222836 (SFD)BUILDING PERMIT
CONSTRUCTION ESTIMATE .-
1 ST FL. ;2
SQ. FT.
2ND FL.
SQ. FT. Cia
POR.
SQ. FT.
GAR.
SQ.FT.
CAR P.
SQ. FT. @
WALL
SQ.FT. CiD
SQ. FT. @u
ESTIMATED CONSTRUCTION VALUATION
NOTE: Not to be used as property tax valuation
MECHANICAL FEES
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
_ ELECTRICAL FEES .- .
4.n 7ZjNO.
VENT SYSTEM' FAN ❑ EVAP. COOL ,°HOOD
i APPLIANCE
FURNACE ❑UNIT ❑WALL ❑FLOO SUSPENDED
❑
AIR HANDLING UNIT CFM
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
COMPRESSOR HP
APPLIANCE VENT
ABSORPTION SYSTEM 0 B.T.U.
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
HEATING SYSTEM (FORCED ❑ GRAVITY
BOILER 0 B.T.U.
PERMIT FEE
MOBILE HOME HOOKUP FEE g
MOTOR I OR LESS H.P.
MOTOR 5 OR LESS H.P.
MOTOR 20 OR LESS H.P.
0 K.W. UNIT
SIGN
TRANS- K.W.
FnRMFR
OUTLETS
FIXTURE OR SOCKET
CONST. SERV. ENTRANCE
POLE
AMPERES SERV. ENT.
SQ. FT. @ Q
SO. FT. @ 4
SQ. FT. RESID. @a 14
SO. FT. GARAGE@1�24
BALANCE OF MIN. FEE
/ PERMIT FEE
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
I! WATER PIPING
FLOOR DRAIN
WATER SOFTENER
WASHER (AUT DISH)
GARBAGE DISPOSAL
LAUNDRY TRAY
KITCHEN SINK
WATER CLOSET G
' LAVATORY
SHOWER
( BATH TUB
! WATER HEATER
j SEWAGE DISPOSAL
HOUSE SEWER
% GAS PIPING
t PERMIT FEE
J
TOTAL FEES`
OB. HK. FEE MICRO FEE MECH.FEE DBL.
PL. CK. F�� CONST. F�
DBL. ELECT�y
DBL.
l FEE
FEE
PLUMB
DBL.
2 ZP@gpAI
I J F -1 M - A I M I J I J - A I S I O .I N . D-
JOBADDRESS.
1 f oB
, d1t
732:
74
USE OF BUILDING i
F.C.
DATE
PERM N
2836
'
75
M.H. HOOKUP FEE
$
COMMUNITY DST
UNITS
ROOMS
VALUATION
SUPP. TO PERMIT
OFFICE
I
MICROFILM FEE
COPIES
$
LEGAL DE CRIPTION
.
MECHANICAL FEE
DBL'
$
SET BACK
LOT SI E
20NE USE NO.
GRP
TYPE
CK BY
SND
$
PLAN CHECK FEE
AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE INSPECTOR
9ME
CONSTRUCTION FEE
DBL
$
OF CONST. LENDER BRANCH
[ADDRESS
OFFICE .NO
LENDER INVOLVED
ELECTRICAL FEE
DBL
$.
CITY
STATE
SMI FEE
$
THIS PERMIT SHALL BECOME YOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSZ
TION OF WORK FOR 120 DAYSALL 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
$
AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH
E✓
THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
S AND SPECIFICATIONS
I HEREBY CERTIFY THAT THE INDIVIDUAL WHOP ARED THABUN,
$
TOTAL FEES
HAS DONE SO IN ACCORDANCE WITH SECTION 41 F ESPROFESSIONS
�•
CODE OF THE STATE OF CALIFORNIA. M
�/
CASH Cl CHECK LS M.O. ❑ • N.C. ❑
OWNER,
C NTR CTOR
Qell
c
RECEIVED BY
ADDRESS
gDDRESS
G YG
SEWAGE SYSTEM
T LL
P
CITY
C cry
TREES REQUIRED YES
NO
- e Gb
INFOR TIO
TEL. NO:
TEL. NO. LICENSE
_
�'
FORM 284.208 Me, 1 1 /721