240945 (SFD)I`\ BUILDING PERMIT
. CONSTRUCTION ESTIMATE
'r
�� /= '�
- 1 ST FL.
SQ.FT. @
,- 2ND FL.
SQ. FT. @
POR. "
SQ. FT. @ ;u
GAR.
SQ. FT. @
CAR P.
SQ.FT. @
WALL
SQ. FT. @
LAUNDRY TRAY
SQ. FT. @
ESTIMATED CONSTRUCTION
VALUWl$
NOTE: Not to be used as property tax valuation
MECHANICAL FE
a�wiT cvcrD..r%l.Ani ncvAD rnn, r)
DEPARTMENT OF BUILDING & SAFE'
COUNTY OF RIVERSIDE
NO. ELECTRICAL FEES
f� UNITS
MOBILEHOME SVC.
POWER OUTLET
SWIM POOL, PVT
SWIM POOL, COMM
GD SIGN
FIELD OFFICE
NO. PLUMBING FEES
BOILER B.T.U.
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
WASHER (AUTOI ISH)
DST
r. L�
jt y J F M I A I M� T I J i A I S'l O 1 IVD JOB ADDRESS�-'y' - SP NO OWNER 1
1 73 :7 . 7 r 7 _7 A i%�C:. "Di.4, I - I -„!J 4,-,e�•,r�'.r fTf �' r, i', A/
74
APPLIANCE
�� /= '�
4"1%
PERMIT NO.
46
75
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FL OR ❑ SUSPENDED
M H PERMIT FEE
$
LAUNDRY TRAY
DST
UNITS
AIR HANDLING UNIT
CFM
SUPP. TO PERMIT O I
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM
I�J B.T.U.
TEMP USE PERM SVC
MICROFILM FEE
COPIES
WATER CLOSET
a r—'l
LEGAL DESCRIPTION
�T.�%7`r�-G5r/-G�l'�
COMPRESSOR
HPaD
$
POLE, TEMP/PERM
SET
LOT SIZE ZONE
LAVATORY
USE NO.
GRP
HEATING SYSTEM XFORCED ❑GRAVITY
rCl
AMPERES SERV ENT
SHOWER
49
/j
SQ FT @ a
J
BATH TUB
y �,
$
BOND AMT.
PLANK NO.
SQ FT @
FINAL DATES
J
WATER HEATER
` •5-0
d
SQ FT RESID @ le
I
`/
SEWAGE DISPOSAL
4>0
$
NAME OF CONST. LENDER j /� BRANCH
�
V-#,Vl,:
OFFICE
SQ FT GARAGE @ Vn
HOUSE SEWER
IPV.
Uu
PERMIT FEE
j' !v
TEMP ELEC SVC
DBL
$
GAS PIPING
ADDRESS CITY
MOBILE HOME PERMIT FEE
$
PERMIT FEE
G
/
PERMIT FE
10
PERMIT NO.
�j
;.TAL FEES
v
r1�'=-
MOB. HM. FEE
MICRO FEE
MECH. FEE
l�ca
08L.
PL. CK. FEE
�n
CONST. FEE
ow
DBL.
ELECT. FEI�
AT, YY
DBL.
SMI FES
FEE
PLUMB. FEE
JDBL
jt y J F M I A I M� T I J i A I S'l O 1 IVD JOB ADDRESS�-'y' - SP NO OWNER 1
1 73 :7 . 7 r 7 _7 A i%�C:. "Di.4, I - I -„!J 4,-,e�•,r�'.r fTf �' r, i', A/
74
USE OF PERMIT
el
F. C.
DATE
PERMIT NO.
46
75
M H PERMIT FEE
$
COMMUNIT
DST
UNITS
ROOMS
VALUATION
SUPP. TO PERMIT O I
MICROFILM FEE
COPIES
$
LEGAL DESCRIPTION
�T.�%7`r�-G5r/-G�l'�
MECHANICAL FEE
DBL
$
SET
LOT SIZE ZONE
USE NO.
GRP
TYPE
CK BY
F //}}BACK ,g /� /}
49
/j
PLAN CHECK FEE
$
BOND AMT.
PLANK NO.
PLAN CHECKER
FINAL DATES
d
, 3 .
�
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER j /� BRANCH
�
V-#,Vl,:
OFFICE
NO LENDER INVOLVED
IPV.
Uu
C3 f. W /•412/ ,4
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE ;
r
,/,oyf
/11/10
� "/
SMI FEE
$
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. C•ESSA-
j
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.
$
FEE
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.
PLUMBING FEE
DBL
$
5'
Gl!
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.
$
OWNER/AGENT'S SIGNATURE L I� 4N4,.
L�
CONTRACTOR
TOTAL FEES �
t
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o
CASH ❑ HECK ❑%S M.O. ❑ N.C. ❑
ADDRESS
ADDRESS
RECEIVED BY y
TREES REQUIRED
j— J%� ���J�k4
SEWAGE SYSTEM
T
LL
P
CITY ZIP CODE
`•
CITY ZIP CODE
^,f INFORMATION / �y
TEL. NO. /I
TEL. NO. LICENSE
FO 284-20 (Rev. 973) Os