248483 (SFD)BUILDING PERMIT
. CONSTRUCTION ESTIMATE
1 ST FC
SQ.FT.
.2 ND7 FL.
SQ. FT. '@
POR.
SQ. FT. @
GAR. •
SQ. FT. @
CAR P.
SQ.FT. @'
WALL •
SQ. FT.- @
SQ FT @ ¢ BATH TUB
SQ. FT. @
ESTIMATED CONSTRUCTION
VALUATION • f$
NOTE: Not be used as property tax valuation'
MECHANICAL FEES . _.
SQ FT GARAGE @ 'h¢ HOUSE SEWER
VENT SYSTEM ❑FAN ❑'EVAP. COOL QHOOD
DEPARTMENT OF BUILDING & SAFETY
1 COUNTY OF RIVERSIDE
6' •l,fa, r
NO! -ELECTRICAL FEES
if -- UNITS
MOBILEHOME SVC. -
POWER OUTLET
SWIM POOL, PVT
SWIM POOL. COMM
SIGN
FIELD OFFICE;
NO. PLUMBING FEES
BOILER � B.T.U.
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
WASHER (AUTO) (DISH)
APPLIANCE • ` GARBAGE DISPOSAL
FURNACE - ❑ UNIT, ❑ WALL ❑ FLOOR ❑ SUSPENDED. f LAUNDRY TRAY
AIR HANDLING UNIT CFM IDLE METER KITCHI N SINK
ABSORPTION SYSTEM " 0 B.T.U. TEMP USE PERM SVC %L WATER CLOSET' S
w�. Lys
COMPRESSOR 'ter 0 HP POLE, TEMP/PERMLAVATORY
HEATING SYSTEM kfFORCED ❑ GRAVITY l91 ' AMPERES SERV ENT SHOWER ar'�•
SQ FT @ ¢ BATH TUB
SOFT @ ¢ WATER HEATER
SOFT RESID @ 1¢ SEWAGE DISPOSAL
SQ FT GARAGE @ 'h¢ HOUSE SEWER
PERMIT FEE Q TEMP ELEC SVC GAS PIPING
MOBILE HOME PERMIT FEE -Is 1
•.1 f1 PERMIT FEE T�- r PERMIT FEE (?
PERMIT NO.
TOTAL FE
MOB. HM. FEE
MICRO FEE/ES
MECH. FEE
DBL.
PL: C%K. FEE
CONST. FEE
DBL, I
ELECT. FEEDBL.
_"j.j
SMI FEE
FEE PLUMB. FEE
DBL
J F M A I M I J I J I A S 1 O "N D
`
J08 ADDRESS :._ .� _ .,i SP
<t� Caw sc=�l
,ONN6R. '
�i'r1 �f ..
73
74
USE OF PERMIT % .. `
F.C.
DAGTTEE J: 7 of
>
P MI NO
4 81
75
MH PERMIT FEE
$
COMMUNITY
1A 19,2).07-A' J,
DST
FWITS
ROOM
I VALUATION ISUPP.
TO PERMIT OFFICE
MICROFILM FEE
COPIES
$ t
-
LEGAL DESCRIPTION r
i
�(�—•.�.5`'�";�.G' -� �'/• .Jg.�-� .��'�jr�.%:,r��.�1� "� �`�`' ��j -iia �°�„_�
MECHANICAL FEE
•
DBL
$
•��
�y
V'G/
SET BACK
LOT SIZE ZONE
USE NO.
GRP
TYPE
CK BY
1,291S _x- - p
PLAN CHECK FEE
'
$
BOND AMT.
PLAN NO.
PLAN CHECKER - -
FINAL DATE INSPECTOR
J
CONSTRUCTION FEE
DBL
$
fico
NAME OF CONST. LENDER BRANCH
CFFICE
r NO LENDER INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
SMI FEE
$
JJ
THISPERMIT SHALL BECOME VOID IF WORK ISNOT 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. '-
1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO -PREPARED THE PLANS AND SPECIFICATIONS
HAS DONE SO IN*ACCORDANCKWITH SECTIOf 5541 OF THE BUSINESS AND PROFESSIONS CODE '
OF THE STATE OF CALIFORNIA: % r
'
FEE
!r
$
PLUMBING FEE
DBL
$
`jo -
TOTAL FEES
$
tj
OWNER/AGENT'S SIGN R
4 I
CONTRACTOR
CASH ❑ CHECK M.O. ❑ N. C. ❑
aDOREssX� j
AlL^ .3 /6) � &Z' `
ADDRESS
RECEIVED BY
TREES REQUIRED
SEWAGE SYSTEM,
T 6�^t�
•
LL jP/,,X.1/
CITY ZIP CODE
`l/.
��r f C t
CITY - - - ZIP CODE
INFORMATION
pRM 284.208 IRev 9731
TEL. NO. f
TEL. NO. LICENSE