215616 (SATT)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETJO FIELD OFFICE
• COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE ELECTRICAL FEES PLUMBING FEES
1ST FL.
2ND FL.
POR. f
GAR. ��
CAR P.
WALL
410
SQ. FT. W
NO. I
NO.
j WASHER (AUTa DISH)
SQ. FT. @ N
60
SQ. FT. @ O p MOTOR 1 OR LESS H.P.
0
SQ. FT. @ ♦ MOTOR 5 OR LESS H.P.
7
SQ. FT. @ MOTOR 20 OR LESS H.P.
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
O OK.W.UNITS i
WATER PIPING
ESTIMATED VALUATION $
LAUNDRY TRAY
VALUATIpON
`0 �'
FLOOR DRAIN
AIR HANDLING UNITI I CFM
MECHANICAL FEES
I
I
IWATPP CC)RTFNFR
VENT SYSTE 'FAN ❑ EVAP.COOL jY HOOD
410
SIGN
72
j WASHER (AUTa DISH)
73
60
APPLIANCE I Jr, Y
0
TRANSFORMER =K•W•
74
f
GARBAGE DISPOSAL
'
616
FURNACE❑UNIT❑WALL❑FLOG ❑ SUSPEND ED
OUTLETS
4bST
UNITS
LAUNDRY TRAY
VALUATIpON
`0 �'
SUPP. TO PERMIT
AIR HANDLING UNITI I CFM
76
FIXTURE OR SOCKET
T
KITCHEN SINK
`'Za
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE
;S>4
WATER CLOSET
COMPRESSOR HP
rou
POLE
MOBILEHOME
LAVATORY,v
U 0
APPLIANCE VENT
AMPERES SERV. ENT.
/—-Tzj! y C
SHOWER
DBL
0
ABSORPTION SYSTEM B.T.U.
SET BACK
SQ. FT.@ Q
ZONE
USE NO.
BATH TUB
O()
441
INCINERATOR E] DOMESTIC (:)INDUS. OR COMM.
MECHANICAL FEE
SQ. FT.@ Q.
$�2
QV
WATER HEATER
I
HEATING SYSTE FORCED ❑ GRAVITY
(,�
SQ. FT. RESID. @ 1 Q
V
SEWAGE DISPOSAL
41 0
BOILER O B.T.U.
SQ. FT. GAR AGE @ 1 (r
S
HOUSE SEWER
PERMIT FEE
D
BALANCE OF MIN. FEE
BOND AMT.
GAS PIPING
PLAN CHECKER
FINAL DATE INS��TOR
MOBILEHOME HOOKUP FEE $ 1 1 1 1 / IPERMIT FEE q7 10 PERMIT FEE a
PERMIT NUMBER �L E OB. HOOK FEE HEAT Bi VENT VE DBL PL. CK C� 5T OBl ELEC. F/E p� DBL PLUMB.._IE DBL
J F M A M J J I A S O
N D
JOB ADDRESS OWNER
78- A
72
05� + $» g% lo
73
USE OF BUILDING
F.C. DATE
PERMIT NO.
215
74
c'a,0d I
a / �'-�Z.
616
75
COMMUNITY
4bST
UNITS
OOMJ
VALUATIpON
`0 �'
SUPP. TO PERMIT
OFFICE
76
T
d'3 9�5
;S>4
MOBILEHOME
$
LEGAL D SCRIPTION
HOOKUP FEE
/—-Tzj! y C
DBL
SET BACK
LOT SIZE
ZONE
USE NO.
GRP
TYPE
CK BY
MECHANICAL FEE
$�2
QV
I
FUS 0R /0
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE INS��TOR
PLAN CHECK FEE
$J,
_
/- a3.7 3ti
DBL
NAME OF CONST. LENDER
BRANCH OFFICE
NO LENDER INVOLVED
CONSTRUCTION FEE
/
ticPa
DBL
ADDRESS
CITY�.....�_ STATE
ELECTRICAL FEE
$�o
-Pa, h4 -x'51 ° !
ca
$
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.
.f FEE
I 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.
V
COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS
IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFI-
TOTAL FEES $
CATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5 4 F/yHj BUSINESS AND
77
21
PROFESSIONS CODE OF THE STATE OF CALIFORNIA.'k,4_1
ED CHECK 4K M.O. F-1 N.C. F__j
OWNER
CONTRACTOR
Received By
ADDRESS
ADDRESS
Sewage System T
LL
P
CITY
Ci'rY
Trees Required
Yes
No
INFORMATION
TEL. NO.
TEL. NO. LICENSE
FORM 284-208 (REV. 4/71)
�V
(/(/Q --33t- - %l,.t