427460 (PLBG)v, PERMIT NO. DEPARTMENT OF BUILDING & SAFETY
42 746
O COUNTY' OF RIVERSIDE FIELD
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO: PLUMBING FEES
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @
UNITS
Valuation
Date
SQ. FT. @ YARD SP LR SYSTEM
MOBILEHOME SVC. BAR SINK
SQ. FT. @ f
MH.Permit Fee Is
SQ. FT. @ POWER OUTLET ROOF DRAINS-
Use of Permit .. ,
` ) D D ILS A t I.J vic
� ( \ . eJ
DRAINAGE PIPING
SQ. FT. @
Use/Gose No.
DRINKING FOUNTAIN
SQ. FT. @
Mach, Fee Dbl $
SQ. FT. @ URINAL
Set Backs
VALUATION $ WATER PIPING
Construction Fee Dbl $
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
S
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
Group
VENT SYSTEM FAN • EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
Bond Amt.
$
APPLIANCE DRYER
Plan Checker
GARBAGE DISPOSAL
Inspect r
FURNACE UNIT WALL FLOOR SUSPENDED
Sp. Insp. Fee $
LAUNDRY TRAY
Const. tender Branch
AIR HANDLING UNIT' CFM
IDLE METER
KITCHEN SINK
Address City Zip
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
Tel. Zip '^
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
City Zip
HEATING, SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
Te
9C� �
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
Address. ,,fiFnn,, R
Cit ip
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
SQ. FT. GAR @ '/. c
HOUSE SEWER
GAS PIPING
PERMIT FEEPERMIT
FEE
PERMIT FEE
Q
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH, FEE PL. CK. FEE
CONST. FEE ELECT: FEE
SMI FEE
FEE
PLUMB. FEE
PERMIT NO,
427.460
Job Address s Space
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ip
k??
Owner
- ��, vv, 6
Community
A.i { .a,
Valuation
Date
Dist.
F.C.C.
MH.Permit Fee Is
Micro Film Fee Cop $
Use of Permit .. ,
` ) D D ILS A t I.J vic
� ( \ . eJ
Parcel No.
Use/Gose No.
Ck. By MA'
Mach, Fee Dbl $
Pl. Ck. Fee $
Set Backs
Lot Size
Construction Fee Dbl $
Legal Description F
�[/y' , < t` +t � � A �y {
LD ` ".'..�.)• �..• �/ L A Q, �" S '
S
S
R
Electrical Fee Dbl $
Zon /e/trlcti1ons
`�. �- 1
Group
Type
SMI Fee $
Plumbing Fee Dbl S
Bond Amt.
$
Plan No.
Plan Checker
Final Dote /
v
Inspect r
Unit
Sp. Insp. Fee $
Demol. Fee $
Const. tender Branch
$upplimental Permit Numbers
/
Registr. Fee. $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee $
Owner/Agent
Tel. Zip '^
Total Fees $ '
Address J'•s�/
. .d.+L•"c. ' ' -d'
City Zip
M.O. C.Cash Check.'.
Received by
Cont acio{'"+` ;.
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Te
9C� �
LicenseM
G. 1 3C)89
Trees required -
Sewage System -
Address. ,,fiFnn,, R
Cit ip
T LL P THIS PERMIT SHALL BECOME'VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
j', Sewer District `FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DON-WAGWDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND'THE STATE OF CALIFORNIA.
9 a.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 fRev.8/781 (ois ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. (�