215835 (SATT)BUILDING PERMIT
DEPARTMENT OF BUILDING & SAFET
0 COUNTY OF RIVERSIDE
SIGN
FIELD OFFICE
WASHER(AUTCSOISH)
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
3
PLUMBING FEES
1ST FL.
2ND FL.
POR.
GAR.
CAR P.
WALL
3
SQ. FT. @ •
!
•CIO NO.
NO.
PLUMBING FEE
SQ. FT. @
215835
SQ. FT. @ • 1032- MOTOR 1 OR LESS H.P.
• • MOTOR 5 OR LESS H.P.
SQ. FT. @50
li
SQ. FT. @ MOTOR 20 OR LESS H.P.
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
OK.W.UNITS 1
I
WATER PIPING 150
ESTIMATED VALUATION is
FLOOR DRAIN
6 00
MECHANICAL FEES
JIMMA&RAMI
I
SUPP. TO PERMIT
lwa-rpm CPIGTGMG47
VENT SYSTEMX FAN ❑ EVAP. COOL ❑ HOOD
9
SIGN
1
WASHER(AUTCSOISH)
00
APPLIANCE pmr
3
TRANSFORMER =K•W•
1
GARBAGE DISPOSAL
1
FURNACE❑UNIT ❑WALL❑FLOOR ❑SUSPENDED'
DBL
OUTLETS
PLUMBING FEE
LAUNDRY TRAY
215835
AIR HANDLING UNITI CFM
FIXTURE OR SOCKET
1
KITCHEN SINK
1
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE
WATER CLOSET'
39.00
COMPRESSOR HP
POLE
LAVATORY
6 00
APPLIANCE VENT
OOM
AMPERES SERV. ENT, 1
SUPP. TO PERMIT
SHOWER
3-00
ABSORPTION SYSTEM � B.T.U.
lk Win+-&
SQ. FT.!� (r
I 1
BATH TUB
1 50
INCINERATOR ❑ DOMESTIC ❑INDUS. OR COMM.
r
SQ. FT.`S 4.
WATER HEATER
HEATING SYSTEM FORCED ❑GRAVITY
HOOKUP FEE
SQ. FT. RESID. '._ 1 Q 2
SEWAGE DISPOSAL
-10-00
BOILER B.T.U.
DBL
SQ. FT. GARAGE @ '' c 2
0
HOUSE SEWER
LOT SIZE
PERMIT FEE
31001
BALANCE OF MIN. FEE
1
GAS PIPING
150
MOBILEHOME HOOKUP FEE I$ I I
I I (PERMIT FEE 13
PID 11
I PERMIT FEE
I 2100
PERMIT NUMBEROTAL
T FEES
MOB. HOOK FEE
HEAT 14 VENT FEE
DBL
PL, CK, FEE CONST, FEE
DBL
ELEC. FEE
DBL
FEE
PLUMBING FEE
DBL
215835
277.62
/�
8
31.00
5
58.25 116.50
30.1,0
&U 2.46
39.00
75
COMMUNITY
IDST
UNITS
OOM
VALUATION
SUPP. TO PERMIT
OFFICE
76
L
lk Win+-&
J F M A M J J A S O
N D
JOB ADDRESS
OWNER
72
77466 LAW I. WINTA DR.
MXFS COW.
73
USE OF BUILDINGF.C.
DATE
PE21T N5
74
-Gond. Didg. 0,47,r. GA
10-10-72
/�
8
3
5
fA"
75
COMMUNITY
IDST
UNITS
OOM
VALUATION
SUPP. TO PERMIT
OFFICE
76
L
lk Win+-&
I 1
35#319,
I
r
MOBILEHOME
$
_T
LEGAL DESCRIPTION
HOOKUP FEE
DBL
SEfT BACK
LOT SIZE
ZONE
USE NO.
GRP
TYPE
CK BY
MECHANICAL FEE
$
F S R
31.
00
AN NO.
PLAN CHECKER
FINAL DATE 1
PECTOR
PLAN CHECK FEE
$
7�7
_//
58
2
7 73
DBL
NAME OF CONST. LENDER
BRANCH OFFICE NO LENDER INVOLVED
CONSTRUCTION FEE$
116
DBL
CI J 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
2
1 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
ORNIA. I ALSO AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES.
COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS
39 00
IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS ANDS ECIFI-
TOTAL FEES $
CATIONS HAS DONE SO IN ACCORDANCE WITH SECT� 5541 OF THFf B NE AND
277 161
PROFESSIONS CODE OF THE STATE OF CALIFORNIA. __;7 ''C r i t
CASH F__l CHECK ®/ M.O. ❑ N.C. 0
OWNER
CONTRACTOR l
Received By
ADDRESS
001fta F. Whitiot., r.
.
Sewage System
T LL P
CITY
Trees Required Yes No
Unit2i INFORMATION
YnY4 �
TEL. NO.bft6%3WbLICENSE
FORM 284-208 (REV. 4/71 )'t V