226377 (AR)BUILDING PERMIT
I ST FL.
TOTALFEES
SQ.ft;
2ND FL.
SQ.,FT,
POR.
Mr I ELECT. FEE
11 1&
SQ. FT.
GAR,
I
SQ -FT.
CAR P.
4PQ-,�#OTEss 7-
SQ., FT.
WALL
74
SQ,.FT.
FX.
DAWE IPE
SQ..FT.
ESTIMATED CONSTRUCTION VALUATI
NOTE: Nortobv used as property tax,
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
ELECTRICAL BES
VENT, SYSTEM OFAN [1EVAP.CoOL 0.HOQE)
APPLIANCE
FURNACE OUNIT DWALL OROOR OSUSPENDED
AIR HANDLING -UNIT CFM
GAS PIPE ONATURAL OL.P.G. OOIL
COMPRESSOR �>P
APPLIANCE VENT
ABSORPTION SYSTEM' 0 B.T.U.
INCINERATOR ODOMESTIC 0 INDUS. OR COMM.
HEATING SYSTEM 0 FORCED 0 GRAVITY
BOILER
PERMIT. FEE
MOBILE HOME HOOKUP FEE
MOTOR I O.R'L'ESS H.P.
MOTOR 5 OR LESS H.P.
MOTOR 20 OR LESS H.P
KW.
SIGN
TR ANLIR
FORMER
ORM K.W.
OUTLETS
FIXTURE, OR "SOCKET
CONST- SERV. ENTRANCE,
POLE
AMPERES SERV. ENT,
SQ- FT,
SO.. FT.Q
- SQ. -FT. RESI.D.@Ild
SO.-. Ft. GARAGE-@_YZ4
BALANCE OF MIN. FEE
'PERMIT FEE
FIELD OFFICE
PLUMBING, FEES—
DRAINAGE.PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOORDRAIN
WATER SOFTENER
WASHER (AUTO) (DISH)
GARBAGE DISPOSAL
LAUNDRY TRAY
KITCHEN' SINK',
WATER CLOSET
LAVATORY
SHOWER
BATHTUB
'WATER HEATER
SEWAGED(SPOSAL
HOUSE SEWER.
-GAS PIPING
PERMIT FEE
IT No
2M'Nsiq
TOTALFEES
MOB.
MEGH.FEE IDOL]
PLCK.-FEE .1
IONST.FIE
Mr I ELECT. FEE
11 1&
I DBL,
FEE
1 s"E
I
-- FEE JQI
7u*B,
J f—F "I -g I -M.,I- j J. -I A -,r g rcT - N. I 'll
4PQ-,�#OTEss 7-
73
74
USEW BUILDING,
FX.
DAWE IPE
6 3 T
7�5
M.H'. HOOKUP FEE -
COMMUNITY'
1-4 W - ,.o Aor
DST
UNA-or
ROOMS [•VALUAMONUPP,
TO,PERMIT
IS
OFF!�fi'
'MICROFILM, FEE
COPIES.
I
$
gr, 77�F
L4& r,4 -jrve",�r�q
MECHANICAL FEE
DBL
$
SET BACK
LOTSIZE .
ZONE USE NO. .
GRP TYPE CK -By
F S R
•PLAN -CHECK FEE
I
BOND.AMT.
PLAN NO-
PLAWCHECKER
FINAL DATE
INS qZ .OR
CONSTRUCTIONS FEE
DBL
$
, W--.
I
NAMSOF CONST. LEN-
LENDER' BRANCH
OFFICE [NO
LENDER INVOLVED
ELECTRICAL, FEE
DBL
ADDRESS CITY
STATE
SMI' FEE
PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSA-
TION OF WORK.FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL %k'CPK IN] CONNECTION WITH THIS PERMIT WILL BE DONE IN Ac-
C�ORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STAJEOF CALIFORNIA, I ALSO
AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH
THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS 15 ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND. SPECIFICATIONS
HAS DONE SO IN -ACCORDANCE WITH SECTION 554:1 OF. THE BUSINESS AND PROFESSIONS
ronr-nFT14PqTATF.ALIFORNIA-- 'A
FEE
$T+41S
PLUMBING,FEE
DBL
$
TOTAL FEES
WH M" CHECK 0 M.O. 0, MC.
yy !-,m-,rfq
CID . NTPACTOR
RECEIVED BY
'CA U.
'ADDRESS
SEWAGE$YSTEMJ
T
LL
TREES REQUIRED YES
NO
CITY
CITY
INFORMATION 19,
FORM1284.208 (Rev 11/721
TEL NO.- -LICENSE