326091 (SFD)BUIL10,4- G RHtMIT
�-,•fDEPARTMENT OF BUILDING '$, SAFqTY ;
- I FIELD OFFICE
i
PE .?AMNa,
COUNTY OF RIVERSIDE'
-
7V
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. ':PLUN1'9INO FEES
2ND;EL.;_ ;SQ.FT..
POR, ISQ;
GAR, SQ.
'CAR P., �SQ;
;WALL'SQ,
ESTIMATED CONSfRUC110N
UNITS
'.- YARD SPKLR SYSTEM
Q
FT. ® - r 4"_0�MOBILEHONIE SVC: " �'B.ARSINK
t
FT. ® 9 IPOWEROUTLET ROOF DRAINS
DRAINAGEPIPING
FT. (P} '
FT. (9 DRINkINGfOUNTAIN.
: FT- _0 URINAL
VALUATION $ WATER,PIPING
NOTE! .Nofto be;usedlo3-property,tox voluution `SWIM'POOL, PVT FLOOR•dRAIN,
•:MM'PermiaFee T
-Mivo
MECHANICAL FEES SWiMPOQL, COMM WATER SOFTENER ;
coop' -S
-VENT SYSfEMfXAN Q' EVAR COOLHOOD —�- SIGN WASHER'IAUT SHI pts?
Pcrml.No. Use No.. Ck-by
fiat Bocka. L@t,Sixe
F S , S, fy�
..- iYPe -- .unit/ -
APPLIANCE RYER [GARBAGE DISPOSAL_.
PL•C
,k, Fee 5
FURNACE Q UNIT, Cj`WACL Q'FLOQR Q SUSPENDED LA'UNPRY`TRAY
Fe'Asl ft
AIRHANDLING.UNIT ' CFM ID�EMETER' - 'KITCHEN'SINK I
P,lunibing Fee,
ABSORPTION.SYSLEM 0 B;T;Lk r TEMP.igS' E PERMIT SVC" WATERICLOSET, i �y
Bond Amit. ._
CO/ViPRESSO- .-� POLE, jEMP/PERM _ LAVATORYAi ,
:HEATING SYSTEM,3FORCED Q GRAVITY 4100, AMPERESfSERV ENT JP 3 "SHOWER
'In i -
BOILER'- E: U;, SQ. FT: 6 4 BATH TUB
Demol. Fee
- -
" so. FT. ..6 4 WATER HEATER
Cor st., Lender .Bra'ncti 9 tact t at in:t a per' ormarima t - r w i tis permit n issue t
naemploy any person in any mprmer s 0 6eco su6leo tathe.wvrkrfien imin•
penswian laws orColifornio.'•
Address City, Zip Owners gn
_ BuilderSlg otu - _
. FT. RESID 6i: 1144a' _ !SEWAGE DISPOSAL
Miledg"e _Fee• S'
SET. FT. GAR Q& HOUSE -SEWER
t Reinsp: Fete
GAS PIP.IN �..
1 - em. - _ - _ _
'PERMIT. FEE' t PERMIT'FEE - _ `- PERMIT FEE
-
D_ BL:
T A
Moe HM._FEE
MICRO_:FEE MECN„ EEE�j PL CK. FEE J.
CONST, FEE EL ;. FEE -, SWFEE/'►
FEE ,PLUMB.
i
PERMISNO:
Z pg
Supp. Permit I
_ Job Addhess - - -.
2 .,tee . ,
Space
Zip Ownef < v f • -
Community
t
Valuation -
5.?.
r
Para..
(/
o'Kt CtfIC { 'F/C:
_
•:MM'PermiaFee T
-Mivo
Film Fee -
coop' -S
j0. ofipermff - -
T,�,yg9
/� IRA�
LegollDexrptibn
Pcrml.No. Use No.. Ck-by
fiat Bocka. L@t,Sixe
F S , S, fy�
..- iYPe -- .unit/ -
PL•C
,k, Fee 5
'Construction�fee Dbl 5
Fe'Asl ft
P,lunibing Fee,
Dbl E: -
Bond Amit. ._
P16_n'.Nq
Final,Dafet �j - • '�J
'In i -
Demol. Fee
- -
5
Cor st., Lender .Bra'ncti 9 tact t at in:t a per' ormarima t - r w i tis permit n issue t
naemploy any person in any mprmer s 0 6eco su6leo tathe.wvrkrfien imin•
penswian laws orColifornio.'•
Address City, Zip Owners gn
_ BuilderSlg otu - _
' Regish: Fee f
Miledg"e _Fee• S'
., Witnesssfee S
t Reinsp: Fete
i
1 - em. - _ - _ _
; TOL.. - _ zip -
Total Fees
;;
.Address
-
city � v "IZip
_ c'#T�tY
Ni:O:: 1 •C: h Q Check
- - Q Cas
. Received WCA
-
Contractor
_ _
- - - - -..
Tel:.
. A,- ,
:Tevesriqulred
sewpge sysient
'
Ll
Addrisi - . - ' - -
City- Qip
Workers•'Comp.
ye Q ' no 0
THIS PERMIT SHALL BECOME VOID' -IF WORK IS NOT COMMENCED "WITHIN 124 DAYS: CESSATION OF verified by:
'WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID,
I HEREBY AGREE THAT ALL WORK, IN CONNEtMON'WITH THIS PERMIT WILL BE DONE IN ACCORDANCE ' 1
WITH THE;LAWS.OFRIVE�tSfDECOUNTI ANDTHE'ST,TEOFCALIFORNIA.
I HEREBY 'CERTIFY THAT THE INDIVIDUAL WHO PREPARED. THE PLANS AND SPECIFICATIONS HAS DONE
SIN N ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE:OF. THE STATE OF
- CAL FORNIA.
er District
.. :For+n284'=208 (Rev. 4.771 ®i