280868 (SATT)BUILDING PERMIT
DEPARTMENT OF BUILDING Br •SAFETY
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
1 ST FL.
2ND FL.
POR.
r r C
CAR P.
WALL
SO.FT.- . � % eai
i �.• UNITS t
SO. FT. @
r
SO. FT.. @3,-5-9
MOBILEHOME SVC. ,i
Y
SQ. FT.'s@6-'- /
SQ:FT. _ @
SQ. FT.
. --!
POWER OUTLETGAR.
' "
,@
SQ. FT. @ _ r:-
ESTINIATED CONSTRUCTION VALUATION 3 /, yr
NOTE: Not to be used as property tax valuation
SWIM POOL. PVT
MECHANICAL FEES
SWIM POOL. COMM
POLE, TEMP/PERM'
VENT'SYSTEM 1TFAN EVAP. COOL HOOD s SIGN
LAVATORY
APPLIANCE
HEATING SYSTEM XFORCED 0 GRAVITY /Qo AMPERES,SERV ENTSHOWER
FIELD OFFICE
NO. PLUMBING FEES. -
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
a. WATER PIPING
FLOOR DRAIN
t' WATER SOFTENER
WASHER IAUTO+TDISFII
r;ARRAr.F nlccncnl.-
FURNACE, O UNIT ❑ WALL ❑ FLOOR O SUSPENDED
?OB ADDtYE5s >_ SF Nu
���o. ..JO1J1.NER___'
;LAUNDRY TRAY
AIR HANDLING UNIT
CFM
IDLE METER
DATE 7
%F �J
KITCHEN SINK
a.
ABSORPTION SYSTEM
U B. 1.6.
TEMP'USE PERM SVC '
V V
WATER CLOSET
COMPRESSOR
HP
POLE, TEMP/PERM'
DST
��
LAVATORY
ROOMS
HEATING SYSTEM XFORCED 0 GRAVITY /Qo AMPERES,SERV ENTSHOWER
SUPP. TO PERMIT
MICROFILM FEE
BOILER 1� B.T.U.
$
SQ FT @ ¢
LEC7 LDESCRIPTION
�r
-/ki/ t-64P-{i>tii�i ��. / 'S « (./r:€ 6 -K. L.,(,A11T J
BATH TUB
DBL
$
�;
SQ FT @ ¢
LOT SIZE j0 ^') ' ZONE
WATER HEATER
-^
GRP
TYPE
SQ.FT RESID @
/� I
SEWAGE DISPOSAL - ®.
'+�9Y SQ FT GARAGE @
HOUSESEWER
15,10
s.i
PERMIT FEE
1 zfGAS
PIPING
--^
MOBILE HOME PERMIT FEE
$
$
PERMIT FEE
BOND AMT.
PERMIT FEE' -
PLAN,CHECKER
PE MI NO
TOTA EE$„
MOB. HM.FEE
710 FEE
- MECH. FEE
DBL.
PL.„'�KEE
jj�NST. FEE
DBL. ECT. FiE
DBL.
J
SMI FE�jE -
$ fes,
FEE
-'PLUMB. FELE (�
DBL.
J F" M 'A M J J A ST* O N D
?OB ADDtYE5s >_ SF Nu
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u . i s N/jfC�
#76
�USE OF PER MIT6 �j f' G�.
'!
F.C.
�'
DATE 7
%F �J
P M N 868 Q
r f r'/I,f5-1_11ed6
fd
V V
M HI'PERMIT FEE
$
COMMUNITY A
tt / +� �'
DST
��
UNITS
ROOMS
I VALUATION /
v� 3% 61 34, � �
SUPP. TO PERMIT
MICROFILM FEE
COIPIES
PI
$
LEC7 LDESCRIPTION
�r
-/ki/ t-64P-{i>tii�i ��. / 'S « (./r:€ 6 -K. L.,(,A11T J
MECHANICAL FEE
DBL
$
�;
SET BACK
LOT SIZE j0 ^') ' ZONE
USE NO.
GRP
TYPE
FT'✓
IS30
15,10
s.i
106 A ! PL c%
PLAN CHECK FEE�f%
I�
f/cr+f1
$
BOND AMT.
PLAN NO.
PLAN,CHECKER
FINA _ AT
q•?6, 1880
INSPECTOR
CONSTRUCTION FEE
DBL
$yy
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDER INVOLVED
ELECTRICAL FEE
DBL
$ fes,
P /
ADDRESS CITY
STATE
STRONG MOTION.
INSTRUMENTATION FEE
$
/
/y
OWNER/AgJAS SIGNATURE - ,, ,,.D C
CONTRACTOR
FEE
$
ADDRESS
/�. �d , �..i / �,.�
ADDRE;S -'
•
PLUMBING FEE
DBL
$
CITY ZIP COD
?2-201
CITY ZIP CODE
./'Ow -"U
TOTAL FEES �
$ / f, �
i
TEL. NO.
%. ,{,T( �„ � !��/
TEL. No LICENSE ,
•
CASH p CHECK, M.O. 0 N.Cf'
• 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.
RECEIVED BYt✓
TREES REQUIRED >
I'HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE SN AC
CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSC
SEWAGE SYSTEM
/COQ
6 3.
T/.
LL
P
AGREE TO CARRY COMPENSATION INSURANCE UPCN MY EMPLOYEES. COMPLIANCE WITH THE
I I HEREBY CERTIFY THAT THE INDIVIDUAL WHO DREPAREDvTHE PLANS AND SPECIFICATIONS
FORM 284-208 (Rev. 10-74) @L HAS DONE SO IN ACCORDANCE,'WITH SECTION 554' OF THE BUSINESS AND PROFESSIONS CODE
OF THE STATE OF CALIFORNIA.