24398 (SFD)BUILDING PERMIT
CONSTRUCTION ESTIMATE
ISTFL. SQ.FT. @/.:f h
2ND FL. SO. FT. @ _
POR. SQ. FT. @a -^
GAR. E SQ. FT. @ G.
CAR P.',,,]SQ.FT. @
WALL SQ. FT. @
SQ. FT. @ _
ESTIMATED CONSTRUCTION VALUATION $ J
NOTE: Not to be used as property tax valuation
MECHANICAL FEES
rVENT SYSTEM KFAN ❑ EVAP. COOL (jFH7
I APPLIANCE '7�4r --- I. -
DEPARTMENT OF BUILDING & SAFETY
' COUNTY OF RIVERSIDE 4
NO. x ELECTRICAL FEES
MOBILEHOME SVC.
POWER OUTLET
SWIM POOL, PVT
SWIM POOL, COMM
(JL: SIGN
FIELD OFFICE
J F I M I A 1 M 1 J 1 J 1 A S O 1 N I D I JOB ADDRESS.may I SP NO I OWNER J
7 z •�"" �----> -% J 2 3 i 1 -, r . +. /" :.s Y"
74
'
DST
NO.
PLUMBING FEES
LAUNDRY TRAY
M H PERMIT FEE
AIR HANDLING UNIT CFM
BOILER � B.T.U.
DST
KITCHEN SINK
BAR SINK
VALUATION
ABSORPTION SYSTEM 0 B.T.U.
ROOF DRAINS
TEMP USE PERM SVC
mac'
DRAINAGE PIPING
(�
DRINKING FOUNTAIN
4/()&
POLE, TEMP/PERM
UR.NAL
LAVATORY
00
WATER PIPING
HEATING SYSTEM 6 FORCED ❑ GRAVITY
Q[3
FLOOR DRAIN
LEGAL DESCRIFTION
SHOWER
WATER SOFTENER
WASHER IAUTO DISH)
SQ FT @ ¢
f
GARBAGE DISPOSAL
/
J F I M I A 1 M 1 J 1 J 1 A S O 1 N I D I JOB ADDRESS.may I SP NO I OWNER J
7 z •�"" �----> -% J 2 3 i 1 -, r . +. /" :.s Y"
74
FURNACE ❑ UNIT ❑ WALL ❑ FLOO ❑ SUSPENDED
F.C.
DATE
PERMIT I 9
4 3
LAUNDRY TRAY
M H PERMIT FEE
AIR HANDLING UNIT CFM
IDLE METER•
DST
KITCHEN SINK
VALUATION
ABSORPTION SYSTEM 0 B.T.U.
OFFICE
TEMP USE PERM SVC
mac'
WATER CLOSET
(�
COMPRESSOR HP
4/()&
POLE, TEMP/PERM
LAVATORY
00
MICROFILM FEE
HEATING SYSTEM 6 FORCED ❑ GRAVITY
Q[3
AMPERES SERV ENT
LEGAL DESCRIFTION
SHOWER
577
I
SQ FT @ ¢
i
BATH TUB
<
SET BACK
LOT SIZEZONE
SQ FT @ a
GRP
WATER HEATER
CK BY
/!yam
SQ FT RESID @ 1 ¢
SEWAGE DISPOSAL
Q !j
SQ FT GARAGE @ 'he ,
PLAN CHECK FEE
HOUSESEWER
$
PERMIT FEE
PLAN NO,
TEMP ELEC SVC
FINAL DATe INSPECTOR
GAS PIPING
MOBILE HOME PERMIT FEE is
e
C%�
PERMIT FEE QQ
PERMIT FEE
�
P R
2MB
.. TOTAL FEES,
o7V
MOB. HM. FEE
MICRO FEE
MECH. FEE
DBL
PL. CK. FEE CONST. FEE
DBL.
ELECT. FEE DBL.
SMI FEE-
�
FEE
PLUMB. FEE
n
DBL
J F I M I A 1 M 1 J 1 J 1 A S O 1 N I D I JOB ADDRESS.may I SP NO I OWNER J
7 z •�"" �----> -% J 2 3 i 1 -, r . +. /" :.s Y"
74
USE OF PERMIT R-
F.C.
DATE
PERMIT I 9
4 3
75
M H PERMIT FEE
4J
COMMUNITY
DST
UNITSROOMS
VALUATION
SUPP. TO PERMIT
OFFICE
MICROFILM FEE
COPIES
$
LEGAL DESCRIFTION
I
MECHANICAL FEE
DBL
$
SET BACK
LOT SIZEZONE
USE NO.
GRP
TYPE
CK BY
/!yam
V
PLAN CHECK FEE
$
BOND AMT.
PLAN NO,
PLAN CHECKER
FINAL DATe INSPECTOR
e
C%�
�
If -
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH O FICE
NO LENDER INVOLVt
'*
ELECTRICAL FEE
DBL
$
ADDRESS CITY'
STATE
Ar
5" i!�,
�
SMI FEE
$
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED
Jf
WITHI4Stk!0 DAYS. CESSA•
TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
1 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
$
(%
0
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 CALIF RNIA
-
OWNER/AGENT'S SIGNATURE 1..� _ (,•,;..
CONTRACTOR
1`
TOTAL FEES �G f'19
CASH ❑ HECK 9 M.O. ❑ N C ❑
ADDRESS
s ly
ADDRESS
RECEIVED BY .�C
TREES REQUIRED
'
�/''�
CITY ZIP CODE
CITY - _ ZIP CODE
SEWAGE SYSTEM
T
LL
P
Y.=ZD '7 0 0477
INFORMATION
TEL. NO.
_
TEL. NO. LICENSE
FORM 284.208 'Rev. 9.751 0S