280464 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE NO. 'ELECTRICAL FEES
1 ST FL.' SOFT. @/74, UNITS
2ND FL. 50. FT. @ P1P O/ MOBILEHOME SVC.
OR. SO. FT. @
GAR. �� SO. FT. @
POWER OUTLET
CAR P. SOFT. @
WALL SO. FT. @
SO. FT. @
ESTIMATED CONSTRUCTION VALUATION $ f s
NOTE: Not to be used as property tax valuation
MECHANICAL FEES
VENT SYSTEm3brFAN ❑ EVAP. COOL 9 HOOD
APPLIANCE )C 4
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
AIR HANDLING UNIT I CFM
SWIM POOL, PVT
SWIM POOL, COMM
SIGN
IDLE METER
FIELD OFFICE
NO.
PLUMBING FEES
TEMP USE PERM SVC
74
V /'V 1.
YARD SPKLR SYSTEM
BAR SINK
JD!A71715
ROOF DRAINS
ERMIT 0
P 1280464
DRAINAGE PIPING
LAVATORY
DRINKING FOUNTAIN
HEATING SYSTEM /FORCED ❑ GRAVITY
URINAL
AMPERES SERV ENT
WATER PIPING
$
FLOOR DRAIN
r
WATER SOFTENER
UNITS
WASHER (AUTO DISH)
VALUATTION Q
Vo—.:
GARBAGE DISPOSAL
BATH TUB
LAUNDRY TRAY
KITCHEN SINK
1
ABSORPTION SYSTEM B.T.U.
BOOB ADDRESS �p -y - pP NO,
Qr
J 0
TEMP USE PERM SVC
74
V /'V 1.
WATER CLOSET
COMPRESSOR 5 1000 HP_-70
JD!A71715
POLE, TEMP/PERM
ERMIT 0
P 1280464
7675
LAVATORY
HEATING SYSTEM /FORCED ❑ GRAVITY
SO
AMPERES SERV ENT
$
SHOWER
r
BOILER 0 B.T.U.
UNITS
SO FT @
VALUATTION Q
Vo—.:
j
BATH TUB
SO FT @ a
4 % 1 +Q+A-
WATER HEATER
CLrf ,
7
SO FT RESID @IJAULd
a 36
!
SEWAGE DISPOSAL
`
LEGAL DESCRIPTION
AVf.774-/S-X
MECHANICAL FEE
SO FT GARAGE @
$SETBACK
5---
HOUSE SEWER
LOT SIZE ZONE
p
PERMIT FEE (iDI
USE NO.
I
TYPE
GAS PIPING
F.P6 S 5 s' �
MOBILE HOME PERMIT FEE Is
I I
I PERMIT FEE
7-57'X Im
!
PERMIT FEE
PERMIT NO.
280464
TOTAL FEES
��y,f�
M08. HM.FEE
MICRO FEE
MECH. FEE
�
DBL.
C .FEE
,��o
CONST. FEE
�,.01
DBL.
ELECT. FEE
DBL.
SMI FEE
FEE
PLUM8. FEE
�,v17
DBL.
J F M A M J J A S O N D
BOOB ADDRESS �p -y - pP NO,
Qr
J 0
QVNcn
�r
5r–/, v
74
V /'V 1.
Lf (i/z
UD tU SE IMIT
•� 00
JD!A71715
ATE
ERMIT 0
P 1280464
7675
1 I+h l�
M H PERMIT FEE
$
COMMUN `
DST
�l
UNITS
ROOMS
VALUATTION Q
Vo—.:
SUPP. TO PERMIT
OF�FFIE„
4 % 1 +Q+A-
CLrf ,
MICROFILM FEE
COPIES
$
LEGAL DESCRIPTION
AVf.774-/S-X
MECHANICAL FEE
DBL
$SETBACK
5---
LOT SIZE ZONE
p
//
USE NO.
GRP
TYPE
CK Y
F.P6 S 5 s' �
7-57'X Im
!
�Sr
PLAN CHECK FEE
$
BOND AMT.
PLAN CHECKER
FINAL DATE
SPECTOR�'IPLANNO.
'-1177
CONSTRUCTION FEE
DBL
$N
^
U�.r0
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDER INVOLVED
ELECTRICAL FEE
DBL
$
%
�j
,..—
ADDRESS CITY
STATE
STRONG MOTION
INSTRUMENTATION FEE
$
OWNER/A ENT'SSIGNATURECONT�jACTOR
/�
/�
u ` ��
, ( /
FEE
$
ADDRESS rr ,,
P �} J90)(�' o
ADDRESS
PLUMBING FEE
DBL
$
(,,
CITlYY [� ZIP CODE
1
G A (A IIlfl`
CITY ZIP CODE
TOTAL FEES
$
1-7
,,,.�
TEL. NO NO
7 / Li ... I � 9F
(D
TEL. NO. LICENSE
CASH ❑ CHECK (�{ M.O. ❑. N.C.,{7iy f'
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.
RECEIVED BY
TREES REQUIRED
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 ALSC
AGREE TO CARRY COMPENSATION MY WITH THI
SEWAGE SYSTEM
/
��
TIQav
LL
Pj
INSURANCE UPON EMPLOYEES. COMPLIANCE
IA\A/C !l C TUC CT A TC/ EC AI ICl1DAllA rn\/CDIAI(`r' KITDAITl OC IC A I C/ rl IA DA AITCCn
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS
FORM 28a-208 (Rev. 10-7a) O► L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE
OF THE STATE OF CALIFORNIA.