SFD (221255)54185 Avenida Martinez
221255
BUILDING PERMIT
CONSTRUCTION ESTIMATE
TOTAL FEES
MOB. HK. FEE MIC FEEMECH. FEE DBL.
I ST FL.
SQ. FT. (ami
2ND FL.
SQ. FT. @
POR.
SQ. FT. @
GAR.
SQ.FT. @
2PE
2
FURNACE O UNIT O WALL OFLOOR dSUSPENDED
CAR P.
SQ. FT.
SQ.FT.FT
iEST lMtRT_ONSTRIJ'CTF0N
AIR HANDLING UNIT I = CFM
VALUATION
$
NOTE: NoVo be used as property tax valuation J
MFCHANICAL FEES '
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
ELECTRICAL FEES
MOTOR I OR LESS H.P.
MOTOR 5 OR LESS H.P.
MOTOR 20 OR LESS H.P.
K.W. UNITS
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
DST ..R
VENT SYSTEMXFAN 0EVAP. COOL +I HOODSIGN
TOTAL FEES
MOB. HK. FEE MIC FEEMECH. FEE DBL.
PL. CK. FEE
WASHER (AUTO) (D")
OBL.
APPLIANCEd2 le
SMI FEE
FORMER D K.W.
PLUMB. FEE
GARBAGE DISPOSAL
2PE
2
FURNACE O UNIT O WALL OFLOOR dSUSPENDED
OUTLETS
LAUNDRY TRAY
AIR HANDLING UNIT I = CFM
FIXTURE OR SOCKET
KITCHEN SINK
JOB ADDRESS LL
GAS PIPE O NATURAL O L.P.G. O OIL
73
CONST. SERV. ENTRANCE
y
WATER CLOSET
}
COMPRESSOR HP
F.C.
POLE
Z
l 255
LAVATORY
M.H. HOOKUP FEE
APPLIANCE VENT
$
AMPERES SERV. ENT.
COMM NI
SHOWER
UNITS
ABSORPTION SYSTEM O B.T.U.
VALUATION
SQ. FT. Q° ¢
OFFICE
BATH TUB
INCINERATOR O DOMESTIC O INDUS. OR COMM.
SQ. FT. @ Q
`
WATER HEATER
115,0
HEATING SYSTEM FORCED O GRAVITY
i9 Q
SQ. FT. RESID. @ 14 /
/
SEWAGE DISPOSAL
$
BOILER 0 B.T.U.
LEGAL DESCRIPTION
SQ. FT. GARAGE@1 2Q
HOUSE SEWER
PERMIT FEE
pj
BALANCE OF MIN. FEEL—TI=
$//
GAS PIPING
SET BACK
MOBILE HOME HOOKUP FEE I $ I I PERMIT FEE 1_'Y16111 I I PERMIT FEE I 1 I Jr, lei
MIT N
TOTAL FEES
MOB. HK. FEE MIC FEEMECH. FEE DBL.
PL. CK. FEE
CONST. FEE
OBL.
ELECT. FEE DBL.
SMI FEE
FEE
PLUMB. FEE
DBL.
2PE
2
127
J I F I M A M 1 J 1 J A I'S O N1 D
JOB ADDRESS LL
OWNER
73
y
O d ec' r_1
74
SE OF BUILDING
F.C.
DAlr PERI)N
Z
l 255
M.H. HOOKUP FEE
$
COMM NI
DST
UNITS
ROOMS
VALUATION
P. TO PERMIT
OFFICE
4up
% %
MICROFILM'FEE
COPIES
$
LEGAL DESCRIPTION
MECHANICAL FEE
DBL
$//
'%/'
SET BACK
LOT SIE
USE, N0.
GRP
TYPE
BY
.
`r
];ONE
~FINAL
ICK
F S _
PLAN CHECK FEE
$
o AMT. PLAN NO.
PLAN CHECKER
DAT
INSPECTOR /
10
- — %3
Z t
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
T
OFFICE .NO
LENDER INVOLVED
✓
ELECTRICAL FEE
DBL
$
/>
%
a
ADDRESS CITY
STATE
SMI FEE
$
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSA-
FEE
$
TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
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. COMPLIANCE WITH
THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
1 HEREBY -CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS
$
TOTAL FEES .HAS
DQNE SOIAN ACCORDANCE W TH SECTION 5541 OF THE BUSINESS AND PROFESSIONS
O CALIFORNIA.) A
CASH Cl CHECK G . M.O. ❑ N.C. ❑
"\ —"'
7 '9'!
CONTRACTOR
RECEIVED BY
.
ADDRESS +•
ADDRESS
. v
SEWAGE SYSTEM Tzeao'O
LL&y(j
CITY
CITY -
TREES REQUIRED
YES
NO
-
INFORMATION
L. NO. -
TEL. NO. LICENSE
FORM 284.2081Rev. 11/721 /721 . .