268836 (SATT)BUILDING PERMIT
' PLUMBING FEES'.
DEPARTMENT OF BUILDING& SAFETY
74
-
Ballard & Martinson
DISPOSAL
COUNTY OF RIVERSIDE
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
CONSTRUCTION ESTIMATE,
ti'
NO. ELECTRICAL FEES
I ST FL.
1280
SQ.FT. @17. 40
32 .272.00
UNITS
2ND FL.
IDLE METER
SO. FT. @
I
KITCHEN SINK
POR.
42
SO. FT. @ 3.50
147.00
MOBILEHOME SVC.
GAR
449
SQ FT @ rA �
2 581 75
POWER OUTLET
CAR P. SO.F1. @
e
WALL SQ. FT. @
SO. FT. @
ESTIMATED CONSTRUCTION VALUATION $ 2 0
NOTE: Not to be used as property tax valuation
MECHANICAL FEES
VENT SYSTEM G) FAN ❑ EVAP. COOL 0 HOOD
SWIM POOL, PVT
SWIM POOL, COMM
SIGN
FIELD OFFICE.
NO.
' PLUMBING FEES'.
l2
74
52-740 Ave.Valle o
Ballard & Martinson
DISPOSAL
YARD 5PKLR SYSTEM
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
PE MIT NO.
BAR SINK
0013-5-76
ROOF DRAINS
M H PERMIT FEE
AIR HANDLING UNIT
DRAINAGE PIPING
IDLE METER
DRINKING FOUNTAIN
I
KITCHEN SINK
URINAL
ABSORPTION SYSTEM
1� B.T.U.
WATER PIPING
2 50.
FLOOR DRAIN
WATER CLOSET
4 00
WATER SOFTENER
HP
4.30
WASHER IAUTOIADISHI
Ii nn
APPLIANCEGARBAGE
-JOB ADDRESS - - - SP NO
OWNER -
74
52-740 Ave.Valle o
Ballard & Martinson
DISPOSAL
USE OF PERMIT
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
PE MIT NO.
76
0013-5-76
LAUNDRY TRAY
M H PERMIT FEE
AIR HANDLING UNIT
CFM
IDLE METER
DST
I
KITCHEN SINK
2 00
ABSORPTION SYSTEM
1� B.T.U.
TEMP USE PERM SVC
2
WATER CLOSET
4 00
COMPRESSOR
HP
4.30
POLE, TEMP/PERM2
MICROFILM FEE
LAVATORY
40
HEATING SYSTEM X FORCED ❑ GRAVITY
4.
DO; 1°50 ' AMPERES SERV ENT
7.00-
SHOWER
Lot- 1-152. Santa Carmelita PC -773=293-012
BOILER B.T.U.
DBL
$ 19.00
SQ FT @ a
SET BACK
2
BATH TUB
Cflo
TYPE
CK BY
F S JR16
SQ FT @ a
WATER HEATER
2.00
1280 SQ FT RESID @ I a
16.00
l
SEWAGE DISPOSAL
10,00
BOND AMT.
N NO.
r
PLAN CHECKER
449 SQ FT GARAGE @ 'ha
3.137
HOUSESEWER
PERMIT FEE
'3.
IDO
I
I
GAS PIPING
DBL
MOBILE HOME PERMIT FEE
$
NAME OF CONST. LENDER BRANCH
OFFICE
PERMIT, FEE
3.001
PERMIT FEE
3100
PERMIT NO.
TOTAL FEES
200.62
MOB. HM.FEE
MICRO FEE
MECH. FEE DBL.
PL. CK. FEE
CONST. FEE
DBL.
ELECT. FEE
29 37
DBL.
SMI FEE
i 7
FEE
_
PLUMB. �EJEDBL.6
35.2688
• 75
J F I M A I M I J I J A I S 1 O 1 N I D
-JOB ADDRESS - - - SP NO
OWNER -
74
52-740 Ave.Valle o
Ballard & Martinson
75
USE OF PERMIT
F. C. DATE-
PE MIT NO.
76
0013-5-76
X68836
M H PERMIT FEE
$
COMMU TY
DST
UNITS
ROOMS
SUPP. TO PERMIT
OFFICE
int0
11
[VALUATION
00:
MICROFILM FEE
COPIES
$
LEGALDESCRIPTION
Lot- 1-152. Santa Carmelita PC -773=293-012
MECHANICAL FEE
DBL
$ 19.00
iJ
00
SET BACK
LOT SIZE ZONE
USE NO.
GRP
TYPE
CK BY
F S JR16
IDonle
PLAN CHECK FEE
$
BOND AMT.
N NO.
r
PLAN CHECKER
FINAL DATE
INSPE TOR
_$ _ b
CONSTRUCTION FEE
DBL
$I j C
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDER INVOLVED
1.7
ELECTRICAL FEE
DBL
$ 29.37
ADDRESS CITY
STATE
STRONG MOTION
INSTRUMENTATION • FEE
$OWNER/A
• 75
5 S� \A .
V
/
CONTRACTOR
—
,
$
ADDRESS
ADDRESS
FEE
PLUMBING FEE
DB F 1$35..50
CITY ZIP CODE
CITY ZIP FODE
TOTAL FEES
$ 200.62
TEL. NO.
TEL. NO. LICENSE
t
%
CASH ❑ CHECK M.O. ❑ N.C. ❑
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA-
k1ON OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
RECEIVED BY + "
TREES REQUIRED
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
T 7 r1ftEl
LL
p G�1-L. -
AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED vTHE `PLANS AND SPECIFICATIONS
FORM 284-208 (Rev. 10-74) @L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE
OF THE STATE OF CALIFORNIA.