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248303 (SATT)
BUILDING PERMIT CONSTRUCTION ESTIMATE 1 ST FL. SO.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+o be used as property tax voluation MECHANICAL FEES VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE Un::::ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL.'COMM SIGN FIELD OFFICE NO.I PLUMBING FEES BOILER �_� B.T.U. BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER IAUTO) (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 @ a WATER HEATER SQ FT RESID @ I ¢ SEWAGE DISPOSAL SQ FT GARAGE @ '/?rt HOUSESEWER PERMIT FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE $ PERMIT FEE PERMIT FEE PERMIT NO. TOTAL FEES MOB. HM. FEE MICRO FEE E CONST. FEE MECH. FEE DBL PL. CK. FE08L. ELECT. FEE DBL. SMI FEE FEE PLUMB. FEELBLx I -4 t L L _ J F M A I M I J I J I A I S 1 O N D . w JOB ADDRESS i SP NO OWNER 73 74 9l'@';TlVmwTtQa0 eircte F.C. a PF,RM�NO,,` G71 ,.a 303 75� + M H PERMIT FEE $ M • T MTS OMS VALUATION ISUPP. TO PERMIT OFFICE MICROFILM FEE COPIES $ L MECHANICAL FEE DBL $ CK ? • TSIZE ZONE USE NO.GRP TYPE CK BY F S R PLAN CHECK FEE r 40vBOW AMT. CHECKER DAA—UXs I TOR TLANNO.W__PLAN [)NAL CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE D $-00 AD CITY STATE SMI FEE $ 15 THIS PERMIT SHALL BECOME VOID IF WORK ISM70MWLYMITHIN 120 DAY SSA• 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 PLA S AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541,01 HE- STV N ROF SIONS CODE PLUMBING FEE DBL $ OF THE STATE OF CALIFORNIA.im ,,� TOTAL FEES OWNER,/AGENT'S SIGNATURE CONTRACTOR 14.1 45 CASH ❑ CHECK M.O. ❑ N.C. ❑ ADDRESS AD RE S RECEIVED BY TREES REQUIRED CITY ZIP CODE .�� ZIP CODF Ciry SEWAGE SYSTEM T LL P alln INFORMATION TEL. NO. TEL. NO. LICENSE �OItN1 284-208 ikev. 9731 ©s .{}= 2'1^'308