215619 (SATT)BUILDING PERMIT
JOB ADDRESS
OWNER
DEPARTMENT OF BUILDING & SAFET
O'
COUNTY OF RIVERSIDE
78-086
FIELD OFFICE
TRANSFORMER =K•W
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
f,
PLUMBING FEES
1ST FL.
2ND FL.
POR.
GAR.
CAR P.
WALL
2371
424
534
LAUNDRY TRAY
SQ. FT. @23.40
-32
772.40 NO.
NO.
KITCHEN SINK
SQ. FT. @
GAS PIPE ❑ NATURAL EJ-L.P.G. ❑ OIL
SQ. FT. @ 2.50 MOTOR 1 OR LESS H.P.
3
SQ. FT. @ 4.25 2-9264.00 MOTOR 5 OR LESS H.P. 2
Bair Sink 1,50
SQ. FT. @ MOTOR 20 OR LESS H.P.
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
OK.W.UNITS 2
WATER PIPING 2
ESTIMATED VALUATION is
35,095.00
ABSORPTION, SYSTEM B.T.U.
SQ. FT.@ q
FLOOR DRAIN
BATH TUB
3
MECHANICAL FEES'
SQ. FT.@ It.
2
WATER HEATER
WATER S()FTFNFR
VENT SYSTEM 2 FAN ❑ EVAP.COOLjj HOOD 7SIGN
JOB ADDRESS
OWNER
WASHER(AUTCNDISH)
78-086
APPLIANCE 0 r 3.00
TRANSFORMER =K•W
US!� BUILDING
GARBAGE DISPOSAL
f,
FURNACE❑UNIT ❑WALL❑FLOOR ❑SUSPENDED'
OUTLETS
LAUNDRY TRAY
c
AIR HANDLING UNIT CFM
FIXTURE OR SOCKET
Z
KITCHEN SINK
GAS PIPE ❑ NATURAL EJ-L.P.G. ❑ OIL
CONST. SERV. ENTRANCE
3
WATER CLOSET
4.50
COMPRESSOR 2 HP
POLE
1 4
LAVATORY
6
,00
APPLIANCE VENT
AMPERES SERV. ENT. i
2
SHOWER
MOSILEHOME
ABSORPTION, SYSTEM B.T.U.
SQ. FT.@ q
2
BATH TUB
3
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SQ. FT.@ It.
2
WATER HEATER
So
HEATING SYSTEM FORCED ❑ GRAVITY
SQ. FT. RESID. @ 1 q
IZONE
SEWAGE DISPOSAL
GRP
BOILER B.T.U.
SQ. FT. GARAGE @ i q 2 AS
MECHANICAL FEE$
HOUSE SEWER
'0
PERMIT FEE
BALANCE OF MIN. FEE
JUSENO.
GAS PIPING
MOBILEHOME HOOKUP FEE I$ I I I ' IPERMIT FEE 1100 I I PERMIT FEE I 2.100
PERMIT NUMBER TOTAL F; MOB. ROOM FEE HEAT &VENT � EE DBL . CK,.FEE C •F EO 1.91�FEEDBL EE • 4� PLUMBING. ��E DBL
15 619 277 2 8 2
J F M A M J J A S O N D
JOB ADDRESS
OWNER
72
78-086
R L.
73
US!� BUILDING
C.
DATE
PER�.t11 115
74
c
J
Z
619
75
COMMUNITY
DST
UNITS
OOM VALUATION
76
Q
Qu
0
ISUPP.TOPEWWTTTOFFICE
MOSILEHOME
$
LEGAL DESCRIPTION
HOOKUP FEE
6__/< -
DBL
SET BACK
LOT SIZE
IZONE
GRP
TYPE
CK BY
MECHANICAL FEE$
'0
JUSENO.
-2
F d s (� R Q
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE INSPECT611R
'
PLAN CHECK FEE
$ „�
,/� ?3
DBL
NAME OF CONST. LENDER
BRANCH OFFICE
NO LENDER INVOLVED
CONSTRUCTION FEE
/ ,n
P (.
f F�
DBL
-
ADDRESS
CITY STATE
ELECTRICAL FEE
$
'
C7
$
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN,6p DAYS.
CESSATION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
FEE
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
PLUMBING FEE
$
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.
1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED TH6rPLANS ANJD SPEC IFI -
TOTAL FEES S
CATIONS HAS DONE SO IN ACCORDANCE WITH SE ,;frb 5.5 1 T NESS AND
3'
PROFESSIONS CODE OF THE STATE OF CALIFORNIA.`' -¢'
CASH F-1 CHECK* M.O.O N.C. F-1
OWNER
CONTRACTOR
Received By
ADDRESS
A /DRESS f
�r
Sewage Sysfem•
T
LL
P
^�
_
CITY - A
CITY
Trees Required
Yes
No
INFORMATION
TEL. NO.
TEL. NO. LICENSEE
FORM 284-208 (REV. 4/71)