206120 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETO
E COUNTY OF RIVERSIDE " ~?
" CONSTRUCTION ESTIMATE ELECTRICAL FEES
1ST'FL. SQ. FT. @ : + NO. NO.
2ND FL. SQ. FT. @
POR. 208 SQ. FT. @ �• 00 MOTOR 1 OR LESS H.P.
GAR. SQ. FT. Co) MOTOR 5 OR LESS H.P.
FIELD OFFICE
T.
PLUMBING FEES
CAR P. Z SQ. FT. @ Z•5 537.i0 MOTOR 20 OR LESS H.P. DRAINAGE PIPING
WALL SQ. FT. @ DRINKING FOUNTAIN
SQ. FT. Ca URINAL
_ OK.W.UNITS WATER PIPING, 1.30
ESTIMATED VALUATION is AS s L ! so FLOOR DRAIN
MECHANICAL FEES I I WATER SOFTENER
VENT SYSTEM ❑FAN ❑ EVAP. COOL L4EHOOD
5.0
SIGN
I PERMIT FEE
I
WASHER (AUTO)($aiSH)
3 00
APPLIANCE =
3
TRANSFORMER =K.W.
PL. CK. FEE
g
GARBAGE DISPOSAL
1.50
FEE
FURNACE❑UNIT ❑WALL❑FLOOR ❑SUSPENDED
DBL
OUTLETS
MO
LAUNDRY TRAY
3T-14-72
162.46
I
AIR HANDLING UNIT CFM
19.00
FIXTURE OR SOCKET
31.00
l
KITCHEN SINK
1.50
F 1, 06
GAS PIPE ❑ NATURAL ❑ L.P.G. Cl OIL
CONST. SERV. ENTRANCE
OFFICE
2
WATER CLOSET
3.00
COMPRESSOR 0 HP
4 oc
POLE
2
LAVATORY,
3.00
$
APPLIANCE VENT
LEGAL DESCRIPTION
AMPERES SERV. ENT.
2.00
SHOWER
Lot 17 B1-12(} Santa Cormlits #12 - PC" -773-183-009
ABSORPTION SYSTEM B.T.U.
SQ. FT.@ ¢
SET BACK
2
BATH TUB
300
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SQ. FT.@ It:
I
WATER HEATER
!
n
HEATING SYSTEM [I. FORCED ❑ GRAVITY
QG
SQ. FT. RESID. @ 1 ¢
3. 3
1
SEWAGE DISPOSAL
in
BOILER � B.T.U.
SQ. FT. GAR AGE @ i ¢
05
PLAN CHECKER
HOUSE SEWER
INSPEC OR
. PLAN CHECK FEE
PERMIT FEE
3 •�
BALANCE OF MIN, FEE
I
GAS PIPING
MOBILEHOME HOOKUP FEE I$ I I
I I (PERMIT FEE I
5.00I
I PERMIT FEE
I 2100
PERMIT NUMBER
TOTAL FEES
MOB. HOOK FEE
HEAT B VENT FEE
DBL
PL. CK. FEE
CON5T. FEE
DBL ELEC. FEE
FEE
PLUMBING FEE
DBL
74
MO
19D
3T-14-72
162.46
I
I
19.00
O
31.00
61.00
29.44
JDBL
F 1, 06
30.00
J F M I A M J J A S O
N D
JOB ADDRESS
OWNER
72
51.910 Ave. Villa
Homt.ain Mirage.
73
USE OF BUILDING
F.C.
DATEPEg
■■GGjj
A
•G'
74
Dwg.& Att.CAP & Gar.
19D
3T-14-72
61
O
75
COMMUNITY
DSTUNITS�OOMJVALUATION
SUPP. TO PERMIT
OFFICE
76
La pinta11T
1. i
F
MOBILEHOME
$
LEGAL DESCRIPTION
HOOKUP FEE
Lot 17 B1-12(} Santa Cormlits #12 - PC" -773-183-009
DBL
SET BACK
LOT SIZE ZONE USE NO.
GRP TYPE
MECHANICAL FEE
$
ICKBY
F 20 s 5-10 :25
-1
BOND AMT. PLAN NO.
PLAN CHECKER
FINAL DATE
INSPEC OR
. PLAN CHECK FEE
$
I
DBL
v
NAME OF CONST. LENDER
BRANCH OF ICE
NO LENDER INVOL ED
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
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
ORNIA. I ALSO AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES.
COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS
11f):
nit
IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPAA$ D THE PLANS AN SPECIFI-
TOTAL FEES $
CATIONS HAS DONE' SO IN ACCORDANCE WITH SECT( OF THE BU rV ss NO
'1.62
1"PROFESSIONS
CODE OF THE STATE OF'CALIFORNIA. 10
CASH F� CHECK 1pxlM.O. ED' N.C. O
OWNER
CONT T,
A-
f
Received By
ADDRESS
ADDR k�M4A Cf!U! NTdI
Sewage System
I
P,,
TI&L
LL
CITY -
CITU
.4 A-5 4 NGb ��s� CAZ
Trees.Required
Yes
No
INFORMATION
51�n 4�
P
TEL. NO.
TEL. NO. LICENSE
FORM 284-208 (REV. 4/71) 8�`�i.
(•� �•�
ILT1.?^ 5P- 7-�,/ L �VV