232144 (AR)BUILDING PERMIT
-,DEPARTMENT OF BUILDING $ SAFETY
- "COUNTY OF RIVERSIDE ~
CONSTRUCTION ESTIMATE ,ELECTRICAL FEES ,:.,,
I ST FL. SQ. FT. @ NO.N(
2ND FL. SQ. FT.
POR. SQ. FT. @ ° "'� �' �'2' MOTOVI OR LESS H.P.
MOTORS OR LESS H P
FIELD OFFICE
PLUMBING FEES
GAR. 'SQ.FT. @7— 099
CARP. SQ. FT. @ MOTOR 20 OR LESS H.P.` DRAINAGE PIPING
WALL SQ.FT. @ " DRINKING FOUNTAIN
SQ. FT. @ r URINAL
ESTIMATED CONSTRUCTION VALUATION K W. UNITS WATER PIPING
i
NOTE: Not to be used as property tax valuation FLOOR DRAIN
MECHANICAL' FEES
VENT SYSTEM' ❑ FAN ❑EVAP. COOL ❑ HOOD
APPLIANCE
FURNACE ❑ UNIT ❑ WALL. ❑FLOOR OSUSPENDED
AIR HANDLING UNIT I I CFM
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
COMPRESSOR 0 HP
APPLIANCE VENT
ABSORPTION SYSTEM B.T.U-
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
HEATING SYSTEM ❑ FORCED ❑ GRAVITY `
BOILER 0 B.T.U.
PERMIT FEE
MOBILE HOME HOOKUP FEE Is ;
3PgRf 1� N4TOTAL FEES S MOB. HK. FEE ::RO�FEE
-1 I F I AAJ A I.AA, I 1(-I-I-I»A I S 1.0.1-N•I n
J73
74
75
M. H.
EE $
COPIES" It
"
•�•.• • �..
WATER SOFTENER
SIGN
WASHER (AUTO) (DISH)
TRANS-, K.W.
FORMERGARBAGE
DISPOSAL
OUTLETS
LAUNDRY TRAY
FIXTURE OR SOCKET
KITCHEN SINK
CONST. SERV. ENTRANCE
.WATER CLOSET
POLE
LAVATORY
AMPERES SERV. ENT.
SHOWER
SO. F.T. @° 4
BATH TUB 3
• SO. FT. @ Q
WATER HEATER
-,SO. FT. RESID. @ 14
SEWAGE DISPOSAL
SQ.,FT. GARAGE @,1/24 v HOUSE SEWER
BALANCE OF MIN. FEE
GAS PIPING
PERMIT FEE / PERMIT FEE a
•MECH.'FEE
DBL-.
.PL. CK. FEE
CONST. FEE
DBL.
(�
ELECT. �FEE
DBL.
I SMI FEE-.
FEE
PLUMB, FEE
DBL.
JOB ADDRESS. 'r•-+�C .__
OWClEBs'. '•t •'..� - r &�
USE OF BUILDING f7/ah✓� l /
F.C.
DTE
���
4 73
PERM2N
1 - n
COMMUNITY - -.
.
DST
UNITS
LUIUG
. `SUPP.
TO PERMIT OFFICE-,
4.,vu�.nv•
LEGAL DESCRIPTION .. t
.. _A/'j
is / = ��'/
MECHANICAL FEE
DBL
$ '`
•' '
h•i` - r>A_L,{Rt?fi
SET BACK
.LOT SIZE r-
ZONE
USENO
GRP
TYPE
CK BY ,
}.
'�• (FINAL
F� 13 Ve.
$•.:
•' PLAN CHECK FEE -
..
-
•, f)}'�
BOND AMT.
PLAN NO.
PLAN CHECKER
DATE •-•-
INSPECTOR
CONSTRUCTION FEE
DBL _
$
NAME OF CONST. LENDER- >
BRANCH OFFICE '• .NO
LENDER INVOLVED =
�•
ELECTRICAL FEE ;
' • '
DBL
$
-'� 6
l�r%�
ADDRESS - > -
CITY'
STATE •i
t F
_
SMI FEE
$
*
i
-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, I ALSO
:PLUMBING FEE
DBL•
` $
'
AGREE TO+CARRY. COMPENSATION. INSURANCE UPON .MY EMPLOYEES. COMPLIANCEAWITH
-
'
THE LAWS OF•THE.STATE OF CALIFORNIA•'COVERING CONTRACTORS ISALSOGUARANTEED. '
I -HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS
$
• TOTAL FEES
HAS DONE SO IN ACCORDANCE WITH_-• ECTION 5541 OF THE BUSINESS.AND PROFESSIONS r"
CODE OFSTATE OF CAI Imo— ?•
F -t *' .:
CASH 1 CHEC O. O. N.C. ❑:
OWNER. _ -„\ i
�` J
CONTRACTOR '• •, z -y,
RECEIVED BY •/ ��
ADDRESS t .• 220k p �!�r
ADDRESS x
`,
SSSEWAGE
- SYSTEM+*-
T
LL 4
P
TREES REQUIRED
YES
_
NO
CITY _
f 1
clry
sj
INFORMATION
TEL. NO.
TEL. NO. LICENSE
FORM 2842081Rev,1.1 /721• •� • - +y. vw+
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