222933 (SATT)BUILDING PERMIT DEPARTMENT OF BUILDING &-SAFETY FIELD OFFICE
COUNTY OF RIVERSIDE
CONSTRUCTION E STIMATE,,,,_�
ELECTRICALFEES.�rA�.-_--inm, PLUMBING FEES IT
-
I ST FL. t! NO. NO.
SQ. FT. @Ar�f_
2ND FL. SQ. FT. @
Poo. SQ. FT. @ MOTOR I OR LESS H.P.
GAR. 15(75Z SO.FT. @ MOTOR 5 OR LESS H.P.
CAR P. SO. FT. @ MOTOR 20 OR LESS H.P. DRAINAGE PIPING
WALL, SQ.FT. @_ DRINKING FOUNTAIN
SQ. FT. @ URINAL
ESTIMATED CONSTRUCTION VALLfATION $ K.W. UNITS WATER PIPING
NOTE: Not to be used as property tax *valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENTSYSTEM OFAN OEVAP.COOL UYIHOOD
00 SIGN WASHER (AUTO) (Q%44)
APPLIANCE OR
TRANS-- K.W. GARBAGE DISPOSAL
FORMER
FURNACE 0 UNIT OWALL OFLOdR (:]SUSPENDED
OUTLETS LAUNDRY TRAY
AIR HANDLING -UNIT I CFM
FIXTURE OR SOCKET - KITCHEN SINK
GAS PIPE ONATURAL OL.P.G. OOIL'
CONST. SERV. ENTRANCE WATER CLOSET 00
COMPRESSOR HP
A/ d9a POLE LAVATORY,
APPLIANCE VENT
AMPERE5 SERV. ENT. SHOWER
ABSORPTION SYSTEM B.T.U.
SO. FT. @ BATH TUB
INCINERATOR 0 DOMESTIC 0 INDUS. OR COMM.
SQ. FT. @ WATER HEATER
HEATING SYSTEM XFORCED OGRAVITY
.41 SO. FT. RESID.@14 SEWAGE DISPOSAL
BOILER B.T.U.
—4per
SQ. FT. GARAGE @ 1/�4 HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE - GAS PIPING
MOBILE HOME HOO UP FEE is A
PERMIT FEE ic, PERM I IT FEE
2:gEgIgT�03.j TOTAL FEES _
'79
MOB HK.FEE MICRO F
E . CH. FEE JDB
I Ll
PL. CK. FEE
CONST. FEE
DBL. ELECT. FEE
DBL.
III FEE
FEE PLUM,,B;;
IDBL.
J I -F I M A I- AA .1 3 A -1 S 1, 0 j N -D,
JC4ADD4ESS
JVAVA
4,- *er-
73
74
U SE OF BUILDING.
F.C.
DATE J.PERM2
'.2-9-7-3
N2,2933
75
M.H. HOOKUP FEE
dbMiWt NITY,
1A 00.1'Atl-A
DST
UNITS
ROOMS
VALUATIOW
e
SUPP. TO PERMIT
JOFFICE�.
MICROFILM FEE
COPIES
S
LEGAL DESCRIPTION'
11-,,01fe1v 'PA e,
MECHANICAL FEE
DBL
$
171
SET BACk
LOT SIZE
IZONE
SE NO.
GR
P..
.
TYPE
I
JCK.BY
VeAlkl;
PLAN CHECK FEE'
$ -
BOND AMT.
IPLAN No.
PLAN CHECKER
I FINAL DIQT!��
CONSTRUCTION, FEE:
DBL
-, /
7
#4P
NAME OF CONST. -LENDER BRANCH
1(041
OFFICE
NO LENDER INVOLVE D
ELECTRICAL FEE.
DBIL
$
ADDRESS CITY
STATE
CA
SMI FEE
$
1.
07
THIS -PERMIT SHALL BECOME VOID,IF WORK IS -NOT COMMENCED WITHIN 60 DAYS. CESSA.
TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOMEVOID.
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 CE TIF'j THAT THE INDI)A66AL WHO PREPARED THE PLANS AND SPECIFICATIONS
�'SO IN,ACCORDANCE WITH
HAS DO�E :"SECTION 5541 OF. THE BUSINESS AND PROFESSIONS
r() F OF THE STATI' EOF CALIFORNIA--"
FEE
$
PLUMBING�FEE
DBL
$
4
TOTAL FEES
$
&Jr
.......
OWNER./
CONTRACTOR
RECEIVED BY
�EWAGE SYSTEM P
IT LL
TREES REQUIRED ES NO
INFORMATION
FORM 284-208 (ReY.d 1/72)
ADDRESS ADDRESS
'CITY
"011
TEL.NOI-, LICENSE
/7 _91,7
40 , "I