208330 (ELEC)BUILDING PERMIT
CONSTRUCTION ESTIMA
1ST FL.
SQ. FT. @
2ND FL.
SQ. FT. @
POR.
SQ. TT. @
GAR.
SQ. FT. @
CAR P.
SQ. FT. @
WALL
SQ. FT. @
CONST. SERV. ENTRANCE
SQ. FT. @
ESTIMATED VALUATION $
MECHANICAL FEES
DEPARTMENT OF BUILDING & SAFET
COUNTY OF RIVERSIDE
E ELECTRICAL FEES
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 FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP.COOL ❑ HOOD
SIGN
WASHER (AUTO) (DISH)
APPLIANCE
TRANSFORMER OK.W.
GARBAGE DISPOSAL
FURNACE❑UNIT ❑WALL❑FLOOR❑SUSPENDED
OUTLETS
LAUNDRY TRAY
AIR HANDLING UNITI CFM
FIXTURE OR SOCKET
KITCHEN SINK
GAS PIPE ❑NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE
WATER CLOSET
COMPRESSOR � HP
POLE
LAVATORY
APPLIANCE VENT
10 AMPERES SERV. ENT.
SHOWER
ABSORPTION SYSTEM �,B.T.U.
SQ. FT.@ R
BATH TUB
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SQ. FT.@ (rl
WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SQ. FT. RESID. @ 1 Q
SEWAGE DISPOSAL
BOILER E:= B.T.U.
SQ. FT. GARAGE @'z ¢
HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE
GAS PIPING
MOBILEHOME HOOKUP FEE
J F M A M J J A S O
N D
.JOB ADDRESS
OWNER
72
77-GY3 e,9ZZt
E
73USE
OF BUILDING F.C.
DATE
PERMIT NO.
208330
74
icl-'&c. sE)?V/G4 cHAN6
-<y- A
75
COMMUNITY
DST
I UNITS�ROOMJVALUATION
y SUPP. TO PERMIT
OFFICE
76
A IV rA
MOBILEHOME
$
LEGAL ESCRIPTION � 7;7 X2
✓
HOOKUP FEE
L .1 G� 'S'�JY�" �� E' L
DBL
SET BACK
LOT SIZE
ZONE
GRP
TYPE
MECHANICAL FEE
$
JUSENO.
JCKBY
F S R
.-I
BOND AMT.
PLAN NO.
PLAN CHECKER
Fj'I�NAL_ _ DATjE INSPECTOR
�`���
PLAN CHECK FEE
$
I
DBL
NAME OF CONST. LENDER
BRANCH OFFICE
NO LENDER INVOLVE
CONSTRUCTION FEE
ELECTRICAL FEE
DBL
$
UO
ADDRESS
CITY STATE
S
$
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS.
CESSATION 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 ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIF -
DBL
PLUMBING FEE
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.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFI-
TOTAL FEES $
CATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE: BUSINESS'sAND
G(
PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
CASH - CHECK ❑ M.O. ED N.C. �
OWNER CONTRACTOR
tn1� n �
(11A�% �'� '� jS /t 0;
Ir
Received By
ADDRESS/ LLE ADDRESS
Sewage System
T
LL
P
CITU
Trees Required
4
s
No
i 4
(
INFORMATION*
TEL. NO. _ TEL. NO. I LICENSE
FORM 284-208 (REV. 4/71) EY