302030 (SFD)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
BUILDING PERMIT I
PE M, NO
COUNTY OF RIVERSIDE
Fil
CONSTRUCTION ESTIMATE
NO. I
ELECTRICAL FEES
NO.
PLUMBING FEES
1ST FL. % SQ. FT.
2ND FL. _ SQ. FT. @
POR. �Jd SQ. FT. @ L
GAR. ; SQ. FT. @
CAR P. _ SQ. FT. @
WALL SQ. FT. a
1vG SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION
5 S619r
UNITS
1
YARD SPKLR SYSTEM
MOBILEHOME SVC,
BAR SINK
_?Z e
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
a
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTE FAN ❑ EVAP. COOL WHOOD
%NO,
SIGN
WASHER UT IS
L
APPLIANCE RYER
040
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT
CFM
IDLE METER
KITCHEN SINK
°
C-0
ABSORPTION SYSTEM B.T.U.
TEMP USE PERM SVC
WATER CLOSET
(,
COMPRESSOR 'r HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSflEM2 NeORCED ❑GRAVITY
0Q
2,p4AMPERES
SERV ENT
SHOWER
O
BOILER B.T.U.
SO. FT. @ ¢
BATH TUB
C
SQ. FT. @ a
WATER HEATER
Q.FT.RESID @ 11A4
SEWAGE DISPOSAL
SQ.FT.GAR @ 3/a¢
0-9
HOUSE SEWER
l
I GAS PIPING
p
PERMIT FEE
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PERMIT FEE
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PERMIT FEE
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VALUATION
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DATE
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SUPP. TO PEriMrT
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PERMIT NO.
MICROFILM FEE
COPIES
$
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MECHANICAL FEE
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USE NO.
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SET BACK LO SiIE GRP
TiPE
CK BY
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PLAN CHECK FEE
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$
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BOND AMT
PLAN NO
PLAN CHECKER
FINAL DATyE -7 IN$iPfCTOR
CONSTRUCTION FEE
DBL
NAME OF CONST. LENDER
'BRANCH OFFICE
NO LENDER INVOLVED
,$ r
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_
i
ELECTRICAL FEE
DBL
$
ADDRESS
CITY
STATE
STRONG MOTION
INSTRUMENTATION FEE
$
/
OWNER/AGENTS SIGNATURE
CONTRA
• SPECIAL INSP
DEMOLITION
FEE
ADDRESS
AD RESS
REGISTRATION
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PLUMBING FEE
DBL
$
Cm ZIP CODE
CITY / ZIP CODE
ZA rAAy
TOTAL FEES Is
37)6
TEL- NO- AREA
CODE
TEL NO- J
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rAEA CODE
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LICENSE #GCASH❑CHECK
O.❑N.C.❑
,?dd1(_!J-
RECEIVED BY TREES REQUIRED
IS IT. SHE i.l- BECOME VC)Q IF WORK 15 NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
ZO S SHALL ALSO CAUSE PERMIT TO BECOME VOID.
GREETHATALL WORK IN CON NECT10N'41TH 7H15 PERMIT WILL BE DONE I ACCORDANCE
THE AWS OF "BA" c ! COUNTY AND THE 5TAT[ OF CALiFpRNIA, I ALSO AGREE TO. CARRY
nunrn ce nnwl i. ci a RIVERSIDE
i
SEWAGE SYSTEM
T/0�
LL
�/ f
p �` /
CALIFORNIA COVERING CONTRACTORS TS 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 OF THE STATE
FORM 284-200 (REV 6-761 OF CALIFORNIA.