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242700 (BLCK)BUILDING PERMIT CONSTRUCTION ESTIMATE I ST FL. SQ.FT. @ 2ND FL. SQ. FT. @ POR. SQ. FT. @ GAR. SQ. FT. @ CAR P. SQ.FT. @ WALL >¢AGa+irr SQ. FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax'valuotion MECHANICAL FEES Wr KIT CVCTGAA n FANI n FVAD rnnl' n Hnnn DEPARTMENT OF BUILDING & SAFE' �. COUNTY OF RIVERSIDE _ NO. ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL. COMM SIGN FIELD OFFICE NO.I • PLUMBING FEES BOILER I I B.T.U. BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL , WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTO) (DISH) MR 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 @ ¢ BATH TUB SOFT @ ¢ WATER HEATER SQ FT RESID @ 1 ¢ SEWAGE DISPOSAL SQ FT GARAGE @ HOUSE SEWER PERMIT FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE' Is PERMIT FEE PERMIT FEE • 4RPITNO.n TOTAL FEES �.f✓� 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 MA I M I J I J A I S. -0- N JOB 5 -SP NO 'l ,f 4-} ! OWNER iI73 % k- O/& _I 74 USE OF PERMIT F.C. DATE P MI O 2700' 75 M H PERMIT FEE $ COMMUNITY DST UNITS ROOMS VALUATION - SUPP. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION y&- 11714 411,10Al fl MECHANICAL FEE DBL $ SET BACK LOT S1ZE ZONE f )X. USE NO. GRP TYPE ;IIY 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 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..' I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED,THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS ANDPROF 'a 0 CODE OF'THE STATE OF CALIFORNIA. " ' FEE $ PLUMBING FEE DBL $ TOTAL FEES $ ` OWNER/AGENT'S SIGNATURE -ADDRESSADDRESS CASH ❑ CHECK M.O. ❑ N.C. ❑ , - �t%� r%� P� v�C! S pj! RECEIVED BY!� TREES REQUIRED SEWAGE SYSTEM - LL P CITY ZIP CODE CITY ZIP CODE 1 f If ff�-` 4 y ` ! • INFORMATION FORM 284208 (Rev. 9.73) ©s ,(� TEL. NO. .. TEL. NW LICENSE fJ �/.g fLyLICE,.NNSSE /fry