174727, 272871 (SATT)CONSTRUCTION ESTIMAT
1st FI. Sq. Ft..p eg
2nd F1.' 'Sq. Ft. @
Par. _ Sq. Ft. ( b
Gar. Sq. Ft. (
'Car P. Sq. Ft..,@.
Walt Sq. Ft: @•
_Sq. Ft.
ESTIMATED VALUATION It e
MECHANICAL FEES
VENT SYSTEM lif
AN ❑ EVAP. COOL ODD
APPLIANCE
FURNACE:❑ UNIT❑ WALL ❑ FLOOR ❑ SUSPENDED
AIR HANDLING 'UNIT
GAS PIPE ❑ NATURAL ❑ L.P.A. ❑ OIL
COMPRESSOR. •HP
APPLIANCE VENT
AB90RPTION SYSTEM
I.NC.I,NER;ATOR DOMESTIC ❑ INDUS'. D COMM.
,HEATINGSYSTEM ( FORGED' ❑ GRAVITY
BO fLER 1—J B.T: U':
PERMIT FEE
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
ELECTRIC'A'L FEES
NO.
�.Y
�B.T:U...
DRAINAGE .PIPING
POLES,
DRINKING FOUNTAIN
H. P.
SI:GN3
MI. P.
WATER PIPING
TRANS. AND/
OR T. C_LK.
FLOOR DRAIN,,
H. P,-
MOTOR
H. P.
WASHER (AUTO) 'OI'SH.)
MOTOR
GARBArE D.I'SPOSAL
.rte
MOTOR.
KITCHEN SINK
MOTOR.
WATER C'LOSE'T
F.C..
MOTOR
NALU'ATION OFFICE
SHOWER
PI KTURES
BATH TUB
OUTLETS
SEWAGE O'ISP08A'L
SUB -PANEL
HOUSE: $EWER
�� ��
GAS •PI PIN G•
€Iy'
RANGE AND/OR OVEN'
!E'LEC-. FEE- 0
71
1 12
PLUMB-. F
WATER' HEATER
GR P
SPACE HEATER
LESAL.DE CRIPTION
if
CONSTRUCTION, POLE
MUM R
SERVICE 'ENTRAN,CE
I
RESID'. It SO. ,FT.
GARAGE 14 SQ. FT.
'CONSTR'U'C'TION FEE $ _.
L>�
PERMIT -+FEE,
EE�S
.HEAT --'& VENT FEE
'PLN. CK.. FEE Ss CC
FIELD OFFICE
1
;PLUMBING FEES,
DRAINAGE .PIPING
DRINKING FOUNTAIN
H. P.
UR'IN'AL
MI. P.
WATER PIPING
H.:P.
FLOOR DRAIN,,
H. P,-
WATER':SOFTENER
H. P.
WASHER (AUTO) 'OI'SH.)
G/
GARBArE D.I'SPOSAL
! 6�A,6 l6_,f+'
LALiNORY'TRAY
KITCHEN SINK
COMMUNITY
WATER C'LOSE'T
F.C..
LAVATORY
NALU'ATION OFFICE
SHOWER
BATH TUB
WATER'H'EATER
SEWAGE O'ISP08A'L
HOUSE: $EWER
�� ��
GAS •PI PIN G•
PERMIT FEE
I.T. PEE
421,
d.� —
!E'LEC-. FEE- 0
71
1 12
PLUMB-. F
SET BACK'
'LOT 81'2E
USE:w
JOB ADDRESS-. p mss« t OWNER
:. IL. �AL.' iii : . /le• `� I J."L��7'+ ....+' --
F, i
S
R
;ONE
''.E
USE OF BUILDING - - - DATE
•PLAN CHECK FE$.
G/
-
! 6�A,6 l6_,f+'
CHECKED BY
COMMUNITY
DISTROCT'
F.C..
UR I.T3
NALU'ATION OFFICE
MECHANIC,A_L 'FEE $
�f+ ryerA
GR P
typt
LESAL.DE CRIPTION
if
PERMIT
MUM R
+t�w
'CONSTR'U'C'TION FEE $ _.
.r.
9
Z a
174727
_
SPEC. m3P.
-
SU'.PP.. TO PERMIT-
ERMIT-ELECTRICAI>
ELECTRICALFEE $
� �
y�y
PLAN CHECKER
BOND S
BOND
CASH
PLAN ,FILE #
FINAL DATE
INSPECTOR
PLUMBING FEE $
CCc
TOTAL FEES
1
THIS NCED
HALL BECOME VOID I NOT
SCESS R1'
" ,�
WITHIN 60EDAYS. TON OF WORK FOR 0 DAYS SHALS L ALSO
CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN .CONNECTION WITH THIS
CASH CHECK t2l M.p, N.C.
MEE'E'IVED BY
'SEWAGE; SYSTEM '
PERMIT WILL BE DONE 1N ACCO'RDAN'C'E WITH THE LAWS OF RIVER-
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
T
6�.�
LL
P.
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORN A COVERING CON -
NAME O.F-CONSTRUCT'ION
LEN'DERCOACHEJ.IJ-K1 VAI. S&L
TRACTORS IS ALSO GUARANTEE
OWNER: I-VIDNITMACTOR
oiler
_._ - _
BRANCH OFFICE
ADDRESS -
DR
ADDRESS PALM, SPRINGS BRANCH
' - -y�
'STA`T'E
CITbrY'
q�
NO LENDER I.NVOLV E'D -AM-22
INFORMATION
TEL.
'TEL. NO. -
'-
'
y
0CENSE NO.
84268 1.2/88„j
�tppl/�j
BUILDING PERMIT
DEPARTMENT OF BUILDING & SAFETY .
COUNTY OF'RIVERSIK.-,
CONSTRUCTION ESTIMATE NO.. ELECTRICAL FEES
. ISI FL.. awFT. ® uNITs
l
2ND'FL. 50. FT.
POR. Sq. FT.
GAR, SQ. FT.
CAR P. SQ.FT.
WALL SQ. FT.
SQ. FT, fel,
ESTIMATED CONSTRUCTION VALUATION $
NOTE: Not be used as property tax valuation
MECHANICAL FEES
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
APPLIANCE
.FURNACE ❑UNIT ❑"WALL ❑ FLO'OR ❑ SUSPENDE
MOBILEHOME SVC.
POWER OUTLET
SWIM POOL, PVT
SWIM POOL'COMM
SIGN
FIELD OFFICE
PLUMBING FE
YARD SPKLR SYSTEM
BARSINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR'DRAIN
WATERSOFTENER
WASHER IAUTOI (DISH)
GARBAGE DISPOSAL
LAUNDRY TRAY
AIR HANDLING UNIT I
CFM
IDLE METER
KITCHEN:SINK
ABSORPTION SYSTEM
1B.T.U.
TEMP USE PERMSVC
WATER'CL'OSET
COMPRESSOR 0
HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U-
M H PERMIT FEE
50 FT 4
BATHTUB
C MUNITY
14
5Q FT ® ¢
WATER HEATER
ROOMS
VALUATION
SQ, FTRESID ® T¢
SEWAGE -DISPOSAL
SQ FT GARAGE @ 'h¢
HOUSE SEWER
PERMIT FEE
GAS!PIPING
MOBILE,HOME PERMITTEE
$
PERMIT FEE
PERMIT FEE
PERMIT NO, y
272871.
TOTAL FEES
OB. HM.FEE
::::.0 FEE
MECH. FEE
DBL
PL CK, FEE
CONST, FEE
I DBL.
ELECT. FEEDS
..
SMI F.% f
FEE
PLUMB. FEE
DBL.
- J F M A M J J A $ O N 'D
JOB ADDRESS SP NO
`OWNER
74
755
USE OF•PERMIT
�
FC.
DATE
i'
PE MI O2
71
/��f�
`j-76
8
M H PERMIT FEE
$ c
C MUNITY
14
DST
" NiTS
ROOMS
VALUATION
SUP -P. TO•Pe,ER�MIIT
OFFICE
L% / At TA
MICROFILM FEE
COPIES
$
LEGAL DESCRIPTION
_
PAI -6 f �� '�1� �� :a� - � /,-
MECHANICAL FEE
DBL
$
SETBACK
LOT SIZE
USjE/NjOr�.
G(ZP
TYPE
CK BY
F S R
�ZjOONNE
`i[
r
}{
iF '7 JIti... /[^'.
%
.t`.�
�tf/.'
PLAN CHECK FEE
$
BOND -AMT,
PLAN I(G.
PLAN CHECKER
FINAL DATE
INSPECTOR
CONSTRUCTION FEE
DBL
$
NAME OF CONST- LENDER BRANCH
OFFICE
NO LENDER INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
STRONG MOTION
$
OWNERLAGENT'S SIGNATURE
CONTRACTOR
,INSTRUMENTATION FEE
/0. I / j , .
`
/
,$
ADDRESS
ADDRESS
FEE
'er NS
/
. f �
U
� � "' �' ��.:• /j/-4'4 �..�t-G�
PLUMBING FETE
DBL
$
CITY ZIP CODE
CITY CODE
TOTAL FEES
$
/,o
�?-
TEL NO.
TEL NO. CENSE
.
CASH ❑ CHECK WO. O N.C. ❑
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS, CESSA
ON OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID_
fir,.-jE�
TREES REQUIRED
RECEIVED BY
A" I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC
CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA; I ALSC
SEWAGE SYSTEM
T
Li
P
AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THI
I A\A/C nC TUC CTATC nr rAl iCnDKIIA rnvcDIKIr_.mr ITOArTnDC Ie APCEI r-LIADA IUTFFr)
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS
FORM s84 2Ufl (Rem. 1'0-74) OL HAS DONE SON ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE
OF THE STATE OF CALIFORNIA.