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SFD (272833)
BUILDING PERMIT CONSTRUCTION ESTIMATE 010(l c114F"j` I ST FL. /--� S SQ.FT. @ NO. PLUMBING FEES 2ND FL. SQ. FT. @ PE I O. 2 2833 POR. SO. FT. @ GAR. Q SQ. FT. @ M H PERMIT FEE CAR P. SQ.FT. @ WALL SO. FT. @ U.� UNITS IDLE METER DRINKING FOUNTAIN SQ. FT. @ KITCHEN SINK ESTIMATED CONSTRUCTION VALUATION $ of NOTE: Not to be used os property tax valuation WATER PIPING MECHANICAL FEES VENT SYSTEM ❑ FAN ❑ EVAP. COOL H 11m"" DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE NO. ELECTRICAL FEES C UNITS MOBILEHOME SVC. POWER OUTLET SWIM P001, PVT SWIM POOL. COMM OOD '1.:(1 SIGN FIELD OFFICE APPLIANCE 010(l c114F"j` 11T Jj 75 NO. PLUMBING FEES F.C. GARBAGE DISPOSAL PE I O. 2 2833 76 YARD SPKLR SYSTEM BAR SINK M H PERMIT FEE LAUNDRY TRAY ROOF DRAINS AIR HANDLING UNIT DRAINAGE PIPING U.� UNITS IDLE METER DRINKING FOUNTAIN SUPP. TO PERMIT KITCHEN SINK URINAL ABSORPTION SYSTEM B.T.U. WATER PIPING TEMP USE PERM SVC FLOOR DRAIN WATER CLOSET r J WATER SOFTENER HP I WACHFRIAIITn1IMT=r APPLIANCE 010(l c114F"j` i a 75 USE OF PE 11T Dw- err-. r�0/ F.C. GARBAGE DISPOSAL PE I O. 2 2833 76 FURNACE ❑ UNIT ❑ WALL ❑ FLOOR Cl SUSPENDED M H PERMIT FEE LAUNDRY TRAY $ AIR HANDLING UNIT CFM U.� UNITS IDLE METER VALUATION SUPP. TO PERMIT KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC WATER CLOSET r J COMPRESSOR HP 54 POLE, TEMP/PERM COPIES LAVATORY ,{ vcl HEATING SYSTEM FORCED ❑ GRAVITY 00 :` AMPERES SERV ENT L, (' ` SHOWER LOT SIZE ZONE U BOILER � B.T.U. GRP TYPE SQ FT @ ¢ BATH TUB SQ FT @ ¢ WATER HEATER PLAN CHECK FEE $ R l�SQ FT RESID @alp 7 rf] PLAN CHECKERFINAL SEWAGE DISPOSAL INSPECTOR eG . , yj. D SQ FT GARAGE @ '/,¢ HOUSESEWER CCS PERMIT FEE GAS PIPING � MOBILE HOME PERMIT FEE Is $ PERMIT FEE OFFICE NO LENDER INVOLVED PERMIT FEE , y Gee R IT O. TOTAL FEESMOB. HM.FEE I MICROfEE MECH. FEE DBL. PL. CCK. FEE /CONST. FEE DBL. ELECT. FEE DBL. SMIFEE FEE PLUMB. F E DBL, J J I F I M A I M I J I J A I S 1 O 1IN D 74 JOB ADDRESS SP NO OWNER 75 USE OF PE 11T Dw- err-. r�0/ F.C. DATE ' 6-��j-,& PE I O. 2 2833 76 - DST M H PERMIT FEE $ COMMUNITY DST I U.� UNITS ROOMS VALUATION SUPP. TO PERMIT OFFICE -.T MICROFILM FEE COPIES $ LEGAL DESCRIPTION ;`LI- 7,4 MECHANICAL FEE DBL $ SETBACK LOT SIZE ZONE USE NO, GRP TYPE ;�Y(BY PLAN CHECK FEE $ R BOND AMT. PLAN NO. PLAN CHECKERFINAL DATE INSPECTOR . , l0 �� CCS � CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED I 0U c --- ELECTRICAL FEE DBL $ j ADDRESS CITY STATE STRONG MOTION INSTRUMENTATION FEE $OWNER/AGENT'S �j✓ SIGNATURE y- ' {� CONTRACTOR / FEE $ ADDRESS J p ADDRESS PLUMBING FEE DBL $ CITY% j� ZIP CODE CITY ZIP CODE TOTAL FEES J / TEL. NO. , r�,- �& 3� JTHIS TEL. NO. LICENSE CASH ❑ CHECKm M.O. ❑ N.C. ❑ PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA . 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 t CORDANCE' WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSC RECEIVED BY( SEWAGE p SYSTEM {Q'DD r" AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE'WITH THI r LL P , I I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPAREDTHEPLANS AND SPECIFICATIONS FORM 284.208 (Rem. 10-74) ©L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.