SFD (272654)BUILDING PERMIT
CONSTRUCTION ESTIMATE
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
'
NO. ELECTRICAL FEES
NO.
FIELD OFFICE
PLUMBING FEES
DST
.
I $T FL. a t J
2ND FL.
POR. U
GAR. d��/' J
CAR P,
WALL
ESTIMATED CONSTRUCTION
SQ.FT. @
/j'�i UNITS
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
DATE
jP2`72654
SQ. FT. @ YARD SPKLR SYSTEM
//
SQ.FT. @ "`(i +—�f MOBILEHOME SVC. BAR SINK
� � .1+� ,-�-
SQ. FT. @ d /x �� 4x U`ti POWER OUTLET ROOF DRAINS
AIR HANDLING UNIT CFM
SQ.FT. @ DRAINAGE PIPING
IDLE METER
SQ. FT. @ DRINKING FOUNTAIN
l
SQ. FT. @ URINAL
0C
VALUATION $ �!' f r -- / WATER PIPING <
VALUATION
NOTE: Not to be used os property tax voluation
SWIM POOL, PVT
WATER CLOSET
FLOOR DRAIN
COMPRESSOR `f HP
MECHANICAL FEES
SWIM POOL. COMM
�,
WATER SOFTENER
UC
HEATING SYSTEM FORCED ❑ GRAVITY
VENT SYSTEM ❑ FAN ❑ EVAP. COOL `
HOOD "' SIGN
/
wasHFa lal Irrn NaVRL41•
APPLIANCE
,j pU
OWNER
R
74
/ f f
GARBAGE DISPOSAL
75
USE OF PERMIT
144
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
DATE
jP2`72654
76
LAUNDRY TRAY
AIR HANDLING UNIT CFM
-
IDLE METER
l
KITCHEN SINK
0C
ABSORPTION SYSTEM B.T.U.
VALUATION
TEMP USE PERM SVC
OFFICE
WATER CLOSET
04:
COMPRESSOR `f HP
190
POLE, TEMP/PERM
�,
LAVATORY
UC
HEATING SYSTEM FORCED ❑ GRAVITY
20 /001 AMPERES SERV ENT
s
MICROFILM FEE
SHOWER
$
BOILER B.T.U.
SQ FT @ ¢
%
%
BATH TUB
MECHANICAL FEE
DBL
$
SQ FT @ ¢
SETBACK
LOT SIZE ZONE
WATER HEATER,
�(
GRP
TYPE
�x%() SQ FT RESID @ I¢
SEWAGE DISPOSAL
/err
�J
SQ FT GARAGE @ Yk
HOUSE SEWER
PLAN CHECK FEE
PERMIT FEE
BOND AMT.PIAN
NO.
PLAN CHECKER
GAS PIPING
oC ✓,iC,�
MOBILE HOME PERMIT FEE $
PERMIT FEE
, f. Q�
PERMIT FEE
I,,
/ •75
i
212'605 4
TOTAL FEES
t
MOB. HM.FEE
MICRO FEE
�-
MECH. FEE'
rel
DBL
PL. CK. FEE
CONST. FEE
Gv
DBL.
ELECT. FEE
,
DBL.
SMI FEE
-
FEE
PLUMB. FES
�-CJ
JDBL.
J I F I M A I M I J IJ A S O N D
JOB ADDRESS .5P NO
OWNER
R
74
/ f f
�rav, /i'u �r il7�l
75
USE OF PERMIT
144
F.C.
1
DATE
jP2`72654
76
M H PERMIT FEE
$
C/OMMU"NIT�Y'
DST
UNITS
ROOMS
VALUATION
SUPP. TO PERMIT
OFFICE
f
Z.
MICROFILM FEE
COPIES
$
LEGAL DESCRIPTION
%
JG1
P#-
N' /r13"rA
MECHANICAL FEE
DBL
$
SETBACK
LOT SIZE ZONE
USE NO.
GRP
TYPE
CK BY
/err
IR
PLAN CHECK FEE
$
BOND AMT.PIAN
NO.
PLAN CHECKER
FINAL DATE
IN6TOR ,!
•JJ
I,,
/ •75
i
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDER INVOLVED
ELECTRICAL FEE �j' -.,
DBL
$
ADDRESS CITY
STATE
y j
STRONG MOTION
$
OWNER/AGENT'S SIGNATURE
CONT
INSTRUMENTATION FEE
3.
$
ADDRESS
ADDRESS
FEE
I
P0 Y.,` 1/
l� f
PLUMBING FEE
DBL
$
J
j Cj
CITY ZIP CODE
CITY / ZIP CODE
/< t'�t 1 ris rid t �t r
TOTAL FEES
$
i / ?
s7/s
TEL. NO.
TEL. NO. LICENSE
f _- cr„� j C; , `� _rt
CASH ❑ CHECK M.O. ❑ N.C./r7�tIr
' 1 l t
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.
RECEIVED BY r
TREES REQUIRED
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC
WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSC
SEWAGE SYSTEMCORDANCE
J/rl
T
LL
p
AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE
I I HEREBY CERTIFY THAT THE INDIVIDUALWHO PREPAREDTHEPLANS AND SPECIFICATIONS
FORM 284-208 (Rev. 10-74) QP L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE
OF THE STATE OF CALIFORNIA.