222828 (SATT)BUILDING PERMIT
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATEt_, _, _ ELECTRICAL FEES.,,:z,;,...-.
I ST FL.
SQ. FT. �D
SIGN
,d
2ND FL.
SQ. FT. �i0
POR.
'Ald 0 SQ. FT. �D .�-
GAR.
!• SQ.FT. @
CAR P.
SQ. FT. �ia
WALL
SQ.FT. @
LAUNDRY TRAY
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
NOTE: Not to be used as property tax valuation
MFCHANICAL FEES
,1+ MOTOR I OR LESS H.P.
MOTOR S OR LESS H.P.
MOTOR 20 OR LESS H.P.
K.W. UNITS
FIELD OFFICE
PLUMBING FEES DST
N O.
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
MOBILE HOME HOOKUP FEE 1$ I 1 1 f I PERMIT FEE I :;FI ri 021 / I PERMIT FEE I .11 lei f -I
jP O
2
2 27.92
92
VENT SYSTEM FAN ❑EVAP. COOL [HOOD
SIGN
PL. CK. FEE
p
WASHER (AUTO)VDISH) t
L.
APPLIANCE r
ANnnE, O K.W.
SMI FEE
GARBAGE DISPOSAL
PLUMB. FEE DBL.
FURNACE ❑ UNIT ❑ WALL ❑FLO ❑SUSPENDED
OUTLETS
LAUNDRY TRAY
AIR HANDLING UNIT I CFM
FIXTURE OR SOCKET
KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE
JOB ADDRESS- - - -
s
. l� � f
U,�E+O•F BUILDING F.C.
WATER CLOSET
_
COMPRESSOR HP
POLE
LAVATORY
APPLIANCE VENT
AMPERES SERV. ENT.
ROOMS
SHOWER
SUPP. TO PERMIT
ABSORPTION SYSTEM 0 B.T.U.
SQ. FT. @ ¢
%
BATH TUB
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SQ. FT. @ 4
/
WATER HEATER
i
HEATING SYSTEM FORCED ❑ GRAVITY
SQ. FT. RESID. @14 `
COPIES
SEWAGE DISPOSAL
BOILER 0 B.T.U.
SQ. FT. GARAGE @/2Q
HOUSE SEWER
PERMIT FEE11
1 BALANCE OF MIN. FEE
J'
GAS PIPING
MOBILE HOME HOOKUP FEE 1$ I 1 1 f I PERMIT FEE I :;FI ri 021 / I PERMIT FEE I .11 lei f -I
jP O
2
2 27.92
92
TOTAL FEES MOB. HK. FEE MICRO FEE MECH. FEE
DBL.
PL. CK. FEE
p
CONST. FEE
L.
ELECT. FEE
DBL.
SMI FEE
FEE
PLUMB. FEE DBL.
.
,, !J �� Gf
6�
i
re
J I F I M -A I M-1 J I J.- A I S 1 O I N I D
JOB ADDRESS- - - -
s
. l� � f
U,�E+O•F BUILDING F.C.
OWNER - -.
.,.•3 s � .®
ATE - P- MBJ/y ,, % 8
73
74
M. H. HOOKUP FEE
r0MMUNITY Dsr
UNIX
ROOMS
VALUATION
SUPP. TO PERMIT
OFFICE
MICROFILM FEE
COPIES
$
.24
LEGAL DE RRI/IPTION'
?• / ,�
MECHANICAL FEE
DBL
$
—A
SETBACK
LOT SIZE ZONE
USE NO.
GRP
TYPE
CK BY
q
_
F S. a „ R .,, j
o
1 7' '7�
`�
$
PLAN CHECK FEE
OND AMT.
PLAN NO.'
PLAN CHECKER
FINAL DATE -
INSPECTOR
t
'I
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
y
OFFICE - J.NO
LENDER INVOLVED
�i
ELECTRICAL FEE
DBL
$
-
f
J
AD RESS CITY
STATE
!
SMI FEE
$'
7zip3
.t
THIS PERMIT SHALL BECOME V ID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CCSSA-
TION OF WORK FOR 120 DAYS S 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
$
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 WHOP RED HEP S AND SPECIFICATIONS
$
TOTAL FEESHAS
DONE SO IN ACCORDANCE WITH SECTION 5J41 T E BUS ESS P F S NS
1
CODF OF THE STATE OF CALIFORNIA.
CASH ❑ - - - CHECK Cg:-M.O. ❑ N.C. ❑
OWNER.
COTRA OR '
RECEIVED BYADOREss-ADDRESS
SEWAGE SYSTEM T
LL r
P
CITY -
Cm
TREES REQUIRED
YES
NO
�� G
1 N RMA
U
TEL. NO.
TEL. NO. I LICENSE
FORM 284-208IRm 11/721