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259492 (BLCK)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE J& COUNTY OF RIVERSIDE A CONSTRUCTION ESTIMATE 1 ST FL. SQ.FT. @ 2ND FL. SQ. FT. @ POR. SO. FT. @ GAR. SO. FT. @ CAR P. SQ.FT. @ ',HALL' r SQ. FT. @ to,SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation MECHANICAL FEES VFKIT CVCTFAA n FAKI n FVAP rnnl fl HnnD NO. I ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM SIGN NO.I 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 ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT [— CFM IDLE METER KITCHi:N SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR 0 HPI 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 SO FT GARAGE @ 'ha HOUSESEWER PERMIT FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE Is I PERMIT FEE PERMIT FEE4r. R T 921 25 TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE CONST. FEE DBL. ELECT. FEE DBL. SMI FEE FEE PLUMB. FEE DBL, J I F I M A I M I J I J I A I S O 1 N D JfO�B ADORES ,[� L I SP NO OWNER ) y 73��/V 74 US OF PERMIT` ''/4�.�=.%4r - X;��t,c, �. r aj r F.C. DATE s-. �- 7-�492 P M 75 M H PERMIT FEE $ COMMUNIT//Y�� D[ST UNITS ROOMS VALUATION SUPP. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION / -3s i -c l0 MECHANICAL FEE DBL $ SET BACK LOT SOZE ZONE 1,le- USE NO. GRP TYPE CK _lf.( BY C.AF4 F S R PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE I SPECTOR 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 AND PROFESSIONS CODE �HiISTATE OF CALIFORNIA. FEE $ PLUMBING FEE DBL $ Grp' .--- TOTAL FEES �OWGE $ ��CCC � '� IGNAT E j Y lRyj i 1,�..,.,��.... CONTRACTOR �`'�e.17- J11 /v/ CASH ❑ CHECK M.O. ❑ N.C. ❑ ADDRESSf ADDRESS "�f.AJN� �� f��► �� RECEIVED BY 1 TREES REQUIREDt!G SEWAGE SYSTEM TLL P CITY ZIP CODE CITY ZIP CODE ST �v -' � � � `• � � � ' INFORMATION 'FORM 284.208 Bev. 9731 ©s TEL. NO. '� TEL. NO..,,/ v6/ LICENSE L' /