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242869 (PAT)
I BUILDING PERMIT CONSTRUCTION ESTIMATE 1 ST FL. SQ.FT. - Qs 2ND FL. ?@ POR. SQ. FT. @ GAR. SQ. FT. @ CAR P. SQ.FT. @ WALL SQ. FT. @ SQ FT @ ¢ BATH TUB SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ 4 NOTE: Not to be used as property tax valuation MECHANICAL FEES F/GKIT IWZTreA (i FA KI n FVAD rnnl n Hnnn DEPARTMENT OF BUILDING & SAFE COUNTY OF RIVERSIDE NO. ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM SIGN FIELD OFFICE 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) fI APPLIANCE GARBAGE DISPOSAL FURNACE O UNIT O WALL O FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT — � CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM 0 FORCED 0 GRAVITY AMPERES SERV ENT SHOWER SQ FT @ ¢ BATH TUB SOFT @ ¢ WATER HEATER SQ FT RESID @ 1 ¢ SEWAGE DISPOSAL SQ FT GARAGE @ 'h¢ HOUSE SEWER PERMIT FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE S I I I I PERMIT FEE PERMIT FEE PERMIT NO. 91 24286 (�(Ty'OTAL FEES IMC -B. HM. FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE I CONST. FEE DBL. ELECT. FEE DBL. I SMI FEE FEE PLUMB. FEE DBL J I F I M A I M I J I J A I S 1 O 1 N D JOB ADDRESS I SP NO �D ' 7 -� ci? 'maj c4i r OWN R vrl R& G 73 74 USE OF PERMIT ' � e'a./ fdv�vo. 5!" S�c>gp F � Fwr>�= F.C. DA' _ _ is .� P MgfNO. 75 M H PERMIT FEE $ COMMUNITY f✓rtli /17 -4r- DST I UNITS ROOMS I VALUATIONSUPP. Ott i TO PERMIT - OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION ,/a%- fir~ MECHANICAL FEE DBL $ SETBACK LOT SIZE ZONE USE NO. GRPTYPE J;� / PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR J CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVE 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 OF THE STAT�jgf/CALIF IA. FEE $ PLUMBING FEE DBL $ TOTAL FEES *T OWNER/AGENT' 1A r CONTRACTOR CASH Q CHECK M.O. O N.C. O¢ ADDRESS ADDRESS RECEIVED BY TREES REQUIRED SEWAGE SYSTEM T LL' L" CITY ZIP CODE ! S CITY ZIP CODE INFORMATION FORM 284.208 Wev. 9.731 ©s a .eE TEL, NO. TEL. NO. LICENSE _ _