258578 (SPIN)BUILDING PERMIT
CONSTRUCTION ESTIMATE
1 ST FL. SO -FT.
2ND FL. SQ. FT.
POR. SQ. FT.
GAR. SQ. FT..®
' CAR P. ' SQ.FT.
WALL SO. FT.
SO. FT.
ESTIMATED CONSTRUCTION VALUATION $
NOTE: Not to be used as property to* valuation
MECHANICAL FEES
VENT SYSTEM O FAN O EVAP. COOL ❑ HOOD
DEPARTMENT OF BUILDRVG & SAFETY
COUNTY OFAIVERSID:E
NO. ELECTRICAL FEES
UNITS:
MOBILEHOME SVC.
POWER -OUTLET
SWIM POOL, PUT
SWIM POOL, COMM
SIGN
FIELD OFFICE
PLUMBING 'FEES
BOILER L I B
BAR51NK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATERSOFTENER
WASHER (AUTO) (DISH)
y1
ZA
APPLIANCE GARBAGE DISPOSAL
FURNACE ❑ UNITO WALL O FLOOR 0 SUSPENDED LAUNDRY TRAY
AIR HANDLING UNIT I CFM IDLE METER KITCHEN SINK
ABSORPTION'SYSTEM I R.T.U. TEMP'USEPERM'SVC WATER CLOSET
COMPRESSOR HP POLE, TEMP/PERM LAVATORY
HEATING SYSTEM 0 FORCED 0GRAVITY AMPERES.SERV ENT SHOWER
SQ FT ® ¢ BATH TUB
SOFT @ a WATER HEATER
SQ FT RESID @ 1 e SEWAGE DISPOSAL
SO FT GARAGE X91 '/i¢ HOUSE'SEWER
PERMIT FEE TEMP'ELECiSVC GAS PIPING
MOBILE HOME PERMIT FEE $
PERMIT FEE �— PERMIT FEE
5- R T TOTAL FEES IMOB.
HM. FEE
MICRO FEE
MECH. FEE
DOL.
'PL. CK. FEE
CONST,. FEE
DBL_
ELECT. FEE
DBL.
SMI FEE
FEE PLUMB. FEE
DBL
J F I M IA I M I J 1-i I A I S 1 O 1 N D' _ ,JA0,ADDRE55
I SP NO
OWNER.._/i74
USRMITJ� '
I
F: C,
DATE
PNQ� A
75, _
M H ;PERMIT FEE
$
COMMUNITY
-DST
UNITS
ROOMS
VALUATION SUPP. TO PERMIT
OF�jJ}J
MICROFILM FEE
COPIES
S
LEGAL DESCRIPTION 3..
vT aI 1 /.? "! iw I Cjmm'ce'f.7-vt
MECHANICAL FEE
DBL
SET BACK
LOT`SIZE ZONE
M
USE N0:
GRP' TYRE ICKBY
F S R
.PLAN, CHECK. FEE
'
BUND AMT.
PLAN NO. -
.PLAN CHECKER
F.INALDATE - INSPECTOR
I i
CONSTRUCTION FEE
DBL
NAME'OF CONST. LENDER BRANCH
OFFICE
NO LENDER INVOLVE
ELECTRICAL FEE.
DBL
$
ADDRESS CITY
STATE
SMI FEE
$
THIS PERMIT SHALL BECOME VOID IF• WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA•
TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
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 ALSO
,AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE
LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATI NS
HAS DONE SO'IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE
OF THE STATE•OFCAL(FORNIA.
FEE
S
PLUMBING FEE
DBL
$
TOTAL PEES �
$
OW NrWAGENT'S. SIGNATURE'CONTRACTOR
CASH ❑ CHECK' M.O. p. N;C. 0ADDRAVA
ADDRESS
RECEIVED BY
TREES+REQUIRED
SEV�AGE SYSTEM
T
LL TF
CITY st ZIP CODE
�f- 1y J 4iJ
!!
C ITY ZIP•CODE
�. � INFORMATION
,FpRAA 28-1-208 )Rev_ 4•731 ®s
TEL. ,
� � � �
TEL. NO. LICENSE
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