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241007 (SPIN)
BUILDING PERMIT CONSTRUCTION ESTIMATE 1 ST FL. SQ.FT. @ 2ND FL. SO. FT. @ POR. SQ. FT. @ GAR. SQ. FT. @ CAR P. SQ.FT. @ WALL SQ. FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not !o be used as property tax valuation MECHANICAL FEES VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD DEPARTMENT OF BUILDING & SAFE COUNTY OF RIVERSIDE NO. ELECTRICAL FEES UNITS 1 MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL. COMM SIGN FIELD OFFICE NO.I PLUMBING FEES BOILER I j B.T.U. BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTO) (DISH) APPLIANCE GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑GRAVITY AMPERES SERV ENT SHOWER SQ FT @ a BATH TUB SQ FT @ C WATER HEATER SQ FT RESID @ 1¢ SEWAGE DISPOSAL SQ FT GARAGE @ 'he HOUSE SEWER PERMIT FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE Is PERMIT FEE PERMIT FEE PERMIT NO. 241 nn7i TOTAL FEES '�`� M08. HM -FEE 08. MICRO FEE MECH. FEE DBL. PL. CK. FEE CONST. FEE DBL. ELECT. FEE 08L. h SMI FEE rr jj � FEE PLUMB. FEE DBL. J I F I M I A I M I J J I A I S O N D J�OB!ADDRES/SS i _SP NO 'rd- .e? w/4A %V• ! i " I OWNER . —a - jl7j)' f^ C.f - -% <- 73 74 USE OF PERMIT � T^� F.C. JDATE PERMIT N A . 75 M H PERMIT FEE $ COMMUNITY DST UNITS I ROOMS VALUATION SUPP. TO PERMIT O FIC MICROFILM FEE COPIES $ LEGAL SCRIPTION �t -F �% MECHANICAL FEE DBL $ SETBACK OT 10E ZONE �j ^^'FINAL JUSENO. JGRP TYPE CK BY F S R PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER DATE J� INS CTOR CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE INO LENDER INVOLVED /— ELECTRICAL FEE DBL $ ADDRESS CITY STATE SMI FEE $ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 12QQ6YS. 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 TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. FEE $ .+Y-^ PLUMBING F DBL $ TOTAL FEES � �.. OWNER/AGENT'S SIGNATURE CONTRACTOR J CASH ❑ CHECK M.O. ❑ N.C. ❑�L -ADDRESS le- e, ^l� ADDRESS r RECEIVED BY TREES REQUIRED SEWAGE SYSTEM T - LL P CITY ,! ZIP CODE ZX � � .a' CITY ZIP CODE INFORMATION FORM 284-208 (Rev. 973) ©5 TEL. NO. TEL. NO. LICENSE