228362 (RPL)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY
-COUNTY OF RIVERSIDE'
CONSTRUCTION ESTIMATE=. _»
ELE.CTRICAL.F..EE.S.,�;�,.,
,.
I ST FL.
2ND FL.
POR.
-GAR.
CAR P.
WALL '
ESTIMATED CONSTRUCTION VALUATION
SQ. FT. Cia
SQ. FT. Cai
SQ. FT. @
SQ.FT.
SQ. FT. Cal
SQ.FT. Cia
NO. =y
% 1�4 dC. tq
MOTOR 1 OR LESS H.P.
MOTOR 5 OR LESS H.P. '
MOTOR 20 OR LESS'H.P.
SQ, FT. Cal :5'pGDd,
$
K.W. UNITS
NOTE:. Not to be used as property tax valuation
FEE
MECHANICAL FEES'
-SMI FEE
VENT SYSTEM ❑FAN ❑EVAP. COOL Cl HOOD
SIGN
APPLIANCE
TRANS-, K.W.
FORMER
' FURNACE ❑ UNIT ❑ WALL ❑FLOOR ❑SUSPENDED
OUTLETS Q
AIR HANDLING UNIT I CFM
FIXTURE OR SOCKET
GAS PIPE ❑ NATURAL ❑ L.P.G. Cl OIL
CONST. SERV: ENTRANCE
COMPRESSOR HP
POLE
APPLIANCE VENT
AMPERES SERV. ENT.
ABSORPTION SYSTEM 0 B.T.U.
SO. FT" @ ¢
INCINERATOR '❑DOMESTIC ❑ INDUS. OR COMM.
SO. FT, @ Q
HEATING SYSTEM ❑ FORCED❑:GRAVITY
t"4.SO`'FT. RESID. Ca i t
' BOILER 0 B.T.U.
SQ. FT. GARAGE 1, 120
PERMIT FEE `
BALANCE OF MIN. FEE ,
MORILF HOME HOOKUP FEE A" .
I I PERMIT FEE .
P
FIELD OFFICE
•
NO.
PLUMBING FEES--
EESNO.
' MECH. FEE -
.DBL.
PL. CK, FEE
CONST. FEE
^. DBL. ;ELECT.
FEE
DBL:
-SMI FEE
FEE - PLUMB. FEE
DRAINAGE PIPING
HU[
DRINKING FOUNTAIN
URINAL
WATER PIPING
!
FLOOR DRAIN
u
WATER SOFTENER
WASHER (AUTO) -(DISH)
GARBAGE DISPOSAL
LAUNDRY TRAY
KITCHEN SINK
WATER CLOSET
ll I _F I M A I M I J. I J I. A -S : O _Nv _D,
JOB ADDRESS' r
`
LAVATORY
73
SHOWER
l`"ir ..� i/ `dam
74 _ - # y
BATH TUB ;
DATE
j� "' f %1
,i
WATER HEATER.
M_.H:'HOOKUP FEE
SEWAGE DISPOSAL
-
COMMUNITY"
HOUSES
®`Ei
ROOMS
GAS PIPING
SUPP.TO.PERMIT
I-
PERMIT FEE
P
,TOTAL FEES
MOB.,HK. FEE MICRO FEE.
' MECH. FEE -
.DBL.
PL. CK, FEE
CONST. FEE
^. DBL. ;ELECT.
FEE
DBL:
-SMI FEE
FEE - PLUMB. FEE
DBL.
HU[
ll I _F I M A I M I J. I J I. A -S : O _Nv _D,
JOB ADDRESS' r
`
a_w _ ..r. C
73
5 �, J�! �A�G•I�tTAl l
l`"ir ..� i/ `dam
74 _ - # y
USES OF BUILDING'� . t F.C.
Ij L/ f t.�I L, / �i'4 l%
DATE
j� "' f %1
0
PERMIT 2836
0 126 3 6
75 ''`
M_.H:'HOOKUP FEE
$' _
•
-
COMMUNITY"
DST
UNITS
ROOMS
VALUATION.
SUPP.TO.PERMIT
OFFICE'
rpAIt;,G•
Sk �c i
-
J 40 D
,�
MICROFILM FEE
COPIES
$ •.
LEGAL DESCRIPTION -
Lor SIZE , ZONE USE NO GRP TYPE CK BY E.
- SETBACK -
'MECHANICAL' FEE
DBL'
$ `
F S L3-1�r R tA
PLAN CHECK FEE x '�
• - ti
$
/p
�'
//��
BOND AMT.
jPLAN,NO.'.
�F
-PLAN CHECKER *
FINAL DATE
L� /�Y� 7
INS
ECTOR `
T�•
,CONSTRUCTION FEE .; _
DBL
$,;
•
NAME OF CONST. LENDER BRANCH
V.
OFFICE - I.NO'CENDER
�'
INVOLVED"
"
G/+
ELECTRICAL FEE
DBL ,
$
^ - -
°
J�
-'J
1.
,/'� •
v
AODRESS. .CITY
d gs _
- STATE
}
SMI FEE
$
- ,.
'THIS-PERMITSHAL•L`BECOME, VOID IF WORK IS NOT„COMMENCED WITHIN 60 DAYS. CESSA-
TION OF WORK FOR 120 'DAYS SHALL ALSO CAUSE PERMIT, TO BECOME VOID..'
-
+
r I HEREBY AGREE THAT ALL WORK'IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC-
",CORDANCE WITH THE''[AWS'OF RIVERSIDE'COUNT•Y AND THE STATE OF CALIFORNIA; I ALSO
PLUMBING'FEE: `.
DBL ;
$' ` .'
-AGCOMPENSATION
'
THE LAWS OFT HE, STTA EEOF TORN A COVERINOGNCONTRACTO SE ISGUARANTEED.I'ALSSO
:- THEREBY CERTIFY. THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATION5, .
HAS DONE:SO IN: ACCORDANCE WITH SECTION 5541 OF THE SINESS AND PROFESSION
$
K TOTAL FEES
CODE F THE STATE OF CALIFORNIA.
--
CASH Cl CHECK M.O.,❑ ` -N.C. ❑
OWNER � � o �
•- ,Y
CONTRACT,OR �>.-�,y,;;•.' .+�✓� +i„�Y•-= A”
t
RECEIVED BY
ADDRESS .. . ....
} 1
ADDRESS
SEWAGESYSTEMr
'
LL,.
Pb
_
_
CITY .a•. -
CITY
TREES REQUIRED y
YES:
NO
/�.✓� '��: ./` ��•�1 ..•. 9
:. .INFORMATION
- `A
TEL NO •
TEL. NO. LICENSE
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-
w�.: 't' '^r
FORM 284-208 (Re, 11/721
•