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258325 (SFD)
I BUILDING PERMIT CONSTRUCTION ESTI TE 1 ST FL. -' r SQ.FT. 2ND FL. SQ. FT. @ POR. SQ. FT. @ - ' GAR. SQ. FT. @ CAR P. SQ.FT. @ WALL SQ. FT. @ SQ FT @ C WATER HEATER S d SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation MECHANICAL FEES \/CAIT CVCTCAA MCA wI Mr%1AD rnnl r, I-Innn• DEPARTMENT OF BUILDING & SAFE COUNTY OF. RIVERSIDE y�! NO. ELECTRICAL FEES i UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM li SIGN FIELD OFFICE NO.1 PLUMBING FEES �! BOILER I I B.T.U. BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING O FLOOR DRAIN WATER SOFTENER WASHER IAUTO,'(MMI APPLIANCE JJt L=� S 7 GARBAGE DISPOSAL FURNACE O UNIT O WALL ❑ FLOOR O SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM FORCED 0GRAVITY ` (� AMPERES SERV ENT SHOWER SQ FT @ ¢ BATH TUB SQ FT @ C WATER HEATER S d SQ FT RESID @ 1 ¢ SEWAGE DISPOSAL SQ FT GARAGE @ '/7a HOUSE SEWER PERMIT FEE .i TEMP ELEC SVC % GAS PIPING MOBILE HOME PERMIT FEE Is PERMIT FEE O PERMIT FEE p� PERMIT NO.TOTAL F Ej MOB. HM. FEE MjGR©' fE%~� DBL. FEE CONST.�EE `f,O•LL„ V' DBL. E�E�T„FEE- DBL. � M�E6 5 FEE PLUMB„F.F.� a DBL. �fA/S4.(J J F M A M J I A S O N D �o DDRES SP NOOow4+R 73 1 I/ USE OF PERMI Ow F.C. DATE P VW�,� � �q, 1a2 3 75 57 M H PERMIT FEE $ C MMU ITY DST UNITS ROOMS VALUATION SUPP. TO PERMIT OFFICE '4 MICROFILM FEE COPS $ _ LEGAL DESCR P�TgN O p O O. 00 MECHANICAL FEE DBL $ U � SET BACK LOT SIZE ZONE Szk - j USE NO. GRP TYPE IL 0 PLAN CHECK FEE $ BOND AMT. PLAN N0. PLAN CHECKER FINAL DATE n IN ECT R - CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED 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. rf 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 $ FEE .AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION PLUMBING FEE DBL $ r U 5511 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. TOTAL FEES $ { / OWNER/AGENT'S SIGNATURE CUN TO.Rtr ,,,{ .``` _.,_,. •`� °• "" 1" 1 CASHCHECK ❑ M.O. ❑ N.C. ❑ ADDRESS - �w ! ADDRESS �� RECEIVED BYE,/, �.,.»�' TREES REQUIRED t1� ,; r '•f Y SEWAGE SYSTEM _ T /.1 LL P' CITY ZIP CODE ZIP CODE INFORMATION TEL. NO. ".ENS TEL. NO.% LL. F. 'Y6 6 FORM:?8a-2O81Re,9-73) _ __ ____�t�G'Y� _