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243236 (RPL)lI BUILDING PERMIT CONSTRUCTION ESTIMATE 1 ST FL. SQ.FT. @ 2ND FL. SQ. FT. @ POR. SQ. FT. @ GAR. SO. FT. @ CAR P. SQ.FT. @ �QL4LLSQ. FT. @ HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ ' NOTE: Not to be used as property tax valuation MECHANICAL FEES DEPARTMENT OF BUILDING & SAFE COUNTY OF RIVERSIDE NO. ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL. COMM c FIELD OFFICE PLUMBING FEES BOILER � B.T.U. BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER DST : ii 11,4 VENT SYSTEM ❑ FAN O EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) APPLIANCE GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR O 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 ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER SOFT @ ¢ BATH TUB SOFT @ C / WATER HEATER SQ FT RESID @ 1 ¢ SEWAGE DISPOSAL SQ FT GARAGE @ 'h¢ HO fiEI R 'r �' 90 PERMIT FEE TEMP ELEC SVC GAS PIPING I-1-10 MOBILE HOME PERMIT FEE '$ _ PERMIT FEE 4/ e) C? PERMIT FEE (}Q 24R IT NO. TOTAL FEES MOB. HM. FEE ICRO FEE MECH. FEE DBL PL. CK. FEE CON/ST. FEE DBL. ELECT- FEE I DBL. SMI FEE FEE PLUMB. FEE IDBL. 1 I F I M A I M I J IJ A I $ 1 O 1 N D JOB ADDRESS - .�,j J SP NO -� �/ '� .�+ t l 1 �� ! �-1f7F v OWNER �„7 r a+ C• 6-1, i P s! � 7 3 74 U OF PERM 04 F.C. DAT A�� 36 M H PERMIT FEE g C!OMMUNITY DST UNITS ROOMS VALUATION SU PP. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION 9 ==:�1 7''- '= 7 - u !3 MECHANICAL FEE DBL $ SET BACK LOT SIZE ZONE USE NO. GRP TYPE CK BY F/ / S ! PLAN CHECK FEE $ 6?O_�—% BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE I PECTOR ''Y ' [.. l) CONSTRUCTION FEE DBL $ j 6 00 NAME OF CONST. LENDER BRANCH OFFICE ANO LENDER INVOLVED ?,- ELECTRICAL FEE DBL $ ADDRESS CITY STATE SMI FEE $THIS 6 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. HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLAN5 AND SPECIFICAT NS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF TNS. SI ES ND PROF I OF THE STATE OF CALIFORNIA. ! FEE $ PLUMBING FEE DBL $ 5_01 TOTAL FEES � $ � < OWNER/AGENT'S SIGNATURE CONTRACTOR" ....��,,jjj( pa 4tt S CASH C3 CHECK (g M.O. ❑ N.C. ❑ ADDRESS ADDRESS t RECEIVED BY TREES REQUIREDs SEWAGE SYSTEM T LL P CITY ZIP CODE CITY - '+ ZIP CODE -...�... (.�..j ` /. l ca INFO f O >)� .' q FORM 28a2081Rev. 9-731 US TEL. NO. TEL. NO. / LICENSEE