248301 (SATT)BUILDING PERMIT
CONSTRUCTION ESTIMATE
1 ST FL.
SQ.FT. @
2ND FL.
SO. FT. @
POR.
SQ. FT. @
GAR.
SQ. FT. @
CAR P. "
SO.FT. @
WALL
SQ. FT. @
SQ FT @ a BATH TUB
SQ. FT. @
ESTIMATED CONSTRUCTION
VALUATION $
NOTE: Not to be used as property tax valuation
MECHANICAL FEES
SQ FT GARAGE @ '/2¢ HOUSE SEWER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
DEPARTMENT OF BUILDING & SAFETY
1 COUNTY OF RIVERSIDE
I� NO. I ELECTRICAL FEES
UNITS
MOBILEHOME SVC.
POWER OUTLET
SWIM POOL, PVT
SWIM POOL, COMM
SIGN
FIELD OFFICE
PLUMBING FEES
BOILER I I B.T.U.
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
WASHER (AUTO) (DISH)
DST
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 @ '/2¢ HOUSE SEWER
PERMIT FEE TEMP ELEC SVC GAS PIPING
MOBILE HOME PERMIT FEE is
PERMIT FEE PERMIT FEE
PERMIT NO.
TOTAL FEES
M08. HM. FEE
MICRO FEE
MECH. FEE
DBL.
PL. CK. FEE]Z:�DBL.
ELECT. FEE DBL.
SMI FEE
FEE
PLUMB. FEE
NMI
T I F I M I A I M I I J I A I.S O 1 N D
JOB ADDRESS i SPNO OWNER
I
73
Y i
74
U P #f F.C. P� �NO8
gs, Afb. A" . r6*944
75
M H PERMIT FEE $
COCA M O I S R M VALUATION SUPP. TO PERMIT OFFICE
la / #
MICROFILM FEE
COPIES
$
LEGAL DESCRIPTION
U1. 39AI
MECHANICAL FEE
DBL
$
SET BACK
CbT SIZE ZONE
USE NO.
GRP
TYPE
CK BY
'
F 5 R
PIAN CHECK FEE
$
BOND AMi.
PAN NO.
PLAN CHECKER FTNAL DAT
INSPE TSR
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER
BRANCH OFFICE
NO LENDER INVOLVED
�»
ELECTRICAL FEE
p
$ '
AD15RT9t
CITY
STATE
SMI FEE
$
`"
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS.
C:ESSA•
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 CALIFORNIAI ALSO
FEE
,
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 SPEQFICATIONS
PLUMBING FEE
DBL
$
HAS DONE SO IN ACCORDANCE WITH SECTION 5541,pf�-THE E7 � 1TZj FESS90NS CODE
OF THE STATE OF CALIFORNIA. f` PO-� r .�
OWNER/AGENT'S SIGNATURE
CONTRACTORMAU"
TOTAL FEES
45
-2031
CASH ❑ HECK,fK M.O. ❑ r N.C. ❑
dice
ADDRESS
ADDR S
RECEIVED BY�TT
TREES REQUIRED
CITY ZIP CODE
cm-- ZIP CODE
SEWAGE SYSTEM
LL P
Palm s"t
INFORMATION
TEL. NO.
TEL. NO. LICENSE
a"1,.x,0,
FORM 284.208 IRev 9.731 05
346-6002 225368