SFD (222936)BUILDING PERMIT
CON STRUCTIO N:' ESTIMAT
I ST FL... SQ. FT. Ca
2ND FL. SQ. FT. Cia
POR. SQ. FT. Cal
2.9
GAR. SQ.FT. SQ.FT. @
CAR P. 5Q. FT. @
WALL ` SQ.FT. @a
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION
NOTE: Not to be used as property tax valuation
MECHANICAL FEES
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE'. •
F, ELECTRICAL FEES .A
NO.
MOTOR I OR LESS H.P.
MOTOR 5 OR LESS H.P. "
MOTOR 20 OR LESS H.P.
I K.W. UNITS
FIELD OFFICE
PLUMBING -FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATFR SOFTFNFR
•
VENT SYSTEMw FAN ❑EVAP. COOL q4HOOD
j)
SIGN
WASHER (AUTO) (819tH
CONST. FEE
�^'�'
DBL. ELECT.-FEpE
� g
I
TRANS-- K.W.'
FORMER
GARBAGE DISPOSAL
S f3
DBL
FURNACE ❑ UNIT ❑ WALL ❑FL OR ❑SUSPENDED
7 r. �
OUTLETS
LAUNDRY TRAY
.�J.a+. ,'�
AIR HANDLING UNIT CFM
��
FIXTURE OR SOCKETKITCHEN
SINK
'A
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL : '
z -YL,. �`_ "-.p� M. _..A, I M. L.ri_!-J— -A-1. S•..C••kN. s108
CONST. SERV. ENTRANCE
WATER CLOSET%
COMPRESSOR ?' HP
Q 0
POLE
LAVATORY
J5_0
DATE { roy"«,
APPLIANCE VENT
71
AMPERES SERV. ENT.
pt3 SHOWER,
•
ABSORPTION SYSTEM B.T.U.
M.H. HOOKUP FEE'
SO. FT. (al Q
BATH TUB
coMMUNIrYDST
INCINERATOR • ❑ DOMESTIC ❑ INDUS. OR COMM..
UNITS
• SQ. FT. @ d
WATER HEATER
SUPP. TO PERMIT
OFFICE
HEATING SYSTEM FORCED ❑GRAVITYby
'! SQ. FT. RESID.,@14
SEWAGE DISPOSAL
4t7
BOILER 0 B.T.U.
SQ. FT. GARAGE @/24
HOUSE SEWER
MICROFILM FEE
PERMIT FEE
_3 o
BALANCE OF MIN. FEE
GAS PIPING
MOBILE MOMS MOOKUP FEE 15 . I 1 '. I . I PtKMI I t'tt Y I' '7 1 6.3,1 - i I PERMIT FEE I .-1 l !3 !-T..
�jQTP-�pfp���
3
TOTAL FEES -j.
eo
MOB. HK. FEE MICRO FEE .,
MECH. FEE
��
DBL
PL. CK. FEET •
CONST. FEE
�^'�'
DBL. ELECT.-FEpE
� g
DBL.
SMI FEE
J+(''p'f7
•FEE
PWMB. FEE
DBL
f•'L9,jJ1
�lA
7 r. �
d•'F
.�J.a+. ,'�
I
��
t:
z -YL,. �`_ "-.p� M. _..A, I M. L.ri_!-J— -A-1. S•..C••kN. s108
ADDRESS -.—.« ;�/
oVMo}v�w.� �..3'd+�-r«r+w.r'r'r.•'r:.
lMt Z
74 'USE
OF BUILDING .,
It
F.C.
DATE { roy"«,
PERM N Q �s
71
_,OX
M.H. HOOKUP FEE'
$
coMMUNIrYDST
UNITS
ROOMS
VALUATION
SUPP. TO PERMIT
OFFICE
� �
MICROFILM FEE
COPIES
$
"'
LEGAL DESCRIPTION
MECHANICAL FEE.
` -
.,DBL`
$ ..��.
� � SET BACK
LOT SIZE
ZONE
�
GRP'
TYPE•�!
-'1
AD.
/•%�f
nPLAN
I
faMl+�
F'24s R
CHECK FEE
$
•
_
9+^
�y
V
BOND AMT.
PLAN NO.
PLAN CHECKER
�,
FINAL DATE IN!
- �'
n
�v-� v��7 ,✓
.�o�J—
�7
fivlsw
,CONSTRUCTION FEE. •
DBL
$ • _ _
NAME OF CONST. •LENDER - . BRANCH
OFFICE _ FO
LENDER INVOLVED + ,
-
-ELECTRICAL FEE
. `
DBL
��'.
$
f�.•
ADDRESS .. -. r CITY.
..-Af),4j 015_
.�..y, STATE
/A 9 0'
/
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.
I HEREBY �I
SRTIFYJTHAT THE (JA VIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS
TOTAL FEES �'
:� °�
HAS DONS, -SO INKCCORDANCE WITHrSECTION 5541 OF THE BUSINESS AND PROFESSIONS
CODE OF'THE STATE OF CALIFORNIA..,-'
CASH ❑ CHECK -dr M.O. ❑ N.C.•❑
OWNER, %. y.k" - ,.+•"'"
' ,." • --w -
CONTRACTOR
RECEIVED BY "F�' ! J'�'
ADDRESS
ADDRESS
y�
SEWAGE SYSTEM T
LL`
P
TREES REQUIRED YES r
NO
CITY... _.
N V 3'
'M.• 14 G`
CITY
INFORMATION
TEL NO.
TEL. NO. LICENSE
" '
/ 'a' "' '' 771
FORM 284.208 Mm J F/721 .• -