239550 (AR)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE A.
CONSTRUCTION ESTIMATE,-,.,,- ELECTRICAL FEES-,
1ST FL.. SQ. FT: @ NO. u NO
Ito
.2ND FL. SQ. FT. @
POR. SQ. FT. @
GAR. SQ.FT. @
CAR P. SQ. FT. @
WALL SQ.FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
NOTE: Not to be used as property tax valuation
MECHANICAL FEES
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
APPLIANCE
FURNACE ❑UNIT ❑WALL ❑FLOOR ❑SUSPENDED
AIR HANDLING UNIT CFM
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
COMPRESSOR 0 HP
APPLIANCE VENT
ABSORPTION SYSTEM 0 B.T.U.
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM:
HEATING SYSTEM ❑ FORCED ❑GRAVITY
y BOILER. 0 B.T.U.
PERMIT FEE
MOBILE HOME HOOKUP FEE A -
FIELD OFFICE
PLUMBING FEES
MOTOR I OR LESS H.P.
TOTAL FEES
MOTOR 5 OR LESS H.P.
MECH. FEE
MOTOR 20 OR LESS H.P.
DRAINAGE PIPING '
CONST. FEE
DRINKING FOUNTAIN
DBL.
URINAL
D K.W. UNITS
WATER PIPING
DBL.
FLOOR DRAIN
0
WATER SOFTENER
SIGN
WASHER (AUTO) (DISH)
TRANS-- K.W.
FORMER
GARBAGE DISPOSAL
OUTLETS
LAUNDRY TRAY
FIXTURE OR SOCKET
KITCHEN SINK
CONST, SERV. ENTRANCE
WATER CLOSET
POLE
LAVATORY
AMPERES SERV. ENT.'
SHOWER
SQ_ FT. Q° Q
BATH TUB
SQ. FT. @°
WATER HEATER
ASO. FT. RESID. @ 1G
SEWAGE DISPOSAL•SQ.
FT. GARAGE @.1/24HOUSE
SEWER
BALANCE OF MIN.FEE
In
GAS PIPING:`
PERMITFEE !/ 11
PERMIT FEE
TOTAL FEES
MOB. HK. FEE MICRO FEE
MECH. FEE
L
PL. O
CONST. FEE
DBL. ELEC�
DBL.
FEE
PLUMB. FEE
DBL.
Z 3P61 � 5
0
I1DB
��
:
J F M A I M. I - J I J- 'A I 5 1 0-1 ND
X06 nDOgEss
^�%"a'r.,
OWNER. ,. * -
d!" /Jim
73
USE OF BUILDING -
r�
F.C.
DA
-0550
PERMIT N -
- -
7s
M.H. HOOKUP FEE
r
$
COMMU14ITY DST UNITS ROOMS VALUATION OFFICE
ISUPP.TOPERMIT
l e_, ter,•'
LE ALdebC LP I IUN
MICROFILM FEE
COPIES
$
T, �� Ln4/
MECHANICAL FEE
_
DBL"
$ •.
SETBACK
LOT SIZE - ZONE
USE NO.
GRP TYPE
K BY
• •
.
1 —
..�
F - . S.
f
-•� SS
. a. R GJ
PLAN CHECK FEE
$
BOND AMT.
PLAN NO,
PLAN CHECKER - -
FINAL DATE INSPECTOR
-
CONSTRUCTION FEE
DBL
$
NAME OF CONST: LENDER
BRANCH OFFICE �, .NO
LENDER INVOLVED
,
;
ELECTRICAL FEE
DBL
$
' -
-
-
ADDRESS
CITY - ,ter+'""`-"-"
STATE
SMI FEE
$
^meg
THIS 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.
$
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, LALSO
PLUMBING FEE
DBL
$
AGREE TO CARRY COMPENSATION INSUR,I.NCE UPON MY. EMPLOYEES. COMPLIANCE WITH
THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I, HEREBY CERTIFY.TH THE INDIVIDUAL WHO•.PREPARED,THE PLANS AND -SPECIFICATIONS
$
TOTAL FEES �`'
,�
'�
HAS DONE 11Q_1 A , RDAWeE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS
f
F °F AL A6 RNIA.
CASH ❑ CHECK 96- "- M.0.0" N.C. ❑
OWNER. ',-/
+',
CONTRACTOR- -
-~
v
RECEIVED VED BY
SS
ADDRESS
-ADD
sS~' ti _ r
r
SEWAGE SYSTEM . T
LL
P
CITY -
CITY..
TREES REQUIRED
YES
NO
CD
INFORMATION
-
L.'NO. -
TEL. NO. - LICENSE
FORM 284-208 (Re, 11/721
-