214431 (AR),
BUILDING PERMIT
CO tNj STRUCTION ESTI]
7747
r
1ST FL.
SQ. FT. `�
,2ND FL.
SQ. FT. @ _ k r
POR.
SQ. FT. @
GAR.
SQ. FT. @ �'
CAR P.
SQ. FT. Co)
y11ALL
SQ. FT. @
COMPRESSOR HP
SQ. FT. @
ESTIMATED VALUATION Is
MECHANICAL FEES
DEPARTMENT OF BUILDING & SAFET
COUNTY OF RIVERSIDE
-E ELECTRICAL FEES
1 Z V &,a'I NO. 1 1 1 1 NO.
MOTOR 1 OR LESS H.P.
MOTOR S 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 N FAN ❑ EVAP. COOL ❑ HOOD
SIGN
WASHER (AUTO) (DISH)
APPLIANCE
TRANSFORMER =K.W.
GARBAGE DISPOSAL
FURNACE❑UNIT❑WALL❑FLOORED SUSPENDED'
OUTLETS
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIXTURE OR SOCKET
KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE
WATER CLOSET
COMPRESSOR HP
POLE
LAVATORY --
APPLIANCE VENT
10V AMPERES SERV. ENT.
SHOWER
ABSORPTION SYSTEM O B.T.U.
SQ. FT.@ R
BATH TUB
INCINERATOR ❑ DOMESTIC E] INDUS. OR COMM.
SQ. FT.@ ¢.
WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
9 IIW SQ. FT. RE SID. @ 1 Q
SEWAGE DISPOSAL
BOILER B.T.U.
SQ. FT. GARAGE @ z Q
HOUSE SEWER �—
PERMIT FEE
BALANCE OF MIN. FEE
GAS PIPING
MOBILEHOME HOOKUP FEE .I$ I I I ' / IPERMIT FEE I dI .X- I / I PERMIT FEE I Al
214431
PERMIT
ER TOTAL FEES MOB, HOOK FEE 1HEATVENT OFEE DBl�FEEN Fvi4 JD.LV�C4� DBl FE/ /- ��BIpY_,EE DBLILA -A
09
"- J F M A M J J A S O
N D
JOB ADDRESS
OWNER
72
S/-11.1 v aA aA
I3,eR7 .T'
73
USE OF BUILDING
F.C.DA
v�
TE
E 21� N
4 31
74
1�1,� IIJAI S TP ,t «.��
7 _ ��-7�
75
COMMUNITY
DST
UNITS
SUPP. TO PERMIT
OFFICE
76
L/4 w jvrq
7
I
IRODMIVALUATION
!7G
loot
MOBILEHOME
$
LEGAL DESCRIPTION
HOOKUP FEE
L UT /6 /J Z C744u/3 0�2- '76 y -i/6 ov
DBL
O't!
SET BACK
LOT SIZE
IZONE
USE NO.
GRP
TYPE
CK BY
MECHANICAL FEE
$
F WG S
��V
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE IN
ECTOR
PLAN CHECK FEE
$
!✓_
' � `7
FEE
DBL
NAME OF CONST. LENDER
BRANCH OFFICE
NO LENDER INVOLVED
CONSTRUCTION
/
e
v/
DBL
ADDRESS
CITY STATE
ELECTRICAL FEE
$ 13
�1
$
� 6 lK
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
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 SPE'CIFI-
TOTAL FEES $ �y/�
/ ��
CATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND
/ (/
PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
CASH F-1 CHECK M.O. El N.C. a
OWNER
CONTRAC TORR
'
Received By
ADDRESS
ADDRESS
+
Sewage System T
LL
P
CITY
CITU
Trees Required
Yes
No
" 4
INFORMATION
TEL. NO.
TEL. NO. LICENSE
QLr
FORM 284-208 (REV. -4/71 )dd
/ y