224601 (RPL)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
a- COUNTY OF RIVERSIDE a
CONSTRUCTION ESTIMATE
1 ST FL. SQ. FT. @
2ND FL. SQ. FT. @77,—
POR.
YPOR. SQ. FT. @
GAR. SQ.FT. @
CAR P. SQ. FT. @
I ALL SQ.FT. @
0.41—MAL"�" SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION
NOTE: Not to be used CIS property tax voluation
MFCHANICAI FFFS
- z�w ELECTRICAL FEES
NO. Is`. • f
MOTOR I OR LESS H.P.
MOTOR 5 OR LESS H.P.
MOTOR 20 OR LESS H.P.
K.W. UN
PLUMBING FEES I DST
.
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
MU61LE HUMt MUUKUP ht[ 1 B 1 1 1 I r[KMII rCC I �, Ivy+` ! I YCKMII rtt
PE IT O�
VENT SYSTEM ❑ FAN ❑EVAP. COOL ❑ HOOD
SIGN
MECH. FEE
WASHER (AUTO) (DISH)
PL. CK. F,�
1�—"�"-
APPLIANCE
TRANS- K.W.
FORMER D
ELECT W
GARBAGE DISPOSAL
SMI FEE
FURNACE ❑ UNIT ❑ WALL ❑FLOOR ❑SUSPENDED
OUTLETS O•Y:
DBL.
LAUNDRY TRAY
roe. `E '/s— � � 1` ��
*
AIR HANDLING UNIT I CFM
FIXTURE OR SOCKET 4w
74
KITCHEN SINK
.F.
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑OIL
CONST. SERV. ENTRANCE
75
WATER CLOSET
'
COMPRESSOR HP
POLE
COMMUNITY
�A 1�d, ry-,A
LAVATORY
w
APPLIANCE VENT
AMPERES SERV. ENT.
SUPP. TO PERMIT
SHOWER
MICROFILM FEE'
ABSORPTION SYSTEM B.T.U.
i SO. FT. @ Q
BATH TUB
MECHANICAL FEE
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
ISO. FT. @ h
WATER HEATER j s
LOT SIZE ZONEUSE
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
= SO. FT. RESID. @ I Q
GRP
SEWAGE DISPOSAL
�^
BOILER 0 B.T.U.
SO. FT. GARAGE @]/,0
J
HOUSE•SEWE i
�-j
PERMIT FEE
BALANCE OF MIN. FEE
PLAN CHECKER
GAS PIPING u
MU61LE HUMt MUUKUP ht[ 1 B 1 1 1 I r[KMII rCC I �, Ivy+` ! I YCKMII rtt
PE IT O�
TOTAL FEES
.'i
MOB. HK. FEE C•11CR0 FEE
MECH. FEE
DBL.
PL. CK. F,�
1�—"�"-
CONST. FES
DBL.
ELECT W
DBL.
SMI FEE
FEE
PLUMB. FEE
ej�'
DBL.
_22T
J F M A M J J A S O N D
roe. `E '/s— � � 1` ��
*
r
0� , / �
73
74
USE_QF BUILDING
'/j4601
(t// Ctli''T ):7,9b
.F.
C. DATE
I'ER"Z2
75
M.H. HOOKUP FEE
$
COMMUNITY
�A 1�d, ry-,A
DST
/Q
UNITS
ROOMS
VALUATION
�� --
SUPP. TO PERMIT
OFFICE
T
MICROFILM FEE'
COPIES
$
LEGAL DESCRIPTION
AA
MECHANICAL FEE
DBL
$
SET BACK
LOT SIZE ZONEUSE
NO.
GRP
TYPE
CK BY
F� jY
F j s R if
/
PLAN CHECK. FEE
$
�-j
BOND AMT.
PLAN NO.
PLAN CHECKER
I FINAL DATE INSPECTORf
-
CONSTRUCTION. FEE f
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE - .NO
J
LENDER INVOLVED
ELECTRICAL FEE
DBL
$
too o
ADDRESS CITY
STATE
J•
SMI FEE
$
f, ,r
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. C SSA -
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.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPAR THE PLANS AND SPECT CATIONS
HAS DONE SO IN ACCORDANCE WITH SECTION 5 Al � H fNE_ SyS l� d? �QNS
CODF OF THE STATE O CALIFORNIA. `�
FEE
$
PLUMBING FEE
DBL
$
S"
TOTAL FEES
$
3r
CASH ❑ CHECK M.O. ❑' N.C.❑
OWNER. -
CORTRACTOR iv
�trKi1L �' v
RECEIVED BY
ADDRESS
`
ADDRESS
SEWAGE SYSTEM
T
LL
P
TREES REQUIRED
YES
NO
CITY
fd x
CITY, /
�r w
/j INFORMATION �j ; �L��
FORM 284-208ev�11/72GI���irt t:%� /jl'[v
TEL. NO.
TEL. NO. LICENSE c
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