RPL (234914)54218 Avenida Martinez
234914
BUILDING PERMIT
CONSTRUCTION ESTIMA
1 ST FL.
SQ. FT. @
2ND FL.
SQ. FT. @
FOR.
SQ. FT. @
GAR.
SQ.FT. @
CAR P.
SQ. FT. @
ALL
SQ.FT. @
't►'",wI r►
SQ. FT. @
ESTIMATED C_ NSTRUCTION VALUATION
TRANS -GARBAGE
FORMER D
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
,., ELECTRICAL FEES,,... _
NO. 4 NO.
MOTOR I OR LESS H.P.
MOTOR 5 OR LESS H.P.
FIELD OFFICE
PLUMBING FEES DST
MOTOR 20 OR LESS H.P. DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
11-1 VIAd OK K.W. UNITS WATER PIPING
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
BOILER 0 B.T.U.
PERMIT FEE
MOBILE HOME HOOKUP FEE Is
J I F 1 M
73
74
75
M.H. HOOKUP FEE
MICROFILM FEE
COPIES
f
FLOOR DRAIN
l T./J JN fP
LEGAL DE CR ION
WATER SOFTENER
A %t' r'' ` ` 7
AD
MECHANICAL FEE
SIGN
$
WASHER (AUTO) (DISH)
SETBACK
LOT SIZE
TRANS -GARBAGE
FORMER D
USE NO.
DISPOSAL
TYPE
CK BY
OUTLETS
LAUNDRY TRAY
FIXTURE OR SOCKET
KITCHEN SINK
r
CONST. SERV. ENTRANCE
PLAN CHECK FEE
WATER CLOSET
$
POLE
PLAN NO.
LAVATORY
FINAL DATE j
IN ECTOR
AMPERES SERV. ENT.
DBL
SHOWER
NAME OF CONST. LENDER
SQ. FT. @ 4
BATH TUB
SO. FT. @
WATER HEATER
s+
DBL
.s. -SQ. FT. RESID. @10
SEWAGE DISPOSAL
SQ. FT. GARAGE @ I/24
H<E9EM/ yts
d
CITY
BALANCE OF MIN. FEE
SMI FEE
GAS PIPING
$
PERMIT FEE
4
PERMIT FEE
77EE
DBL.
PL. CK+,QFEE
/,7
I CONST. FEE
I DBL. I
ELECT. FEE
DBL.
SM FEE
FEE
PLUMB. FEE JDBL.
JOB ADDRESS
-
OWNER
DBL
$
IT—E U LDING j -
C,
! DATE
r
t
P RMT N91 4
COMMUNITY
DST
UNITS
ROOMS
I VALUATION
SUPP. TO PERMIT
OFFICE
MICROFILM FEE
COPIES
$
l T./J JN fP
LEGAL DE CR ION
A %t' r'' ` ` 7
AD
MECHANICAL FEE
DBL
$
SETBACK
LOT SIZE
ZONE
USE NO.
GRP
TYPE
CK BY
f /
r
F S Rr
PLAN CHECK FEE
$
B ND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE j
IN ECTOR
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER
BRANCH OFFICE .NO
LENDER I VOLVED
i•/ U
ELECTRICAL FEE
DBL
$
ADDRESS
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
$
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.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS.AND SPE IFIC TIONS
$
TOTAL FEES
HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF -TH BU$I S AND OF S CODE
F THE STATE OF CALIFORNIA. ri
-
CASH ❑ CHECK [ M.O. ❑ N.C. ❑
OWNER. CONTCTO
RA
` • `+
RECEIVED BY
ADDRESS ADDRESS - + •S
SEWAGE SYSTEM r T LL P
CITY CITY
TREES REQUIRED YES NO . .1-61
eINFORMATION TEL. NO. TEL. NO.
FORM 284.208 (Rev. 11/72) `
i .
JSE