241088 (SFD)I BUILDING PERMIT
CONSTRUCTION ESTIMATE
1167a
I ST FL. SQ.FT. @
2ND FL. SQ. FT. @
POR. SQ. FT. @
GAR. SQ. FT. @
CAR P. ��� SQ.FT. @ T .
WALL SQ. FT. @
I
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
NCTE: Not to be used as property tax valuation
MECHANICAL FEES
I
VFNT,"T m n FAN n FVAP. CC)( -)I rVHOOD
DEPARTMENT OF BUILDING & SAFE
COUNTY OF RIVERSIDE
NO. ELECTRICAL FEES
O V UNITS
MOBILEHOMESVC.
POWER OUTLET
SWIM POOL, PVT
SWIM POOL, COMM
SIGN
FIELD OFFICE
NO. PLUMBING FEES
DST .�
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ USPENDED LAUNDRY TRAY
BOILER � B.T.U.
AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK J t
BAR SINK
ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC WATER CLOSET lj G7
ROOF DRAINS
COMPRESSOR { HP A POLE, TEMP/PERM �'� LAVATORY �� p
DRAINAGE PIPING
HEATING SYSTEM FORCED ❑ GRAVITY 44 AMPERES SERV ENT Pp SHOWER j
DRINKING FOUNTAIN
SQ FT @ ¢ BATHTUB
URINAL
SQ FT @ 4 WATER HEATER j f -f1
WATER PIPING
SQ FT RE SEWAGE DISPOSAL d/,}
FLOOR DRAIN
SQ FT GARA E•- k HOUSE SEWER
WATER SOFTENER
PERMIT FEE TEMP ELEC SVC GAS PIPING
WASHER IAUTOS-tQISHI
pd
APPLIANCE 4, 4 3 GARBAGE DISPOSAL }
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ USPENDED LAUNDRY TRAY
AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK J t
ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC WATER CLOSET lj G7
COMPRESSOR { HP A POLE, TEMP/PERM �'� LAVATORY �� p
HEATING SYSTEM FORCED ❑ GRAVITY 44 AMPERES SERV ENT Pp SHOWER j
SQ FT @ ¢ BATHTUB
SQ FT @ 4 WATER HEATER j f -f1
SQ FT RE SEWAGE DISPOSAL d/,}
SQ FT GARA E•- k HOUSE SEWER
PERMIT FEE TEMP ELEC SVC GAS PIPING
MOBILE HOME PERMIT FEE Is
PERMIT FEE'S PERMIT FEE 63A
all IT
TOTAL FEES '
MOB. HM. FEE
MICRO FEE
MECH, FEE I
DBL.I
PL. CK. FEE
CONST. FEE
'71
DBL.
ELECT. FEE
PLO
DBL.
SMI FEE
FEE PLUMB. FEE
DBL.
J F I M A I M I J J I A I S O N D
JOB ADDRESS SP NO
1L
O NER
;olw ,I-veh' —5 //v
_
73
74
US`E�'O)F PER%MIT / �-' �
,1 �' 1e /T 7 C .+i %? %�d�iQ f GS
F.C.
10f
DATE 1PER24
- j� / . 7[
75
M H PERMIT FEE
$
COMMUNITY
DST
UNITS
ROOMS
VALUATION
lq�y 440
SUPP, TO PERMIT OFFICE
MICROFILM FEE
COPIES
$
LEGAL DESCRIPTION
MECHANICAL FEE
DBL
$
SET BACK LOT SIZE ZONE
F S 's— R
-1
USE NO.
GRP
TYPE
CK BY
PLAN CHECK FEE
$
BOND AMT.
PLAN NO. PLAN CHECKER
FINAL DATE IN
j -/6 --
ECTO�t
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDER INVOLVED
ELECTRICAL FEE
DBL
$
96
ADDRESS CITY
STATE
SMI FEE
$TH
/
7
s
IS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 12G�(S. 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.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS
HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE
C}F THE STATE OF CALIFQRNIA.
FEE
$
PLUMBING FEE
DBL
$
�d
TOTAL FEES 0�
$
lA6DRE!;S
O / I N R /
` ���
F.NTRACTOR
CASH C CHECK Cy M.O. ❑ N.C. ❑
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TEL. NO.
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