206532 (MECH)BUILDING PERMIT DEPARTMENT OF°BUILIDMG & SAFET
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
1ST FL.
SQ. FT.
2ND FL.
SQ. FT. @
POR.
SQ. FT. @
GAR.
SQ. FT. @
CAR P.
SQ. FT. @
WALL
SQ. 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.
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
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 HP
POLE
LAVATORY
APPLIANCE VENT
AMPERES SERV. ENT.
SHOWER
ABSORPTION SYSTEM B.T.U.
SQ. FT.@ ¢
BATH TUB
INCINERATOR ❑ DOMESTIC ❑INDUS. OR COMM.
SQ. FT.@ q
WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SQ. FT. RESID. @ 1 q
SEWAGE DISPOSAL
BOILER E::= B.T.U.
SQ. FT. GAR AGE @ z q
HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE
GAS PIPING
MOBILEHOME HOOKUP FEE
J F M A M J J A S O
N D
JOB ADDRESS �^
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72
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73
USE PF BUILDING
F.C.
DATE
PE MI
NO.
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3Oc
3` %- iz
6532
7a�i�J,�
75
COMMUNI��TTnY EEryry
DST
UNITS
OOM
VA/LUATION
SUPP. TO PERMIT
OFFICE
76
MOBILEHOME
$
Lam, L DESCR PTION ^/
-�
_.1C_ 29 4e � ,
HOOKUP FEE
g/ d9�
MECHANICAL FEE
DBL
$
SET BACK
LOT SIZE
ZO%E
USE NO.
GRP
TYPE
CK,BY�p
F IS U R /j,?
BOND AMT.
PLAN NO.
PLAN CHECKER
FIN T ,^, ll INSPECTOR
PLAN CHECK FEE
$
�Z A
y,L�r,- a
f�
3 `�1141(�IzLtll_f
.
`?l
DBL
NAME OF CONST. LENDER
BRANCH OFFICE
NO LENDER INVOLVED
CONSTRUCTION FEE
i -
DBL
j
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-
TDBL
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 0 CHECK[] M.O. Q N.C.
OWNER
CONTRACTOR
Received By /y% IL"',ADDRESS
�f
ADDRESS
Sewage System
T
LL
P
CITY ��
CITY
Trees Required
Yes
No
t
INFORMATION
TEL. NO.
LICENSE
FORM 264-20e (REV. 4/71)