215401 (GRES)BUILDING PERMIT
DEPARTMENT OF BUILDING & SAFET
O.
COUNTY OF RIVERSIDE
FIELD ONCE
APPLIANCE
CONSTRUCTION ESTIMATE ELECTRICAL FEES
PLUMBING FEES.
1ST FL.
2ND FL.
POR.
GAR.
CAR P.
WALL
480
SQ. FT. @
NO. NO.
FIXTURE OR SOCKET
SQ. FT. @
GAS. PIPE E] NATURAL ❑ L.P.G. ❑ OIL
SQ. FT. @ MOTOR 1 OR LESS H.P.
WATER CLOSET
SQ. FT. @ 4.25 2,040.00 MOTOR 5 OR LESS H.P.
POLE
SQ. FT. @ MOTOR 20 OR LESS H.P.
DRAINAGE PIPING
SQ. FT. -@b
DRINKING FOUNTAIN
SQ. FT. @
URINAL
OK.W.UNITS
WATER PIPING '
ESTIMATED VALUATION $
2.040.00
FLOOR DRAIN
SQ. FT. RESID. @ 1 ¢
MECHANICAL FEES
BOILER E::= B.T.U.
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP.COOL ❑ HOOD
SIGN
WASHER (AUTO) (DISH)
APPLIANCE
TRANSFORMER =K•W•
GARBAGE DISPOSAL
FURNACE❑UNITED WALL❑FLOOR ❑SUSPENDED
OUTLETS
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIXTURE OR SOCKET
KITCHEN SINK
GAS. PIPE E] 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.@ ?
BATH TUB
INCINERATOR ❑ DOMESTIC ❑INDUS. OR COMM.
SQ. FT.@ Q'.
WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SQ. FT. RESID. @ 1 ¢
SEWAGE DISPOSAL
BOILER E::= B.T.U.
SQ. FT. GARAGE @ i Q 2440
HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE
GAS PIPING
MOBILEHOME HOOKUP FEE I$ I I I (PERMIT FEE I 31•00 I PERMIT FEE I I
PERMIT NO BER TOTAL FEES MOB, HOOK FEE HEAT B VENT FEE DBLJ PL. CK. FEE CONST. FEE DBL ELEC. FEE JOBL� FEE PLUMBING FEE JDBL-
5 4 40.04 (1.50 23.00 5.40 SM .14
J F M A M J J A S O
N D
JOB ADDRESS
OWNER `
72
51_7iS Avemida Villa-
73
USE OF BUILDING
F.C.
DATE
PE211 N5
74
Detached t.0P_
01
4 01
75
COMMUNITY DST
UNITS
OONIJ VALUATION
SUPP, TO PERMIT
OFFICE
76
TA 011TWA T
29
MOBILEHOME
$
LEGAL DESCRIPTION
HOOKUPFEE
T a.R. _112 AW RAnte a #12W..-77.1-14-1-024
DBL
SET BACK
LOT SIZE ZONE
USE NO. GRP
TYPE
MECHANICAL FEE
$
ICKBY
F yn S R 9jj
In
BOND AMT.
PLAN NO.
PLAN CHECKER
IN
ECTOR
PLAN CHECK FEE
$4
54
�Uu��
DBL
NAME OF CONST. LENDER
BRANCH OFFICE
NO LENDER INVOLVED
CONSTRUCTION FEE
T3
00
•
ValleyCoachella
DBL
ADDRESS
CITY STATE
ELECTRICAL FEE
$
S 40
r -Al i f
$
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 -
OBL
PLUMBING FEE
ORNIA. (.,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
40t84
PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
CASH ❑ CHECK J1 M.O. ❑ N.C. ❑
OWNER
T
CONTRACTOR
i
Received By
ADDRESS
ADDRESS -
Sewage System
T
LL
P
^ 171-11 /
-
CITY
CITY L
Trees Required
Yes
No
�/
L-2, � •
INFORMATION
TEL. NO.
TEL. NO. LIC NS/E t
�
FORM 284-208 (REV. 4/71)
,�/'L, •'�.,�'(y/-.,��C.? f
A
-
„
i
,
""
i