214625 (SFD)BUILDING PERMIT
N D
DEPARTMENT OF BUILDING & SAFET
COUNTY OF RIVERSIDE
OWNER
1
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
APPLIANCE Drger
1ST FL.
2ND FL.
POR.
GAR.
CAR P.
WALL
2040
306
SQ. FT. @
SQ. FT. @
27,336.00 NO.
GARBAGE DISPOSAL
SQ. FT. @ • 480.00 MOTOR 1 OR LESS H.P.
USE OF BUILDING
SQ. FT. @ 4.25 2,151.00MOTOR 5 OR LESS H.P.
SQ. FT. @ MOTOR 20 OR LESS H.P.
DATE
SQ. FT. @
SQ. FT. @ ____+
O K.W. UNITS
LAUNDRY TRAY
ESTIMATED VALUATION is
1001
AIR HANDLING UNIT CFM
ZZ 4
FIXTURE OR SOCKET
MECHANICAL FEES
1
KITCHEN SINK
1.50
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER Cf1GTFMG1Z
VENT SYSTEM A FAN ❑ EVAP. COOL 4 HOOD
N D
SIGN
OWNER
1
WASHER (AUTC&DISH)
3 00
APPLIANCE Drger
72
TRANSFORMER [�K•W.
*•
8-454 Calle Seann
1
GARBAGE DISPOSAL
1.50
USE OF BUILDING
FURNACE❑UNIT ❑WALL❑FLOOR ❑SUSPENDED
DATE
OUTLETS
74
LAUNDRY TRAY
.S Att! aro a
1001
AIR HANDLING UNIT CFM
ZZ 4
FIXTURE OR SOCKET
75
1
KITCHEN SINK
1.50
UNITS
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
VALLUATION
CONST. SERV. ENTRANCE
OFFICE
3
WATER CLOSET
4.50
COMPRESSOR HP
7.50
POLE
/
3
LAVATORY
4.50
APPLIANCE VENT
AMPERES SERV. ENT.
1.00
3
SHOWER
4,50
Lot 38 - Tr -3"8 - PC -617-432-016
ABSORPTION SYSTEM O B.T.U.
DBL
SQ. FT.@ q
SET BACK
BATH TUB
1.50
USE NO.
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
TYPE
SQ. FT.@ ¢.
MECHANICAL FEE
1
WATER HEATER
1.50
HEATING SYSTEM 2 FORCED ❑ GRAVITY
4,00
SQ, FT. RESID. @ 1 R
2C. 40
1
SEWAGE DISPOSAL
10.
Oo
BOILER E:::= B.T.U.
SQ. FT. GAR AGE @ z
.55
HOUSE SEWER
PERMIT FEE
3 00
EIALANCE OF MIN. FEE
I
GAS PIPING
PLAN CHECKER
FINAL DATE 1
MOBILEHOME HOOKUP FEE ,I$ I I I ' IPERMIT FEE I 1.40 I PERMIT FEE I 2JO0
PERMIT NUMBER TOTAL FEES MOB. HOOK FEE HEAT & VENT FEE JDBL PL. CK. FEE CONST. FEE DBL ELEC. FEE DBL FEE PLUMBING FEE DBL
Z 14 6 2 5 261.30 22.50 50.75 101.50 26.9 M 2.10 37. SO
J F M A M J I J A S O
N D
JOB ADDRESS
OWNER
72
*•
8-454 Calle Seann
HYS01 REALTY
73
USE OF BUILDING
F.C.
DATE
PE21111
74
.S Att! aro a
1001
8-�14-72
ZZ 4
625
75
COMMUNITY
DST
UNITS
OOM
VALLUATION
SUPP. TO PERMIT
OFFICE
76
LA 0_Ul i'A
T
I
/
F
MOBILEHOME
$
LEGAL DESCRIPTION
HOOKUPFEE
Lot 38 - Tr -3"8 - PC -617-432-016
DBL
SET BACK
LOT SIZE
ZONE
USE NO.
GRP
TYPE
MECHANICAL FEE
$
ICKBY
F s R
22.50
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE 1
PECTOR ,
PLAN CHECK FEE
$ 50.75
I �- .� 7 - 7 >
1�
DBL
NAME OF CONST. LENDER
BRANCH OFFICE
NO LENDER IN -'LVED
CONSTRUCTION FEE
101.50
, /�'/'Y�
DBL
ADDRESS
CITY STATE
ELECTRICAL FEE
$ 26.95
$
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
DBL
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 COVER ING'CONTRACTORS
717
4n
IS ALSO GUARANTEED.
1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PVANS AND SPECIFI-
TOTAL FEES $
CATIONS HAS DONE SO IN ACCORDANCE WITH SECN 5541/C,U ESS AND
241-30
PROFESSIONS CODE OF THE STATE OF CALIFORNIA. �(.�� //
CASH ❑ CHECK `j M.O. ❑ N.C. ❑
OWNER
CONTRACTOR
Received By
ADDRESS
ADDRESS
t
all's Desert
Sewage System
LL
Pljfj!
CITY
CITY
Trees Required
Yes
No
INFORMATION
TEL. NO.
TEL. NO. LICENSE
FORM 284-208 (REV. 4/71)
A
3- 002 22536A -1
66