DeBeat
INFORMATION
•
TEL. NO. _ _
TEL. NO. LICENSE
346 -6002 225368 - B-1�
FORM 284-208 (REV. 4/71)
�•
� 1 �