215666 (SATT)BUILDING PERMIT
DEPARTMENT OF BUILDING & SAFET
COUNTY OF RIVERSIDE
FIELD OFFICE
VENT SYSTE 6 FAN C3 EVAP. COOL HOOD.J
CONSTRUCTION ESTIMA
ELECTRICAL FEES
PLUMBING FEES T
1ST FL.
2ND FL.
POR.
GAR.
CAR P.
WALL
�y
C7
Q
SQ. FT. @�
NO.
NO.
SQ. FT. @ O�
FSE' -j
SQ. FT. @ MOTOR 1 OR LESS H, P.
73
74
J
SQ. FT. @ d MOTOR 5 OR LESS H.P.
Y /I! irzi
SQ. FT. @ MOTOR 20 OR LESS H.P.
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
OK.W.UNITS
WATER PIPING %
dWATER
ESTIMATED VALUATION is
If
FLOOR DRAIN
1
MECHANICAL FEES -
GAS PIPE ❑NATURAL ❑ L.P.G. ❑ OIL
Cr1FTFMpl7
VENT SYSTE 6 FAN C3 EVAP. COOL HOOD.J
GO
SIGN
1-1-110 19
WASHER (AUTO ISH)
TOTAL MOB. HOOTS FEE
MEAT 8 VENT _FEE
APPLIANCE Y+ a
10
TRANSFORMER OK.W.
FSE' -j
GARBAGE DISPOSAL
73
74
P
FURNACE❑UNITE] WALL❑FLOOR ❑SUSPENDED
215666
OUTLETS
PERMIT NO.
215666
LAUNDRY TRAY
�
� o . ro�7
AIR HANDLING UNIT CFM
(!
FIXTURE OR SOCKET
75
KITCHEN SINK
%
GAS PIPE ❑NATURAL ❑ L.P.G. ❑ OIL
OOM
CONST. SERV. ENTRANCE
SUPP. T=
WATER CLOSET
76
COMPRESSOR HP
V
POLE
LAVATORY
1
10a
APPLIANCE VENT
AMPERES SERV. ENT.
��
SHOWER
HOOKUP FEE
(j Q
ABSORPTION SYSTEM E:= B.T.U.
SQ. FT. @ q
MECHANICAL FEE
BATH TUB
$
INCINERATOR ❑ DOMESTIC ❑INDUS. OR COMM.
LOT SIZE
SQ. FT.@ (r
USE NO.
WATER HEATER
`
CK BY
HEATING SYSTEM.2 FORCED ❑ GRAVITY
U
SQ. FT. RESID. @ 1 Q
S
SEWAGE DISPOSAL
,
BOILER E== B.T.U.
4�
J�
I Va.,/03
SQ. FT. GARAGE @ z q
I
HOUSE SEWER
PERMIT FEE
rJI
BALANCE OF MIN. FEE
GAS PIPING
MOBILEHOME HOOKUP FEE I$ I I I I / IPERMIT FEE I,0IvsV
/
I PERMIT FEE
1-1-110 19
PERMIT NUMBER
TOTAL MOB. HOOTS FEE
MEAT 8 VENT _FEE
DBL
PL.�Fj
DBL
FSE' -j
DBl2"7
73
74
P
DBL
215666
DATE
PERMIT NO.
215666
�
� o . ro�7
"Y
(!
75
COMMUNITY JDST
I UNIT
J F M A M J J I A S O
N D
JOB ADDRESS -
OWNERf
72
"�
vl�
G"G
c r✓is�
/ P , Y
73
74
USE OF BUILDING
/
F.C.
DATE
PERMIT NO.
215666
� o . ro�7
"Y
75
COMMUNITY JDST
I UNIT
OOM
VALUATION
SUPP. T=
OFFICE
76
J t/lH /C�
T
/
400 z^ 419
1
10a
MOBILEHOME
$
LEGAL DESCRIPTION
-
HOOKUP FEE
4- a __/ �` y
MECHANICAL FEE
DBL
$
SET BACK
LOT SIZE
ZONE
USE NO.
GRP
TYPE
CK BY
V s 99 R/p
f
00
,
J�
I Va.,/03
I
f
PLAN CHECK FEE
$
BOND AMT.
I PLAN NO.
PLAN CHECKER
FINAL DATE INSPECTOR
�..,ylr
� �
� ,.�
_
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER
BRANCH OFFICE
NO LENDER INVOLVED
1�
uca
,.w�
ELECTRICAL FEE
DBL
$
r �
ADDRESS
CITY STATE
t
!%
7
$
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS.
"]
�/
CESSATIONIHEREBYO
WORK FORIAOLLDWORKFIN
OAGREE 'THIS
FEE
'Ov
THATF CONNECTION WITH PERMIT WILLOBE 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
IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT.THE INDIVIDUAL WHO PREPARED THE PL -ANS AND SPECIFI-
HAS DONE SO IN ACCORDANCE WITH SE N,:5pll F� FSE U NESS AND
TOTAL FEES SCATIONS
7
PROFESSIONS CODE OF THE STATE OF CALIFORNIA. •-y� f�(/�
CASH 0 CHECK M.O. 0 N.C. a
OWNER
CONTRACTOR
Received By
ADDRESS
ADDRESS
Sewage System
T
L L
P
CITY
CI'YY
Trees Required
Yes
No
INFORMATION
TEL. NO.
TEL. NO. LICENSE
FORM 284-208 (REV, 4/71) 0
SSV VA �&-/ •"^' _2�