206296 (SFD)I BUILDING PERMIT
CONSTRUCTION ESTIN/,
V
1
1ST FL.
SQ. FT. @
2ND FL.
SQ. FT. @
OUTLETS
LAUNDRY TRAY
POR.
SQ. FT. @
GAR.
� O
SQ. FT. @
2J
CAR P.
SQ. FT. @
WALL
SQ. FT. @
LAVATORY
SQ. FT. @
ESTIMATED VALUATION $
MECHANICAL FEES
DEPARTMENT OF BUILDING & SAFET
COUNTY OF RIVERSIDE
ELECTRICAL FEES
3�. NO.
" ' I I MOTOR 1 OR LESS H. P.
MOTOR 5 OR LESS H. P.
MOTOR 20 OR LESS H.P.
K.W.
FIELD OFFICE
PLUMBING FEES
/-7A /Ve 3 / AvI-
DRAINAGE PIPING
DRINKING FOUNTAIt,
URINAL
WATER PIPING
FLOOR DRAIN
WATFR Sr)FTFNFR
VENT SYSTEM (g FAN ❑ EVAP.COOL.IK HOOD
` SIGN
WASHER (AUTO SH)
APPLIANCE
TRANSFORMER OK•W•
GARBAGE DISPOSAL
FURNACE❑UNIT ❑WALL LOOR❑SUSPENDED
OUTLETS
LAUNDRY TRAY
AIR HANDLING UNITI CFM
FIXTURE OR SOCKET
KITCHEN SINK --�-
GAS PIPE F-1 NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE
WATER CLOSET ---
COMPRESSOR HP
POLE
LAVATORY
APPLIANCE VENT
4,#* AMPERES SERV. ENT.
SHOWER d
ABSORPTION SYSTEM B.T.U.
SQ. FT.@ q
/ BATH TUB
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SQ. FT.@ q.
WATER HEATER
HEATING SYSTEM FORCED ❑GRAVITY
SQ. FT. RE SID. @ 1 q2
SEWAGE DISPOSAL
BOILER B.T.U.
SQ.FT.GARAGE@ z q .2
HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE
GAS PIPING
MOBILEHOME HOOKUP FEE I$ I I . I I IPERMIT FEE I I PERMIT FEE
PERMIT NUMBER � �L FEES MOB, HOOK FEE HEAT d�E�FEE JOBLI �� �E� � N�. FF�� OBl ��. F.EE D ���/FE� �� PIUM ING�± DBL
J
J F M A M
J J A S O N D
JOB ADDRESS
OWNER
72
.�
ao AdEI;4
013Ee/ -C%,
73
U E 16F BUILDING�.C.
DATE
PE MONO
.74
,.,
_�6
2 9
6
75
DST
UNITS�ROC,MrLUATION
TO PERMIT
OFFICE
76
`COMMUNITY
I
�SUPP.
MOBILEHOME
LEGAL -DESCRIPTION
HOOKUP FEE
MECHANICAL FEE
DBL
!%1
SET BACK
LOT SIZE
ZONE #`
USE NO.
GRP
TYPE
ICKBY
F 5 R
j
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE
PLAN CHECK FEE
ev
JINSPPCT'OR
DSL
NAME OF CONST. LENDER
BRANCH OFFICE
NO LENDER INV LVED
CONSTRUCTION FEE'
�E:Cagip
- i�
ti/t/t
ELECTRICAL FEE
L
$ like
ADDRESS
CITY r STATE
Stf,,l 7
��//
0/ *7
THIS PERMIT SHALL BECOME VOID A LL ALSO CAUSE PERMIT TO BECOME IF WORK IS NOT COMMENCED WITHIN 60 DAYS.
CESSATIONIOF WORK FORSHVOID.
S FEE
THATIAOLLWORKPERMIT
IN CONNECTION WITH THIS RMITT WILLBE DONE
IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIF -
DQL
PLUMBING FEE
P[)
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.
TOTAL FEES $
O
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND'SP CIFI.
CATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 O F ' & NA�
PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
CASH Q CHECK CD
M.O. Q N.C. 0
OWNER
CONTRACTOR
( . G
Received By
ADDRESS
A DRES5
Sewage System
APOP
4rly
T
CITY
CITY / `
Trees Required
Yes
No
1.1l���
INFORMATION
TEL. NO.
TEL. NO. LICE E
,,( !`j�
40 M-
'�/j
FORM 284"208 (REV. 4/71)
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