205779 (MECH)'
BUILDING PERMIT
SIGN
DEPARTMENT OF BUILDING & SAF,ET
COUNTY -OF RIVERSIDE
FIELD OFFICE
TRANSFORMER OK•W•
CONSTRUCTION ESTIMATE
- .:ELECTRICAL FEES
PLUMBING FEES
1ST FL.
2ND FL.
POR.
GAR.
CAR P.
WALL
1-F]! A tiff
T
SQ. FT. Co)
KITCHEN SINK
NO.
NO.
SQ. FT. @
COMPRESSOR O HP
SQ. FT. @ MOTOR 1 OR LESS H.P.
LAVATORY
SQ. FT. @ MOTOR 5 OR LESS H.P.
AMPERES SERV. ENT.
SQ. FT. @ MOTOR 20 OR LESS H.P.
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @ U
URINAL
]K.W.UNITS
WATER PIPING
ESTIMATED VALUATION Is
f 1
%)0
FLOOR DRAIN
HOUSE SEWER
MFCHANICAI FFFS
BALANCE OF MIN.FEE
GAS PIPING
i�Tre r
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 UNIT CFM
FIXTURE OR SOCKET
KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE
WATER CLOSET
COMPRESSOR O HP
POLE
LAVATORY
APPLIANCE VENT
AMPERES SERV. ENT.
SHOWER
ABSORPTION SYSTEM E= B.T.U.
SQ. FT.@ g
BATH TUB
INCINERATOR ❑ DOMESTIC ❑INDUS. OR COMM.
SQ. FT.@ Q.
WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SQ. FT. RESID. @ 1 2
SEWAGE DISPOSAL
BOILER E== B•T.U.
SQ. FT. GARAGE @i ¢
HOUSE SEWER
PERMIT FEE
BALANCE OF MIN.FEE
GAS PIPING
MOBILE HOME HOOKUP FEE I$ I I I I (PERMIT FEE I I I I PERMIT FEE
- PELMIT NUMaEER TOT�L FEES }v10B. HOOK FEE HEAT & VENT FEE DBL PL. CK. FEEI CONST. FEE IDBLFELEC. FEE JOBLI FEE I PLUMBING FEE I DBL '
J F M A M J J A S O
N D
JOB (ADDRESS
S 07JES4 C� t.5
O ER`s-4 r V
72
r
73
USE OF BUILDING F.C. DATE PER IT N
74
, � , � .��s_ ---,j.-� 0779
COMMUNITY DST UNITS�ROOMJVALUATION SUPP. TO PERMIT OFFICE
75
MOBILEHOME
$
LEGAL OESCJ3IPTION
JtL �y� I —rG 5
HOOKUP FEE
MECHANICAL'FEE
DBL
$
SET BACK LOT SIZE
ZONE
USE NO.
GRP
TYPE
CK BY
F r'd Iry U
PLAN CHECK FEE
$ #0
BOND AMT.
PLAN NO. PLAN CHECKER
FINAL DATE
INS TOR
=
MOM"—
r r`DBL
DBL
NAME OF CONST. LENDER
BRANCH OFFICE
NO LENDER INVOLVED
CONSTRUCTION FEE
DBL
ADDRESS
CITY
STATE
ELECTRICAL FEE
$
-
$
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 AND
PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
CASH F-1 CHECKF� M.O. Q N.C.
OWNER ,.
CONTRACTOR
Received By
ADDRESS
ADDRESS
Sewage System
T LL
CITY /+
CITY
Trees Required Yes No
INFORMATION
TEL. NO..-�•/�,
TEL. NO. LICENSE
FORM 284-208 (REV.. 4/71)
J,A-