222824 (SATT)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY
• COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE.,,..,:. . -ELECTRICAL FEES,,,,--
I
EES,,,,,._..1 ST FL. SQ. FT.ez— NO.
2ND FL. 50. FT. @
I +
POR. SQ. FT.
GAR. ' SQ.FT. @ 3 f
CAR P. SQ. FT. @
WALL SQ.FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
NOTE: Not to be used as property tax valuation .00
MECHANICAL FEES
MOTOR I OR LESS H.P.
MOTOR 5 OR LESS H.P.
MOTOR 20 OR LESS H.P.
K.W. UNITS
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
DST
MORILE HOME HOOKUP FEE I A 1 1 I f I PCKMII rtt I .TI I iz I . I PCKMII I-tt 1 '7 1-
�p „P{��
VENT SYSTEM [FAN ❑EVAP. COOL WOOD
j SIGN
WASHER (AUTO ISH)
MECH. FEE DBL
APPLIANCE
TRANS- K.W.
FORMER 0
GARBAGE DISPOSAL
FURNACE ❑UNIT ❑WALL ❑FLO ❑SUSPENDED
OUTLETS
LAUNDRY TRAY f
AIR HANDLING UNIT 1 CFM
FIXTURE OR SOCKET
KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE
WATER CLOSET Al -I
1DOL.�ECT;�[I)BL.1SMI
COMPRESSOR w HPPOLE
LAVATORY (,j {
APPLIANCE VENT
AMPERES SERV. ENT.
SHOWER
}'
JOB ADDRESS
1 r
ABSORPTION SYSTEM B.T.U.
SQ. FT. @ Q
BATH TUB
_
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SO. FT. @ Q
% WATER HEATER
F.C.
HEATING SYSTEM FORCED ❑GRAVITY
SQ. FT. RESID. @ I4
s SEWAGE DISPOSAL
V
BOILER 0 B.T.U.
SQ. FT. GARAGE CiD 1�2Q
HOUSE SEWER
Y
PERMIT FEE
4Vi BALANCE OF MIN. FEE
GAS PIPING
MORILE HOME HOOKUP FEE I A 1 1 I f I PCKMII rtt I .TI I iz I . I PCKMII I-tt 1 '7 1-
�p „P{��
TOTAL FEES
MOB. HK. FEE MICRO FEE
MECH. FEE DBL
PL. CK. FEE
CONST. FEE
FEE
FEE PLUMB. FEE DBL.
1DOL.�ECT;�[I)BL.1SMI
J .. F M A
I AA J I J_
A 1 5 1.-n I N I D
JOB ADDRESS
1 r
OWNER
•
73
74
USE OF 8U(tDIR /
F.C.
A E
P M N ? %
8 2 4
75
s f .�
"� -.
L
M.H. HOOKUP FEE
$
LO U ITY
D
u^1uA^1
ROOMS
UPP. TO PERMIT OFFICE
IVALUATION
O
�y
MICROFILM FEE
COPIES
$
PLD IP ION
MECHANICAL FEE
DBL
$
SET BACK
LO SIZE
ZONE -
USE NO.
GRP
TYPE CK BY
l
F s o R
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER
F NAL DATE INSPECTOR
15175
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE .NO
LENDER INVOLVED
IOU
q -
t
' )
ELECTRICAL FEE
DBL
$
AD DRESS CITY STATE >
SMI FEE
$
THIS PERMIT SHALL BECOME VOIF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSA-
TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
$
FEE
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC -
CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO
PLUMBING FEE
DBL
$
AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH
00
THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARE THE S AN SP IFICATIONS
$
TOTAL FEES
HAS DONE SO IN ACCORDANCE WITH SECTION 41 E BUST SS D R F SIONS
rc)np QF THE STATE OF CALIFORNIA. 1
CASH ❑ 'CHECK L4✓ M.O. ❑ ,
N.C. ❑
OWNER.
CONTRACTOR
RECEIVED BY
ADDRESS
ADDRESS- T`
SEWAGE SYSTEM T
LL
P
CITY -
CITY
TREES REQUIRED
YES
NO
'
'
INF MAT N
TEL. NO.
TEE. NO. - LICENSE
FORM 284.208 (Rev. IT 172)
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