SFD (222938)53280 Avenida Martinez
222938
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY
•
COUNTY OF RIVERSIDE '
CONSTRUCTION ESTIMATE,
ELECTRICAL FEES
1 ST FL. s SQ. FT. (c '447 '
NO.
2ND FL. SQ. FT. @
GARBAGE DISPOSAL
POR. SQ. FT. @
MOTOR I OR LESS H.P.
GAR. SQ.FT. @ "
' MOTOR 5 OR LESS H.P.
CAR P. SQ. FT. @
MOTOR 20 OR LESS H.P.
WALL ,SQ.FT. @
AIR HANDLING UNIT I CFM
SQ. FT. @
KITCHEN SINK
ESTIMATED CONSTRUCTION VALUATION
7G_ K.W. UNITS
NOTE: Not to be used as property tax valuation Of
CONST. SERV. ENTRANCE
FIELD OFFICE
PLUMBING FEES DSTr
NO.1 1
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATFR l0FTFNFR
MOBILE HOME HOOKUP FEE 1$ 1 1 1 / I PERMIJ FEE I ..d1 U DI 1 1 PERMIT FEE 1 -:31, 1 .% 4-I
P
22Z938
VENT SYSTE FAN ❑EVAP. COOL [HOOD
77SIGN
WASHER (AUTO) (8161
DBL.
PL. CK, FEE
APPLIANCE
J FORMER = K.W.
GARBAGE DISPOSAL
FEE
PLUMB. FEE
FURNACE ❑ UNIT ❑ WALL ❑FLOOR ❑ USPENDED
OUTLETS
LAUNDRY TRAY '
j
f
AIR HANDLING UNIT I CFM
FIXTURE OR SOCKET
KITCHEN SINK
}
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE
WATER CLOSET
J _F M A M J I. ! A S O I -N D
_
COMPRESSOR HP
POLE
LAVATORY
' X15: a ,spa
E► .v 1.
APPLIANCE VENT
AMPERES SERV. ENT.
SHOWER
DATE
_
-_
ABSORPTION SYSTEM I J B.T.U.
SQ. FT. t7a Q
BATH TUB
$
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SO. FT. @ Q
WATER HEATER
UNITSROOMS
f
HEATING SYSTEM ORCED ❑GRAVITY
V tJU SO. FT. RESID. @ 1 d
SEWAGE DISPOSAL
BOILER 0 B.T.U.
SQ. FT. GARAGE @,/21
HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE
GAS PIPING
MOBILE HOME HOOKUP FEE 1$ 1 1 1 / I PERMIJ FEE I ..d1 U DI 1 1 PERMIT FEE 1 -:31, 1 .% 4-I
P
22Z938
TOTAL FEES
MOB. HK. FEE MICRO FEE MECH. FEE
DBL.
PL. CK, FEE
CONST. FEE
DBL. ELECT. FE DBL.
SMI FEE
FEE
PLUMB. FEE
DBL..
j
f
-
}
00•
J _F M A M J I. ! A S O I -N D
IDB ADDRESS- - -
I owNER - — .- -- -
73
' X15: a ,spa
E► .v 1.
74E
BU DING
1
`-F'C'
®
DATE
_
PERM N
2938
75
M.H. HOOKUP FEE
$
Cagmlfhln
OSY
UNITSROOMS
VALUATION
SUPP. TO PERMIT
OFFICE
I
MICROFILM FEE.
COPIES
$
LEGAL DESCRIPTION
MECHANICAL FEE:
DBL
$'
SETBACK
L TSIZE
ZONE
USE NO.
GRP
TYPE
CK BY
f
•
$
PLAN CHECK FEE
' e
'BOND AMT. PLAN NO.
PLAN CHECKER
FINAL DATE INSPECTOR
CONSTRUCTION FEE
DBL
NAME OF CONST. LENDER BRANCH
OFFICE .NO
LENDER INVOLVED
G
ELECTRICAL FEE
DBL
$
CITY
STATE
SMI FEE
$
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
$
1 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
$.
d
LSA
AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH
THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
HEREBY CERTYFY THAT THE INDIVIDI IAL WHO PREPARED THE PLANS AND SPECIFICATIONS
Ir/'7
TOTAL FEESHAS
DONE,S6 IN ACCCIRDANCE VJ]T•H SECTION 5541 OF THE BUSINESS AND PROFESSIONS
F. STATE OF'CALIFORNIA.
CASH ❑ CHECK [ ° " M.O. ❑ ' N.C. ❑
/ -..- -'
OWNERCONTRACTOR•GG.•
'
RECEIVED BY
ADDRESS
ADDRESS
SEWAGE SYSTEM - T LL
P
CIT •-
CIN
TREES REQUIRED YES
NO
INFORMATION
n
TEL. NO.
TEL. NO. LICENSE
FORM 284.2081Rm 11/721{, f j