230116 (SATT)BUILDING PERMIT
,�....
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
ELECTRICAL FEES,,
9P/ -q/ NO.
MOTOR I OR LESS H.P.
MOTOR 5 OR LESS H.P.
MOTOR 20 OR LESS H.P.
K.W. UNITS
FIELD -OFFICE
PLUMBING FEES. .,I. DST.
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
CONSTRUCTION EST.IMA,
1 ST. FL.
SQ. FT. @
'21\ID FL.
SQ. FT. @
P,OR.
SQ. FT.
GAR.
SQ.FT. @
CAR P.
SQ. FT. @_
WALL
SQ.FT. @_
SQ. FT. @—
ESTIMATED
CONSTRUCTION VALUATION
NOTE: Not to be used as property tax valuation
LAUNDRY TRAY
AAr-rWAr\nrAI FFP
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
ELECTRICAL FEES,,
9P/ -q/ NO.
MOTOR I OR LESS H.P.
MOTOR 5 OR LESS H.P.
MOTOR 20 OR LESS H.P.
K.W. UNITS
FIELD -OFFICE
PLUMBING FEES. .,I. DST.
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
MOBILE HOME HOOKUP FEE is I . 1 1 .I I PtRM11 Ftt I -VI pa er 1 i I PERMIT FEE 1 -7 Li, 'n
VENTSYSTEWSFAN ❑EVAP. COOL BHOOD
`goo
SIGN
MECH. FEE
WASHER (AUTO DISH)
0
� ONST. FEE
APPLIANCE I;
G�
F0RIAER 0. K.W.
FEE PLUMB. FEE DBL.
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑FLOOR ISUSPENDED
ja
OUTLETS
LAUNDRY TRAY
AIR HANDLING UNIT I CFM
FIXTURE OR SOCKET
JOB ADORES A' __
l;.s TEs8 iaQninta D .
KITCHEN SINK
73
74
GAS PIPE ❑ NATURAL ❑ L.P.G. O OIL
F. C.
CONST. SERV. ENTRANCE
PERM N 1
Q
WATER CLOSET
<C
_
COMPRESSOR HP
XO o
POLE
iy
LAVATORY
M.H. HOOKUP FEE
APPLIANCE VENT
AMPERES SERV. ENT.
UNITS
SHOWER
VALUATIONSUPP.
TO PERMIT
ABSORPTION SYSTEM 0 B.T.U.
SO. FT. @ 4
BATH TUB
'
€tui s 1
a
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SQ. FT. @
/
WATER HEATER
S
COPIES
HEATING SYSTEM •g FORCED ❑ GRAVITY
00
— SO. FT. RESID. @I
�S
SEWAGE DISPOSAL
09 a 69
BOILER 0 B.T.U.
MECHANICAL FEE
SO. FT. GARAGE @/24
"�
HOUSE SEWER
SET BACK LOT SIZE
ZONE
PERMIT FEE
GRP
BALANCE OF MIN. FEE
I
GAS PIPING
MOBILE HOME HOOKUP FEE is I . 1 1 .I I PtRM11 Ftt I -VI pa er 1 i I PERMIT FEE 1 -7 Li, 'n
P N
TOTAL FEES
MOB. HK. FEE MICRO FEE
MECH. FEE
DBL.
PL. CK. FEE
� ONST. FEE
DBL. ELECT. FEE DBL.
SMI FEE
-
FEE PLUMB. FEE DBL.
ja
J I F I M A I M I J I J I A I S 1 O N D
JOB ADORES A' __
l;.s TEs8 iaQninta D .
OWNER
EU IS CORP
73
74
USE OF BUILDING
F. C.
DATE-
PERM N 1
Q
'
75
ond. Att ara a
001
6-4-73
I .�
M.H. HOOKUP FEE
$
COMMUNITY DST
UNITS
ROOMS
VALUATIONSUPP.
TO PERMIT
OFFICE
€tui s 1
a
I
!
35 149 100RI
Z
MICROFILM'FEE
COPIES
$
LEGAL DESCTION
MECHANICAL FEE
DBL
$ -
SET BACK LOT SIZE
ZONE
USE NO.
GRP
TYPE
Y
sry�
G7 10
F 5 R
a
`'10
..
L:Inim
PLAN CHECK FEE
$
BOND AMT.
PLAN NO. - PLAN CHECKER
FINAL DATE INSP
CTOR
' a2
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER' BRANCH
OFFICE. .NO
LENDER INVOLVED
` .
ELECTRICAL FEE
DBL
$
�IV
3.
A+0 M. �x . .. CITY
STATE
a'
SMI FEE
$
THIS PERMIT SHALL BECOME VOID IF WORK 15•NOMMENCED WITHIN b MAi .*CESSA-
TION 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
$
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 ND SPE FICATIONS
$ .
TOTAL FEES .
,.
HAS DONE OIN CORD WITH SECTION 554 FB�SIj�IiID FESSIONS
TSOF�''+vI
CODE OF THE TATE CALIFORNIA.ORNIA.
❑ CHECK ®' M.O. 0' N.C. ❑.
OWNER.
CONTRACTORCASH
RECEIVED BY
ADDRESS
ADDFIfSS
SEWAGE SYSTEM T
LL -
P
CITY -
CITV: .
TREES REQUIRED
YES
NO
-Palm Desert
INFORMATION
TEL. NO.
TEL. NO. - LICENSE
ORM 284-2081Rev. 11/72)
' ,� 225360.