RPL (191619)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
• COUNTY OF RIVERSIDE •
CONSTRUCTION ESTIMATEY -" ELECTRICAL FEES PLUMBING FEES
I ST.FL. SQ. FT. @ NO. NO.
2ND FL. SQ. FT. Cia
POR. SQ. FT. _ Cai MOTOR I OR LESS H.P.
GAR. SQ.FT.
MOTOR 5 OR LESS H.P.
CAR P.... - S@. FT. Qu '
MOTOR 20 OR LESS H.P. DRAINAGE PIPING
WALL SQ.FT. Cia
SQ. F.T. @ -
E$TIMA Cr VALUATION $ • d
MECHANICAL FEES.
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
APPLIANCE
FURNACE ❑ UNIT ❑•WALL ❑ FLOOR' ❑ SUSPENDED _
AIR HANDLING UNIT I I CFM
GAS PIPE ❑ NATURAL ❑ L:P.G. ' ❑ OIL
COMPRESSOR 0 HP.
APPLIANCE VENT
ABSORPTION SYSTEM 0 B.T:U.
INCINERATOR ❑ DOMESTIC - ❑ INDUS. OR COMM.
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
BOILER 0 B.T.U.
PERMIT FEE
TRAILER ISSUANCE FEE -PERMIT.FEE
do
R
DK W. UNITS
SIGN
TRANS- K W
FORMER O
OUTLETS
FIXTURE OR SOCKET dlo
CONST. SERV. ENTRANCE
POLE
AMPERES SERV. ENT.
SQ. FT. @ ¢
SQ. FT. @ Q
SO. FT. RESID. Cia 14
SQ. FT: GARAGE @/24
BALANCE OF MIN. FEE
PERMIT FEE
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
WASHER (AUTO) (DISH)
GARBAGE DISPOSAL
LAUNDRY TRAY
KITCHEN SINK
WATER CLOSET
LAVATORY
SHOWER
BATHTUB.
WATER HEATER
SEWAGE DISPOSAL
GAS PIPING
/ PERMIT FEE
PER
916 1ITOTAI�
FE
REN. TRAILER FEE HEAT •8 VENT. F E
PL. K. F CONST.
F
DBL. ELEC. FES
Det.
SP .'IN P., FEE
PLUMBING FEE DBL.
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OWNER ,
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tJSE OF BU LOIN
DATE
PLAN CHECK FEE
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-
CHECKED BY
COMMUNITY ,' DIST ICT
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VALUA ON 't: --
F.FICE
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MECHANICAL FEE
DBL:JG
TYPE
E/IAL PTION -
PERMIT NUMB
19161
CONSTRUCTION FEE42
_/��'J�7
DBL
PLAN CHECKER
-
SUPP. TO PERMIT
ELECTRICAL FEEJ
DBL
-
BOND
/809D
C SH I PLAN FIL # FINAL
DATE
INS
PLUMBING FEE
$
�' % 71
NAME OF -CONSTRUCTION LENDER '- "'
BRANCH OFFICE
NO LENDER
TRAILER PERMIT
Y
INVOLVED
ISSUANCE FEE
ADDRESS
CITY
STATE
- FEE
g
TOTAL FEES
p s
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSATION
$ . '�''1---I
OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.' '
t HEREBY AGREETHAT ALL WORK-IN CONNECTION WITH THIS PERMIT -WILL BE DONE IN ACCOR-
^DANCE WITH THE LAWS OF RIVERSIDE COUNTY AND T.HE STATE OF CALIFORNIA. I ALSO AGREE TO
CARRY. COMPENSATION INSURANCE UPON'MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE
CASH Q CHECK M.O. 0 N.C. El
RECEIVED BY SEWAGE SYSTEM
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
A,,en
IHEREBY CERTIF,Y.THAT THE INDIVIDUALWHOPREPARED THE PLANS AND SPECIFICATIONS HADONE
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—L IKI V KM A II V N'
)
• TEL. NO:
r - LI ENS 'N .
FORM 284-208 (REV. 1-76)'@$ y