235074 (AR)BUILDING PERMIT
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
ELECTRICAL FEES,,
NO. 1 e
NOTE: Not to be used as property tax valuation
MECHANICAL FEES
VENT SYSTEM ❑ FAN ❑EVAP. COOL ❑ HOOD
APPLIANCE
FURNACE ❑UNIT ❑WALL ❑FLOOR ❑SUSPENDED
AIR HANDLING UNIT CFM
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
COMPRESSOR 0 HP
APPLIANCE VENT
ABSORPTION SYSTEM 0 B.T.U.
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
HEATING SYSTEM ❑ FORCED ❑GRAVITY
BOILER 0 B.T.U.
PERMIT FEE
MOBILE HOME HOOKUP FEE Is
3P�MQ:+1 � r TOTAL FEES MOB. HK. FEE MICRO FEE
PP// J......�('y
J I F I M A I M I J I J A I S 1 O 1 N I D
73
74
75
M.H. HOOKUP FEE $
MICROFILM FEE I COPIES $
PLAN CHECK FEE
CONSTRUCTION FEE
ELECTRICAL FEE
DBL $
DBL $
FEE
TOTAL FEES
CASH ❑ CHECKX M.O. ❑
RECEIVED BY
SEWAGE SYSTEM T ±YLE
TREES REQUIRED
ID INFORMATION
V
FORM 284.208 Wm 11/721
0010
40z)
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSA-
TION OF WORK 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.
CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO
V AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH
THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS
HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS
CODE F THE SWE OF AyLIFORNIA.
OWNER, ,,,JJR'lf CONTRACTOR
Vowr N.C. ❑
FIELD OFFICE
PLUMBING FEES I RsT ,
MOTOR I OR -LESS H.P.
CONSTRUCTION ESTI
1 ST FL.
SQ. FT.
@_
2ND FL.
DRINKING FOUNTAIN
SQ. FT.
@—
POR.
SQ. FT.
@_
GAR.
SIGN
SQ.FT.
@—
CAR P.
OUTLETS
SQ. FT.
@_
KITCHEN SINK
CONST. SERV. ENTRANCE
SQ.FT.
@—
^WALL
G9�s1V h1iiel SF
r
SQ. FT.
SO. FT. @ Q BATH TUB
ESTIMATED CONSTRUCTION VALUATION
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
ELECTRICAL FEES,,
NO. 1 e
NOTE: Not to be used as property tax valuation
MECHANICAL FEES
VENT SYSTEM ❑ FAN ❑EVAP. COOL ❑ HOOD
APPLIANCE
FURNACE ❑UNIT ❑WALL ❑FLOOR ❑SUSPENDED
AIR HANDLING UNIT CFM
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
COMPRESSOR 0 HP
APPLIANCE VENT
ABSORPTION SYSTEM 0 B.T.U.
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
HEATING SYSTEM ❑ FORCED ❑GRAVITY
BOILER 0 B.T.U.
PERMIT FEE
MOBILE HOME HOOKUP FEE Is
3P�MQ:+1 � r TOTAL FEES MOB. HK. FEE MICRO FEE
PP// J......�('y
J I F I M A I M I J I J A I S 1 O 1 N I D
73
74
75
M.H. HOOKUP FEE $
MICROFILM FEE I COPIES $
PLAN CHECK FEE
CONSTRUCTION FEE
ELECTRICAL FEE
DBL $
DBL $
FEE
TOTAL FEES
CASH ❑ CHECKX M.O. ❑
RECEIVED BY
SEWAGE SYSTEM T ±YLE
TREES REQUIRED
ID INFORMATION
V
FORM 284.208 Wm 11/721
0010
40z)
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSA-
TION OF WORK 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.
CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO
V AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH
THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS
HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS
CODE F THE SWE OF AyLIFORNIA.
OWNER, ,,,JJR'lf CONTRACTOR
Vowr N.C. ❑
FIELD OFFICE
PLUMBING FEES I RsT ,
MOTOR I OR -LESS H.P.
MOTOR 5 OR LESS H.P.
MOTOR 20 OR LESS H.P.
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
�Q ^ K.W. UNITS WATER PIPING
FLOOR DRAIN
7t, WATER SOFTENER
SIGN
WASHER (AUTO) (DISH)
TRANS- K.W.
FORMER O
GARBAGE DISPOSAL
OUTLETS
LAUNDRY TRAY
FIXTURE OR SOCKET
KITCHEN SINK
CONST. SERV. ENTRANCE
WATER CLOSET
POLE
LAVATORY
AMPERES SERV. ENT.
SHOWER
SO. FT. @ Q BATH TUB
SO. FT. @
WATER HEATER
-s -SQ. FT. RESID. @) 4 SEWAGE DISPOSAL
SQ. FT. GARAGE @1�2¢ HOUSE SEWER
BALANCE OF MIN. FEE
PERMIT FEE
GAS PIPING
PERMIT FEE
MECH. FEE
I'DOLI
PL. CK. FEE
I CONST. FEEDBL.
9
ELECT. FEE
DBL.
SMI FEE
FEE
PLUMB. FEE
JDBL.:;
JOB ADDRESS
OW E -�
114 Al
USE OF BUILDING �"'y}„
F.C.
DATEPERML
N�
COMMUNITY
A..*.:l7-
DST
UNITS I
ROOMS
I VALUATION
SUPP. TO PERMIT
OFFICE
LEGAL DESCRIPTION ,
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SET BACK
LOT SIZE
ZZOOON"�,E.
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USE NO.
GRP
TYPE
CK BY ,
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CITY
NO .4 !—A
TEL. NO. '
13,61"141.940
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