236407 (RPL)BU14DING PERMIT
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES_._ PLUMBING FEES DST
I ST FL.
SQ. FT. @
NO. I NO.
2ND FL.
SQ. FT. @
POR.
SQ. FT. @
MOTOR I OR LESS H.P.
GAR.
SQ.FT. @
MOTOR 5 OR LESS H.P.
CAR P.
SQ. FT. @
MOTOR 20 OR LESS H.P. DRAINAGE PIPING
WALL
SQ.FT. @
DRINKING FOUNTAIN
6t-)* ZAA
SQ. FT. @
�� A URINAL
ESTIMATED CONSTRUCTION VALUATION
K.W. UNITS WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑EVAP. COOL ❑ HOOD
j SIGN WASHER (AUTO) (DISH)
APPLIANCE
TRANS-
FORMER K W GARBAGE DISPOSAL
FURNACE ❑ UNIT
❑ WALL ❑FLOOR ❑SUSPENDED
OUTLETS LAUNDRY TRAY
AIR HANDLING UNIT I = CFM
FIXTURE OR SOCKET KITCHEN SINK
GAS PIPE ❑ NATURAL
❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE WATER CLOSET
COMPRESSOR
0 HP
POLE LAVATORY
APPLIANCE VENT
AMPERES SERV. ENT. SHOWER
ABSORPTION SYSTEM B.T.U.
SQ. FT. @ ¢ BATH TUB
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SQ. FT. @ Q WATER HEATER -v
HEATING SYSTEM
❑ FORCED O GRAVITY
SEWAGE DISPOSAL
-w SQ. FT. RESID. @) 4gDBL.1
BOILER
0 B.T.U.
SQ. FT. GARAGE @124HOUSE SEWER s V
PERMIT FEE
BALANCE OF MIN. FEE GAS PIPING
MOBILE HOME HOOKUP FEE $
PERMIT FEE PERMIT FEE OJ
O
TOTAL FEESMOB.
HK. FE'E MICRO FEE
MECH. FEE
+DBL.
PLCKfFEE
CONST. FEE
DBL.
SMIFEE
FEE PLUMB. FEE2J94
es
/b
L 11
'yam
i1 -D
__ J_ I F I M A I
M I J I J I A S 1 O 1 N I D
JOB ADDRESS
OWNER
73I
L I�
- 3D .4AI CLa 110
74
1 1+
USE OF BUILDING F.
L. DATE
PER N
`
75
-
36407
d7-s���, �
M.H. HOOKUP FEE
$
COMMUNITY DST UNITS ROOMS
VAL ATION SUPP. TO PERMIT OFFICE
57/�SFic7`�
I /
MICROFILM FEE
COPIES
$
LEGAL DESCRIPTION
.,/
b rrs-2% - Pe - 7 - 0 (.. v ^ U 4) �.
. MECHANICAL FEE
DBL
$
.
SET BACK
LOT S1ZE ZONE
USE NO.
GRP
TYPE
CK BY
F s % R
_�
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE
INSPE
TOR
-
I '
CONSTRUCTION FEE
DBL
$
/ /
�
J
NAME OF CONST.
LENDER BRANCH
OFFICE .NO
LENDER
INVOLVED
ELECTRICAL FEE
DBL
$
9
d
ADDRESS CITY
STATE
SMI FEE
$
�Z
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 -
PLUMBING FEE
DBL
$
CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO
Gl
AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH
/I
THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
$ I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS
6 f Q HAS DONEE S IN ACCORDANCEALIFOIWITH SECTION 55410 X�S�NESSFA OFESSIONS
TOTAL FEES *
CASH ❑
RECEIVED BY
SEWAGE SYSTEM
OWNER CONTRAZYOR
CHECK M.O. ❑ ' N.C. ❑
/ ADDRESS ADDRESS �,� t•'•' AJ f /
T� LL P 7.5z-
t CITY CITY
kEES REQUIRED YES NO
p/ INFORMATION TEL NO. TEL. NO. LICENSE ,