238486 (SFD)BUILDING PERMIT
DEPARTMENT OF BUILDING & SAFETY
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
COUNTY OF RIVERSIDE
VENT SYSTEM ❑ FAN ❑EVAP. COOL IJ&HOOD
CONSTRUCTION EST.IMATEri _
ELECZRICAL FEES„.,,,,
I ST FL.
P
SQ. FT.""
AIR HANDLING UNIT CFM
NO.
2Nd FL.
CONST. SERV. ENTRANCE WATER CLOSET V
SQ. FT.
POLE LAVATORY
APPLIANCE VENT
POR.
SQ. FT.
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
MOTOR I OR LESS H.P.
GAR.
52 '
SQ.FT.
@ �"�
0_9 MOTOR 5 OR LESS H.P.
FIELD OFFICE
PLUMBING FEES DST
NO. !I
CAR P. SQ. FT. @
WALL SQ.FT. @a
SQ. FT. @a
ESTIMATED CONSTRUCTION VALUATION $ '
MOTOR 20 OR LESS H.P. DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
D 0 K W. UNTS WATER PIPING / Z
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑EVAP. COOL IJ&HOOD
ty SIGN WASHER (AUTO H) v
APPLIANCE
Q FORMER O K.W. GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑FLO R ❑SUSPENDED
OUTLETS LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIXTURE OR SOCKET KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. 0011.
CONST. SERV. ENTRANCE WATER CLOSET V
COMPRESSOR HP
POLE LAVATORY
APPLIANCE VENT
AMPERES SERV. ENT.IJ SHOWER
ABSORPTION SYSTEM _j B.T.U.
SQ. FT. @ Q BATH TUB 5
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SQ. FT. @ 4 % WATER HEATER
k
HEATING SYSTEM KFORCED ❑GRAVITY
V -"SO. FT. RESID.@SEWAGE DISPOSAL � 9
BOILER 0 B.T.U.
SQ. FT. GARAGE @,/24 HOUSE SEWER
PERMIT FEE
1,3 100 BALANCE OF MIN. FEE GAS PIPING
MOBILE HOME HOOKUP FEE Is
PERMIT FEE PERMIT FEE
1 �N
3P
2 3PUB 6,
T
TOTAL FE S d
yam'
MOB. HK. FEE MICRO FEE
MECH. FEES
-08L.
L. CKrFEE
CONST. FEE
DBL.
ELECT. FEE DBL.
SMI FE FEE
�
PLUMB. FEE
� 40 1�
DBL.
J I F I M A I M I J I J A 1 5 1 O 1 N D
JOB ADDRESS
_A
OWNS
73
74
USE OF BUILDIN QJ �/
T 77 7 �'
F.C.
t%�
DATE
�� " / fs ' 7238486
PERMIT NO
75
M.H. HOOKUP FEE
$
C161MMUNITY
DST/
i
UNITS
t
ROOMS
VALUATION
i sL..
SUPP. TO PERMIT
OFFICE
.�
MICROFILM FEE
COPIES
$
LEGAL DESCRIPTION
M. '�
MECHANICAL FEE
DBL
$
Q
U
SET BACK
LOT SIZE ZONE
, .
USE NO.
GRP
TYPE
CK BY
S.,
PLAN CHECK FEE
$
1311
CIO
BOND AMT.
PLAN NO.
1
PLAN CHECKER
I FINAL D TE INSPECT
/
7 -
qR
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE .NO
LENDER INV LVED ,
�r
ELECTRICAL FEE
DBL
$
9
e '
ADDRESS CITY
STATE
,
SMI FEE
$
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSA-
TION 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 AC- k
CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO
AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH
THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
1 HEREBY CERTIFYINDIVIDUAL 1 RED jPLANS ANANSPPCIFI EATIONS
HAS DONE OINACCORDANCE WITH SECTION 554 SSIOfji�
CODE OF THE STATE OF CALIFORNIA. O
FEE
$
PLUMBING FEE
DBL
$
fl
d
$
TOTAL FEES'
11 y--
CASH ❑ CHECK Le` M.O. ❑ " N.C. ❑
OWNER.
q
CONTO �!
a ?
RECEIVED BY1
fADDRESS
ADDRESS X
1d
SEWAGE SYSTEM T
lraz>
LL
�*
PpJ€ %"I
TREES REQUIRED
YES
NO
CITY
CITY
f
INFORMATION
FORM 284-208 (Rev. 11/721
TEL. NO.
-TEL. NO. LICENSE �.