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240884 (ELEC)
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. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation MECHANICAL FEES VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD EPARTMENT OF BUILDING & SAF COUNTY OF RIVERSIDE NO. I ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM SIGN FIELD OFFICE IDST NO.1 PLUMBING FEES 1� BOILER I I B. 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 .401AMPERES SERV ENT Craj SHOWER SQ FT @ ¢ BATH TUB SQ FT @ ¢ WATER HEATER SOFT RESID @ 1 ¢ SEWAGE DISPOSAL SQ FT GARAGE @ 'h¢ HOUSE SEWER PERlv11T FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE $ PERMIT FEE �;"t'.i PERMIT FEE 4RD' O. - TOTAL FEES t✓ FEE ...r-.1 MOB. HM. FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE CONST. FEE DBL. E ��AE& DBL. SMI FEE FEE PLUMB. FEE DBL. J I F I M A I M I J JI A I S Q 1 N D JOB ADDRESS _ �» �^,� I SP NO ��"�161 ! A..K—l�� I OWN,Rj f - /�"��/../U/�J�/ Ir7/!!/Ef4f� %/JC1j1 73 74 USE OF PERMIT L,q �f d ,�% J 0 � f'A f IT �% fl� C �11/L, F.C. JDATE ' .`+(I /�� .40884 PER T NO. 75 M H PERMIT FEE $ COMMUNITY DST UNITS ROOMS I VALUATION SUPP. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION MECHANICAL FEE DBL $ SET BACK LOT SIZE ZONE J, LLJ } USE NO. GRP TYPE CK BY F S R PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATEh NSPECT /— / R CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED— ELECTRICAL FEE DBL $ ADDRESS CITY STATE SMI FEE $ 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, 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 DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. FEE $ PLUMBING FEE DBL $ TOTAL FEES q OWNER/AGENT'S SIGNATURE CONTRACTOR CASH ❑ CHECK Cy M.O. ❑ N.C. ❑ ADDRESS ADDRESS f ' 0 RECEIVED BY TREES REQUIRED SEWAGE SYSTEM CITY ZIP CODE CITY ZIP CODE (� INFORMATION FORM 284.208 IRe, 9.73) ©s�"' TEL. NO. TEL NO. (jt� LICENSE