SFD (222932)BUILDING PERMIT . DEPARTMENT OF BUILDING & SAFETY _
• COUNTY OF RIVERSIDE ,
CONSTRUCTION ESTIMATE--, r- ELECTRICAL,FEES,� ,.,
1 ST FL. 0 SQ.FT. @' t t4i t3 p� NO.
vel.
2ND FL. SQ. FT'
POR. SQ. FT. @D MOTOR I. OR LESS H.P.
GAR. +'L 7 9 SQ.FT.
@ 'i. MOTOR 5 OR LESS H.P.
�-�� '"—
CAR P. SQ. FT.' @ MOTOR 20 OR LESS H.P.
WALL SQ.FT. @
SQ. FT. + @ w
ESTIMATED CONSTRUCTION VALUATION K.W. UNITS
NOTE: Not to be used CIS property tax valuation
MECHANICAL FEES
FIELD OFFICE
PLUMBING FEES . ..DST
NO.
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATFR SOFTFNFR
G) ,
MOBILE HOME HOOKUP FEE . ' I$, : I 1 1 1 PERMIT FEE • I '•d 100 1 l I PERMIT FEE I _rLI Ott
P
VENT SYSTEM ❑FAN ❑ EVAP. COOL HOOD
EEw
SIGN •,
WASHER (AUTO) (Q")
DBL.
PL. CK. FEE
CONST. FEE
APPLIANCE
7�o
FORMER D K.W.
j . GARBAGE DISPOSAL
DBL.'
FURNACE ❑ UNIT ❑ WALL ❑FLOOR ❑SUSPENDED
OUTLETS
LAUNDRY TRAY
_
AIR HANDLING UNIT CFM
FIXTURE OR SOCKET
% KITCHEN SINK"
'A'_1,(�`. -J .t ->-A. S..t-0_ N.. D.•:OB
ADDRESS ,.`.+:"^ "«r�.-�.-.�rf'•,I
OWNE"-'tn•1i'� rte :Ip'%4..
4
GAS PIPE ❑ NATURAL' ❑ L.P.G. ❑ OIL
73
CONST. SERV. ENTRANCE,,
WATER CLOSET
3
g a
T_
COMPRESSOR HP
PERM N
9 3=2
POLE
LAVATORYv
�T
PJ4 ti (r'
APPLIANCE VENT
AMPERES SERV.' ENT. esu
SHOWER
d
p
ABSORPTION SYSTEM B;T.U.
SO. FT. @ Q
BATH TUB
VALUATION
SUPP. TO PERMIT OFFICE'
-INCINERATOR ❑DOMESTIC ❑ INDUS. OR COMM.
SQ. FT. @ 2
WATER HEATER
i�
HEATING SYSTEM CyFORCED ❑ GRAVITY
y
' SQ: FT. RESID. @) d ; Gam"
SEWAGE DISPOSAL
$
co
_
i.
BOILER. 0 B.T.U.
SQ. FT. GARAGE @1124 3t I
HOUSE SEWER
. P �ook. JV - A6,a
'MECHANICAL FEE -
• ' '
DBL'
PERMIT FEE
}?d
BALANCE OF MIN. FEE
GAS PIPING
ZONE
US NO. t
MOBILE HOME HOOKUP FEE . ' I$, : I 1 1 1 PERMIT FEE • I '•d 100 1 l I PERMIT FEE I _rLI Ott
P
TOTAL FEES
MOB. HK. FEE MICRO FEE
MECH. FEE
DBL.
PL. CK. FEE
CONST. FEE
DBL: ELECT. FEE DBL.
SMI FEE
'FEE
PLUMB. FEE
DBL.'
'A'_1,(�`. -J .t ->-A. S..t-0_ N.. D.•:OB
ADDRESS ,.`.+:"^ "«r�.-�.-.�rf'•,I
OWNE"-'tn•1i'� rte :Ip'%4..
4
73
J7 6 0 ✓✓LiU!
• tfrawCB!I_ "6wei .• y
74
USE OF BUILDING: .:
.yt • - •
F. C.
ea.
DATE
PERM N
9 3=2
'
75,x.
�T
PJ4 ti (r'
M.H. HOOKUP FEE
$ •
COMMUNITYDST
UNITS
ROOMS
VALUATION
SUPP. TO PERMIT OFFICE'
tU% 'TA
/��} 1
i�
MICROFILM FEE
COPIES
$
LEGAL DESCRIPTIONo
Gy
. P �ook. JV - A6,a
'MECHANICAL FEE -
• ' '
DBL'
$
,��
•f/
SET BACK '� -
LOT SIZE r
ZONE
US NO. t
GRP
TYPE >
CK BY
•
pP°1
r�y
�/OAt�et'
F 5 " R 1C9
PLAN CHECK FEE
$
BOND AMT.;
PLAN NO. - -
PLAN CHECKER
FINAL DATE IN
—
CTOR( = t
L"
di�9
CONSTRUCTION FEE. ..
DBL
$-
NAME OF CONST. LENDER'•_ a ., BRANCH
r
j - � _
OFFICE -. - J.NO
- • -
LENDER IN OLVED ' - .-
- ` ' `
•
,
'
�' K
ELECTRICAL FEE
• - -- •••
.DBL$.
-'
c. >.I
ADDRESS - CITY
J1�r
STATE
1A101.0
- -
/.
SMI FEE
$
1
f
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 HER 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 CERTI•FY�THAT THE J.N5 V,IDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS
$
• . TOTAL FEES :. .0
,:
•.
HAS DONE'S0'IN ACCORDANCE W7T7H SECTION '5541 OF THE BUSINESS AND PROFESSIONS
TAA OF CAH,-6RNIA'.
-CASH ❑ CHECK � • ... M.O. ❑ N.C. ❑
OWNEf "�,E,. ,•^'- '•
R.I
* � ••–•-^.' ,i :
l�°�'-'fit/
CONTRACTOR
'
,RECEIVED BY
a�
ADDRESS
^�'.�C m
ADDRESS
SEWAGE SYSTEM T
_
Ll
I p
► c
TREES REQUIRED
YES r
CITY _. ... . - _ . -.-
A� AINFORMATION
CITY
'
LNO
" " ss
TEL. No. ,
TEL. NO. LICENSE
7—
FORM 284 2081Rv. 11/72)
! f , F7