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206122 (SPIN)
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFET 0 COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE 1ST FL. SQ. FT. @ 2ND FL. SQ. FT. @ POR. SQ. FT. @ GAR. SQ. FT. @ CARP. SQ. FT. @ WALL ISQ. FT. @ SQ. FT. @ ESTIMATED VALUATION is MECHANICAL FEES NO. ELECTRICAL FEES MOTOR 1 OR LESS H.P MOTOR 5 OR LESS H.P MOTOR 20 OR LESS H.P. K.W. UN FIELD OFFICE PLUMBING FEES DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATFR SOFTFNFR VENT SYSTEM ❑ FAN ❑ EVAP.COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) APPLIANCE TRANSFORMER =K•W. GARBAGE DISPOSAL FURNACE❑UNITE] WALL❑FLOOR ❑SUSPENDED OUTLETS LAUNDRY TRAY AIR HANDLING UNITI I CFM FIXTURE OR SOCKET KITCHEN SINK GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL CONST. SERV. ENTRANCE WATER CLOSET COMPRESSOR E== HP POLE LAVATORY APPLIANCE VENT AMPERES SERV. ENT. SHOWER ABSORPTION SYSTEM O B.T.U. SQ. FT.@ Q BATH TUB INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. SQ. FT.@ T. WATER HEATER HEATING SYSTEM ❑ FORCED ❑ GRAVITY SQ. FT. RESID. @ 1 4 SEWAGE DISPOSAL BOILER E== B.T.U. SQ. FT. GARAGE @ 'z ¢ HOUSE SEWER PERMIT FEE BALANCE OF MIN. FEE GAS PIPING MOBILEHOME HOOKUP FEE I$ I I I -' IPERMIT FEE I I I I PERMIT FEE I I PERMIT NUMBER I TOTAL FEESMOB. HOOK FEE HEAT B VENT FEE 10111_PL. CK. FEE CONST. FEE DBL ELEC. FEE DBL �� Fes: /^{ PLUMBING FEE DBL ELL II AC /V J F M A M J .J A S O N D JOB ADDRESS OWNER 72 1<5_ '/wJ �C F� r��v /y �' I/ /4 NA G& AI Y 73 USE O.F BUILDING F.C. DATE PE MI N 122 75 COMMUNITY DST UNITS OOMJ VALUATION SUPP. TO PERMIT OF/FIIrC'E /'� MOBILEHOME $ LEGAL DESCRIPTION HOOKUP FEE ,�f v� EY"t, ; k,1S G / .E' Y � f76 6•j�%--©ID DBL SET BACK LOT SIZE ZONE USE NO. GRP TYPE MECHANICAL FEE $ ICK13Y F S R S BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR PLAN CHECK FEE $ DBL NAME OF CONST. LENDER BRANCH OFFICE NO LE ER INVOLVVtD CONSTRUCTION FEE $ DBL ADDRESS CITY STATE ELECTRICAL FEE $ 'r OCA&I. $ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. DA% CESSATION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. Ir,WJ�e 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. 1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFI- TOTAL FEES $ 0119 CATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE•OF THE ATE OF CALIF RNIA. CASH Q//CHECKQ M.O.0 N.C.CD OWNER s as �'.i;d' �//,C'�/-rte C<.4 C=NTRACTOR Received By ADDRESS ADDRESS Sewage System T L P CITU CITY Trees Re Required 4 s No /17066C INFORMATION Srnv�%V��L �`�C PL�• • TEL, NO, .yq TEL. NO. LICENSE FORM 2 84-2 08 (REIT. 4/71or j/ -p?j?S7