230125 (SATT)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD OFFICE
CONSTRUCTION ESTIMATE,,,_
..
¢, ELECTRIC AL..FEE:S,.,_.
PLUMBING FEES DST
1ST FL. SQ. FT. (l to j NO.
2ND FL. SQ. FT. Cia
POR. '4Z2 SQ. FT. Ca -�' +
GAR. SQ.FT. Ca 5
CAR P. SQ. FT. CiD
WALL SOFT. @DRINKING
SQ. FT. CD
ESTIMATED CONSTRUCTION VALUATION $
£'
MOTOR I OR LESS H.P.
MOTOR 5 OR LESS HE.P.
MOTOR 20 OR LESS H.P.
OK.W. UNITS
NO.
�e7
DRAINAGE PIPING
FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
CK BY
FLOOR DRAIN
MECHANICAL FEES
VSR
710NE
WATER SOFTENER
VENTSYSTEV FAN ❑EVAP.000L ja.HOOD
SIGN
WASHER (AUTOV(DISH) o
APPLIANCE
00
TRANS-.
FORMER O K W
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑FLOOR CISUSP9NDED
PLAN NO. .PLAN CHECKER
OUTLETS
LAUNDRY TRAY
AIR HANDLING UNIT I I CFM
FIXTURE OR SOCKET
KITCHEN SINK f
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE
WATER CLOSET
COMPRESSOR HP
p(j
POLE
LAVATORY
APPLIANCE VENT
DBL .,
AMPERES SERV. ENT.
SHOWER U
ABSORPTION SYSTEM 0 B.T.U.
SO. FT. @ ¢
BATH TUB
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.EFT.
BRANCH OFFICE .NO
SQ. FT. @ Q
WATER HEATER
_ HEATING SYSTEM FORCED ❑GRAVITYQ.
$
FT. RESID. Cat I
/ SEWAGE DISPOSAL
_ BOILER 0 B.T.U.
.q-�
C
GARAGE @1�y¢
HOUSE SEWER
PERMIT FEE
STATE 3
Y +
E OF MIN. FEE
/ GAS PIPING
MOBILE HOME HOOKUP FEE $
EE
,0 0 1 PERMIT FEE ion
° TOTAL FEES
JUITINO
SII.
MOB. HK. FEE MICRO FEE
MECH.'FEEDBL.
d
PL. CK. FEE CONST. FEE`
�...
DBL.
ELECT. F E
.,.-
DBL. SMI FEf
YCe
FEE
PLUMB. FEEDBL.2
41,
J F M A M J _ J A I S I- C-1 N D
J08 ADDRESS _ _ _ .. _
7$-080 Lago o La Quinta Dr.
. _
OWNER
Bikers Co
73
74
USE OF BUILDING
ttmaga Lgl
F.C.
DATEPERMnol
6-4-73
PLUMBING FEE
2 5
75
M.H. HOOKUP FEE
$
COMMUNITY
'..
&
DST UNITS
111 I
ROOMS I VALUATION. .
35.095.0
SUPP. TO PERMIT
OFFICE
i
MICROFILM FEE
COPIES
$
LEGAL DESCRIPTION
MECHANICAL FEE
DBL
$
Lat-12lK
SET BACK LOT SIZE
USE NO.
GRP
TYPE
CK BY
VSR
710NE
PLAN -CHECK FEE
$var-1034
BOND AMT.
PLAN NO. .PLAN CHECKER
FINAL DATE
CL A eG
INSPECTOR
A)a
J — —
CONSTRUCTION FEE
DBL .,
$
'
NAME OF CONST. LENDER
BRANCH OFFICE .NO
LENDER INVOLVED
ELECTRICAL FEE
DBL
$
.
.
.q-�
C
ADDRESS .�
CITY -
STATE 3
Y +
SMI FEE
$
S
A
THIS PERMIT SHALL BECOME VOID IF -WORK IS NOT COMMENCED WITHIN 60 DAYS. CES$A-
TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
FEE
$
I HEREBY AGREE. THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC -
CORIDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO
PLUMBING FEE
DBL
$ '.
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 AbO SPECIFICATIONS
$
TOTAL FEES
HAS DONE SO IN ACCORDANCE WITH SECTION 5541 e TUS SIONS
CODE F THE STATE OF CALIFORNIA.
-
CASH ❑ CHECK �+'' M.O. ❑ � N.C. ❑
OWNER.
CONTRACTOR
%♦ !
RECEIVED BY
ADDRESS
AD R SS
f
SEWAGE SYSTEM
T LL
P
r
CITY
clP
TREES REQUIRED YES
NO
'
INFORMATION''
TEL. NO. - -
TEL. NO. - LICENSE
R,.
RM 284.2081Re, 11/721
346-6002 2'25368
8