224724 (SFD)BUILDING PERMIT DEPARTMENT -OF BUILDING& SAFETY
COU
NTYOFRIVERSIDE,
CONSTRUCTION ESTIM -T
-A Ew-It,-t7r—
-TR I C A L F E -E
IELEC
I ST FL.
SQ. FT.
ELECTz-FEE
2ND FL.
S )..FT. @ -f
c
,FEE
S Q. FT.
MOTOR ]'OR LESS H.P�
Poo.
GAR.
SQ.FT. @
'MOTOR !�OR LESS H.P.
CAR -P.
SQ. �T.
mOTOR.N OR LESS H.P.
WALL
SQ.FT. @
SQ. �T . @
ESTIMATED CONSTRUCTION VALI
ON
E===K.W.LIN'T'
NOTE: Not to be used as property tax valuation
73
MECHANICAL FEES
VENT SYSTEM C1 FAN C3 EVAP. COOL HOOD
SIGN
APPLIANCE
TRANS-- K.W.
FORMER
FURNACE O'UNIT CIWALL OFLOOR. OSUSPENDED
OUTLETS
AIR HANDLING UNIT I CFM
FIXTURE OR SOCKET
GAS PIPE ONATURAL EIL.P.G. 0011.
CONST. SERV. ENTRANCE
COMPRESSOR HP IV' I �W
POLE
APPLIANCE VENT
AMPERES SERV. ENT.
ABSORPTION SYSTEM ��,B.T.U.
;SQ. FT.
INCINERATOR 0 DOMESTIC [1, INDUS. OR, COMM.
SQ. FT. @
HEATINGSYSTEM )gFORCED.OGRAVITY
XD.tl* SQ. FT. RESID. @14
BOILER B.T.U.
:SQ. FT. GARAGE
PERMIT FEE
BALANCE OF MIN: FEE
MOBILE HOME HOOKUP FEE F$ __F__1
-1 PERMIT
PLUMBI
NO.1
JFIELD OFFICE'
FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
'URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
WASHER (AUTO) (DISH)
GARBAGE DISPOSAL
LAUNDRY TRAY
KITCHEN SINK
WATER CLOSET
LAVATORY
SHOWER
BATH TUB
WATER HEATER
SEWAGE DISPOSAL
HOUSE SEWER
GAS PIPING
PERMIT FEE
---
P TOTAL FEES,
MOB. HK. FE MICRO �EE
T
MECH. FEE
PL. CK�FJEE
0
CONST. FEE
DBL.
ELECTz-FEE
DBL.
EE
,FEE
PLUM�"FEiT__TD_BL.
Z-47 241-
17
j'DBL
I
41
A, �M_ I J j !A. I' S 0 .1 N
JOB DDRESS
0
411?m 41,
73
Ok
-%.74
USE OF BUILDING
x41,5'_
F.
eo
C. DATE
13, 1 73
PERM�
- 24724
75
M.H. HOOKUP FEE
$
COMMUNITY
1A
DST
UNITS
ROOMS
VALUATION
SUPP. TO PERMIT
OFFICE�
i Al _j,
0
MICROFILM FEE
COPIES'
LEGAL.DESCR�PTION
Qh A PrIl A R�, rcli
I MECHANICAL FEE-
�';DBI:
$ t�t
40 dg_� .
SET BACK
LOT SIZE Z
N
USE NO.
GRP
TYPE.
S ve),
PLAN CH ECK. FEE
$
BOND AMT.
PLAN NO.
PLAN �HECKER
FINAL DATE INSPECToR
14
-
DEL
�ql\ISTRUCTION.FEE..
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDER INVOLVED
ELECTRICAL FEE
DEL
$
rZ
ADDRESS CITY
STATE
`4.
SMI FEE
-THIS--PERMIT SHALL bE05ME VOID IF WORK IS NOT COMMENCED,WITHIN! 60 DAYS. CESSA.
FEE
TION OF,WORK FOR 120 DAYS'SHALL ALSO CAUSE PERMIT TO BECOME VOID.
0.
I HEREBY AGREE,THAT ALL WORk IN CONN ECTION. WIT14 THIS PERkT WILL'BE DONE IN AC�
C09DANCE'WITH THE�LAWS OF,RIVERSIDE'COUNTY AND -'THE,STATE OF* CALIFORNIN'J'ALSO
PLUMBING FEE
DBL,
$
AGREE -TO" CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES I I
COMPL ANCE W TH
THE LAWS Ol`,tHE STATE OF CALIFORNIA COVERING CONTRACTORS, IS'ALS�Clt GUARANTEED
HE
j REBY CERTIIFYTHAT THE INDIVIDUAL WHO, PREPARED, THE PLANS AND SPECIFICATIONS
'5541.'OF -AND;
TOTAL FEES�.`
;HAS DONE SO IN ACCORDANCE WITH SECTION THE BUSINESS PROFESSIONS
CODE OFCALIFORNIA.'
OF THE STATE
CASH D, 'C HECKK' M.0. 0,
OWN
71
CONTRACTOR
- - ),
E
RECEIVED BY,
ADDRESS f
'ADDRESS,
w
r
-N --c
SEWAGE SYST�m'
LL�
TREES REQUIRED
YES
NO
CITY
dI A
/ V�
CITY
-A,
'INFORMATION
TEL. NO.
TEL. NO. LICENSE
FORM 2841208 (Re�. 11/72)