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258140 (BLCK)BUILDING PERMIT CONSTRUCTION ESTIMATE 1 ST FL. SQ.FT. @ 2ND FL. SQ. FT. @ POR. SQ. FT. @ GAR. SQ. FT. @ CARP SO.FT. @ WALL SQ. SQ. FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used Os property tox voluotion MECHANICAL FEES VENT SYSTEM n FAN n FVAP. COOL ❑ HOOD DEPARTMENT OF BUILDING & SAF k COUNTY OF RIVERSIDE ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL. PVT SWIM POOL, COMM SIGN FIELD OFFICE DST NO.1 PLUMBING FEES //# BOILER I I B. BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTO) (DISH) APPLIANCE GARBAGE DISPOSAL FURNACE O UNIT Cl WALL O FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT I 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 @ a BATH TUB SQ FT @ a WATER HEATER SOFT RESID @ 1 a SEWAGE DISPOSAL SQ FT GARAGE @ 'ha HOUSE SEWER PERMIT FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE S PERMIT FEE PERMIT FEE R T O. 08 4 TOTAL FEES 7 MOB. HM. FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE I CONST. FEE 7 "--®. DBL. ELECT. FEE DBL. SMI FEE FEE PLUMB. FEE DBL. i I F I M I A M"` it S O N D .�fl JOB AWESS„R,., C, '' SP NO /��`.�^-r Ui c%�/a1 %�'-r ' - s illi' OWNER_�--- f%%c�/`� 73 _» .s�'-moi Y0;� Jam'- - 74 USE OF PERMIT *6 x 7 ev Ae -Cec IJ0444 F.C. DATE 7�1 P 2'68 14 0- 75 M H PERMIT FEE $ COMMUNITY 41 elxjroll DST UNITS ROOMS VALUATION .. SUPP. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION MECHANICAL FEE DBL $ SETBACK LOT SIZE ZONE USE NO. GRP TYPE CK BY rdQd[j% F S R+ PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE ;INSVPEELIrOR CONSTRUCTION FEE DBL $ �� NAME OF CONST. LENDER BRANCH OFFI E 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. 1 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 $ PLUMBING FEE DBL $ TOTAL FEES .n.� OWNER/AGENT'S SIGNATURE /` //�� CONTRACTOR - lk �; :ri' oav (244t CASH CHECK ❑ M.O. ❑ N.C. ❑ ADDRESS ADDRESS 7,.,7—� RECEIVED BY �G� a ��,i TREES REQUIRED SEWAGE SYSTEM CITY ZIP CODE CITY ZIP CODE azool INFORMATION �j 'PORN 284.2681Rev.9731 ©s by G� TEL. NO. TEL. NO. ILICENSE 7/ ��34 -/,7 77/