222832 (SATT)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE....—.
1 ST FL.
SQ. FT. @ 4a `?
2ND FL.
SQ. FT. @
POR.
SQ. FT.
GAR.
SQ.FT. @
CAR P.
SQ. FT. @
WALL
SQ.FT. @
OUTLETS
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION
$
NOTE: Not to be used as property tax valuation
MECHANICAL FEES
ELECTRICAL FEES..:,,_.•_. .
MOTOR 1 OR LESS H.P.
MOTOR 5 OR LESS H.P.
MOTOR 20 OR LESS H.P.
K.W. LIN
PLUMBING FEES DST,�
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
MOBILE HOME HOOKUP FEE 1$ 1 1 1 d I NtHMl1 rtt I --I' I rari 1 ! I NtHMI I rtt I .l I UdJ
�/('J�P,�/•,R/
VENT SYSTEN-0-9 FAN OEVAP.000L RLHOOD
d0
SIGN
WASHER(AUTO).XDISH) a 42
DBL.
APPLIANCETRANS-
K.W.
FORMER D
GARBAGE DISPOSAL
FURNACE O UNIT O WALL ❑FLOOR ❑SUSPENDED
SPL.
�
OUTLETS
LAUNDRY TRAY
AIR HANDLING UNIT I CFM
FIXTURE OR SOCKET
KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
F
CONST. SERV. ENTRANCE
WATER CLOSET
+
COMPRESSOR HP
_2
J- -F 1 M• A I PA I • J J I A I S-1 O 1 N I D
POLE
LAVATORY
73
APPLIANCE VENT
USE OF BUILDING
AMPERES SERV. ENT.
SHOWER U
ABSORPTION SYSTEM B.T.U.
M.H. HOOKUP FEE
SO. FT, @° q
BATH TUB `-
INCINERATOR O DOMESTIC ❑ INDUS. OR COMM.
DST UNI
SQ. FT. @ q
/ WATER HEATER
SUPP. TO PERMIT OFFICE
HEATING SYSTEM [,FORCED O GRAVITY
41990
SO. FT. RESID. @ ) q
SEWAGE DISPOSAL (yam
BOILER 0 B.T.U.
SO. FT. GARAGE @1�2qr6
HOUSE SEWER
I
MICROFILM FEE
PERMIT FEE
$
BALANCE OF MIN. FEE
f GAS PIPING (f
MOBILE HOME HOOKUP FEE 1$ 1 1 1 d I NtHMl1 rtt I --I' I rari 1 ! I NtHMI I rtt I .l I UdJ
�/('J�P,�/•,R/
TOTAL FEES
MOB. HK. FEE MICRO FEE MECCHH. FEE DBL.
�
CK. FEE COyNST, FEE
DBL., ELECy+T�. FEE
�
DBL.
SMI FEE
FEE PLUMS.FEE DBL.
�/��j'1,Q�p{e
3 21.2
SPL.
�
2/ Y Y.0
s`aJ
F
_2
J- -F 1 M• A I PA I • J J I A I S-1 O 1 N I D
JOB ADDRESS
Vr-3 f
I OWNER —
A r3 M'
73
74
USE OF BUILDING
�.FC'PERM�2OA
E
75
M.H. HOOKUP FEE
$
tOMMUNITY
DST UNI
ROOMS
VALUATION
SUPP. TO PERMIT OFFICE
MICROFILM FEE
COPIES
$
LEGAL DES RIPTION
MECHANICAL FEE
DBL
$
SET BACK
LOT SIZE
ZONE
USE NO.
GRP
TYPE
.
LK
Fes, S R �
$
PLAN CHECK FEE
- •
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE INSPECTOR
-
9 - I �b '-7 3
`
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
1-n .;
OFFICE .NO
J
LENDER INVOLVED
0
ELECTRICAL FEE
DBL
$
DRESS CITY
STATE
pl-
SMI FEE
$
2 -THIS
—9
-PERMIT SHALL BECOME V ID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSA'
TION OF WORK FOR 120 DAYS ALL ALSO CAUSE PERMIT TO BECOME VOID.
FEE
$°�'
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
$
®U
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 PRU*REDU9 PLANS AND SPECIFICATIONS
$
TOTAL FEES
'
7, j;
HAS DONE CCORDAONRCEAWITH SECTION 55 O US E S PROFE ONS
EOSTAIN TE
CODE OF THH
CASH ❑ CHECK [� M.O. ❑ N.C. ❑
OWNER,
CONTRACT6R
f
a
RECEIVED BY
ADDRESS
AD RESS
SEWAGE SYSTEM
T
ELLPCITY
CITY
TREES REQUIRED
NO
%
INFORMATION
^
•ILS/)
TEL. NO.
TEL. N . LICENSE
FORM 284.208(Re, 11/72)
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