214579 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFET
0 COUNTY OF RIVERSIDE jo
FIELD OFFICE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
72
PLUMBING FEES
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1ST FL. tz� >
2ND FL.
POR.
GAR.
CAR P.
WALL
SQ. FT.'184Z NO.
NO.
F.C.
SQ. FT. @
P -
1 '4579
SQ. FT. @ G '"'� f �✓ _ MOTOR 1 OR LESS H.P.
SQ. FT. @ 1 """' MOTOR5 OR LESS H.P.
SQ. FT. @ MOTOR 20 OR LESS H.P. DRAINAGE PIPING.
SQ. FT. @ DRINKING FOUNTAIN
I
SQ. FT. @ URINAL
OK.W.UNITS i WATER PIPING
ESTIMATED VALUATION $
D^S^�T''
UNITSrOOMIVALUATION
FLOOR DRAIN
MECHANICAL FEES
OFFICE
76
WATER SOFTENER
L ' Y I fol t*
VENT SYSTEM FAN ❑ EVAP. COOL HOOD C
SIGN
WASHER (AUTO ISH) n6
00
APPLIANCE, i �i ER.. 3 Cc
TRANSFORMER =K•W•
GARBAGE DISPOSAL
aC?
FURNACE❑UNIT ❑WALL❑FLOOR❑SUSPENDED'
OUTLETS
DBL
LAUNDRY TRAY
AIR -''ANGLING UNITI CFM
Gl PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
FIXTURE OR SOCKET
CONST. SERV. ENTRANCE
ZONE
12-150
KITCHEN SINK
,3 WATER CLOSET
GRP
COMPRESSOR Z- (irk HP S C -C
POLE
t LAVATORY
APPLIANCE VENT AMPERES SERV. ENT.
(,,®
SHOWER
ABSORPTION SYSTEM O B.T.U.
SQ. FT.@ q
BATH TUB I
a
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SQ. FT.@ It.
$
Z. WATER HEATER
BOND AMT.
EATING SYSTEM FORCED ❑ GRAVITY &Y CC
SQ. FT. RESID. @ 1 ¢
FINAL DATE IN
SEWAGE DISPOSAL IO
C0
BOILER E== B.T.U.
SQ. FT. GAR AGE @ z'It
3 S
HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE
GAS PIPING i 115
DBL
MOBILEHOME HOOKUP FEE $
PERMIT FEE
d
I PERMIT FEE L
Oct
ELECTRICAL FEE
PERMIT
457
NUMBER
0
T EES
' �
MOB. HOOK FEE
HEEN FEE
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DBL
PL. C� ��
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CF�E'E
DBL ELEC.
3FEE,,,,
DBL
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PLtJNG.
3 c.'!�
JOIIL
CESSATION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
✓
1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE
IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIF -
DBL
PLUMBING FEE
Ql
;;//
4/
C)o
ORNIA. I ALSO AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES.
COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS
J F M A M J J A S O
N D
JOB ADDR/E-S�SYj„�4
� '`
OWNER
�Ji ��`�����-s
72
�.�•�
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� (-Set �
73
USE OF BUILDING /'
� CGAI-4 100
F.C.
DATE ^7 ry
E� () _7Z_
P -
1 '4579
74
.Y�")ELLt C P`I`
L,..-
I
75
COMMUNITY
G
D^S^�T''
UNITSrOOMIVALUATION
SUPP. TO PERMIT
OFFICE
76
L ' Y I fol t*
MOBILEHOME
HOOKUP FEE
$
LLEGALDES�CRIPPTIION �
ol 3 0%.m"al j++• 6C� ►= F:51 ��. PC' G1 / 330 S
MECHANICAL FEE
DBL
SETBACK
LOT SIZE
ZONE
12-150
USE NO.
GRP
TYPE
CK BY
F�� s IH R to
PLAN FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE IN
E CTOR
CHECK
.59
/
CONSTRUCTION FEE
DBL
J
19
1 { /
�Y
NAME OF CONST. LENDER
BRANCH OFFICE
NO LENDER INVD
ELECTRICAL FEE
DBL
$
0
ADDRESS
CITY STATE
$
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS.
FEE
/ZG
CESSATION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
✓
1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE
IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIF -
DBL
PLUMBING FEE
Ql
;;//
4/
C)o
ORNIA. 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 SPECIFI-
CATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND
TOTAL FEES $
1
t
PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
4.
CASH ❑ CHECK M.O. N.C. Lj
O I ER --�.
�f / V L � N
CON ACTOR
L��
INC—F3 .� PLTn
Received By
ADDRESS {
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ADDRESS
Sewage System
T LL
P
Trees Required V Yes
No
CITY
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INFORMATION
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