290615 (SFD)DEPARTMENT OF BUILDING & SAFETY
PERMIT BUILDINGERMIT NO. PERMIT COUNTY OF RIVERSIDE
-
9onei[-
CONSTRUCTION ESTIMATE
1ST FL.
SQ. FT.
2ND FL.
SQ. FT. @
POR.
SQ. FT. @ '
J GAR.
SQ. FT. @ d
' CAR P.
SQ. FT. @
WALL
SQ. FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION
VALUATION $
NOTE: Not to be Used as property tax valuation
ELECTRICAL FEES
UNITS
MOBILEHOME SVC.
POWER OUTLET
POOL. PVT
FIELD OFFICE
DST
NO. PLUMBING FEES
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
J F. M A M J J A S O N D
MECHANICAL FEES
OWNER -
SWIM POOL, COMM
WATER SQFTENER
57'
VENT SYSTEM [J FAN ❑ EVAP. COOL' OOD
dw
SIGN
DST
WASHER(AUTO SH)
'M H PERMIT FEE$
APPLIANCE RYER
USE OF PERMIT
% GARBAGE DISPOSAL
SUPP: TO PERMIT
PE MIT NO.
9
FURNACE ❑ UNIT ❑ WALL ❑fLOOR ❑ SUSPENDED
MICROFILM FEE
COPIES
LAUNDRY TRAY
BOOK FIAGE PARCEL LEGAL DESCRIPTION
AIR HANDLING UNIT r—� ,CFM
DBL
IDLE METER
♦
KITCHEN SINK
ZONE
SET BACK
ABSORPTION SYSTEM B.T.U.
GRP
TEMP USE PERM SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY -
C%
I
HEATING SYSTEM XORCED ❑ GRAVITY
fir%
MPERES SERV ENT
yy p
SHOWER.
'PLAN CHECK FEE
BOILER B.T.U.
$
SQ.FT. @ a
BOND AMT.
BATH TUB
OCA
FINAL DATE
z I
ECTOR
-CONSTRUCTION FEE
SQ.FT. @ ¢
$
WATER HEATER
!?
OFFICE
NO LENDER INVOLVED
FT.RESID @ 11/44
SEWAGE DISPOSAL '
'ELECTRICAL FEE
SQ.FT.GAR @ a/4a
Ot:::
HOUSE SEWER
ADDRESS CITY
STATE
GAS PIPING
PERMIT FEE
STRONG MOTION.$
PERMIT FEE
-
PERMIT FEE
p
DBL.
TOTAL FEES B,HM.FEE
J
MI RO FEE
MECH, FEE
L. CK. FEE I
CONST. FEE ,q
ELECT. FEE
SMI FEEEE.J/'
FEE
PLUMB. FEE
I -
J F. M A M J J A S O N D
JOB ADDRESS SP NO
OWNER -
57'
COMMUNITY
VALUATION ,.
DATE
DST
OFFICE
'M H PERMIT FEE$
USE OF PERMIT
F.C.
SUPP: TO PERMIT
PE MIT NO.
9
MICROFILM FEE
COPIES
$
BOOK FIAGE PARCEL LEGAL DESCRIPTION
.'MECHANICAL FEE
DBL
$
♦
USE NO.
ZONE
SET BACK
LOT SIZE
GRP
TYPE CKj��B^)Y
I
S Li/
S
R-
yy p
..yy
'PLAN CHECK FEE
$
BOND AMT.
PLAN NO,
PLAN CHEER-
FINAL DATE
z I
ECTOR
-CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDER INVOLVED
'ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
STRONG MOTION.$
-
GJNER/AGE P915IGNATURE CONTRACTOR
*
:INSTRUMENTATION FEE
!
-4-- lei
-SPECIAL INSP$
'DEMOLITION
FEE
ADDDRR ADDRESS
pj ��i
V-e,ao
:.REGISTRATION
,P ef'
PLUMBING FEE
DBL
$
C�t°�
CITY CODE CITY
'ZIP
zIP CODE
NO. AREA CODE LICENSE a
TOTAL FEES $ "'
TEL. NO. /, AREA
CODE TEL.
:CASH ❑CHECK .O.❑N.C.❑
RECEIVED BY T EES REQUIRED
THI MIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF -
W R 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME. VOID.
THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
SEWAGE SYSTEM
R' �jAGREE
�K,:. T
LL
P4�'
_ ITJj{`►NIEILAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY'
mT tMrLUTtt S. I,UMYLIAN(-t WIIH- IMt LAWS OF THE STATE OF
CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
FORM 2e4 -20e (REV. 6-7e) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.