214866 (CONR)BUILDING PERMIT
CONSTRUCTION ESTIMAT
1ST FL.
SQ. FT.
2ND FL.
SQ. FT. @
POR.
SQ. FT.
GAR.
SQ. FT.
CAR P.
SQ. FT.
WALL
SQ. FT.
CONST. SERV. ENTRANCE
SQ. FT. @
ESTIMATED VALUATION is
MECHANICAL FEES
DEPARTMENT OF BUILDING & SAFET
COUNTY OF RIVERSIDE
E ELECTRICAL FEES
NO. I I I I NO.
MOTOR 1 OR LESS H.P
MOTOR 5 OR LESS H.P
MOTOR 20 OR LESS H.P.
K.W. UNITS
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATFR l0P7TFNFR
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 ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE
WATER CLOSET
COMPRESSOR HP
POLE
LAVATORY
APPLIANCE VENT
AMPERES SERV. ENT.
SHOWER
ABSORPTION SYSTEM E:= B.T.U.
SQ. FT.@ Q
BATH TUB
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SQ. FT.@ It
WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SQ. FT. RESID. @I 4
SEWAGE DISPOSAL
BOILER E== B.T.U.
SQ. FT. GARAGE @ i ?
HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE
GAS PIPING
MOBILEHOME HOOKUP FEE I$ I I
I I IPERMIT FEE I
I I I PERMIT FEE
I I
`
I5
MOB HOOK FEE
HEAT 6 VENT FEE
DBL
Pl. CK. FEE
COjJ iE
DBL F�f� FEE DBL FEE
PLUAq� NG� F
DBL
J
2PERMIT�TQQf
GQQfL
75
COMMUNI,TTY/�..
7
lr)!TJ,UNITS�ROOMJVALUATION
G'
7�
JSUPP.T 4/Q�fPERMIT
Z 1
OFFICE
76
J F M A M J J A S O N D
JOB .ADDRESS _ l
t I;,:l
OOWNER/
72t�
`
73
U/,5E OF BUILDING/
51- iii -
�k,V74
4e l
PERMI NO.
2 4866
75
COMMUNI,TTY/�..
7
lr)!TJ,UNITS�ROOMJVALUATION
G'
7�
JSUPP.T 4/Q�fPERMIT
Z 1
OFFICE
76
aI� 14 �"-
V
MOBILEHOME
$
L AL DESC I TIONS p� �ry ,f
St C oo ej S - 07
HOOKUP FEE
Q/�s , !
MECHANICAL FEE
DBL
$
SET BACK
LOT SIZE
ZONEUSE
` .
NO.
GRP
TYPE
CK Y
F S
R
r
!!
PLAN CHECK FEE
$ ��
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE INS_
PECTOR
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER
BRANCH OFFICE
NO LENDER INVOLVE
(J
lt
DBL
�.
ADDRESS
CITY STATE
ELECTRICAL FEE
$
$iii
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS.
FEE
CESSATION 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 ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIF -
DBL
PLUMBING FEE
V
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 PR PARED THE NS AND SPECIFI-
CATIONS HAS DONE SO IN ACCORDANCE WITH SEC I N' O HE BUSINESS AND
TOTAL FEES $�
PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
CASH M CHECKCD M.O N.C.
O[Wy/NEER/ � �y
CONT
Received By
ADDRESS J
ADDRESS_
� W4
Sewage System T
LL.
P
/�//
°
CITY
C
lef
Trees Required
Yes
No
�-�4�
i !
INFORMATION
`/
TEL. NO.
TEL. NO. cyY LICENSE ^'�
73/50S
FORM 284-208 (REV. 4/71)VJ
,/"Y���" !