242613 (SPIN)BUILDING PERMIT
CONSTRUCTION ESTIMATE
1'ST FL. SO -FT. Q
2ND FL. SO. FT. Q
POR. SO. FT. Q
GAR. SQ: FT.
CAR P. SQ.FT. Q
WALL SO. FT. Q
SQ. FT. Q
ESTIMATED CONSTRUCTION VALUATION $
NOTE: Not to be used as property tax voluafion
MECHANICAL FEES
VENT SYSTEM ❑ FAN' ❑ EVA. P. COOL ❑ HOOD
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
NO. I ELECTRICAL FEES,
MOBILEHO•ME SVC.
POWER OUTLET
SWIM POOL, PVT
SWIM POOL, COMM
SIGN
FIELD OFFICE
NO.I PLUMBING.
BOILER I I B.
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
WASHER (AUTO) IDISHI
APPLIANCE GARBAGE' DISPOSAL
FURNACE ❑ UNIT ❑ WALL '❑ FLOOR. ❑ SUSPENDED LAUNDRY TRAY
AIR HANDLING UNIT I 'CFM IDLE METER KITCHFN SINK
ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC WATER CLOSET
COMPRESSOR 0 HP POLE,TEMP%PERM LAVATORY
'HEATING SYSTEM ❑ FORCED ❑GRAVITY AMPERES SERV ENT SHOWER
SQ FT Q a BATHTUB
SQ FT Q a WATER HEATER
SQ FT RESID ® 1 ¢ SEWAGE DISPOSAL
SQ FF GARAGE Q the HOUSESEWER
P1 RMIT FEE TEMP ELEC SVC GAS PIPING
MOBILE HOME PERMITTEE ` #
'PERMIT FEE PERMIT FEE
PERMIT NO.
TOTAL FEES
!J
MOB. HM. FEE
MICRO FEE
MEC14. FEE
DBL.
PL -CK -FEE
'CONST. FEE
'DBL,
ELECT. FEE
DBI.
SMI FEE.
' UMB. FEE
DBC
J —F- -,IVLuA-1-M-1- �- -- .. .4 .. G_ '0_. N-
JOB,ADDRE.SSS 1 i SP.AQ
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73
744
T-2426
E F PERMIT p
F'. C. JDATE
'�
P M NO.
1
M H PERMIT FEE
C MMU,NITY
A 4
DST
//
UNITS
ROOMS
VALUATION SUPP. TO PERMIT
OFFICE
MICROFILM FEE
COPIES
.$
LEGALOEscnirTrON
MECHANICAL FEE
DBL
$
SETBACK
LOT'SIZE ZONE
USE NO. GRP TYPE
CK By
F S R
PLAM CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN4CHECKER
FINAL -DATE IN
CTOR
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDER INVOLVEO
ELECTRICAL FEE
DBL
$
ADDRESS Cm
STATE
SMI EEE
$-
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 12MAYS. CESSA.
TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC.
CORDANCE WITH THE LAWS OF RIVERSIDE COUFEENTY AND THE STATE OF CALIFORNIA, I ALSO
AGREE TO CARRY COMPENSATION iNSURANCE UPON NAY EMPLOYEES, COMPLIANCE WITH THE"
LAWS OF THESTATE OFCA1_IFORNIA COVERING CONTRACTORS 15 ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS
HAS DONE 50 IN ACCORDANCE WITH SEC -TPN 5541 OF THE BUSINESS AND. PROFESSIONS CODE
OFTHE STATE OF CALIFORt
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$
PLUMBING FEE
DBL1-3�
TOTAL FEES
+� Q
(� o
AYlN GENT'S GNATURE
. "P -Me y�
'CONTRACT011
CASH ❑ CHECK M.O. ❑ N.C. ❑
ADDRESS
moz
ADnRESS
RECEIVED BY
TREES REQUIRED
SEWAGE SYSTEM
LL P
CITY ZIP CODE
/ f w`
,i1. A
CITY ZIP CODE
INFORMATION ♦l
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FORAA 284=268 IRev, 9.731 85 1�
TEL NO.
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