232686 (PAT)ir BUILDING PERMIT
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE •
... .ELECTRICAL FEESw, mm.,...,,
NO. I�—
MECHANICAL FEES
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
APPLIANCE
FURNACE ❑ UNIT ❑ WALL ❑FLOOR ❑SUSPENDED
AIR HANDLING UNIT CFM
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
COMPRESSOR 0 HP
APPLIANCE VENT
ABSORPTION SYSTEM 0 B.T.U.
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
BOILER 0 B.T.U.
PERMIT FEE
MOBILE HOME HOOKUP FEE 3;
MOTOR I OR LESS H.P.
MOTOR 5 OR LESS H.P.
MOTOR 20 OR LESS H.P.
K.W.
SIGN
TRANS- K.W.
FORMER 0
OUTLETS
FIXTURE OR SOCKET
CONST. SERV. ENTRANCE
POLE
AMPERES SERV. ENT.
SO. FT. @ ¢
SQ. FT. @ Q
• SQ. FT. RESID. @ 1 4
SQ. FT. GARAGE@11/24
BALANCE OF MIN. FEE
PERMIT FEE
FIELD 0MCE
PLUMBING FEES o4T
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
WASHER (AUTO) (DISH)
GARBAGE DISPOSAL
LAUNDRY TRAY
KITCHEN SINK
WATER CLOSET
LAVATORY
SHOWER
BATH TUB
WATER HEATER
SEWAGE DISPOSAL
HOUSE SEWER
GAS PIPING
PERMIT FEE
2 �Pi.A
CONSTRUCTION ESTIMATE,
I ST FL.
SQ. FT. @
2ND FL.
SQ. FT. @
POR.
SO. FT. @
GAR.
SQ.FT. @
CAR P.
SQ. FT. @
WALL
S/Q.FT. @
} . X.
9 PFT. @ j
ESTIMATED CONSTRUCTION VALUATION, $
NOTE: Not to be used as property tax valuation
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE •
... .ELECTRICAL FEESw, mm.,...,,
NO. I�—
MECHANICAL FEES
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
APPLIANCE
FURNACE ❑ UNIT ❑ WALL ❑FLOOR ❑SUSPENDED
AIR HANDLING UNIT CFM
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
COMPRESSOR 0 HP
APPLIANCE VENT
ABSORPTION SYSTEM 0 B.T.U.
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
BOILER 0 B.T.U.
PERMIT FEE
MOBILE HOME HOOKUP FEE 3;
MOTOR I OR LESS H.P.
MOTOR 5 OR LESS H.P.
MOTOR 20 OR LESS H.P.
K.W.
SIGN
TRANS- K.W.
FORMER 0
OUTLETS
FIXTURE OR SOCKET
CONST. SERV. ENTRANCE
POLE
AMPERES SERV. ENT.
SO. FT. @ ¢
SQ. FT. @ Q
• SQ. FT. RESID. @ 1 4
SQ. FT. GARAGE@11/24
BALANCE OF MIN. FEE
PERMIT FEE
FIELD 0MCE
PLUMBING FEES o4T
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
WASHER (AUTO) (DISH)
GARBAGE DISPOSAL
LAUNDRY TRAY
KITCHEN SINK
WATER CLOSET
LAVATORY
SHOWER
BATH TUB
WATER HEATER
SEWAGE DISPOSAL
HOUSE SEWER
GAS PIPING
PERMIT FEE
2 �Pi.A
TOTAL
e
MOB
F 'MICRO FEE
MECH. FEE
DBL.
PL CK. FEE
CONST. FEE
DBL.
ELECT. FEE
DBL.
SMI FEE
FEE PLUMB FEE
DBI -1
JdL/.0/61
�.. �..._
J F M
A M J J A S
O ND
x18 ADD,55 L�
isf/t�
OWNER
73
74
USE OF BUILDING
A 1� �1/�rr?t
F.C.
DATE
-�-�-
PERM N
��2686
75 ., _
M.H. HOOKUP FEE
$
COMMUNITY DST
UNITS
ROOMS
TIONSUPP.
TO PERMIT
OFFICE }
I
1,vkut
MICROFILM FEE
COPIES
$
LEGAL DESCRIPTION
/
MECHANICAL FEE
DBL
$
SETBACK -
LOT SIZE ZONE
�.
USE NO.
GRP
TYPE
CK BY
� Z'� RT -e
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE
E lia
/ �v ��
^
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE .NO
J
LENDER INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
SMI FEE
$
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSA-
TION 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 AC -
CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO
PLUMBING FEE
DBL
$
AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH
THE LAWS OF F THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS
$
3
TOTAL
FEES
HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS
CODE F THE STATE OF CALIFORNIA.
❑
CHECK �+ M.O. El
N.C.
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SEWAGE SYS EM
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TREES REQUIRED
YES
NO
FI I�tf
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INFORMATION
TEL. NO.