260073 (CRES)BUILdING PERMIT DEPARTMENT OFIBUILDING & SAFETY -
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES
I ST FL. SQ.FIT @ UNITS
2ND FL. SQ. FT. @
POR. SO. FT. @ MOBILEHOME SVC.
GAR. SQ. POWER OUTLET
CAR P.
41J SOFT.
WALL, SQ. FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $ X•`61 o
NOTE: Not to be used as property tax voluotion
MECHANICAL FEES
VENT SYSTEM ❑ FAN,, ❑ EVAP. COOL :❑ HOOD -
SWIM POOL, PVT
SWIM POOL, COMM
SIGN -
FIELD OFFICE ,
DST
NO.• ',PLUMBING FEES dr
YARD SPKLR SYSTEM
BARSINK,
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
+ I WASHER )AUTO) (DISH)
APPLIANCE'
YOB'ADDRESSSP NO
GARBAGE DISPOSAL '
FURNACE ❑UNIT ❑WALL ❑FLOOR ❑SUSPENDED.
75.
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
BOILER 0 B.T.U.
SQ FT @ ¢
BATH TUB
ROOMS
SQ FT @ ¢
WATER HEATER
OFFICE'
SQ FT RESID @ I ¢
SEWAGE DISPOSAL
' SQ FT GARAGE @ '/,¢
-HOUSE SEWER
PERMIT FEE
GAS PIPING
MOBILE HOME PERMIT FEE $
PERMIT FEE
PERMIT FEE
PERMIT NO:
260073
TOTAL FEES
- 7
MOB. HM.FEE
MICRO FEE
MECH. FEE
DBL.
PL. CK. 7EECONST.
1/
FEE
-
DBL.
ELECT. FEE
DBL.
SMI FEE
FEE
PLUMB. FEE
DBL:
•,..�� ,J_I_F_.I .M I I _I., J 1 J I A -S. 1 O 1 N I. Dl
YOB'ADDRESSSP NO
OWNER y -
75.
USE OF PERMIT
---�-�
F.C.
i
DATE
7_
RMIT NO. '
2 6 0 0 7 3
76
�-
M H PERMIT FEE
$
COMMUNITYDST
UNITS
ROOMS
VALUATION
SUPP. TO PERMIT
OFFICE'
TT7111_5
MICROFILM FEE
COPIES
$
LEGAL DESISRIPTION i L
e 7.14 , o
MECHANICAL FEE
DBL
$
SET BACK
LOTSIZE ZONE
USE NO.
GRP
TYPE
CK BY
,
•� ' J
F �1' lS S' ��
a
PLAN CHECK FEE
$
BONDAMT.
PLAN NO.
PLAN CHECKER
FINAL DATE,
IN! ECTO
CONSTRUCTION. FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDER INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS, CITY
STATE
STRONG MOTION
-
$
OWNER/AGENT'S SIGNATURE
'C TRACT,O1$',A !i -•fI� � 1
INSTRUMENTATION. FEE -
$
ADDRESS
ADDRESS
FEE19'
PLUMBINGFEE
DBL
$
CITY ZIP CODE
CITY ZIP CODE
.
TOTAL FEES
$
TEL. NO.TEL.
NO. LICENSE
4 a
4
-4 2 P 5+
e,
CASH ❑ CHECK M.O. ❑ + N.C. ❑
THIS PERMIT SHALL BECOME VOIDIF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA
RION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
RECEIVED BY TREES REQUIRED
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 ALSC
_
SEWAGE SYSTEM
7
LL
R
AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THI
A/C LIC TUC CTATC.-1 AI ICI 0D A l•/' TDArT/ DC IC AI C/l/-I IA DA AITCCn
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS
FORM 284-208 (Rev. 10-74) @L ' - HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE -
OF THE STATE OF CALIFORNIA.