230132 (SATT)BUILDING PERMIT
CONSTRUCTION EST
,I ST FL. SQ. FT. a
2ND FL. SQ. FT. @_
POR. SQ. FT. Coo
GAR. SQ.FT. @�
DEPARTMENT OF BUILDING & SAFETY
' COUNTY OF RIVERSIDE ,
_, :, ELECTRICAL FEE-'
MOTOR I OR LESS H.P.
MOTOR 5 OR LESS H.P.
NO.
FIELD OFFICE
PLUMBING FEES osT�
CAR P. SQ. FT. @ r
WALL SQ.FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $.. 3
MOTOR 20 OR LESS H.P.
0K W. UNITS
$
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
R-1 I
M.H. HOOKUP FEE
FLOOR DRAIN
MECHANICAL FEES
COMMUNITY
OST
UNITS
WATER SOFTENER
VENT SYSTE%2R,FAN ❑EVAP. COOL ,11 HOOD
®
SIGN
O
WASHER (AUTOPISH)
APPLIANCE
La OLti11m
T ANrn , O K.W.
ORER
I
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑FLOOR ❑SUSPENDED
OUTLETS
COPIES
LAUNDRY TRAY r
AIR HANDLING UNIT I = CFM
LEGAL DESCRIPTION
FIXTURE OR SOCKET
NAME OF CONST. LENDER
KITCHEN SINK
GAS PIPE ❑NATURAL ❑ L.P.G. ❑OIL
Lot a 'r+"111
CONST. SERV. ENTRANCE
DBL
WATER CLOSET
COMPRESSOR HP
RAO
POLE
USE N0.
LAVATORY
APPLIANCE VENT
T;
AMPERES SERV. ENT.
DBL
SHOWER
ABSORPTION SYSTEM B.T.U.
SO. FT. @ Q
BATH TUB
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
CITY-
SO. FT. @ ¢
f
WATER HEATER
HEATING SYSTEM ®. FORCED ❑GRAVITY
J
'' SQ. FT. RESID. @ I ¢
,
SEWAGE DISPOSAL /
r BOILER 0 B.T.U.
THIS
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSA-
OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
SQ. FT. GARAGE @a 112¢
HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE
GAS PIPING
MOBILE HOME HOOKUP FEE Is
PLUMBING FEE
PERMIT FEE
$ -
PERMIT FEE
2 3P$ �N ^
TOTAL FEE$ ��
L
MOB HK FEE MICRO FEE
ME FEE DBL
PL CK FEET
00
CONST FE
400
DBL
ELECT. FEE
DBL
SMI�E
FEE
PLUM
J I F I M A I M I J I J I A I $ 1 O 1 N I D
JOB ADDRESS --- ..
06 I'ago a_nUi to pr,
_, _
OWNER '
=E
CORP-
737.9,
74
USE OF BUILDING
HAS DOL NE ACCORDANCEITH• SECTION 5 f SI R SSIONS
F.C.
DATE
-
PERM. NO`
75
Cond._ No.& Att/ggrame
$
001
6-4-73
R-1 I
M.H. HOOKUP FEE
$
COMMUNITY
OST
UNITS
ROOMS
VALUATION.
SUPP. TO PERMIT
5 �'
`—
La OLti11m
I1
I
I
Q5.00
MICROFILM FEE
COPIES
$
DBL
LEGAL DESCRIPTION
NAME OF CONST. LENDER
BRANCH OFFICE .NO
LENDER INVOLVED
Lot a 'r+"111
MECHANICAL FEE
DBL
$
-1
SET BACK LOT SIZE
ZONE
USE N0.
GRP
TYPE
T;
ELECTRICAL FEE
DBL
/f �y
�/ �✓
F 5 R
PLAN CHECK FEE
$
R-1 I
v
BOND AMT. PLAN NO. PLAN CHECKER.
FINAL DATE
INSPEC
5 �'
`—
11--:2AOR
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER
BRANCH OFFICE .NO
LENDER INVOLVED
g
3 nk
a4
T;
ELECTRICAL FEE
DBL
$
AD ESStea
CITY-
STATE
SMI FEE
$
�Iel
THIS
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSA-
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 AC -
CORDANCE WITH THE LAWS" OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO
PLUMBING FEE
DBL
$ -
��t
AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH
[�THIS
LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS ISA O GUARANTEED.
.I HEREBY CERTIFY THAT THE INDIVIDUAL. WHO PRED T E PL N S CI ATIONS
$
TOTAL FEES
HAS DOL NE ACCORDANCEITH• SECTION 5 f SI R SSIONS
CODEFF THEOSTAIN TE
CASH ❑ CHECK (Ar M.O. ❑ N.C. ❑
OWNER, -
CONTRACTOR
RECEIVED BY ADDRESS
SEWAGE SYSTEM T' LL P
cln
TREES REQUIRED YES NO
INFORMATION TEL. NO.
11/72)
9ft. & - -
NO. LICENSE
346-6002 225368