230129 (SATT)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE-,.., .ELECTRICAL FEE -5-11,,m:;;,..,,,. PLUMBING FEES DST;
1ST FL. t
2ND FL.
POR.!�12SQ.
GAR.
CAR P,SQ.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. NO. L, NO.
r
SQ. FT. Cal
FT. e !J MOTOR I OR LESS H.P.
SQ.FT. @ `� MOTOR 5 OR LESS H.P. r��
FT, Cal MOTOR 20 OR LESS H.P. DRAINAGE PIPING
SQ.FT. Cal f~ DRINKING FOUNTAIN
URINAL
SQ, FT.
IX
VALUATION $'^ " "' 0 K.W. UNITS WATER PIPING
NOTE: Not to be used as property tax valuation FLOOR DRAIN
MECHANICAL FEES WATER SOFTENER
VENT SYSTEM® FAN ❑EVAP. COOL $ HOOD SIGN WASHER (AUTO$DISH) !>
APPLIANCE if FORMER D K.W. / GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑FLOOR jt SUSPENDED OUTLETS LAUNDRY TRAY
AIR HANDLING UNIT I CFM FIXTURE OR SOCKET / KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL CONST. SERV. ENTRANCE WATER CLOSET
COMPRESSOR HP POLE LAVATORY
APPLIANCE VENT AMPERES SERV. ENT. SHOWER
ABSORPTION SYSTEM _j B.T.U. SO. FT. `ia Q BATH TUB
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. SO. FT. @ Q WATER HEATER
_
HEATING SYSTEMA' FORCED ❑ GRAVITYSO. FT. RESID. Cal 1 °�+ / SEWAGE DISPOSALZo Ly
BOILER 0 B.T.U. SQ. FT. GARAGE @1�2¢ HOUSE SEWER
PERMIT FEE 0 BALANCE OF MIN. FEE I/ GAS PIPING
a . MOBILE HOME HOOKUP FEE is PERMIT FEE &0 PERMIT FEE Q Ci
16f•
If TOTAL FE
6'
MOB. HK. FEE MICRO FEE MECH. FEE
! s�
DBL.
_
PL CK. FEE
� .. �
wC/ONSST. FEE
/ �'
DBL.
ELECT. FEE
irk
DBL.
SMI.FEr
,-vp
�
FEE PLUMB. FEE
7V Vim..
DBL.
J F M A I M I J I J I A I S 1 O 1 N I D
JOB ADDRESS
4& -Oft Lago I& Quinta Dr.
OWNER
Els ,$. CORP. L
73
74
USE OF BUILDING .77 ., Q -r
Cond. .fi Attl era
F.C.
01
DATEPERM
6-4-73 i01
N
3 2 C
75
M.H. HOOKUP FEE
$
COMMUNITY
La Dainta
DST
11
I UNITS
1.
ROOMS I VALUATION
35.09 00
ISUPP. TO PERMIT
OFFICE
I
MICROFILM FEE
COPIES
$
F—,.
LEGAL DESCRIPTION
Lot 22 Irm"1 �F
MECHANICAL FEE
_.
DBL
$ `
SETBACK '
LOT SIZE
ZONE
a-
USE NO.
Var-l�3fi
[GRP
TYPE
CK BY
iDonley
R
F i�
PLAN CHECK FEE
$w
S
BOND AMT.
PLAN NO.
PLAN CHECKER FINAL DATE INSR
"
CONSTRUCTION FEE'
DBL
$
NAME OF CONST. LENDER - BRANCH
OFFICE 1.111J
LENDER INVOLVED .' moi•. ,
ELECTRICAL FEE
DBL
$
�J
all
1-11-t CITg-la
- STATE
.
SMI FEE
{�
$
THIS -PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 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 A PE ICA NS
HAS DONE SO IN, ACCORDANCE WITH SECTION 554. T JSI SS SID FE ONS
CODF OF H TATE OF CALIFORNIA.
FEE
$
PLLIMBING F.EE
DBL
$
TOTAL FEES+i/
$
CASH ❑ CHECK LSd-' M.O. ❑ ' N.C. C3
OWNER,
CONTRACTOR
RECEIVED BY
SEWAGE SYSTEM T LL P
TREES REQUIRED YES NO
/ /�pj INFORMATION
FORM ZB4.208 IRm 11/721
.U. r�yy- ''vv��
1"-6002
225368