214633 (SFD)BUILDING PERMIT
DEPARTMENT OF BUILDING & SAFET
1p COUNTY OF RIVERSIDE
1
FIELD OFFICE
3.00
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
TRANSFORMER OK.W.
PLUMBING FEES
IST FL.
2ND FL.
POR.
GAR.
CAR P.
WALL
2040
192
S06
SQ. FT. @ 13.4
27,336.00
NO.
A
'JJ
NO.
SQ. FT. @
4/ w
SQ. FT. @ 2.5 480.00 MOTOR 1 OR LESS H.P.
FIXTURE OR SOCKET
SQ. FT. @ MOTOR 5 OR LESS H.P.
KITCHEN SINK
SQ. FT. @ MOTOR 20 OR LESS H.P.
DRAINAGE PIPING
SQ. FT. @ I
DRINKING FOUNTAIN
SQ. FT. @
URINAL
OK.W.UNITS
WATER PIPING 1150
ESTIMATED VALUATION is
29
967.00
LAVATORY
FLOOR DRAIN
1
APPLIANCE VENT
MECHANICAL FEES
3
SHOWER
WGT;rP QfIGTFMGp
VENT SYSTEM W FAN ❑ EVAP. COOL 4 HOOD
SIGN
1
WAS HER(AUTO&(DISH)
3.00
APPLIANCE 3,001
TRANSFORMER OK.W.
1
GARBAGE DISPOSAL
1_50
F.C.
FURNACE❑UNIT ❑WALL❑FLOOR ❑SUSPENDED
OUTLETS
A
'JJ
LAUNDRY TRAY
4/ w
AIR HANDLING UNITI CFM
FIXTURE OR SOCKET
1
KITCHEN SINK
1,50
GAS PIPE [:)NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE
3
WATER CLOSET
4.50
SUPP. TO PER
COMPRESSOR HP
POLE
3
LAVATORY
4 50
APPLIANCE VENT
AMPERES SERV. ENT,
3
SHOWER
50
ABSORPTION SYSTEM B.T.U.
SQ. FT. @ q
1
BATH TUB
1
50
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SQ. FT.@
I
WATER HEATER
DBL
50
HEATING SYSTEM FORCED ❑ GRAVITY /A
SQ. FT. RESID. @ 1 q
ZONE
SEWAGE DISPOSAL
GRP
TYPE
BOILER B.T.U.
SQ. FT.GARAGE @ - q r
HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE
GAS PIPING
MOBILEHOME HOOKUP FEE 1$ I I I I (PERMIT FEE I 3:100 ' I PERMIT FEE 1 2100
PERMIT NUMBER TOTAL FEES MOB. HOOK FEE HEAT 8 VENT FEE DBl PL. CK. FEE CONST. FEE DBL ELEC. FEE JOBLI FEE I PLUMBING FEE I DBL
J F M A M J J A S O
N D
JOB ADDRESS
OWNER
72
7 Calle a_
73
USE OF BUILDING
F.C.
_
DATE
PE2Ij NQr
A
'JJ
74
4/ w
4
75
czp75 COMNI'CJNITYST
UNITS�ROOIVfj_VALUATiOk_
SUPP. TO PER
OFFICE
76
n
1
�670•�
MOBILEHOME
$
LEGAL DESCRIPTION
HOOKUP FEE
pt 44 s •3fj48 PC -617-"2-0"
DBL
SET BACK LOT SIZE
ZONE
USE NO.
GRP
TYPE
CK BY
MECHANICAL FEE
$
22.10
0
F S R In
_ 1
A"ra—
PLAN CHECK FEE
$
BOND AMT.
I PLAN NO. PLAN CHECKER
FINAL DATE
SPEC__
50.75
DBL
NAME OF CONST. LENDER
BRANCH OFFICE
NO LENDER INVQLVED
CONSTRUCTION FEE
t �s
101.50
�/
DBL
ADDRESS
CITY STATE
ELECTRICAL FEE
$
26.95
$
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS.
CESSATION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
FEE
1
10
1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE
DBL
IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIF -
PLUMBING FEE -
$
ORNIA. I ALSO AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES.
7
3OALSO
Q
NCE WITH
ST THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS ANDS CIFI-
TOTAL FEES $
CATIONS HAS DONE SO IN ACCORDANCE WITH SECT�AA�V 55 O T1� IN AND
241
30
PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
CASH 0 CHECK j�eM.O. ED N.C. F-1
OWNER
CONTRACTOR
Received By
ADDRESS
ADDRESS
Sewage System T coo LL P
CITY
CITY 1
Trees Required
Yes
No
INFORMATION
'�/�j?
TEL. NO.
TEL. �NO.
`}A� w� I�I�LICENSE
FORM 284-208 (REV. 4/71) U.-. �
346-6002 225368 —1