209944 (BLCK)BUILDING PERMIT
CONSTRUCTION ESTIMAT
1ST FL.
SQ. FT. @
2ND F.L.
SQ. FT. @
POR.
SQ. FT. @
GAR.
SQ. FT. @
CAR P.
SQ. FTA @
Y ?^
GAS PIPE ❑NATURAL ❑ L.P.G. ❑ OIL
WA_LL
SQ. FT. @
COMPRESSOR HP
PO -E
LAVATORY
FT. @
ESTIMATED VALUATION $
SHOWER
MECHANICAL FEES
DEPARTMENT OF BUILDING & SAFET
COUNTY CF RIVERSIDE
E ELECTRICAL FEES
NO. NO.
MOTOR 1 OR LESS H.P.
MOTOR 5 OR LESS H.P.
MOTOR 20 OR LESS H.P.
K.W.
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAII,
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP.COOL❑ HOOD
SIGN
WASHER (AUTO) (DISH)
APPLIANCE
TRAJSFORMER OK•W•
GARBAGE DISPOSAL
FURNACE❑UNIT❑WALL❑FLOOR ❑SUSPENDED
OUTLETS
LAUNDRY TRAY ,
AIR HANDLING UNITI CFM
FIX -URE OR SOCKET
KITCHEN SINK
GAS PIPE ❑NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE
WATER CLOSET
COMPRESSOR HP
PO -E
LAVATORY
APPLIANCE VENT
AMPERES SERV. ENT.
SHOWER
ABSORPTION SYSTEM B.T.U.
SQ. FT.@ T
BATH TUB
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SQ. FT.@ Q:
WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SQ. FT. RESID. @ 1 (r
SEWAGE DISPOSAL
BOILER E== B.T.U.
SQ FT. GARAGE@ i ¢
HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE
GAS PIPING
MOBILEHOME HOOKUP FEE
I$
I I I I IPERMIT FEE I I I
I PERMIT FEE I I
PERMIT NUMBER
TOTAL FEES
MOB.
HOOK FEE
HEAT & `SENT FEE
DBl
PL CK. FEE
CON5T. FEE IDBLI ELEC, FEE
FEE
PLUMBING FEE
DBL
209944
75
I
DST
UNITS
I
VALUATION
I
113:L
JSUPP.TOPERMITJOFFI
J F M A M J J A S ON
D
JOB AD,D R7ESI�S t` �% OI? OWNER
73USE
OF BUILDING
F.C. DATE !`
6-�12-��
PERMIT NO
209944
74
#�, � "Iwo60t:iA
75
COMMyMUNII Y
DST
UNITS
OOM
VALUATION
E
JSUPP.TOPERMITJOFFI
MOBILE HOME
$
LEGAL DE CRIPrIa®v -76--.2-
4-1 � Dip /
°7e
HOOKUP FEE
�L,D 2 f .2.. 0 / C��6/ - 051_.o
DBL
SET BACK
LOT SIZE
ZW-)
USE NO.
GRP
TYPE
MECHANICAL FEE
$
ICKSY
,--7 oc.>
F s R
BOND AMT.
PLAN ND.
PLAN CHECKER
FINAL DATE INSPECTOR
PLAN CHECK FEE
$
10 -5 '7 r -
CONSTRUCTION FEE
DBL
NAME OF CONST. LENDER
BRANCH OFFICE
NO LENDER INVOLVE
DBL
ADDRESS -
CITY STATE
ELECTRICAL FEE
$
$
THIS PERMIT SH4LL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS.
o
�!
CESSATION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
FEE
1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE
IN ACCORDANCE W'TH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIF-
DBL
ORNIA. I ALSO AGMEE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES.
' PLUMBING FEE
COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS
IS ALSO GUARANTEED,
I HEREBY CERTI; Y THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFI -
TOTAL FEES $
CA TIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND
PROFESSIONS CODE OF THE STATE OF CALI RNIA
CASH F-1 CHECK Ea::!� M.O.O N.C.0
OWNER
ACTgR
ADDRESS
ADD ESS- y
�' V�!
Received By ��,
Sewage System
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rY
7
PA
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TEL. NO.
TEL. NO. LICENSE -