204508 (SFD)DEPARTMENT OF BUILDING & SAFETY
• COUNTY OF RIVERSIDE •
FIELD OFFICE
CONSTRUCTION ESTIMATE
ELECTRICAL FEESI
TOTAL FEES
PLUMBING FEES
'
1 ST FL. ' +
2ND FL.
POR.
GAR.
CAR P. , ' -
WALL
SQ. FT. @ <'
6�<_e
NO.
INO.
DBL.
SQ. FT. @
SQ. FT. @ MOTOR 1 OR LESS H.P.
SQ.FT. @ A `� MOTOR S OR LESS H.P.
@ MOTOR 20 OR LESS H.P. DRAINAGE PIPING
SQ. ,FT.
SQ.FT. @ DRINKING FOUNTAIN
SO. FT. @ URINAL
4 OK w. UNITS f WATER PIPING
- ..
ESTIMATED VALUATION $
r'"
LOT SIZE
USE #
FLOOR DRAIN
OZ.Eo
MECHANICAL FEES
F
S t,.� R
WATER SOFTENER
f h
~! T� .�V� i�r� f%L' '1Tie.f/`
1�• �, of
VENT SYSTEM ❑ FAN ❑ EVAP. COOL HOOD
..
SIGN
ZONE
WASHER (AUT09(DISH),
DATE
PLAN CHECK FEE
APPLIANCE _
FORMER D K.W.
�c� 6 - +ry
GARBAGE DISPOSAL
$
FURNACE ❑ UNIT ❑ WALL FLOOR ❑ SUSPENDED
CHECKED BY
OUTLETS
LAUNDRY TRAY
UNITS
VALUATION
AIR HANDLING UNIT CFM
MECHANICAL FEE
FIXTURE OR SOCKET
KITCHEN SINK
hA f11
GAS PIP1 ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE
WATER CLOSETgFr—
S
COMPRESSOR HP
G UP
POLE
'y`
LAVATORY
J?
`�Vyi
APPLIANCE VENTAMPERES
CONSTRUCTION FEE
SERV. ENT.
'0r—
SHOWER
a
I ABSORPTION SYSTEM 0 B.T.U.
SQ. FT. @ 4
BATH TUB
DBL
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
_
SQ. FT. @ Q
WATER HEATER
ELECTRICAL FEE
HEATING SYSTEM FORCED ❑ GRAVITY
..�
3 SQ. FT. RESID. @ 14
SEWAGE DISPOSAL
�7
„
BOILER B.T.U.
��pSQ. FT. GARAGE @I�pQ4F5
BOND $
HOUSE SEWER
CASH
PLAN FILE # FINAL
PERMIT FEE
INSPECTOR ..
•
BALANCE OF MIN. FEE
GAS PIPING
TRAILER ISSUANCE FFF - PERMIT FEE I
PFRMIT FFF
ss f
PFPAAIT FFF
r1 6+a
PERO
TOTAL FEES
REN. TRAILER FEE IHEAT B, VVENT..•]FEE
P.L. CK. FEE CONST.
FEE
JDBL]
ELEC. FEE oBL.
SPEC. INSP. FEE
PLUMBING FEE
DBL.
♦!
IF M A _ M_ _ J _ �. J A S' _
J F M A M 1 .1 A S
O N
O
LOT SIZE
USE #
JOB ADDRESS
OZ.Eo
F
S t,.� R
f h
~! T� .�V� i�r� f%L' '1Tie.f/`
1�• �, of
ZONE
USE OF BUILDING
DATE
PLAN CHECK FEE
$
�c� 6 - +ry
i
$
CHECKED BY
COMMUNITY DISTRICT
F*C.
UNITS
VALUATION
OFFIG
MECHANICAL FEE
�j
i/
it S
hA f11
DBLa�
S
G UP
TYPE
LEGAL DESCRIPTIONER�
`�Vyi
CONSTRUCTION FEE
lwIjN�!{
ri
.1 p r
IjEnjl{�,
DBL
_
PLAN CHECKER
SUPP. TO PERMIT
ELECTRICAL FEE
DBL
-
f
BOND $
- BOND
CASH
PLAN FILE # FINAL
DATE
INSPECTOR ..
•
PLUMBING FEE
TRAILER PERMIT
f
NAME OF, CONSTRUCTION LENDER
BRANCH OFFICE
IND LENDEI
INVOLVED
ISSUANCE FEE
Ua � 1_J(� e
f Yry-
JCW
ADDRESS
CITY
STATE
FEE
$
{{
h /c
TOTAL FEES J$
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSATION
WORK
OF 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 ACCOR-
CASH CHECK M.O. N.C.
❑ ❑
DANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TC
CARRY. COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE
RECEIVED BY SEWAGE SYSTEM
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
,•f T �� LL p��(j
I HEREBY CERTIFY THATTHE INDIVIDUALWHO PREPAREDTHE PLANS AND SPECIFICATIONS HAS DONE
.cn IAI ArCIIOfIA AIrC vertu --l- cc.,nr -1 -o.0 -11 -1 -1 nC TUC crus
IV INrUKMAIIUN
FORM 284-208 (REV. 1-70) Os J