204540 (SFD)DEPARTMENT OF BUILDING & SAFETY
• COUNTY OF RIVERSIDE •
FIELD OFFICE
CONSTRUCTION ESTIMATE
REN. TRAILER FEE HEAT 8 VENT. rFEE
ELECTRICAL FEES
FEE
PLUMBING FEES
1 ST FL.
2ND FL.
POR_
GAR .• 41
CAR P.
WALL
.
SQ. FT. @%�
NO.
NO.
SQ. FT. @
SQ.'FT. @ MOTOR I OR LESS H.P.
1 *�
SQ.FT. (@ / MOTOR 5 OR LESS H.P.
SQ. FT. @ MOTOR 20 OR LESS H.P. DRAINAGE PIPING
SQ.FT. @ DRINKING FOUNTAIN
SQ. FT. @ URINAL
M A M J J A S O
IK w. UNITS WATER PIPING
ESTIMATED VALUATION Is ff�
LOT SIZE
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
�'}
FF`��
VENT SYSTEM ❑ FAN ❑ EVAP. COOL W HOOD
y
SIGN
WASHER (AUTV(DISH)
_
A)PLIANCE
FORMER K.W.
GARBAGE DISPOSAL
FURNACE ❑ UNIT O WALL ❑ FLOO SUSPENDED
OUTLETS
DATE
LAUNDRY TRAY
AR HANDLING UNIT CFM
FIXTURE OR SOCKET
KITCHEN SINK
_
G4S PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE
WATER CLOSET'
COMPRESSOR HP
POLE
`
LAVATORY
ADPLIANCE VENT
u'l�"
AMPERES SERV. ENT.
F, C.
SHOWER
f�
A3SORPTION SYSTEM B.T.U.
MECHANICAL FEE
SQ. FT. @ 4
$ p
BATH TUB
.14
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
JOISTRICTr
SQ. FT. @ 4
g%
WATER HEATER
"+=�
HEATING SYSTEM FORCED Cl GRAVITYtV
1334 SQ. FT. RESID. @ 14_ea
SEWAGE DISPOSALlzoAll"
G
BOILER O B.T.U.
TYPE
�' SQ. FT. GARAGE @124 `+26Y
ER IT M ER
HOUSE SEWER
CONSTRUCTION FEE
PERMIT FEE
BALANCE OF MIN. FEE
GAS PIPING
TRAILER ISSUANCE FEE -PERMIT FEE
%
� - I
PERMIT FEE
PFRMIT FFF
+J v
PER
TOTAL FE �S1
REN. TRAILER FEE HEAT 8 VENT. rFEE
PL. CK. FEE CONST.
FEE
DBL ELEC. FEE
INSP. FEE
PLUMBING FEE
Ci c C '-
�3 w l iti
1 *�
IDBL.ISPEC.
JDBL.
..
F�
J.
M A M J J A S O
N p- _ ,
SET B CK
LOT SIZE
USE #
JJ OO,BB AADDRESS 1,� j OWNER
�'}
FF`��
ter
S i.J
/
4 Gam`,.. �/,f
ZONE
USE OF BUILDING
DATE
$
PLAN CHECK FEE
.
CHECKED BY
COMMUNITY
F, C.
UNITS
IALUNTION
OFFICE "
MECHANICAL FEE
$ p
J
.14
-
JOISTRICTr
g%
DBL
G
UP
TYPE
LEGAL DE RI.,PPTIIwON
ER IT M ER
'
CONSTRUCTION FEE
'
$ 7
%
� - I
204
DBL
$
PLAN CHECKER.
f
SUPP. TO PERMIT
ELECTRICAL FEE
- �-• G
1 - ljj 1 6 / - Q
DBL
$
BOND $
B ND
CASH
PLAN FILE{ FINAL
DATE
INSPECTOR
PLUMBING FEE
.,�
I
r% - !) I - 1�-
TRA LER PERMIT
NAME
OF CONSTRUCTION LENDER
BRANCH OFFICE
ISSLANCE FEE•,1
$NVOLVED
,
fOLENDER
-
ADDRESS
CITY
STATE
FEE
$
rr 6
TOTAL FEESr
(0151 -THIS
PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSATION
f —
OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL SE -DONE IN ACCOR-
CISH ❑ CHECK M.O. N.C.
❑
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
RECEIVED BY SEWAGE SYSTEM
f'
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
LL p
I HEREBY CERTIFY THATTHE INDIVIDUALWHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
IN RMATION
OFCALIF R I <r rt
OW NE '
CONTRACTOR ,
AODRES�� ,/
tloADDRESS
EL. NO.
TEL. NO. •'
LICENSE -NO.
///�