234916 (RPL)BUILDING PERMIT
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
I COUNTY OF RIVERSIDE db
CONSTRUCTION ESTIMATE,; ELECTRICAL FEES _. PLUMBING FEES osr
F NO. NO. I I�s
1 ST L. SQ. FT. @
2ND FL. SQ. FT. @
POR. SQ. FT. @
GAR. SQ.FT. @
CAR P. SQ. FT. @
Wi/r}L SQ.FT. @
SQ. FT. @
E$TIMA D(�NSTRUCTION VALUATION $
MOTOR I OR LESS H.P.
MOTOR 5 OR LESS H.P.
MOTOR 20 OR LESS H.P.
K.W. UNITS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
�p
FLOOR DRAIN
MECHANICAL FEES
p ()
WATER SOFTENER
VENT SYSTEM Cl FAN ❑ EVAP. COOL ❑ HOOD
SIGN
WASHER (AUTO) (DISH)
APPLIANCE
TRANS-
FORMER K.W.
D
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑FLOOR ❑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 0 HP
POLE
LAVATORY
APPLIANCE VENT
AMPERES SERV. ENT.
SHOWER
ABSORPTION SYSTEM O B.T.U.
SO. FT. @ Q
BATH TUB
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SQ. FT. @ d
WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
-SQ. FT. RESID. @ 14
SEWAGE DISPOSAL
BOILER 0 B.T.U.
SQ. FT. GARAGE @/241
F-1Q656_V_WfR
PERMIT FEE
BALANCE OF MIN. FEE
GAS PIPING
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MOBILE HOME HOOKUP FEE Is
PERMIT FEE
100-
PERMIT FEE
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F�
MOB. HK. FEE MICRO fEE
MECH. FEE
PL CK!.FE
NST. r
DBL.
ELEFEE
DBL.
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Z�4916
FEE
MB
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[..1-
DST
Sol
ROOMS
VALUATION SUPP. TO PERMIT
OFFICE
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J
J •M/`V=TI'AI PA I J 1 J A I S -O 1 N D JOB ADDRESS
OWNER
-
73
74
USE OF BUILDING f
f.C.
DATE
PERMAN
75
-
Qom-
-�
Z�4916
M.H. HOOKUP FEE
$
COMMUNITY
DST
UNITS
ROOMS
VALUATION SUPP. TO PERMIT
OFFICE
4
MICROFILM FEE
COPIES
$
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LEGAL OESCAIPTION
MECHANICAL FEE
DBL
$
SET BACK
LOT SIZE
ZONE USENO� � �
GRP TYPE
ICK BY
F S Rf
PLAN CHECK FEE
$
6
BOND AMT.PLAN NO.
PLAN CHECKER FINAL DATE INS ECTORt
/42
p
CONSTRUCTION FEE
DBL
$
46
dv
NAME OF CONST. LENDER BRANCH
OFFICE .NO
LENDER INVOLVED
ELECTRICAL FEE
DBL
$
.9.0.
ADDRESS
CITY
STATE -
SMI FEE
$
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSA-
FEE
$
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 -
PLUMBING FEE
DBL
$
CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO
�*
Ep
AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH
THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED
CASH ❑
$ 1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPE FIC IONS'
TOTAL FEES HAS DONE SO IN ACCORDANCE WITH SECTION 5541,,AF S S S
CODE F THE STATE OF CALIFORNIA. i
OWNER, CONTRA
RECEIVED BY
SEWAGE SYSTEM
T LL P
TREES REQUIRED YES NO
INFORMATION
�08 IRev. 11 /721
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