204312 (AR)`
'SIGN
DEPARTMENT. OF BUILDING &.SAFETY
FIELD OFFICE
-
-
• COUNTY OF RIVERSIDE.: •
- ,
"
CONSTRUCTION ,ESTIMATE -
ELECTRICAL FEES
PLUMBING FEES,
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE
SQ. FT. @
NO.
NO.
1 ST FL.
APPLIANCE VENT
SO. FT. @
SHOWER
- •
2ND FL.
BATH TUB
SQ. FT. @
MOTOR T OR LESS-H.P.
'
POR. , ��
SQ. FT. RESID.@1Q
SQ.FT. @
,MOTOR 5 OR LESS H.P.
SQ. FT. GARAGE @112¢
GAR..
PERMIT FEE
SQ. FT. @
MOTOR 20 OR LESS H.P.
DRAINAGE PIPING
CARP.
WALL
PER%
SQ.FT. @
DRINKING FOUNTAIN
SQ. FT. @
HEAT & VENT. FEE
URINAL
CONST. FEE
_ `•.C,.,,�•raG��,
DBL.
,Y,5 7; !
OK W. UNITS
WATER PIPING
i ,. !r?
ESTI ATED VALUATION $
0
FLOOR DRAIN
/ ✓f'
MFCHANICAI FFFS
WATFR SOFTFNFR
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
'SIGN
-WASHER (-AUTO) (DISH)
APPLIANCE
TRANS- K.W.
FORMER O
GARBAGE DISPOSAL
FURNACE ❑.UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
OUTLETS
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIXTURE OR SOCKET
KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE
WATER CLOSET
COMPRESSOR 0 HP
POLE
LAVATORY
APPLIANCE VENT
AMPERES SERV. ENT.
SHOWER
ABSORPTION' SYSTEM .. "0 B.T.U.
SQ. FT. @ ¢
BATH TUB
INCINERATOR '❑ DOMESTIC ❑ INDUS. OR COMM.
SQ. FT. @ d
WATER HEATER
HEATINGSYSTEM., ❑ FORCED Cl GRAVITY
SQ. FT. RESID.@1Q
SEWAGE DISPOSAL
BOILER B.T.U.
SQ. FT. GARAGE @112¢
HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE
GAS PIPING
TRAILER ISSUANCE FEE - PERMIT FEE
PERMIT FEE
PERMIT FEE
PER%
Jd
ITOTALEES
REN._ TRAILER FEE
HEAT & VENT. FEE
PL... CCK. FEE •_
yfl..a,.y�•p'�3
CONST. FEE
_ `•.C,.,,�•raG��,
DBL.
ELEC. FEE
IDBL.ISPEC. INSP. FEE
PLUMBING FEE.
DBL.
FORM 284-208 (REV. 1-70) Os .
LOT SIZE
USE # -
JOB ADDRESS /-/ • . .?+Y` OY/N ER / .
IS
IR
Fl�o
$ �-
ZONE -
USE OF BUILDING
��--•�-
DATE
PLAN CHECK FEE.,
CHECKED BY -
COMMUNITY ''
DISTRICT
F.C.
F.
UNITS
VALUATION
OFF!EE
MECHANICAL FEE
$
��.
f'�'�`.
/;+A
!
/ ✓f'
DBL
GROUP
TYPE �
LEGAL DESCRIPTION '
flTfl!ER�CONSTRUCTION
FEE
.$rl/i
- - -
DBL
PLAN CHECKER
A+j ,/ / � g _
�� f
SUP P. TO PERMIT
ELECTRICAL FEE
$ '
��-, .Ij� I Y ! Ate• .-%�3-
d �� �-�" +° J"✓�
.
'
DBL
-
..
BOND $ -
BOND
CASH
PLAN FILE•#
FINAL DATE, -
INSPECTOR '
I
.PLUMBING FEE
'
NAME OF. CONSTRUCTION LENDER'
BRANCH OFFICE
0LENDER • _
TRAILER PERMIT
$
INvoLV Eo
ISSUANCE FEE"
•
ADDRESS
CITY
STATE
FEE
g -
I
'
TOTAL FEES
$
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT,COMMENCED WITHIN"b0 DAYS. CESSATION
'
OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
-1 HEREBY AGREE -THAT ALL WORK IN CONNECTION WITH THIS PERMIT -WILL BE DONE IN•ACCOR-
DANCE WITH THE. LAWS OF RIVERSIDE COUNTY AND TRE STATE OF CALIFORNIA. I ALSO AGREE TO
CARRY.COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE
CASH • CHECK M.O. N.C.
.RECEIVED BY. SEWAGE SYSTEM
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
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
OF CAIIFORNIA.
• - PNFORMnnoN
OWNER (. a,r' ] � -
w„ot K i yZr
CONTRACTOR ,
1�
^�
ADDRESS
ADDRESS
- - -
•
TEL. NO.
TEL. NO.
-
�,
- ,
LICENSE -NO.�. -
4.
Y
FORM 284-208 (REV. 1-70) Os .