206117 (SFD)BUILDING PERMIT
0 DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE.
FIELD OFFICE t
F
CONSTRUCTION ESTIMATE-
ELECTRICAL FEES PLUMBING FEES
1ST FL. 10,15
SQ. FT. @- 13.40 .13
601. 00 NO. NO.,
SQ. FT. @
2ND FL. '
SQ. FT. P-, 2 0
537.50 MOTOR 1 OR LESS H.P.
POR. 115
SQ. FTP
MOTOR 5 OR LESS H.P.
GAR.
SQ. FT. @
MOTOR 20 OR LESS H:P: DRAINAGE PIPING
CAR P,.: G'
SQ. FT. @
DRINKING FOUNTAIN
WALL
SQ. FT..9
URINAL
OK.W.UNITS 1_ WATER PIPING .SO
ESTIMATED VALUATION $ 15'.952.00 FLOOR DRAIN
MECHANICAL FEES'
WATER SOFTENER
VENT SYSTEM '❑-FAN ❑ EVAP.COOL EXHOOD3
OQ SIGN WASHER(AUTO)(DISH)
APPLIANCE..Dryer
Roo TRANSFORMER OK•W• GARBAGE* DISPOSAL
FURNACE❑UNIT❑WALL❑FLOOR❑SUSPENDED'
OUTLETS LAUNDRY TRAY
AIR HANDLING UNITI CFM
FIXTURE OR SOCKET KITCHEN SINK C.
GAS PIPE E] NATURAL. ❑ L.P.G. C:) OIL
CONST. SERV. ENTRANCE WATER CLOSET
COMPRESSOR a HPI
4,00 POLE - L'AVATORY nnS
APPLIANCE VENT
AMPERES SERV. ENT.! �O t SHOWER +
ABSORPTION SYSTEM �, B.T.U.
SQ. FT. @ Q BATH TUB �.
INCINERATOR [:]DOMESTIC ❑INDUS. OR COMM:
SQ. FT.@ It; WATER HEATER
HEATING SYSTEM FORCED ❑ GRAVITY
fl SQ. FT. RESID. @ 1 T,SEWAGE DISPOSAL D
BOILER 0 B.T.U.
SQ. FT. GAR AGE@ -2 Q HOUSE SEWER
PERMIT, FEE
3 �O BALANCE OFMIN.FEE GAS.'PIPING
MOBILEHOME HOOKUP FEE$
PERMIT FEE PERMIT FEE
PERMIT NUMBER
0 611
TOTAL FEES
M08. HOOK FEE
HEAT 6 VENT FEE
JDBL
Pl. CK. FEE
CONST. FEE
`00
DBL .EL EC. FEE
DBL
�p('EE PL UM BINGy FEE
�j°iRj
I'
OBl
Zss. 9
.
T 7.Oa
31. o0
62.
17.
1. 30. �®
J F I M I A M J JA S O
N D
JOB ADDRESS
OWNER i
72
sa '17111 A
'fAI A4 CID TUr
73
USE PIT BUILDING _ •..
F.C.DATE
.PER IT
No
0
;
611 ?.
74
a a�
7rj
COMMUNITY
D T
UNITS
OOMJ
VALUATION
SUPP.'TO PERMIT
OFFICE
76
j
I
MOBILE.HOME
$ -
L E GAL DfiTSCRIPTI O N
HOOKUP. FEE.
m: _
i'lSET
- -
DBL
-
BACK
L T SIZE.
ZONE
USE NO.
- GRP
TYPE.
BY `+
MECHANICAL FEE
$l-,
-CK
F S • Rt
-
'
BOND AMT.
PLAN NO.
PLAN CHECKER -
FINAL DATE ..
INSPE TOR -
PLAN CHECK FEE
$
"
DBL
-
NAME OF CONST. LENDER
BRANCH OFFICE
NO LENDER INVOLVED
CONSTRUCTION FEE
•TiOitQ
019
DBL
-
ADDRESS -
CITU
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.
sm 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 OP.CALIF-
ORNIA. I.ALSO AGREE TO CARRY COMPENSATION INSURANCE UPON' MY EMPLOYEES.
PLUMBING FEE
OBL.
COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA -COVERING CONTRACTORS c
30,
00
IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL'WHO PREPARE.Q THEPLANS AND `SPECIFI-
TOTAL FEES $
.
CATIONS HAS DONE SO, IN -ACCORDANCE WITH SECTIO 1 TF1`E •BUSIN S AN
'15R
92
PROFESSIONS CODE OF THE STATE OF CALIFORNIA. yr
CASH F-1 CHECK Cj M.O: �. N.C. 0
OWNER
CONTR` ,C
Received By IADDRESS
-
ADD ESS
vtNrq Ci�N.t`fA': Gds .
SAO- u/
Sewage System
T LL,
P ..
,LS
.. -
CITY -
CITIr•
Trees Required Yes
No
INFORMATION
PIn- I
TEL. NO.
TEL. NO. LICENSE
FORM284-208 (REV. 4/71)
"
3