Loading...
259109 (BLCK)BUILDING PERMIT CONSTRUCTION ESTIMATE 1 ST FL. SOFT. @ 2ND FL. SQ. FT. @ POR. SQ. FT. @ GAR. SQ. FT. @ CAR P. SO.FT. @ WALL4%sQ,E TJt r SO. FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation MECHANICAL FEES VENT SYSTFM fl FAN fl FVAP_ COOL ❑ HOOD DEPARTMENT OF BUILDING & SAFE i COUNTY OF RIVERSIDE NO. I ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM SIGN FIELD OFFFCE NO.] PLUMBING FEES BOILER B. BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTO: (DISH) APPLIANCE GARBAGE DISPOSAL FURNACE O UNIT 0 WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM j B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM O FORCED ❑GRAVITY AMPERES SERV ENT SHOWER SOFT @ ¢ BATH TUB SQ FT @ ¢ WATER HEATER SQ FT RESID @ i ¢ SEWAGE DISPOSAL SQ FT GARAGE @ Ya¢ HOUSESEWER PERMIT FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE S PERMIT FEE PERMIT FEE PERMIT NO. TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE CONST. FEE -.L DBL. ELECT. FEE DBL. SMI FEE FEE PLUMB. FEE DBL J J I F I M A I M I J I J I A I .S O 1 4JOEADDRESS NO OWNER 73 74 USE OF PERMIJdr,—' F.C. J DATE PF1i"N M H PERMIT FEE $ COMMUNITY DST UNITS I ROOMS I VALUATION ISUPP.TOPERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION / df (..,i ;,�17`/�f�C"+g4•.h•!tG/?mss MECHANICAL FEE DBL $ SETBACK LOT SIZE IZONE , ` USE NO. 'GRP TYPE C�K+BY !f� F S R PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER IFI%L 46T JINSPECTOR. A L�'v CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ 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 IN AC. 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. 1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. FEE $ PLUMBING FEE DBL $ TOTAL FEES � $ " { Z` --^— OWNER/AGENT'S SIGNATURE • -� CONTRACTOR SC.0C CACHECK O M.O. ❑ N. ADDRESS ADDRESS RECEIVED BY ���, rte„ TREES REQUIRED SEWAGE SYSTEM T LL P '.Ji7 CITY ZIP CODE y'itis jam;�.r•7 CITY ZIP CODE ' . INFORMATION FORA%, 284-208IR". 9-73; ©s ♦ TEL. NO. �e - `I' `l > G� TEL. NO. I ICENSL