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245531 (CSCS)
BUILDING PERMIT CONSTRUCTION ESTIMATE I ST FL. SO.FT. 6 1' . 2ND FL. SQ. FT. @ POR. SQ. FT. @ GAR. SQ. FT. @ CAR P. SQ.FT. @ WALL SQ. FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ f NOTE: Not to be used os property tox valuotion MECHANICAL FEES VENT SYSTFM-i It FAN n FVAP. COOL ❑ HOOD DEPARTMENT OF BUILDING & SAFETY III COUNTY OF RIVERSIDE A NO. ELECTRICAL FEES _ UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM don SIGN FIELD OFFICE NO. PLUMBING FEES j 1,�IAJejr.. sz; .S7' OILER B.T.U. BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL �! WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTO) (DISH) g�9 APPLIANCE GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFVI IDLE METER KITCHFN SINK ABSORPTION SYSTEM 0 B 1.U. TEMP USE PERM SVC 'L WATER CLOSET COMPRESSOR HP (f POLE, TEMP/PERM LAVATORY v ve) HEATING SYSTEM FORCED ❑GRAVITY L�Ci AMPERES SERV ENT a e'& SHOWER SQ FT @ a BATH TUB SQ FT @ jj f ¢ WATER HEATER SQ FT RESID @ 1 a SEWAGE DISPOSAL SQ FT GARAGE @ '/a¢ HOUSE SEWER PERMIT FEE dj} TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE Is % PERMIT FEE I PERMIT FEE ;;( aa PERMIT NO. TOTAL FEE MOB. HM. FEE MICRO rEE MECH. FEE DBL. PL. CK. FEE CONST. FEE DBL. ELECT. FEE DBL. I SMI FEE, I FEE PLUMB. FEE DBL. J I F I M A I M I J I J A I S 1 Q 1 N D JOB ADDRESS_ ��! i SP NO JA I i-WaA OWN R� � 7- 73 74 USE OF PERMIT 7' f &jez-'. F.C. el e DATE N "M 75 M H PERMIT FEE $ COMMUNITY I DST /6 '.? N)1c I UNITS ROOMS I VALUATION SUPP. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION r MECHANICAL FEE DBL $ dj SETBACK i LOT SIZE ZONEUSF.©��O `i �Js� I//FINAL GRP TYPE CK BY PLAN CHECK FEE $ BOND All, PLAN NO. PLAN CHECKER DATE INSPECTOR CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ Ci ADDRESS CITY STATE SMI FEE $ j ! 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 BECOMEVOID. 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. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS OF THDEONE SO IN STATEE OF CALIFORNIA. CE WITH SECTION 55 HE {NES�Af}p_pR�bESSIp ' S CODE �( L� rte' FEE $ PLUMBING FEE DBL $ `1 TOTAL FEES $ OWNER/AGENT'S SIGNATURE CONTRAC70R CASH ❑ CHECK [y M.O. ❑ N.C. ❑ ADDRESS ADDRESS /� ^� 7 �/ A RECEIVED BY , TREES REQUIRED SEWAGE SYSTEM T LL P,y,�/t?!/K7� CITY ZIP CODE CIT ZIP CODE INFORMATION FORAA 284-2081Rm 9.73+ ©5 TEL. NO. TEL. NO. LICENSE J(,� <SNJ I_ �' 2Z �� 141r