232184 (RPL)BUILDING PERMIT
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE ,
CONSTRUCTION ESTIMATE -:,r_ ELECTRICAL FEES,;,.;
1 ST FL. SO. FT. @
2ND FL. SQ. FT. @
POR. SO. FT. @
GAR. SQ.FT. @
CAR P. SQ. FT. @
WALL ,rte SO.FT. @
Ila%//3�T1� SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $ZJ
NOTE: Not to be used as property tax valuation
MECHANICAL FEES
VENT SYSTEM (--]FAN ❑EVAP. COOL O HOOD
APPLIANCE
FURNACE O UNIT ❑WALL ❑FLOOR ❑SUSPENDED
AIR HANDLING UNIT I CFM
GAS PIPE O NATURAL ❑ L.P.G. ❑ OIL
COMPRESSOR HP
APPLIANCE VENT
ABSORPTION SYSTEM B.T.U.
INCINERATOR O DOMESTIC ❑ INDUS. OR COMM.
HEATING SYSTEM O FORCED OGRAVITY
BOILER 0 B.T.U.
PERMIT FEE
MOBILE HOME HOOKUP FEE
NO.
FIELD OFFICE
PLUMBING FEES
NO. //
MOTOR I OR LESS H.P.
NQS
MOTOR 5 OR LESS H.P.
MOB. HK. FEE MICRO FEE
It �L OtifJ
MOTOR 20 OR LESS H.P.
CONST. FEE
DR AGE PIPING
ELECT. FEE
DBL.
DRINKING FOUNTAIN
FEE PLUMB F E
URINAL
DK W. UNITS
.1OB ADDRESS
W,4 — J-0-0 4 Z '9
WATER PIPING
73
74
FLOOR DRAIN
�1
WATER SOFTENER
SIGN
81
WASHER (AUTO) (DISH)
TRANS- K.W.
FORMER
GARBAGE DISPOSAL
OUTLETS
COMMUNITY DST
LAUNDRY TRAY
FIXTURE OR SOCKET
I VALUATION
KITCHEN SINK
CONST. SERV. ENTRANCE
MICROFILM FEE
MECHANICAL FEE
WATER CLOSET
POLE
LAVATORY
AMPERES SERV. ENT.
LOT SIZE ZONE
�
1/
SHOWER
SQ. FT. @ 4
GRP
1
BATH TUB
SO. FT. @ 4
PLAN CHECK FEE
WATER HEATER O
SO. FT. RESID. @ 14
M
V-9
SEWAGE DISPOSAL
SQ. FT. GARAGE@1/24
PLAN CHECKER
HOUSE SEWER
BALANCE OF MIN. FEE
CONSTRUCTION FEE
GAS PIPING ,r -
PERMIT FEE �iL �.
�D
-�,
PERMIT FEE o-,.�
23 PY !
NQS
NOTAL FETES`
MOB. HK. FEE MICRO FEE
MECH. FEE
DBL. PL. CK. FEE
CONST. FEE
DBL
ELECT. FEE
DBL.
SMI F
FEE PLUMB F E
DBL
J F I M A I M I J I J A I S 1 O 1 N D
.1OB ADDRESS
W,4 — J-0-0 4 Z '9
OWNS
73
74
USE OF BUILDING[
,
�1
MND
2Y �21
81
75
M.H. HOOKUP FEE
$
COMMUNITY DST
UNITS
ROOMS
I VALUATION
ISUPP. TO PERMIT
OFFICE
MICROFILM FEE
MECHANICAL FEE
COPIES
DBL
$
$
LEGAL DESCRIPTION
L o T" SV Z//-7 PCs 4 2 - OS -.2 -04>4
SET BACK
LOT SIZE ZONE
�
1/
USE NO.
GRP
1
TYPE�CK BY
E
F z s ;?/R
PLAN CHECK FEE
$
`
/
M
V-9
BOND AMT.PLAN
NO.
PLAN CHECKER
IFINALDATE CN),A _ �� / INSPECTOR
/ —
� �)
CONSTRUCTION FEE
DBL
$
�J
�D
-�,
NAME OF CONST. LENDER BRANCH
OFFICE .NO
LENDER INVOLVED
ELECTRICAL FEE
DBL
$
--'�"
ADDRESS CITY
STATE
SMI FEE
$�
s
• THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSA-
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, I ALSO
AGREE COMPENSATION MY LAWS OF THE STATE CALIFORNIACAL FORN A COVERING EMPLOYEES.
CONTR CTO S
THEIS ALSO GUARANTEED.
1HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS
HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS
CODE F THE STATE OF CALIFORNIA.
FEE
$
PLUMBING FEE
DBL
$
TOTAL FEES
$
7�
CASH ❑ CHECK( M.O. ❑ N.C. ❑
OWNER.
„{� �-
CONTRACTOR OASIS 2— no ,
RECEIVED BY
ADDRESS
ADDRESS ` •}� �^ -
SEWAGE SYSTEM T
LL
P
TREES REQUIRED YES
NO
clTr
clTv
'S G f l
E INFORMATION
FORM 284.208 (Rev. 11 OV
TEL. NO.
TEL. NO. LICENSE
'3L/ 2f