24400 (SFD)BUILDING PERMIT
+.,,, CONSTRUCTION ESTIMATE
I ST FL. �
me
SQ.FT. (v
2ND FL.
SQ. FT. @
POR.
SQ. FT.
GAR.
SQ. FT. @ ✓
CAR P.
SQ.FT. @
WALL
SQ. FT. @
GARBAGE DISPOSAL
SQ. FT. @
ESTIMATED CONSTRUCTION
VALUATION $ %
NOTE: Not to be used as property tax valuation
i
MFCHANICAL FFFS
DEPARTMENT OF BUILDING & SAFETY
' COUNTY OF RIVERSIDE
NO. ELECTRICAL FEES
UNITS
} MOBILEHOME SVC.
4f POWER OUTLET
0
SWIM POOL, PVT
SWIM POOL. COMM
FIELD OFFICE
NO. PLUMBING FEES
BOILER B.T.U.
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DR'NKING FOUNTAIN
UR NAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
J F t M A I M I .I I J A I S 1 O 1 N_I_D_ JOB ADDRESS_ + ' SP NO yd Rwxg'
-+^� 1
I 73 � .S�F'l.�F.,L7 ..rG/f.rc7 i l! D7– Ivr-
74
VENTSYSTEM .8 -FAN OEVAP.000L aHOOD
QU
SIGN
PERMIT
' 14
/
WASHER(AUTCrtfDISH) r�
MH PERMIT FEE
APPLIANCE
$
COMMUNITY
DST
GARBAGE DISPOSAL
ROOMS
VALUATION
FURNACE O UNIT O WALL O FLOOR Q&USPENDED
OFFICE
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
`
$,
ABSORPTION SYSTEM 0 B.T.U.
LEGAL DESCRIPTION
TEMP USE PERM SVC
_-2,
WATER CLOSET
aU
MECHANICAL FEE
COMPRESSOR ® HP
CCa
POLE, TEMP/PERM
SETBACK LOT SIZE ZONE
LAVATORY
QO
TYPE I
HEATING SYSTEM Pf FORCED 0GRAVITY
pit%
AMPERES SERV ENT
SHOWER
SQ FT @ ¢ S.''
!
BATHTUB
$
BOND AMT.
PLAN NO. PLAN CHECKER
SQ FT @ ¢
-: q''.
WATER HEATER
f "�
SQ FT RESID @ 1 ¢ % . -'_
SEWAGE DISPOSAL
/0-00
$
NAME OF CONST. LENDER BRANCH
SQ FT GARAGE @ 'h¢
NO LENDER INVOLVE
HOUSE SEWER
PERMIT FEE
001
1 TEMP ELEC SVCGAS
PIPING
MOBILE HOME PERMIT FEE is
d 't
f
PERMIT FEE
Q
DBL
PERMIT FEE -
QU
^, PiRM)rT Nq QT1.0TALFEE
—
MOB. HM. FEE
MICRO FEE
��. FES„
DBL.
CK. Ems. _
� .
e.�?
DBL. -Ej F DBL.
I FEE_
FEE
PLUMB. ,&
JDBL
J F t M A I M I .I I J A I S 1 O 1 N_I_D_ JOB ADDRESS_ + ' SP NO yd Rwxg'
-+^� 1
I 73 � .S�F'l.�F.,L7 ..rG/f.rc7 i l! D7– Ivr-
74
USE OF PERMIT
!!/ I1 l7 Y" cD --- 1
L/if
'Fc
DATE
1 G ' ! !
PERMIT
' 14
0 0
75
MH PERMIT FEE
$
COMMUNITY
DST
jVhITS
ROOMS
VALUATION
SUPP. TO PERMIT
OFFICE
I
dXT
MICROFILM FEE
COPIES
$,
LEGAL DESCRIPTION
MECHANICAL FEE
DBL
$
SETBACK LOT SIZE ZONE
USE NO.
GRP
TYPE I
CK BY/
/
PLAN CHECK FEE
$
BOND AMT.
PLAN NO. PLAN CHECKER
FINAL DATE INSPECTOR
J
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDER INVOLVE
00
d 't
ELECTRICAL FEE
DBL
$
ADDRESS CITY
—
STATE I
f
SMI FEE
$
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN k20 DAYS. CESSA-
l
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
$
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.
$
L
OWNER/AGENT'S SIGNATURE Wf✓
CONTRACTOR
TOTAL FEES
`t c+ � ��e'o AP 15
iL.�F/J
'
CASH ❑ CHECK M.O. ❑ N.C. C3#
ADDRESS
—
ADDRESS
RECEIVED BY
TREES REQUIRED
Y
SEWAGE SYSTEM
T
LL
P
CITY ZIP CODE
CITY ZIP CODE
INFORMATION
I
TEL. NO.
TEL NO. LICENSE
FORM 284.208 (Rev. 973) 0S