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248484 (BLDG)
BUILDING PERMIT CONSTRUCTION ESTIMATE 1 ST FL. SQ.FT. @ 2ND FL. SQ. FT. @ ' POR. SQ. FT. @ GAR. SQ. FT. @ CAR P. ' SQ.FT. @ WALL ' SQ. FT. @ /ox,a A/,r— SQ. FT. @ 1 a 5 ESTIMATED CONSTRUCTION VALUATION NOTE: Not !o be used as property tox valuation MECHANICAL FEES SQ FT GARAGE @ '/z¢ 1d'C.'f HOUSE SEWER VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD 1 DEPARTMENT OF BUILDING & SAFETY 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.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 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 SQ FT @ ¢ BATH TUB SQ FT @ ¢ WATER HEATER SQ FT RESID @ 1 ¢ SEWAGE DISPOSAL SQ FT GARAGE @ '/z¢ 1d'C.'f HOUSE SEWER PERtv11T FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE is PERMIT FEE G PERMIT FEE P R T N TOTAL FEES {! M08. HM. FEE MICRO FEE MECH. FEE DBL. PL. C EE i� ) 1 CONST. FEE ,y U �( DBL. ELECT. FE= /t `�` fy/} DBL. SMI FEE FEE PLUMB. FEE DBL. I J I F I M- A I M I J IJ A I S 1 O 1 N D JOB ADDRESS/ ff �r/� SP NO tf D (,v{r:' it}/,M C'! ✓� 5e, I OWEj, t N iL r . 'u�_ •' - 73 74 USE OF PERMIT 7 >%�7rd � /r -a �/ oie4te z� I F.C. DATEP� �i� - el - l6 / / 1 O 4 8 4 75 ' M H PERMIT FEE $ COMMUNITY !° /f' ' ' i / IV; /1 DST UN/ITS / ROOMS IVALUATCON � J SUPP. TO PERMIT 910 iii t�P OFFICE MICROFILM FEE COPIES $ LEGAL CtkRIPTION MECHANICAL FEE DBL $ SETBACK LOT SIZE ZONE USE NO, _/ J GRP TYPE 4BYr �+ �f f PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL SATE INSPECTOR 7s CONSTRUCTION FEE DBL - $ NAME OF CONST. LENDER BRANCH OF -ICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ 7b ADDRESS CITY STATE SMI FEE $ ti 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 KITH 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 CONTRF CTORS IS ALSO GUARANTEED. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 341 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. �, x FEE $ PLUMBING FEE DBL $ TOTAL FEES .� i1 w� V �f % f OWNER/AGENT'S SIGNATURE' i T ✓i �.. CONTRIi TOR CASH ❑ CHECK M.O. ❑ N. Z. ❑ ADDRESS $r ��lFj�rp` ADDRESS r RECEIVED BYTREES REQUIRED f SEWAGE SYSTEM CITY ZIP CODE CITY ZIP CODE INFORMATION FORM 284 2081Rev. 9.731 ©5 TEL. NO. / ,,�4j7�/fir TEL. NO. LICENSE