232266 (RPL)BUILDING PERMIT
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE ,
CONSTRUCTION ESTIMATEs;�,_. , I,_ ELECTRICAL FEES.. -
1 ST FL. SO. FT. @
2ND FL. SO. FT. @
POR. SQ. FT. @
GAR. SO.FT. @
CAR P. SCS. FT. @
WALL SOFT. @
�0,1/?li�AGr7' SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION szli- ev
NOTE: Not to be used as property tax valuation
MECHANICAL FEES
VENT SYSTEM ❑ FAN ❑EVAP. COOL ❑ HOOD
APPLIANCE
FURNACE ❑UNIT ❑WALL ❑FLOOR ❑SUSPENDED
AIR HANDLING UNIT I CFM
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
COMPRESSOR HP
APPLIANCE VENT
ABSORPTION SYSTEM B.T.U.
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
_ HEATING SYSTEM Cl FORCED ❑GRAVITY
BOILER B.T.U.
PERMIT FEE
MOBILE HOME HOOKUP FEE $
NO.
MOTOR I OR LESS H.P.
MOTOR 5 OR LESS H.P.
MOTOR 20 OR LESS H.P.
K.W. UN
SIGN
TRANS- O K.W.
FORMER
OUTLETS
FIXTURE OR SOCKET
CONST. SERV. ENTRANCE
POLE
AMPERES SERV. ENT.
SO. FT. @ 4
SQ. FT. @ 4
SO. FT. RESID. @14,
SQ. FT. GARAGE@124
BALANCE OF MIN. FEE
/ PERMIT FEE L,!
FIELD OFFICE
PLUMBING FEES _.
NO.
I P i,
DRAINAGE PIPING
MOB. HK. FEE MICRO FEE
i
MECH. FEE
DBL.
DRINKING FOUNTAIN
CONST. FEE
1; 9
DBL.
ELECT. FEE
4
URINAL
SMI FEE
FEE
PLUMB. FEE
WATER PIPING
J F M A PA J J A $ O N
JOB ADDRESS %Y
�t ,0 o s C.rP`
0 NER
raw�v
FLOOR DRAIN
75
if
WATER SOFTENER
PER MN Y
FG}
M.H. HOOKUP FEE
WASHER (AUTO) (DISH)
$
3'
COMMUNITY
44 11.1A r,4
GARBAGE DISPOSAL
UNITS
/
j
VALUATION
Ddd
LAUNDRY TRAY
MICROFILM FEE
t
$
KITCHEN SINK
LEGAL DESCRIPTION
_ _ 1
MECHANICAL FEE
DBL
WATER CLOSET
SETBACK
LOT 512E ZONE
LAVATORY
USE NO.
GRP
J
TYPE
SHOWER
F,� s
RIS -
�
PLAN
PLAN CHECK FEE
BATH TUB
BOND AMT.
J
WATER HEATER
FINAL DATE INITOR
3
"~'"
CONSTRUCTION FEE
SEWAGE DISPOSAL
$
NAME OF CONST. LENDER BRANCH
HOUSE4EWE " i
ar
J
f
GAS PIPING
ADDRESS CITY
/
PERMIT FEE
SMI FEE
Q
I P i,
TOTAL FEE$,,.
MOB. HK. FEE MICRO FEE
i
MECH. FEE
DBL.
PL. CK. FEE
A/ 4E�'
CONST. FEE
1; 9
DBL.
ELECT. FEE
4
DBL.
SMI FEE
FEE
PLUMB. FEE
DBL:
J F M A PA J J A $ O N
JOB ADDRESS %Y
�t ,0 o s C.rP`
0 NER
raw�v
73
75
LDINGAr�C�
USE O266
DATEy
PER MN Y
FG}
M.H. HOOKUP FEE
$
COMMUNITY
44 11.1A r,4
DST
UNITS
/
ROOMS
VALUATION
Ddd
SUPP. TO PERMIT OFFICE j
MICROFILM FEE
COPIES
$
LEGAL DESCRIPTION
_ _ 1
MECHANICAL FEE
DBL
$
SETBACK
LOT 512E ZONE
f
/
USE NO.
GRP
J
TYPE
CK BY
F,� s
RIS -
�
PLAN
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE INITOR
3
"~'"
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE .NO
LENDER INVOLVED
ELECTRICAL FEE
DBL
$
I JS.I
p J
ADDRESS CITY
STATE
SMI FEE
$
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 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.
1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS '
HAS DONE SO IN ACCORDANCE WITH SECTION 5541 �QF T USINE PR FESSIONS
CODE OF THE TATE OF CALIFORNIA. f
FEE
$
PLUMBING FEE
DBL
$
®
TOTAL FEES
$
Z ?
CASH El CHECK M.O. ❑ N.C. ❑
OWNER
A
CONT CTO
01
RECEIVED BY
ADDRESS
ADDRESS
}
f
SEWAGE SYSTEM T
LL-
P
TREES REQUIRED
YES
NO
CITY
CIT
INFORMATION
(FORM 284.208 1Rm 1 1 /721
TEL. NO.
TEL, NO. LICENSE r
,