SFD (222944)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY
< • '
COUNTY OF RIVERSIDE '
CONSTRUCTION ESTIMATE,,;— —
ELECTRICAL FEES..,
IST FL. ✓ @° SQ. FT. 1' '�
NO.
,. _
2ND FL. SQ. FT. @
FORMER O K.W.
'POR.SQ. FT.
MOTOR I OR LESS H.P.
GAR. SQ.FT. @
MOTOR 5 OR LESS H.P: '
CAR P. - SQ: FT. @
- MOTOR 20 OR LESS H.P.
WALL SQ.FT. @
AIR HANDLING UNIT f CFM
SQ. FT. @
FIXTURE OR SOCKET
ESTIMATED CONSTRUCTION VALUATION $
� K W. UNITS
NOTE: Not to be used as property tax valuation
r•.
M.H. HOOKUP FEE
MFCHANICAL FFFS
WATER CLOSET'
FIELD OFFICE
PLUMBING FEES osr,
O. f .1'
DRAINAGE PIPING
DRINKING FOUNTAIN
'URINAL
WATER PIPING
FLOOR DRAIN
WATFR SnFTFNFR
MOBILE HOME HOOKUP FEE I I I 1 1 % f I PtHMU t-tt I __41 h n.1 ! 1 PERMIT FEE 1 - I !) /3'
^ �PYR �T�
Iofy eVQ`
VENT SYSTEM IkFAN ❑EVAP. COOL. VHOOD
'Ingo
I SIGN
WASHER (AUTO) (DASW4 `•.
DBL
APPLIANCE1
d3li
FORMER O K.W.
" GARBAGE DISPOSAL
I. FEE
FURNACE ❑ UNIT ❑ WALL ❑FLOO ❑SUSPENDED
M- ...-A-I-S�-O.. 1-N-l-D-/JOBADDRESS,._OWNER
OUTLETS
LAUNDRY TRAY .'
734
AIR HANDLING UNIT f CFM
OF BUIL NG .. - 7
FIXTURE OR SOCKET
KITCHEN SINK
PERM NQI
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
M.H. HOOKUP FEE
CONST. SERV. ENTRANCE
WATER CLOSET'
COMPRESSOR - HP
DST
POLEE-
LAVATORY
VALUATION 0SUPP.
APPLIANCE VENT
OFFICE
AMPERES SERV. ENT.
Oe2SHOWER
$
ABSORPTION SYSTEM ' • 0 B.T.U.
tLDESCRIPTION
I / 0
SQ. FT. @ Q
BATH TUB i
$
INCINERATOR ❑ DOMESTIC ❑. INDUS. OR COMM.,
SET BACK
SQ. FT. (al' Q
WATER HEATER
HEATING SYSTEM @y FORCED. ❑ GRAVITY. •
U
SQ. FT. RESID. Cai) 4
` SEWAGE DISPOSAL / d 3
- •
BOILER 0 B.T.U. +
SQ. FT. GARAGE @t�2Q
t I, HOUSE SEWER
L4"
PLAN CHECKER -
PERMIT FEE
-
y4S�tiC i
BALANCE OF MIN. FEE
,GAS PIPING
MOBILE HOME HOOKUP FEE I I I 1 1 % f I PtHMU t-tt I __41 h n.1 ! 1 PERMIT FEE 1 - I !) /3'
^ �PYR �T�
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0, �
�TOOTAALL FEES
% fear
MOB. HK: FEE MICRO FEES
'`♦Js �I T
- MECH. FEE
DBL
PL. C�FEEy. _ CONST. FEE
Spy
DBL. � ELECT. FEE
1 7Q
DBL.
SMI F�
I. FEE
PLUMB. FE DBL.
. � +v.
M- ...-A-I-S�-O.. 1-N-l-D-/JOBADDRESS,._OWNER
_
s
,
- � Alp ,. _
A =
734
74USE
OF BUIL NG .. - 7
F.C.
DATE - y
PERM NQI
7517
M.H. HOOKUP FEE
$
Cd&fMUITnY
DST
YuNITS
I ROOMS
VALUATION 0SUPP.
TO PERMIT
OFFICE
MICROFILM FEE 7
COPIES
$
tLDESCRIPTION
I / 0
MECHANICAL FEE
•
DBl
_ -
$
/} p�
SET BACK
LOT SIZE -
ZONE JUSE'NO..,
GRP- TYPE
CK BY .2
PLAN CHECK FEE -
'
- •
$
BOND AMT.
PLAN NO.
PLAN CHECKER -
FINAL TE LLC.i': / INSPECTOR
I
-
y4S�tiC i
CONSTRUCTION FEE . '.
DBL, .
$
j
NAME OF CONST LENDER - . , BRANCH
OFFICE • .
NO LENDER INVOLVED
ELECTRICAL FEE
.. ,..,_,. _.
DBL
•.
-RESS
j t CITY
-
STATE -
SMI FEE
T y
$ ..
-
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 HEREBYAGREE THAT ALL WORK IN CONNECTION WITH' THIS PERMIT WILL BE DONE IN AC.
CORDANCE_ WITW-THE'LAWS OF RIVERSIDE- COUNTY -AND THE STATE OF CALIFORNIA, I ALSO
AGREE JO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH
THE LAWS OF THE STATE OF CALIFORNIA -COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT JHE INDIVIDUAL I40 PREPARED THE PLANS AND SPECIFICATIONS
HAS DONE, SO IN ACCQRDANCE WITH SFC ON 5541 OF THE BUSINESS AND PROFESSIONS -
CODE E STATE OF-61.1FORNIA.
FEE
$
PLUMBING FEE '
DBL
$
cis
TOTAL FEES.
$
CASH ❑ CHECK" M.O. 0.\ N.C. ❑
OWNER.;..-"`-�
R _ y°� -
CONTRACTOR-' -
RECEIVED BY
ADDRESS
ADDRESS
SEWAGE SYSTEM T
LL
P
TREESREQUIRED YES
NO
CITY f.. " _ . -
R e
CITY
-
' INFORMATION
FORM 284-208 (Re, 11/72)•
EL NO. - • _
- " S. ••.. �47
TEL. NO. - LICENSE ,
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