240801 (SATT)BUILDING PERMIT
DEPARTMENT OF BUILDING & SAFE
COUNTY OF RIVERSIDE
NO. ELECTRICAL FEES
LINITS
7_� MOBILEHOME SVC.
POWER OUTLET
SWIM POOL, PVT
SWIM POOL, COMM
FIELD OFFICE
DST
',Iai PLUMBING FEES
BOILER L j B.T
BARSINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATERSOFTENER
CONSTRUCTION ESTIMATE
ISTFL
11144
SQ.FT. 1-3 !e -q- /9
2ND FL.
-
SQ. FT. @
POR.
ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC WATER CLOSET 300
SO. FT.
GAR.
-114ler
SQ. FT.
CAR P.
SQ FT 7 BATH TUB
SO.FT. @
WALL
SQ. FT. @
SO FT GARAGE @ 'he HOUSE SEWER
SQ. FT. @
ESTIMATED CONSTRUCTION
VALUATION
NOTE: Not to be used as property tax valuation
PERMIT NO.
TOTAL FEES EE
MECHANICAL FEES
DEPARTMENT OF BUILDING & SAFE
COUNTY OF RIVERSIDE
NO. ELECTRICAL FEES
LINITS
7_� MOBILEHOME SVC.
POWER OUTLET
SWIM POOL, PVT
SWIM POOL, COMM
FIELD OFFICE
DST
',Iai PLUMBING FEES
BOILER L j B.T
BARSINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATERSOFTENER
VENT SYSTEM 156FAN 0 EVAP. COOL EfHOOD SIGN WASHER (AUT0$DISH)
APPLIANCE GARBAGE DISPOSAL
FURNACE 0 UNIT 0 WALL 0 FLOOR OAUSPENDED LAUNDRY TRAY
AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK
ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC WATER CLOSET 300
COMPRESSOR HP POLE, TEMP/PERM LAVATORY
HEATINGSYSTEM 1j9 -FORCED OGRAVITY AMPERES SERV ENT SHOWER
SQ FT 7 BATH TUB
SQ FT @ WATER HEATER
SQFTRESID @ la SEWAGE DISPOSAL /4)
SO FT GARAGE @ 'he HOUSE SEWER
PERMIT FEE TEMP ELEC SVC GAS PIPING
MOBILE HOME PERMIT FEE
'PERMIT FEE e) PERMIT FEE '�2
PERMIT NO.
TOTAL FEES EE
:M17��j
MECH. E
eu"
tED 8 L.
-
PL. M. FEE�j
CONST. FEE,
DBL. I
ELECT. Fj;,
PBL.
SMI Fj�lj
FEEI PLUMB. FIE,,,
DBL.
A7 I M I J I I A I S 0 1 N
J06 ADDRESS SP NO
e'e & eoppWI
qwNe
D
- _ej 1
1, 16
I - I" 4't
73
74
USE OF PERMIT
F.C. JDATE
ERMIT NO.
75
M H PERMIT FEE
$
COMMUNITY,/
ha IV
T
JUNITS
i
ROOMS
VALUATION
/ 7 ( )'F�
SUPP. TO PERMIT
07-F IC E
MICROFILM FEE
COPIES
$
LEGAL DESCRIPTION --Al
30
MECHANICAL FEE
DBL
$
SETBACK
LOT SIZE [�N?E
USE NO.
GRP
TYPE
CK BY
PLAN CHECK FEE
$
0.9
BOND AMT.
PLAN NO.
PLAN CHECKER
IFINALDAT JINSPE
TOR
CONSTRUCTION FEE
DBL
$
NAME OF CCNST. LENDER BRANCH
OFFICE
NO LENDER INVOLVED
ELECTRICAL FEE
DBL
$
ADDFfIfSS CITY
STATE
SMI FEE
$
I
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 12gaAYS. d . E'SS A -
TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
. . I HEREBY, AGREE -THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC.
CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, 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 SPECIFICATIONS
HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE
OF THE STATE OF CALIFORNIA.
FEE
$
PLUMBING FEE
DBL
TOTAL FEES
7
0
1ADDRESS
OWNERIAGENT'S SIGNATURE
i
CONTRACTOR
CASH 0 - CHECK CY- M.O. 0 - N.C. 0
ADDRESS
RECEIVED BY
TREES REQUIRED
SEWAGE SYSTEM
T
LL P
—
CITY ZIP CODE
Tti
CITY ZIP CODE
INFORMATION
FORM 284-208 fRe, 9.73) @S
TEL. NO.
TEL. NO. LICENSE