RPL (248278)BUILDING PERMIT
CONSTRUCTION ESTIMATE
1 ST FL. SQ.FT. @
2ND FL. SQ. FT. @
POR. SQ. FT. @
GAR. SQ. FT. @
CAR P. SQ.FT. @
WALL SQ. FT. @
friP/ 0l;7 SO. FT. @
ESTIMATED CONSTRUCTION VALUATION $
NOTE: Not to be used as property tax valuation
MECHANICAL FEES
VENT SYSTEM, ❑ FAN ❑ EVAP. COOL ❑ HOOD
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
NO. I ELECTRICAL FEES
UNITS
MOBILEHOME SVC.
POWER OUTLET
SWIM POOL, PVT
SWIM POOL. COMM
SIGN
FIELD OFFICE
PLUMBING FEES
BOILER Lj B.
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
WASHER (AUTO) IDISHI
d
APPLIANCE GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY
AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK
ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC WATER CLOSET
COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY
HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER
SQ FT @ ¢ BATH TUB
SQ FT @ ¢ WATER HEATER
SQ FT RESID @ le SEWAGE DISPOSAL
SQ FT GARAGE @ '/a¢ tl HOW&EtSE-WERJO 4; c?
PERMIT FEE TEMP ELEC SVC �' GAS PIPING 6
MOBILE HOME PERMIT FEE Is
f PERMIT FEE f� PERMIT FEE tai. (r?�%
P R T
P
(� TOTAL FEEfSMOB.
J
H. FEE
:71
MECH. FEE
DBL.
PL. CK. �FE�j �
C/
CONST. FEE
DBL.
ELECpT'.�F�E?E
DBL.
SMJ �Efr
FEE P]LUM,Bf.^fEE
DBL.
J I F I M A I M I J IJI A I S O N D
JOBSP No
_ADDRESS /(
OWNER
73
74
USE OF PERMIT
00
F.C. [DATE
P 1
N % 7
M H PERMIT FEE.
$
COMMUNITY
�• b�' l `lv
DST
f
UNITS
ROOMS
I VALUAATIO)N
.2 42 00
SUPP. TO PERMIT
OFFICE
MICROFILM FEE
COPIES
$
.�+
LEGAL DESCRIPTION r . I L� � !� �
7 �� 4��/� �J •.- p / g _ � p
MECHANICAL FEE
DBL
$
SET BACK
LOT SIZE ZONEfI
tt
NO.
GRP
TYPE
CK BY J
L
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE INSPECTOR
J
CONSTRUCTION FEE
DBL.
$
f L
Go w
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDER INVOLVED'
ELECTRICAL FEE
DBL
$
'ge)
ADDRESS CITY
STATE
SMI FEE
$
THIS 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 INIAC-
CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO
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 SPECIFICATIONSSI E A
HASDONE SO IN ACCORDANCE WITH SECTION 5541 OFT ND PR FES IONS CODE
OF THE STATE OF CALIFORNIA.
FEE
$
PLUMBING FEE
DBL
$
TOTAL FEES
Li�
OWNER/AGENT'S SIGNATURE
CONTRA OR
A1v��'!�
CASH ❑ CHECK, M.O. ❑ N.C. ❑
ADDRESS
ADDRESS ,r
o) ^^ �'f✓f
RECEIVED BY
TREES REQUIRED
�•
SEWAGE SYSTEM
LL P
CITY ZIP CODE
CITY ZIP CODE
i _
P i
INFORMATION
FORK) 284.208 IRev. 9.731 05
TEL. NO. z
TEL. NO. LICENSE L.;:
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