204428 (BLCK)DEPARTMENT OF BUILDING & SAFETY
• COUNTY OF RIVERSIDE •
FIELD OFFICE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
I ST FL.
2ND FL.
POR.
GAR.
CAR P.
WALL
SQ. FT. @
NO.
NO.
SQ. FT.' @
SQ. FT. @ MOTOR I OR LESS H.P.
PLUMBING FEE
@ MOTOR 5 OR LESS H.P.
SQ -FT.
-
@ MOTOR 20 OR LESS H.P.
SQ. FT.
SQ FT. @ ~'
DRAINAGE PIPING
DRINKING FOUNTAIN
SQ. FT. @
URINAL
OK W. UNITS
WATER PIPING
ESTIMATED VALUATION $
IDBL.ISPEC.
FLOOR DRAIN
MECHANICAL FEES
JDBL.
WATER SOFTENER
VENT SYSTEM ❑ FAN '❑ EVAP. COOL ❑ HOOD
SIGN
WASHER (AUTO) (DISH)
APPLIANCE
TRANS- K.W.
FORMER D
GARBAGE DISPOSAL
FURNACE ❑UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
OUTLETS
LAUNDRY TRAY
AIR HANDLING UNIT I CFM
FIXTURE OR SOCKET
KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE
WATER CLOSET
COMPRESSOR HP
POLE
LAVATORY
APPLIANCE VENT
AMPERES SERV. ENT.
SHOWER
ABSORPTION SYSTEM O B.T.U.
SQ. FT. @ ¢
BATH TUB
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SQ. FT. �1a ¢
WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SQ. FT. RESID. @ 1 ¢
SEWAGE DISPOSAL
BOILER B.T.U.
SQ. FT. GARAGE @/2¢
HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE
GAS PIPING
TRAILER ISSUANCE FEF - PERMIT FEE
PERMIT FEE
PERMIT FEE
PER
TOTAL FEES
REN. TRAILER FEE HEAT B VENT. FEE
PL. CK. FEE CONST.
FEE
ELEC. FEE
INSP. FEE
PLUMBING FEE
204428
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JOBL.1
IDBL.ISPEC.
JDBL.
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J F M A M J J A 5 O
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LOT SIZE
USE p
JOB ADDRESS�OWNER
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F
S
R
/O x; f ` tf%`f.�
$
ZONE
USE OF BUILDING
�
DATE
`/
PLAN CHECK FEE
r
4 Ile & /�
s
CHECKED BY
COMMUNITY IDIST'llCT
. o 57 7
�+�'
F.C.
r r"_ rs
UNITS
74.1
VA UA Tlp1— OFFICE
b rcJ xf
MECHANICAL FEE
_
DBL
S L
�"'
GROUP
TYPE
LEGAL DESCRIPTION -�
- //
ER IT mil
2 T 6 o
CONSTRUCTION FEE
/�U7-,J I1 ,Z
DBL
PLAN CHECKER
SUPP. TO PERMIT
$
.'�y� /
f 6 `�
ELECTRICAL FEE
f
DBL
BOND $
BOND
CASH
PLAN FILE# FINAL
DATE
INSPECTOR
PLUMBING FEE 1
s
G' � 7r
TRAILER PERMIT
NAME OF, CONSTRUCTION LENDER
BRANCH OFFICE
fj#6 LENDER
INVOLVED
ISSUANCE FEE '
$
ADDRESS
CITY
FEE
$
]STATE
TOTAL FEES
WITHIN 60 DAYS. CESSATION
IF OPERMT RK IS TLOTBECO
PFOR1120HDAYS L
$
OF WORK SHAALALL EENCEQ VO D,
ALSO E
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCOR-
N.C.
CASH CHECK M.O.
Q
DANCE WITH THE LAWS OF RIVERSIDE COUNTY AND T.H,E STATE OF CALIFORNIA. I ALSO AGREE TO
CARRY. COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE
RECEIVED BY SEWAGE SYSTEM
OFC ALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THATTHE INDIVIDUALWHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
T LL P
501N ACCORDANCE WIT TION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CA IF RN
INFORMATION
OWNER
CONTRACTOR
ADDk
ADDRESS
T L. !7
TEL. NO.
LICENSE NO.
284-208 (REV. 1-70) Os V 1