258809 (SFD) BUILDING PERMIT DEPARTMENT OF BUILDING&SAFETY IIIIIIIIIIIIIIIIIIIIIIIII 38
COUNTY OF RIVERSIDE IE =DST
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES l
I ST FL. 1934 SO.FT. J3•40 25915.60 UNITS
2ND FL. SO.FT. @ BOILER�B.T.U.
POR.
195 SQ.FT. @ 2.50 487.50 MOBILEHOME SVC. i BAR SINK 1 50
POWER OUTLET J, ROOF DRAINS 2
GAR. 508 SO.FT. @�'•ZS ZiSg•�0
CAR P. SO.FT. @ DRAINAGE PIPING
WALL SQ.FT. @ DRINKING FOUNTAIN
URINAL
SQ.FT. @ 1 WATER PIPING l 0
ESTIMATED CONSTRUCTION VALUATION $ 85
NOTE:Not to be used CIS property tox voluation SWIM POOL,PVT FLOOR DRAIN
MECHANICAL FEES SWIM POOL,COMM WATER SOFTENER
VENT SYSTE2 IN FAN ❑EVAP. COOL 20 HOOD 7 30 SIGN l WASHER IAU&IDISHI 3 70
APPLIANCE Dryer 3 30 GARBAGE DISPOSAL
FURNACE ❑UNIT ❑WALL ❑FLOOR ❑SUSPENDED LAUNDRY TRAY
AIR HANDLING UNITCFMCFM IDLE METER I KITCHEN SINK 1 so
ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC , WATER CLOSET 3 PO
COMPRESSOR 5 t 0 HP 7 50 POLE,TEMP/PERM 3 LAVATORY 4 >�
HEATING SYSTEM Y❑ FORCED ❑GRAVITY 4 DO AMPERES SERV ENT Q 00 l SHOWER 1 �}
SQ FT @ ¢ i BATH TUB 1
SQ FT @ a g WATER HEATER l
SQ FT RESID @ 1 a 19 SEWAGE DISPOSAL 10
SQ FT GARAGE @ via 2 54 HOUSE SEWER
PERMIT FEE 1 3 PO TEMP ELEC SVC GAS PIPING
MOBILE HOME PERMIT FEE Is I PERMIT FEE 4 00 PERMIT FEE 2
PERMIT NO. TOTAL FEES MOB.HM.FEE MICRO FEE 11 ;WH.FEE DBL. PL.CK.FEE CONST.FEE DBL. ELECT.FEE DBL. SMI FEE FEE PLUMB.FEE DBL.
213.39 24.50 PD. 124.00 27.88 .01 35.00
J I F I M I A M I J I J I A I S O N D I JOB ADDRESS i SP NO I OWNER
73 9-802 AVLIA Drive I Summrfield Day. Co,__
74 USE OF PERMIT I F.C. DATE P �J
J
75809
I & Att. arare 001
M H PERMIT FEE $ COMMUNITY OST UNITS ROOMS VALUATION SUPP.TO PERMIT OFFICE
La a 1T 62 00
MICROFILM FEE COPIES $ LEGAL DESCRIPTION
t,at 3, Tract 14
MECHANICAL FEE DBL $ SET BACK LOT SIZE ZONE USE NO. GRP TYPE CK BY
O F20 1SPLAN CHECK FEE
r:24
BOND AMT. PLAN N0. PLAN CHECKER FINAL DATE IN�l SPECTOR
CONSTRUCTION FEE DBL NAME OF CONST.LENDER BRANCH OFFICE NO LENDER INVOLVED
ELECTRICAL FEE DBL $ STATE
27 PIR
SMI FEE ash Ga4fiv
$
THIS PERMIT SHALL BECOME VOID If WORK IS T COMMENCED WITHIN 120 DAYS.CESSA"
TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
J 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
FEE AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE.
LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
PLUMBING FEE DBL $ 1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS
HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE
OF THE STATE OF CALIFORNIA.
$
OWNER/AGENT'S SIGNATURE CONTRACSO
TOTAL FEES 2139
CASH❑ CHECKf M.O. ❑ N.C. ❑ ADDRESS ADDRESS
RECEIVED BY -�sl+�C/ TREES REQUIRED
a CITY ZIP CODE CITY ZIP CODE
SEWAGE SYSTEM T I(MLL P 6 VItIL �e
INFORMATION .•� La u'n� Calif.
/j
TEL.NO. n TEL.NO. ,..LICENSE
FORf�284-208(Rev.9731 05 Jy -2, 347-4920