258598 (RPL)BUILDING PERMIT
CONSTRUCTION ESTIMATE
1 ST FL.
SQ.FT. @
2ND FL.
SQ. FT. @
POR.
SQ. FT. @
GAR.
SQ. FT. @
CAR P.
SQ.FT. @
COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY
SQ. FT. @
+ 47
SQ. FT. @
ESTIMATED CONSTRUCTION
VALUATION $ a
NOTE: Not to be used as property tax valuation
MECHANICAL FEES
DEPARTMENT OF BUILDING & SAFE
COUNTY OF RIVERSIDE
NO. I ELECTRICAL FEES
UNITS
MOBILEHOME SVC.
POWER OUTLET
SWIM POOL, PVT
SWIM POOL. COMM
FIELD OFFICE
NO.I PLUMBING FEES
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
DST I
/! 1
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN 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
SOFT @ C BATH TUB
SOFT @ ¢ WATER HEATER
SQ FT RESID @ 1 ¢ SEWAGE DISPOSAL
SQ FT GARAGE @ '/z¢ HOUSE SEWER
PERMIT FEE TEMP ELEC SVC GAS PIPING
MOBILE HOME PERMIT FEE is
PERMIT FEE ,r PERMIT FEE
25R T5,981�L
E�
MOB. HM. FEE
MICRO FEE
MECH, FEE
DBL.
�. FEE
60
C
NST. FEE
DBL
ELECT FEE
DBL.
S�Ff�
FEE PLU
DBL.
J F I M A M'I J IJI A I S O 1 N I D
J-DR8�/�SP NO
70 -ov l
WNE
JY ��-� j73
74
USE OF PERMIT
vT.. �l /"I �,
F.C.
� o
DATE
�- -7�
P 17.21
5 8 5 9 8
75
M H PERMIT FEE
$
COMMUNITY r DST
a Al
UNITS
ROOMS VALUATION
SUPP. TO PERMIT
OFFICE
MICROFILM FEE
COPIES
$
LEGAL D SCRIPTIOON
MECHANICAL FEE
DBL
$
SET BACK
LOT SIZE
ZONE
/
USE NO.
GRP
TYPE
CK BY
F 5R
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE JINSPECTOR
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER
BRANCH OFFICE
NO LENDER INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS
CITY
STATE
SMI FEE
$
dt
M1 f7
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, 1 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 PROFE IONS CODE
OF THE STATE OF CALIFORNIA. f
FEE
$
PLUMBING FEE
DBL
$
TOTAL FEES
OWNER/AGENT'S SIGNATURE
CONTRACTOR
CASH 0 CHECK M.O. ❑ N.C. ❑
ADDRESS
ADDRESS
RECEIVED
TREES REQUIRED
SEWAGE SYSTEM
T
LL P
'
CITY ZIP CODE
CITY ZIP CODE
V I l 4
IIyEORMATIQN �j
A ��Y�r�Q�"//1 I OL,' -V
TEL. No.
TEL. NO. LICENSE
1