242618 (SATT)BUILDING PERMIT
CONSTRUCTION ESTIMATE
I ST FL.
SQ.FT.
2ND FL.
SQ. FT.
POR.
SO. FT. @
GAR.
SQ. FT. @-
CAR P.
lll*FT* @
WALL
SQ. FT. @
SOFT @ C BATH TUB
SQ. FT. @-
ESTIMATE
ION VALUATION
NOTE: Not to be used as property tax valuation
MECHANICAL FEES
SQ FT GARAGE @ V, C HOUSESEWER
vrNIT �V�TFAA cl rA" n FvAP coo, n HOOD
DEPARTMENT OF BUILDING & SAFE
COUNTY OF RIVERSIDE
NO. ELECTRICAL FEES
I UNITS I
MOBILEHOME SVC.
POWER OUTLET
SWIM POOL, PVT
SWIM POOL, COMM
SIGN
FIELD OFFICE
PLUMBING FEES
BOILER L_ I B.T
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
-WATERSOFTENER
WASHER (AUTO) (DISH)
I
12
APPLIANCE GARBAGE DISPOSAL -
FURNACE OUNIT 0 WALL 0 FLOOR 0 SUSPENDED LAUNDRY TRAY_
AIR HANDLING UNIT - CFM IDLE METER KITCHE� SINK
ABSORPTION SYSTEM j B.T.U. TEMP USE PERM SVC WATER CLOSET
COMPRESSOR HP POLE, TEMP/PERM LAVATORY
HEATING SYSTEM 0 FORCED 0 GRAVITY AMPERES SERV ENT SHOWER
SOFT @ C BATH TUB
*SQ FT @ WATER HEATER
SOFT'RESID @ Ir SEWAGE DISPOSAL
SQ FT GARAGE @ V, C HOUSESEWER
PERMIT �EE TEMP ELEC SVC GAS PIPING
-MOBILE HOME PERMIT FEE' Is T
I PERMIT FEE PERMIT FEE'
4R T NO.
TaTA�S IMOB.
HM. FEE
M ECH.'FEE'l
BEIC]
PL. CK. F
%E,>
&ITE -1
ELECT Ff.
geel
SM�IFEE
I
FEEI PLUM!�FEL.
9ge
2
_4 -OF
A I M I J I j I A I S 0 1 N
JOB ADDRESS sP NO
OwNJtR-
73
74
USE OF PERMIT
5) z^ _, .0'7
rh
F.C. JDATE
[P
7y
2 0 6 1:8
75.
�4j - f -,V r-4 _jle C,-.4
.3
M H PERMIT FEE
COMMU�Ily
DtT
UNITS
VALUATION
TO PERMIT OFFICE
IROOMS
ISUPP.
I
MICROFILM FEE
COPIES
$
LEGAL DESCRIPTION
SUt —.2 P9 -
�ImD i�-J
MECHANICAL FEE
$
SETBACK
LOT SIZE ZONE
USE NO.
TYPE
ICK BY
JGRP
F JR/f
PLAN CHE I CK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER
IFINAL I DATE JINSPECTOR
CONSTRUCTION FEE
-&at-
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDER INVO VE
0ox
ELECTRICAL FEE
-P&I!-
$
ADDRESS CITY
STATE
SMI FEE
$
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120*5RYS. CESSA-
TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
. I I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC.
$
FEE
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.
PLUMBING FEE
ptr—
$
1 HEREBY CERTIFY THATWHE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS
HAS DONE SO IN ACCO N;_ E WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE
OF THE ST,�,T-FjQf CALI RNIA,
$
0
I
CONTRACTOR
TOTAL FEES
0,�er
A
CASH 0 C)iECK M.O. Cl N.z. 0
ADDRESS
7
ADDRESS
RECEIVED BY
TREES REQUIRED
SEWAGE SYSTEM
T
P
CITY ZIP CODE
C ITY ZIP CODE
LL
ep
INFORMATION
TEL NO.
TEL. NO. LICENSE
FORM 284-208 (Re, 9.731 0S
12