245592 (SFD)BUILDING PERMIT
CONSTRUCTION ESTIMATE
I ST FL. -12'06
SQ.FT. @, .i "/-�
2ND FL.SQ.
FT. @
POR. -s
SQ. FT.
GAR.�� '
SQ. FT. @
CAR P.
SOFT. @
WALL
SO. FT. @
SQ FT @ C BATHTUB
SQ. FT. @
ESTIMATED CONSTRUCTION
VALUATION $
NOTE: Not to be used as property tax valuation
MECHANICAL FEES
SQ FT GARAGE @ 'he HOUSESEWER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
DEPARTMENT OF BUILDING & SAFETY
1 COUNTY OF RIVERSIDE A
f
NO. ELECTRICAL FEES
UNITS
MOBILEHOME SVC.
POWER OUTLET
SWIM POOL, PVT
SWIM POOL, COMM
SIGN
FIELD OFFICE
NO.I PLUMBING FEES
BOILER Lj B.
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
WASHER (AUTO) IDISHI
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 @ C BATHTUB
SQ FT @ ¢ WATER HEATER
SOFT RESID @ 1 ¢ SEWAGE DISPOSAL
SQ FT GARAGE @ 'he HOUSESEWER
PERMIT FEE TEMP ELEC SVC GAS PIPING
MOBILE HOME PERMIT FEE Is
PERMIT FEE PERMIT FEE
P R T N
TOTAL FEES
..-
MOB. HM. FEE
MICRO FEE
MECH. FEE
DBL.
PL. CK. FEE
..
CONST. FEE
DBL.
ELECT. FEE
DBL.
SMI FEE
FEE
PLUMB. FEE
DBL.
J F M A M J J A $ O N D
JOB.ADDRESS� SP NO
i}�. �'06 Jif AJ . 71 I
OWNER.— r'
-f aiv6-
73
74
USE OF PERMIT ..
F.C.
J
DATE .I' P
MI
M H PERMIT FEE
$
COMMUNITY
, i4
DST
�%
UNI
ROOMS
VALUATION
SUPP. TO PERMIT
OFFICE
MICROFILM FEE
COPIES
$
LEGAL DESCRIPTION lir
ri(
MECHANICAL FEE
DBL
$
SET BACK
LOT SIZE ZONNEEJ
USE NO.
GRP
TYPE
CK BY
p�
` �p
PLAN CHECK FEE
$
BOND AMT.
PLAN NO:
PLAN CHECKER
FINAL DATE JINSPECTAf
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDER INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
SMI FEE
$
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 ALSO
AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE
LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
1 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
$
PLUMBING FEE
DBL
$
TOTAL FEES
�V
OWNER/AGENT-S SIGNATURE �fpJJ/ �'Y�
CONTRACTOR
CASH ❑ M.O. ❑ N.C. ❑
ADDRESS
+e .2YA "13 &OZ5Ca
ADDRESS ,
),CHECK
RECEIVED BY �
TREES REQUIRED
SEWAGE SYSTEMf
T
LL P
CITY ZIP CODE
�
CITY ZIP CODE
INFORMATION
ORM 284.208 (Re, 9-73h @5
TEL.
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TEL. NO. LICENSE.
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