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241008 (SPIN)
BUILDING PERMIT CONSTRUCTION ESTIMATE 1 ST FL. SQ.FT. @ 2ND FL. SQ. FT. @ POR. SQ. FT. @ GAR. SQ. FT. @ CAR P. SQ.FT. @ WALL SQ. FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation MECHANICAL FEES VENT SYSTEM O FAN O EVAP. COOL O HOOD APPLIANCE DEPARTMENT OF BUILDING & SAFE FIELD OFFICE COUNTY OF RIVERSIDE DST NO. ELECTRICAL FEES INO.1 PLUMBING FEES UNITS BOILER I I B.T.U. MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING SWIM POOL, PVT FLOOR DRAIN SWIM POOL, COMM WATERSOFTENER SIGN WASHER (AUTO) (DISH) MOBILE HOME PERMIT FEE $ GARBAGE DISPOSAL FURNACE O UNIT O WALL O FLOOR O 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 O FORCED 0GRAVITY AMPERES SERV ENT SHOWER SQ FT @ a BATH TUB SQ FT @ a WATER HEATER SQ FT RESID @ 1 ¢ SEWAGE DISPOSAL SQ FT GARAGE @ a HOUSE SEWER PERMIT FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE $ PERMIT FEE PERMIT FEE P R IT O. TOTAL }FEESMOB. ! v HM. FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE I CONST. FEE DBL. ELECT. FEE IDOL. J SMI FEE / FEE PLUMB. FEE f J DBL J' F M_._._A jM - J J I A -I 5 -0 `N -' JD— JOB ADDRESS^T- - - ,�j�- SP NO OV.�NER 74 U{SE�OF PERMIT ri } IL CI J ic, J F.C. J DATE PER IT NO. 41 00F 75 M H PERMIT FEE $ COMMUNITY (.44 A. rA1f DST UNITS ROOMS I VALUATION SUPP. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION A v.T -Pf /,A Opl iVI-A ds &.4 ' k:Wss 7,5- 'W',% MECHANICAL FEE DBL $ SET BACK LOT SIZE ZONE `3 '-t USE NO. GRP TYPE CK BY F S R PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR J 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 YS. 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 SIP $ C�1J ...� PLUMBING F DBL $ TOTAL FEES UP% OWNER/AGENjSSIGNATURE ! / r'f �,%�"�' '-•� CONTRACTOR !'� ''� � Ate.. � ,��• t CASH C3CHECK M.O. ❑ N.C. ❑ - ADDRESS/ ,�''�' Y j=/� g f✓.r ' �1 ADDRESS RECEIVED BY 1 TREES REQUIRED /• SEWAGE SYSTEM - LLTP CITY ZIP CODE G CITY ZIP CODE INFORMATIONA. FORK} 284208 (Rev. 9.731 ©i - TEL. NO. TEL. NO. ' LICENSE "" y � ). ti "� ✓� % !�