303413 (SFD)BUILDING PERMIT
PERMIT NO.
303
MECHANICAL FEES
DEPARTMENT OF BUILDING & SAFETY
I
COUNTY OF RIVERSIDE • '
FIELD OFFICE
D%ST
I {
CONSTRUCTION ESTIMATE
VENT SYSTEM DgAN ❑ EVAP. COOL QkHOOD
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @
$
UNITS
GARBAGE DISPOSAL
1
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ e�20 MOBILEHOME SVC.
BAR SINK
POWER OUTLET
SQ. FT. s2z
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
HP
ISWIM POOL, PVT
FLOOR DRAIN
J F M A M J J A S O N D
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
77
VENT SYSTEM DgAN ❑ EVAP. COOL QkHOOD
SIGN
WASHER (AUTO)4WSH)
OFFICE
APPLIANCE
RYER
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
M H PERMIT FEE
LAUNDRY TRAY
$
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM
B.T.U.
TEMP USE PERM SVC
WATER CLOSET
COPIES
COMPRESSOR
HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM XORCED ❑ GRAVITY
BOILER B.T.U.
kAMPERES SERV ENT
SQ.FT. @ a
SHOWER
BATH TUB
MECHANICAL FEE
DBL
$
SQ. FT. @ a
WATER HEATER
SET BACK
LOT SyIZE� G�R/P�
TYPE CK BY
Q.FT,RESID @ 11/4a
Q.FT.GAR @ 3/4a
SEWAGE DISPOSAL
HOUSE SEWER
*71
115A
._ S Q R
t?4
GAS PIPING
PERMIT FEE
PERMIT FEE
IPERMIT FEE
BOND AMT.
DBL.
I TOTAL FEES
IMOB.HM.FEEJ
MICRO FEE M1164. FEE
.�.�. 0
P . CK. FEE
I CONST. FEE ELECT. FEE
ales
ter,
SMI FEE
�fG
1�
FEE PLURyge
J F M A M J J A S O N D
JOB ADDRESS - SP NO
I
OWNER
r Lam.
77
COMMUNITY I N
DATE
DST
OFFICE
M H PERMIT FEE
$
USE OF PE I F.C. SUPPfT0 PE IT PE MIT NO.
01
I 413
MICROFILM FEE
COPIES
$
eOUK - - PAGEF PA L L A ESCRIP 1
_ _ ..�-.
MECHANICAL FEE
DBL
$
USE no.ZONE
SET BACK
LOT SyIZE� G�R/P�
TYPE CK BY
*71
115A
._ S Q R
t?4
eo•-'� A
PLAN CHECK FEE
$
BOND AMT.
PLAN NO,
PLAN CHECKER
FINAL DATE
I MOR
CONSTRUCTION FEE
DBL
$
NAME OFCONST. LENDER
BRANCH OFFICE
NO LENDER INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS
CITY
STATE
STRONG MOTION
$
OWNER/AGENTS SIGNATURE
CONTRACTOR
INSTRUMENTATION FEE
'SPECIALINSP
$
ADDRESS
ADD E
DEMOLITION
FEE
REGISTRATION
MOW
PLUMBING FEE
DBL
$
CITY ZIP CODE
C ZIP CODE
p
04.4 ♦ f Zx
TOTAL FEES
$
TEL. NO.
AREA CODE
TEL. NO. AREA CODE
0
CASH❑CHECK .O.❑N.C.❑
^1
p6 �
��7 %
[:�FNSF
O s ,z
RECEIVED BY
TREES REQUIRED
IT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
OR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
SEWAGE SYSTEM
/
4X 1
R Y AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
T/GG/1
LL
P
ITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
FORM 284-208 tREV. 6-76i SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.