230119 (SATT)BUILDING PERMIT
,1
CONSTRUCTION EST
ST FL.
�^ r
SQ. FT.
@�
2ND FL.
WATER PIPING
SQ. FT.
@_
POR.
OUTLETS
SQ. FT.
[
GAR.
Q d
SQ.FT.
@0
CAR P.
dQ
SQ. FT.
@_
WALL
AMPERES SERV. ENT.
SQ.FT.
@_
SO. FT, @° Q
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SQ. FT.
@_
ESTIMATED CONSTRUCTION VALUATION
NOTE: Not to be used as property tax valuation
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE 19
ELECTRICAL, FEES,,
V NO.
d V MOTOR I OR LESS H.P.
MOTOR 5 OR LESS H.P.
MOTOR 20 OR LESS H.P.
.'�4- 1G/�,0 K.W. UNITS
MECHANICAL FEES
DRAINAGE PIPING
VENTSYSTEhA^FAN ❑EVAP.000L 4IHOOD
010
SIGN
APPLIANCEGfo
WATER PIPING
FORMER K W
FURNACE ❑ UNIT ❑ WALL ❑FLOOR Q USPENDED
ZONE
OUTLETS
AIR HANDLING UNIT CFM
WASHER (AUTCF(DISH)
FIXTURE OR SOCKET
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE
_ COMPRESSOR HP
dQ
POLE
APPLIANCE VENT
L
AMPERES SERV. ENT.
ABSORPTION SYSTEM j B.T.U.
SHOWER
SO. FT, @° Q
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SQ. FT. @ Q
_ HEATING SYSTEM.,® FORCED ❑ GRAVITY
SEWAGE DISPOSAL
SO. FT. RESID. @aI Q
BOILER 0 B.T.U.
.d
SQ. FT. GARAGE @1�2Q
PERMIT FEE
0
BALANCE OF MIN. FEE
MOBILE HOME HOOKUP FEE Is I
PERMIT FEE
a IT NO.
2 V ��
TOTAL FEES
/ i
MOB. HK. FEE MIC�FEEMECH.
FEE F'DBL.
Tfai
PL. CK. F•E.ECONST. FEE
amu.
..
• J I F I M I A I M I J I J A 1 S 1 O 1 N D
JOB ADDRESS
o LaW:Lnta Dr.
73
74U
SE OF BUILDING
77-77r
75
M.H. HOOKUPFEE
$
COMMUNITY
DBL
ST
NITS
I OWNER
FIELD OFFICE
PLUMBING FEES. os
FEES� DBL.
Ste;"
DRAINAGE PIPING
DRINKING FOUNTAIN
= `
URINAL
DBL
WATER PIPING
FLOOR DRAIN
ZONE
WATER SOFTENER
GRP
WASHER (AUTCF(DISH)
CK BY
GARBAGE DISPOSAL
LAUNDRY TRAY
Ir
KITCHEN SINK
w
WATER CLOSET
L
LAVATORY
SHOWER
BATH TUB
WATER HEATER
NO. - PLAN CHECKER
SEWAGE DISPOSAL
INSP CTOR
HOUSE SEWER
.d
GAS PIPING
PERMIT FEE
FEES� DBL.
Ste;"
= `
MECHANICAL FEE
DBL
$
BACK LOT SIZE
ZONE
USE NO.
GRP
TYPE
CK BY
40
.SET
F S, n - R
w
+
PLAN CHECK FEE
$
BOND AMT.
NO. - PLAN CHECKER
FINAL DATE
INSP CTOR
]PLAN
T
'
CONSTRUCTION FEE
DBL
$�
NAME OF CONST. LENDER
BRANCH OFFICE . .NO
LENDER INVOLVED }i .
O.�
ELECTRICAL FEE
DBL
$
/t
4�
C/�
AD _
CITY
STATE
`
SMI FEE
$
l
THIS PERMIT SHALL BECOME VOID IF WORK IMOT'CO EfaC D WITHIN 60 €SSA -
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
PLUMBLNG FEE.
DBL
$ '.
9),
0
AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH
THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
1 HEREBY CERTIFY THAT THE -INDIVIDUAL WHO PREPARED THE PLA SPEC_ FICATIONS
'
$
TOTAL FEES
�s
Z 7
♦
HAS DONE SO IN ACCORDANCE WITH SECTION 55 FpIE BUrID FESSIONS
,/
fCODF
OF THE STATE'OF CALIFORNIA. =
CASH ❑ CHECK Q� , M.O. ❑ ' N.C. ❑
OWNER,
CONTRACTOR - `
RECEIVED BY'-'
`
ADDRESS
-�
AD S
SEWAGE SYSTEM L LL P
CITY
CITY -
TREES REQUIRED YES
NO
alak Desert
INFORMATION
TEL. NO.
TEL. NO. LICENSE
346-6002 225'_Ui `