204525 (SFD)DEPARTMENT OF BUILDING & SAFETY
• COUNTY OF RIVERSIDE •
FIELD OFFICE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
FEE
PLUMBING FEES °fit
1 ST Fl.
2ND FL.
POR..
GAR. -s!
CAR P.
WALL
SQ. FT. 1 ~
IN -^"' NO.1
NO.
IDB-.
,
SQ. FT. @
SQ. FT.. @ MOTOR 1 OR LESS H.P.
SQ.FT. @ 4 ! 1' MOTOR 5 OR LESS H.P.
a9�"
SQ. FT. @ MOTOR 20 OR LESS H.P. DRAINAGE PIPING
SQ.FT. @ DRINKING FOUNTAIN
SQ. FT. @ URINAL
E::�I w. UNITS WATER PIPING
ESTIMATED'VALUATION $�'
J F
M A
M A
FLOOR DRAIN
N
N
MECHANICAL FEES
SET BA
WATER SOFTENER
USE #
VENT SYSTEM ❑ FAN ❑ EVAP. COOL.Q HOOD
r* SIGN
WASHER (AUTO)C(DISH)
PO
APPLIANCE
00 TRANS- K.W.
FORMER D
R
GARBAGE DISPOSAL
.,�
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
OUTLETS
-
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIXTURE OR SOCKET
f
KITCHEN SINK
$ 32,
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE
e;
WATER CLOSET
COMPRESSOR HP
7 POLE
CHECKED BY
LAVATORY
...
APPLIANCE VENT
AMPERES SERV. ENT.
VALUATION OF'c ICE
SHOWER
f
ABSORPTION SYSTEM O B.T.U.
SQ. FT. @ 4
/ Lj�
BATH TUB
V
INCINERATOR ❑ DOMESTIC ❑ INDUS: OR COMM.
SQ. FT. @ Q
` DBL
WATER HEATER
5
HEATING SYSTEM FORCED Cl GRAVITY
ou SQ. FT. RESID. @ 14
TYPE
SEWAGE DISPOSAL
_..
BOILER 0 B.T.U.
SQ. FT. GARAGE @1�2¢ S
HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE
f
! ` J,f
GAS PIPING
452,
TRAILER ISSUANCE FEE : PERMIT FEE I
PERMIT FEE -
-
PERMIT FEE
PLAN CHECKER
PER2`04525
R 208 REy 17 ®
�TOTAL}FEES
�
REN. TRAILER FEE [HEAT as VENT, FIE
PL. CK. FEE CONST.
FEE
JDBL.�EILEC.
FEE DBL.
SPEC. INSP. FEE
PLUMBING EE
j�
IDB-.
e�
i Y .%�
a9�"
L
4�
J F
M A
M A
-_ M. .- J J A 5 - D
M - J .l A S O
N
N
SET BA
LOT SIZE
USE #
JOB ADDRESS . OWNER
F- !
�.+
S .J •�
R
/ p ti
�.`L� Ir Cl'LiT .L.%�L�
%'� a� /
�G/. I.♦ CIO
-
ZONE
USEOFBUILDING
DATE
PLAN CHECK FEE
$ 32,
♦
e;
/ r�
$
f
CHECKED BY
COMMUNITY DISTRICT
F. C.
UNITS
VALUATION OF'c ICE
MECHANICAL FEE
YCfl
/ Lj�
Igo /
F
` DBL
GR UP
TYPE
LEGAL DESCRIPTION -
NUMB%
CONSTRUCTION FEE
$
f
! ` J,f
aRMIT
452,
DBL
-
PLAN CHECKER
SUPP. TO PERPIT '
ELECTRICAL FEE
$
/
Vi • + " r+!- 00
•
DBL
$
BOND $
BOND
CASH
PLAN FILE#
FINAL DATE
INSPECTOR
PLUMBING FEE
I
TRAILER PERMIT
-
NAME OF CONSTRUCTION LENDER -
BRANCH OFFICE
NO LENDER
INVOLVED
ISSUANCE FEE
$
.. AI-;i,*L> fi 7(:;A6C co
ADDRESS -
CITY STATE
S FEE
$
/^
�..•1t+ +C f ��
TOTAL FEES
$
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSATION
.';�
OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
F HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCOR-
CASH CHECK O. N.C.
M.
❑
DANCE
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
ILLIp
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
T
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
INFORMATION
OF CA IF RNI
R �'
CONTRACTOR
€S� '� �
I
L
ADDRESS
`
TEL NO.F
TEL. N0.
•
LICENSE �NO. -
F 4w
O
- -
O M 284- ( 0) S