258577 (SPIN)CONSTRUCTION ESTIMATE
I ST FL. SQ:FT. 0
2ND FL. SO. FT.
POR. SQ. FT.
GAR- SQ. FL
CAR P. SQ..FT.
WALL SQ. FT.
SQ'. FT.,
ESTIMATED CONSTRUCT'ION'• VALUATION $
NOTE: Not to be used as property tax valuation
MECHANICAL FEES
VENT SYSTEM ❑ FAN ❑ EV,AP. COOL ❑ HOOD
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
NO. ELECTRICAL FEES
UNITS
MOBIL-EHOME SVC.
POWER OUTLET
SWIM POOL, PVT
SWI JVI POOL, COMM
SIGN'
FIELD OFFICE
NO. PLUMBING FEES
BOILER'L j E
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WASHER IAUTOI IDISHI
APPLIANCE GARBAGE DISPOSAL
FURNACE' ❑.UNIT ❑ WALL ❑ FLOOR ❑':SUSPENDED LAUNDRYTRAY
AIR. HANDLING UNIT CFM IDLE METER KITCHEN SINK
ABSORPTION SYSTEM O B.T.U. TEMPUSE PERM SVC WATER CLOSET
COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY
HEATING SYSTEM ❑ FORCED ❑GRAVITY AMPERES, . SERV ENT SHOWER
SQ FT ® a BATH TUB
SQ FT ® ¢ WATER HEATER
SQ FT RESD ® 1 t SEWAGE'DISPOSAL
SQ FT GARAGE ® Ih¢ HOUSESEWER
PERMIT FEE. j j TEMPELEOSVC GAS PIPING
MOBILE HOME PERMIT FEE is f
I PERMIT FEE' PERMIT FEE
PERMIT NO,, 71
TITLF Es
MOB. HM.fEf
MiCRO'FEE.
MECH. FEE
DOL
PL. CK. FEE
I CONSF. FEE
DBL ELECT
DBL:
SWfEE
FEE
PLUMB. FEE
D8L
J F MA I N1 1. J I J I A 1 S O 1 N D
Ip",ppRE$S _ I SP NO
197;1a,,o15rm1f.A1
73
74
USEOF�PERRMIITy��r�.,�t F.C:
, A0
�jN '
DATE r '258
M,H PERMIT FEE
$
COMMUNITY
DST
UNITE
ROOMS
VALUATION
,SWOP. TO PERMIT
OFFICE
MICROFILM. .FEE
COPIES
S'
LEGAL DESCRIPTION
� v
AZ /.17 4);0A/��
MECHANICAL FEE
DBL
$
SETBACK
LOT'SIZE IZONE
USE NO. GRP
TYPE CK OY
PLAN CHECK FEE
$
BOND AMT.
PLAN NO,,
PLAN CHECKER.
'FIRAL DATEE��
`
'INSPECTOR "
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFIOE
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 15 ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATI* NG
HAS DONE SO IN ACCORDANCE WITH SECTION 55A1 OF THE BUSINESS AND PROFESSIONS -CODE
OF THE STATE OF CALIFORNIA.
FEE
PLUMBING FEE
DBL
$
TOTAL FEES *
r
OWNER7AGENT'S $IDN °
`CONTRACTOR
CASH [ICHECK;9 M.O. ❑ N.C. ❑'
AD ESS
�� .IfL
ADDRESS
RECEIVED B..
TREES'REQUIRED
.SEWAGE SYSTEM
--
_
T
LL P
C ZIP CODE
f� ')..
� `� o�ly f /1 [.
`� •`-.►% \
..CITY ZIP-COO,E
INFORMATION
I
FDRl� 294-209 4Rev 14,731 ®s
TEL.
TEL. NO. OCENSE