248296 (SATT)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
Ah COUNTY OF RIVERSIDE A
CONSTRUCTION ESTIMATE
1 ST FL. SQ.FT. @
2ND FL. SQ. FT. @
POR. SQ. FT. @
GAR. SQ. FT. @
CAR P. SQ.FT. @
WALL SQ. FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
NOTE: Not to be used as property tax valuation
MECHANICAL FEES
VFNT SYSTFAA n FAN n FVAP_ COOL ❑ HOOD
NO. I ELECTRICAL FEES
UNITS
MOBILEHOME SVC.
POWER OUTLET
SWIM POOL, PVT
SWIM POOL, COMM
SIGN
NO.I PLUMBING FEES
BOILER I I B.T.U.
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
WASHER IAUTOI (DISH)
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 @ a BATH TUB
SQ FT @ ¢ WATER HEATER
SQ FT RESID @ 1 ¢ SEWAGE DISPOSAL
SQ FT GARAGE @ 'ha HOUSE SEWER
PERMIT FEE TEMP ELEC SVC GAS PIPING
MOBILE HOME PERMIT FEE Is
PERMIT FEE PERMIT FEE
P R T
TOTAL FEES
to 3.
MOB. HM. FEE fAiCRO
FEE
MECH4FEEDBL.
PL. CK. FEE
CONST. FEE
DBI.
ELECT. FEE
DBL.
SMIFEE
FEEP
9 r
J F M A I M I J I J A 1 S 1 O 1 N D
JOB ADDRESS SP NO
p I
OWNER
remn-
73.
74
USE OF PERMIT
F.C.
DATE
75
M H PERMIT FEE
$
COMMUNIT`
La Qi Inta
DS296
T
UNITS ROOMS
VALUATION
SUPP.TO PERMIT
234133
OFFICE
T
MICROFILM FEE
COPIES
$
LEGAL D S.:RIPTION
t
MECHANICAL FEE
DBL
I-
$
S
SET BACK LOT SIZE ZONE
F S R
..
USE NO. GRP
es
TYPE
CK BY
PLAN CHECK FEE
14
$ ;
BOND AMT
I PLAN NO. PLAN CHECKER
FINAL DATC INSPECTOR
CONSTRUCTION FEE
DBL
i.
$
NAME OF CONST. LENDER BRANCH
tlyw4rad CelliftwMit Bonk
OFFICE
tut
NO LENDER INVOLVED
ELECTRICAL FEE
DBL
t
$
s
n
ADDRESS CI
am
STATE
SMI FEE
$ "
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT CO MENCED WITHIN 120 DAYS. CESSA.
TIGN 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.
CCRDANCE 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(�51HUSINE �'ND FE)SSIONS CODE
OF THE STATE OF CALIFORNIA. ,
FEE
$
PLUMBING FEE
DBL
$
^^
TOTAL FEES
+$
..r
OWNER "AGENT'S SIGNATURE
CONTRACTOR')
((
CASH ❑ CHECK Of M.O. ❑ N.C. ❑
ADDRESS
REIS i&fta,ft • •
gm 164
RECEIVED BY
TREES REQUIRED
SEWAGE SYSTEM
T
LL P
CITY ZIP CODE
CITY- ZIP CODE
Desert
INFORMATION
f
FORM 284.208 (Rev. 9.73) OPs
TEL. N1
-PalK
TEL. NO. LICENSE