272798 (SFD)BUILDING PERMIT
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE /� NO. ELECTRICAL FEES
I ST FL. !r 1!Y 55Q.FT. @-!q ! 'r ✓t /. 8�e/aF"' UNITS
2ND FL. SQ. FT. @
,� ��� (
POR. � � SQ. FT. @ MOBILEHOME SVC. _ _
GAR. SQ. FT. 7• f ? r�, Oji POWER OUTLET
CAR P. SQ.FT. @
WALLSQ. FT. @
SQ. FT. @ '
ESTIMATED CONSTRUCTION VALUATION $
NOTE: Not to be used os property tax voluation
MECHANICAL FEES
VENT SYSTEM 9FAN ❑ EVAP. COOL 0 HOOD
APPLIANCE Li'y�IC�
SWIM POOL, PVT
SWIM POOL, COMM
00 SIGN
� 1v
FIELD OFFICE
NO.
PLUMBING FEES
JOWNER_
&l
74
i �i V R 5��
YARD SPKLR SYSTEM
75
BAR SINK
AIR HANDLING UNIT
ROOF DRAINS
P�M�Q.� � ^ A
') 9 8
L
DRAINAGE PIPING
;:- r1 7T c i i�%'/AG
DRINKING FOUNTAIN
KITCHEN SINK
URINAL
ABSORPTION SYSTEM
WATER PIPING
$
FLOOR DRAIN
COMMUNITY
WATER SOFTENER
/
WASHER (AUTO*SHI
VALUATION
GARBAGE DISPOSAL
DST
I)
eo
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑'SUSPENDED
.JOB ADDRESS ti SP NO
�fSfl� St1a/"vl� �}'f
JOWNER_
&l
74
i �i V R 5��
LAUNDRY TRAY
75
USE OF PERMIT �,/ �/_ 1•
))ti / 6
AIR HANDLING UNIT
CFM
P�M�Q.� � ^ A
') 9 8
L
IDLE METER
;:- r1 7T c i i�%'/AG
KITCHEN SINK
0 -
ABSORPTION SYSTEM
B.T.U.
$
TEMP USE PERM SVC
COMMUNITY
;g
WATER CLOSET
.00
VALUATION
COMPRESSOR 0
HP
MICROFILM FEE
POLE, TEMP/PERM
$
3
471
LAVATORY
J•
HEATING SYSTEM OFORCED ❑GRAVITY��
GiFJ
w -G AMPERES SERV ENT
r"
LOT SIZE ZONEUSE
SHOWER
4.4
BOILER 0 B.T.U.
TYPE
CK BY
SQ FT @ C
BATHTUB
�)
l
SQ FT @ C
.F1lE
F � ;1 s '« 7.13 R,3,
WATER HEATER_
i31T
BOND AMT.
(tri SQ FT RESID @/.
Q
FINAL DATE
SEWAGE DISPOSAL
oz
J t�
SQ FT GARAGE @*
HOUSE SEWER
CONSTRUCTION FEE
DBL
PERMIT FEEriolJ
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDER INVOLVED
GAS PIPING
loo
MOBILE HOME PERMIT FEE
Is
I I
PERMIT FEE
DBL
/
PERMIT FEES
ADDRESS CITY
2 _pEFjMIO._
TOTAL FEE
OB. ...FEE
MI RO FEE
MECH. FEE
DBL.
PEE
CONST. FEE
DBL.
EL �T. E
DBL
SMI FEE
FEE
PLUM/B FEF
DBL.
U
7
J F M A M J J A S O N D
.JOB ADDRESS ti SP NO
�fSfl� St1a/"vl� �}'f
JOWNER_
&l
74
i �i V R 5��
�2 /� 1</e41F' .
75
USE OF PERMIT �,/ �/_ 1•
))ti / 6
F.C. JDATE/
7
1 .'/
P�M�Q.� � ^ A
') 9 8
L
76
;:- r1 7T c i i�%'/AG
c-` .ir
M H PERMIT FEE
$
COMMUNITY
DST
UNITS
ROOMS
VALUATION
SUPP. TO PERMIT
OFFICE
MICROFILM FEE
COPIES
l�
$
3
Ga
LEGAL DESCRIPTION
P;v-:/7 05-1--4�2,7 DoT 'C/!'/- ih!I'
MECHANICAL FEE
DBL
$
SET BACK
LOT SIZE ZONEUSE
NO.
GRP
TYPE
CK BY
�• �
I
l
.F1lE
F � ;1 s '« 7.13 R,3,
PLAN CHECK FEE$
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE
INSPE OR
rx�
J t�
3 -J/ -�
✓_ "
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDER INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
3.1
9k
STRONG MOTION
$
OWNER/AGENT'S SIGNATURE
CONTRACTOR `
INSTRUMENTATION FEE
FEE
$
ADDRESS
ADDRESS
PLUMBING FEE
DBL
$
CITY ZIP CODE
CIT ZIP ODE
TOTAL FEES *
$
O- J
/
TEL. NO.
TEL. NO. LICENSE
CASH ❑ CHECK M.O. O N.C. C) , i
F� THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 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 ALSC
AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE
RECEIVED BY
TREES REQUIRED �,V
SEWAGE SYSTEM
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I I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS
FORM 284-208 (Rev. 10-74) OO L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE
OF THE STATE OF CALIFORNIA.