232299 (CP)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD OFFICE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
DST
1 ST FL. SQ. FT. @
2ND FL. SQ. FT. @
POR. SQ. FT. @
GAR. SQ.FT. @
CAR P. SQ. FT. @
WALL SQ.FT. @
5W. /" r+SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
NO.
MOTOR I OR LESS H.P.
MOTOR 5 OR LESS H.P.
MOTOR 20 OR LESS H.P.
K.W. UNITS
NO.
uj
DRAT AGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
pO
NOTE: Not to be used as property tax valuation
PLUMB. FEE
FLOOR DRAIN
�3��
MECHANICAL FEES
Op
WATER SOFTENER
j VENT SYSTEM O FAN ❑EVAP. COOL O HOOD
SIGN
WASHER (AUTO) (DISH)
APPLIANCE
FORMER D K.W.
GARBAGE DISPOSAL
FURNACE O UNIT ❑ WALL OFLOOR ❑SUSPENDED
OUTLETS
LAUNDRY TRAY
73
AIR HANDLING UNIT I CFM
FIXTURE OR SOCKET
KITCHEN SINK
75
GAS PIPE ❑NATURAL D L.P.G. O OIL
CONST. SERV. ENTRANCE
WATER CLOSET
COMPRESSOR HP
POLE
LAVATORY
DST
APPLIANCE VENT
AMPERES SERV, ENT.
SHOWER
SUPP. TO PERMIT
ABSORPTION SYSTEM _j B.T.U.
SQ. FT. @
BATH TUB
INCINERATOR D DOMESTIC ❑ INDUS. OR COMM.
SQ. FT. @
WATER HEATER
Q
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SO. FT. RESID. @ 14
SEWAGE DISPOSAL
BOILER 0 B.T.U.
SQ. FT. GARAGE @124
HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE
GAS PIPING
_
MOBILE HOME HOOKUP FEE $
PERMIT FEE YC/ I
f PERMIT FEE 9
MICROFILM FEE
PE MIT O
TOTAL FEES
MOB. HK. FEE MICRO FEE
MECH. FEE
DBL
PL. CK. FEE
CONST. FEE
DBL. ELECT. FEE
DBL.
SMI FEE
FEE
PLUMB. FEE
DBL.
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J I f I M A I M I J I J A I S 1 OMID
JOB ADDRESS
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OWNER
v .` Cv,
73
74
US /O�FvB�gILrD�yG� F.C.
DATE PNf�ERMj(A w w
75
y,
M.H. HOOKUP FEE
$
COMMUNITY
DST
UNITS
ROOMS
VAL ATION
SUPP. TO PERMIT
OFFICE
A1 r
a�
MICROFILM FEE
COPIES
$
LEGAL DESCRIPTION
/
P G U
MECHANICAL FEE
DBL
$
SET BACK
LO SIZE
USE NO.
GRP
TYPE CK BY
;NE
it
F S R ;�
/PIAMT.
$
PLAN CHECK FEE
PLAN N0.
PLAN CHECKER
INAL DATE
INSPECTOR
FEE
DBL
$
CONSTRUCTION
NAME OF CONST. LENDER BRANCH
OFFICE .NO
LENDE INVOLVED
7M/
ELECTRICAL FEE
DBL
$
i/✓
ADDRESS CITY
STATE
SMI FEE
$
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS.;CESSA-
FEE
$�
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 CALIFORNIA,, 1 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.
IHEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS
$
TOTAL FEES
HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OFIE NESSOF_ESSIONS
_����
STATE rOr)F OF THE OF CALIFORNIA. \_ -!!
CASH ❑ CHECK. M.O. ❑ ' N.C. ❑
OWNER. _
CONTRACTOR
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RECEIVED BY
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ADDRESS
ADDRESS %
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SEWAGE SYSTEM
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P
CITY
CITY
TREES REQUIRED YES
NOjL
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INFORMATIONoT
TEL. NO.
NO. LICENSE _
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F0�284. IRev I /72