208311 (MECH)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFET
COUNTY OF RIVERSIDE
FIELD OFFICE
VENT SYSTEM_ ❑ FAN ❑ EVAP.COOL❑ HOOD
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
1ST FL.
2ND FL._
POR.
GAR.
CAR P.
WALL
GARBAGE DISPOSAL
SQ. FT. @
NO.
NO.
SQ. FT. LM
FIXTURE OR SOCKET
SQ. FT. @ MOTOR 1 OR LESS H.P.
GAS PIPE ❑ NATURAL Cl L.P.G. ❑ OIL
SQ. FT. @ MOTOR 5 OR LESS H.P.
WATER CLOSET
SQ! FT.'@ MOTOR 20 OR LESS H.P.
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @ '
URINAL '
OK.W.UNITS
WATER PIPING
ESTIMATED VALUATION is
INCINERATOR ❑DOMESTIC ❑ INDUS. OR COMM.
FLOOR DRAIN
'
MECHANICAL FEES
SQ. FT. RESID.. @ 1 Q
IWATFR 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 UNITI CFM
FIXTURE OR SOCKET
KITCHEN SINK
GAS PIPE ❑ NATURAL Cl L.P.G. ❑ OIL
CONST. SERV. ENTRANCE
WATER CLOSET
COMPRESSOR Q® HP
POLE
LAVATORY
APPLIANCE VENT
AMPERES SERV. ENT.
SHOWER
ABSORPTION SYSTEM O B.T.U.
SQ. FT.@ ¢
BATH TUB
INCINERATOR ❑DOMESTIC ❑ INDUS. OR COMM.
SQ. FT.@ (r
WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SQ. FT. RESID.. @ 1 Q
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 I (PERMIT FEE I I I I PERMIT FEE
PERMIT NUMBER TQTI�L FEESFEESMOB. HOOK FEE HEAT � F� DBL PL, CK. FEE CONST, FEE 111111-1 EIEC. FEE DBL FEE PLUMBING FEE JDBL
2 O8
_ ..311 _ . .u.._,///•I /q - 4GI - - - - - - �.� _ - - - 1
J F M A M J J A S O
N D
JOB ADDRESS
�0 ���
OWWNNER�
7�^'5
72
^
IGl��yr.:�l
KIP, 4.ldV7'
73
USE OF BUILDING
3 �N RA
F.C.
DATE
L� �� - �.
PER Ir
NO.
08311
74
75
Co NIITY
DST
UNITS�ROOMJVALUATIONS�Uy
t
PP. TO PERMIT
00
OFFICE
76�IJA
/'
MOBILE HOME
$
LE AL DESCRIPTION
Ah-
HOOKUP FEE
DAN A
DBL
SET BACK
LOT SIZE
ZONE
SE NO.
GRP
TYPE
MECHANICAL FEE
$
ICKEY
F -b-f s -sJR
BOND AMT.
PLAN NO.
PLAN CHECKER
FIN�ATE�x���-cINSPECTOR
PLAN CHECK FEE
$
��_Ss
�
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
1 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 ANDSPECIFI-
TDTAL FEES $ Nd
CATIONS HAS DONE ECTION 551 OF THE BUSINESS AND
'4
WIRNITH
PROFESSIONS CODE OF.
STATE OF CAL(
CASH ❑ CHECK ❑ M.O. ❑ N.C.
OWNER i
CONTRACTOR
Received By
ADDRESS ,,.�" /' f "''"�f /
ADDRE 'S
f`.'�_ - ✓/, .[ �`,
Sewage System
T
LL.
P
." , .
�__
CITY
CITY
Trees Required ,
Yes
No
INFORMATION
TEL. NO// •� �'
TEL. NO. LICENSE
FORM 284-208 (REV. 4/71) •�'r"
�..,, /,y.•' F'� /`/�J, _/