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259968 (AR)BUILDING PERMIT CONSTRUCTION ESTIMATE 1 ST FL. SQ.FT. @ 2ND FL. SQ. FT. @ POR. SQ. FT. @ GAR. SQ. FT. @ CAR P. SQ.FT. @ W IINLL SQ. FT. @ G'u r.s Ti.'tj ± SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ tp NOTE: Not to be used as property tax valuation MECHANICAL FEES VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD DEPARTMENT OF BUILDING & SAFETY 11 COUNTY OF RIVERSIDE4 NO. ELECTRICAL FEES UNITS T- C c'c:>f — MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM SIGN FIELD OFFICE NO.I PLUMBING FEES BOILER I j B, BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTO) (DISH) 0 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 O HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑GRAVITY AMPERES SERV ENT SHOWER SQ FT @ C BATH TUB SQ FT @ ¢ WATER HEATER SQ FT RESID @ 1¢ SEWAGE DISPOSAL SQ FT GARAGE @ 'h¢ HOUSE SEWER PERMIT FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE Is PERMIT FEE PERMIT FEE 2 SER T TOTALFE IMOB. HM. FEEMICRO FEE MECH. FEE DBL PL. C• K. FEE CONfST. FEE DBL. ELECT, FEE DBL. SMI FEE FEE PLUMB. FEE DBL. J F M A I M I J J A I S 1 Q 1 NMKPERMW� ORESS f SP NO OWNER 73 74 zp L 1A� ,X,,�,�; F.C. ®z� DATE 7-� / `c/ // P75 6968 M H PERMIT FEE $ COMMUNITY IT DST UNITS ROOMS VALUATION SUPP. TO PERMIT FFICE 10— MICROFILMFEE COPIES $ LEGAL DESCRIPTION MECHANICAL FEE DBL $ SET BACK LOT SIZE ZONE X 7 USE NO. GRP TYPE CKK1((;;( BY .f%144 //�� J S .+CJ R/O PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR f CONSTRUCTION FEE DBL $ �7 GY NAME OF CONST. LENDER BRANCH OFFICE NO —NULK:NVOTED ELECTRICAL FEE DBL $ ADDRESS CITY STATE SMI FEE $ 2 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 WITH THIS PERMIT WILL BE DONE IN AC- CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, 1 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 P Pf ED THE PLANSS AND -DO CIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 55 , E BU5 AkjW6 F SIONS CODE OF THE STATE OF CALIFORNIA. LLL (y l OWNER/AGENT'S SIGNATURE CONTRACTOR ��-X1,.3, r�-� C�J!•/'�T� , �.��', FEE $ PLUMBING FEE DBL $ TOTAL FEES $/�•f %'j�-.�/�" ��'^' ,� CASH ❑ CHECK.® M.O. ❑ N.C. ❑ ADDRESS ADDRESS r �tG.+ I•ll �„ RECEIVED BY TREES REQUIRED • SEWAGE SYSTEM T LL P CITY ZIP CODE CITY ZIP CODE _ —/I z li ! j ,-- 7-, (LA/A / INFORMATION FORM 784.208 IRev 9.73) O5 TEL. NO. TEL. NO. /r LICENSE 0