241067 (RPL)I BUILDING PERMIT
CONSTRUCTION ESTIMATE
I ST FL.
SQ.FT. @
2ND FL.
SQ. FT. @
POR.
SQ. FT. @
GAR.
SQ. -FT. @
' CAR P.
SQ.FT. @
1
SQ. FT. @
WALE 1
4;.?.y3 ka Fran
SQ. FT. @
ESTIMATED CONSTRUCTION
VALUATION $ -5
NOTE: Not to be used as property tax valuation
MECHANICAL FEES
SQ FT GARAGE @ '/?¢ HOUSE SEWER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
DEPARTMENT OF BUILDING & SAFE'
COUNTY OF RIVERSIDE
NO. ELECTRICAL FEES
UNITS
0
MOBILEHOME SVC.
POWER OUTLET
SWIM POOL, PVT
SWIM POOL, COMM
SIGN
FIELD OFFICE
NO.I PLUMBING FEES
BOILER B.
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
WASHER (AUTO) (DISH)
-r-Ij
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 BATHTUB
SQ FT @ a , WATER HEATER l ,.7 4)
SQ FT RESID @ le SEWAGE DISPOSAL
SQ FT GARAGE @ '/?¢ HOUSE SEWER
PERMIT FEE TEMP ELEC SVC GAS PIPING %
MOBILE HOME PERMIT FEE $
PERMIT FEE I Al Ph I I PERMIT FEE tJ t
PERMIT NO.
067
TOTAL FEESMOB.
HM: FEE MICRO
FEE
MECH. FEE
DBL.
PL. CK. FEE
CONST. FEE
D.L.
ELECT. FEE
DBL.
SMI FEE
49,
FEE PLUMB. FEE
DBL
J I F I M A I M I J I j I A-1 S O N D
:
Joe ao0 ESS �"� �) - SP NO
7 %%z)'54- ' 10.5 � A I
OWNER!
Ad&Acw
73
74
USEOF PERMIT
t
F.C. ]DATE �y
PERMIT N0.
M H PERMIT FEE
$
COMMUNITY
VVIA!' A
DST
UNITS
ROOMS
VALUATION
_ 6ts
UPP. TO PERMIT O FIC
i
t,
MICROFILM FEE
COPIES
$
LEGAL DESCRIPTION it
07-e O-14 ai;A/r-4 tSl01�L�s'T> / ?e- 1, 17. V9p -Uo.;F
MECHANICAL FEE
DBL
$
SET BACK
LOT SIZE ZONE
USE NO.
GRP
TYPE
CK BY
J, Y
F R�
q'Is
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE/^"e ply �� INS
J
ECTOR `k
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDER INVOLVED
ELECTRICAL FEE
DBL
$
G�}
ADDRESS CITY
STATE
SMI FEE
$
/
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 12 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 SP,E IFICATIONS
HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PR F SIONS CODE
OF THE STATE OF CALIFORNIA.
FEE
$
PLUMBING FEE
DBL
$
i
1 CD
TOTAL FEES
1.��
v s'
17
OWNER/AGENT'S SIGNATURE
CONTRACTOR ,
e
CASH ❑ CHECK M.O. ❑ N.C. ❑
ADDRESS
CITY ZIP CODE
ADDRESS
+C >lp �' r4 14h'Ya#y !�
CITY ` ZIP CODE
en
/ /4INFORMATIONT�1� 7 S
RECEIVED BY TREES REQUIRED
SEWAGE SYSTEM
' I -LL P
FORM 284 208 IR?, 9731 O5
TEL. NO.
TEL. NO. LICENSE /