272531 (ELEC)BUILDING PERMIT
JOB ADDRESS"-- .'
DEPARTMENT OF BUILDING & SAFETY . .
COUNTY OF RIVERSIDE'
GARBAGE DISPOSAL
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
' I ST FL.
2ND FL.
POR.
GAR.,
CAR P'•
LAUNDRY TRAY
SQ.FT.
@
JNITS
SO. FT. @ -
ABSORPTION SYSTEM B.T.U.
SQ. FT. @
NAOBILEHOME'SVC.
SQ. FT. @
'OWER OUTLET
SQ.FT @
$
WALL SQ. FT. @
SQ..FT. @ T
ESTIMATED CONSTRUCTION VALUATION $
NOTE. Not to be used as property tax valuation
MECHANICAL FEES.
VENT SYSTEM ❑ FAN O EVAP. COOL ❑ HOOD
FIELD OFFICE
NO. PLUMBING FEES
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL '
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
WASHER IAUTOI If)ISHI
APPLIANCE
JOB ADDRESS"-- .'
I EK ' •.�-�T-.—.—.
GARBAGE DISPOSAL
FURNACE ❑ UNIT O -WALL O FLOOR O SUSPENDED
l 1
75
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
P
M2531
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
EMP USE PERM SVC
r�i
WATER CLOSET
COMPRESSOR HP
SOLE, TEMP/PERM
$
LAVATORY
HEATING SYSTEM O FORCED ❑ GRAVITY
.AMPERES SERV ENT
0<•
SHOWER
BOILER B.T.U..
SQ FT @ a
OFFICE
BATH TUB
SQ FT @ ¢'
.
WATER HEATER
-
SQ FT RESID @ la
SEWAGE DISPOSAL
SQ FT GARAGE @ 'ha
MICROFILM FEE
HOUSESEWER
PERMIT FEE
LEGAL DESCRIPTION
GAS PIPING
MOBILE HOME PERMIT FEE Is
I ERMIT FEE
,,01 1
PERMIT FEE
2 �EfjMIL O_
FSE -MOB.
HM.FEE
MICRO FEE
MECH. FEE
DBL.
PL. CK. FEE
CONST. FEE
DBL
ELECT. FEE
DBL.
SMI FEE
FEE
PLUMB FEE
DBL.
._. _
J F M A M J J A S O N D
JOB ADDRESS"-- .'
I EK ' •.�-�T-.—.—.
74!
% ) 1.
J r�ti .G='Fi%t` r� .7TI'1S�F�-
l 1
75
USE OF PERMIT
F.C.
DATE
P
M2531
76
3:n� ,��,F� ��.,,tf,
r�i
27
M H PERMIT FEE
$
COMMUNITY
DST
UNITS
ROOMS
VALUATION
SUPP. TO PERMIT
OFFICE
MICROFILM FEE
COPIES
$
LEGAL DESCRIPTION
-7-46 ..i R 7
MECHANICAL FEE
DBL
$
SETBACK
LOT SIZE ZO.NNE!r
USE NO.
GRP'
TYPE
BY
4..-
�.' i^ �
ICK
F S
PLAN CHECK FEE
$
BOND AMT.PLAN
NC-
PLAN CHECKER
FINAL DATE
INSPECTO
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDER INVO ED
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
STRONG MOTION
$
OWNER/AGENT'S SIGNATU ZE
CONTRACTOR =.r
INSTRUMENTATION FEE
r
$
ADDRESS
'ADDRESS`
FEE
PLUMBI NGFEE
DBL
$
CITY ZIP CODE
CITY ZIP CODE
TOTAL FEES *0
$
Cj -
TEL. NO.
TEL. NO. LICENSE
CASH Ld CHECK O M.O. O.. N.C.O�ttr�
THIS PERMT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA•
1 4-rwON OF WORE 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'
RECEtvED�Ar _ "TREES REQUIRED {t
! 1 /
SEWAGE SYSTEM - %/ ®1
CORDANCE WYH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSC
T LL P
AGREE TO CAFRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE
Alf - T CCTATE-1 AI IClI 11n.a•rl./COIAI!`!'/11-Ar•T CC IC Al f/l- An A I ITEEM-
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS
FORM 284-208 (Rev. 10-74) OP L HAS DONE SO -N ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE
I OF THE STATE OF CALIFORNIA_