230102 (RPL)BUILDING PERMIT
2r-`
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE.
ELECTRICAL FEES
1 ST FL.
SQ. FT.
@
NO. 7i
2ND FL.
SQ. FT.
@
D�
POR.
SQ. FT.
@
MOTOR I OR LESS H.P.
GAR.
SQ.FT.
@
MOTOR 5 OR LESS H.P.
CAR P.
SQ. FT.
@
MOTOR 20 OR LESS H.P.
WALL
SQ.FT.
@
�
SQ. FT.
@
'Ode -
ESTIMATED CONSTRUCTION
VALUATION
$• f1C�� OK W. UNITS
NOTE: Not to be used as property tax Valuation
MECHANICAL FEES
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
APPLIANCE
FURNACE ❑ UNIT ❑ WALL ❑FLOOR ❑SUSPENDED
AIR HANDLING UNIT CFM
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
COMPRESSOR 0 HP
APPLIANCE VENT
ABSORPTION SYSTEM j B.T.U.
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
_ HEATING SYSTEM ❑ FORCED ❑ GRAVITY
BOILER 0 B.T.U.
PERMIT FEE
MOBILE HOME HOOKUP FEE S
IKArvJ-. = K.W.
FORMER
OUTLETS
FIXTURE OR SOCKET
CONST. SERV. ENTRANCE
POLE
AMPERES SERV. ENT.
SO. FT. @ Q
SQ. FT. @ 4
SQ. FT. RESID. @ 14
SQ. FT. GARAGE@1124
BALANCE OF MIN. FEE
I PERMIT FEE '-
.FIELD OFFICE
PLUMBING FEES DST
NO.
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
WASHER (AUTO) (DISH)
GARBAGE DISPOSAL
LAUNDRY TRAY
KITCHEN SINK
WATER CLOSET
LAVATORY
SHOWER
BATH TUB
/ WATER HEATER
SEWAGE DISPOSAL
/ HOUSE &EWER , _"
GAS PIPING
PERMIT FEE ~~
P
2 3'{N
2r-`
TOTAL FEES
MOB. HK. FEE MICRO FEE
MECH. FEE
DBL.
PL. CK. FEE
CONST. FEE
--
DBL.
ELECT.
T. FEE
DBL.
SMI FEE
y�
FEE-1PLUMB. F_E DBL. :
J I F I M A I M I J I J A. S O- N D.
JOB ADDRESS �j-- � r
—
OWNER
73
6 fs'S_I/ � lCY�/ AA/VD �.A/ �
Al jr �
74
USE OF BUILDING J
r`viU 51wt" peal
F.C.
Ab
DATE
fa'/~ 7_'3
PERM N
(�
02
75
M.H. HOOKUP. FEE
$
COMMUNITY
D/IS(fT
UNITS
ROOMS
VALUATION
SUPP. TO PERMIT
OFFICE
�^/�..
1/4741
MICROFILM FEE..
COPIES
$
LEGAL DESCRIPTION
1 P7(9,/ rq D 00
MECHANICAL FEE
DBL
$2
-
SET BACK
LOT SIZE ZONE
USE NO. . .
GRP-
TYPE
IR
I
F s R_f2)t
PLAN CHECK FEE
$
. .
3v
BOND AMT:.
PLAN NO.
PLAN CHECKER'
FINAL DATE -
-
]INSPECTOR
g --x7-7z> -
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE J.NO
LENDER INVOLVED -
'
r.
/�
Gf
ELECTRICAL FEE
DBL
$
-
ADDRESS CITY
STATE
SMI FEE
$
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSA.
$
FEE
TION OP 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 CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE P ANS AND. SgCIF CATIONS.
$
TOTAL FEES .0.
!
sa i
HAS DONE SO 1N ACCORDANCE WITH SECTION ,554 T SINES ESSIONS
`
CODE F HE STATE OF CALIFORNIA.
~
CASH ❑ CHECK M.O. ❑' ' N.C. ❑
OWNER.
f
CONT CCTOR � t
RECEIVED BY'
ADDRESS -
•ADDRESS ,
F
SEWAGE SYSTEM
..
T
LL
P
-TREES REQUIRED
YES
NO
CITY
1.
INFORMATION
TEL. NO.
TEL. NO. _ LICENSEM
, • � - �
-;z 7,0 � �
FORM 284 208 1ReJ: 1 1 /721
444 � I