201894 (SFD)�►
•
DEPARTMENT OF BUILDING & SAFETY
• COUNTY OF RIVERSIDE •
FIELD OFFICE
FORMER O K.W.
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
I ST Fl.
1 �
SQ. FT.
NO.
NO.
2ND FL.
WATER CLOSET ! CJ
SQ. FT. @
POLE
LAVATORY
SQ. FT. @
4 " MOTOR 1 OR LESS H.P.
SHOWER f j
POR.
GAR.
�`
SQ.FT. @ r
r'.
f MOTOR 5 OR LESS H.P.
SQ. FT. @ Q
SQ. FT. @
MOTOR 20 OR LESS H.P.
DRAINAGE PIPING
CAR P.
WALL
SQ. FT. GARAGE @1�2¢ , �5 �.
SQ.FT. @
PERMIT FEE CI
DRINKING FOUNTAIN
SQ. FT. @
TRAILER ISSUANCE. FEE - PERMIT FEE
URINAL
PERMIT FEE
PER
�1
K.W. UNITS
WATER PIPING
REN. TRAILER FEE HEAT & EJB FEE
ESTIMATED VALUATION is 6
a
FLOOR DRAIN
E .�E r
MECHANICAL FEES
SPEC. INSP. FEE Pl BlQ{G„F,EE
WATER SOFTENER
VENT SYSTEM Cl FAN ❑ EVAP. COO ❑ HOOD r, -.
SIGN
WASHER (AUfA (DISH) e t;
APPLIANCE i� +� %C 6 U
FORMER O K.W.
GARBAGE DISPOSAL
FURNACE ❑ UNIT O WALL Cl E OOR ❑ 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 ! CJ
COMPRESSOR HP
POLE
LAVATORY
APPLIANCE VENT
AMPERES SERV. ENT, 1 U
SHOWER f j
ABSORPTION SYSTEM B.T.U.
SQ. FT. @ ¢
BATH TUB Z�
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SQ. FT. @ Q
WATER HEATER f •�
HEATING SYSTEM ❑ FORCED ❑ GRAVITY fir P 0
SQ. FT. RESID. @
SEWAGE DISPOSAL U
BOILER 0 B.T.U.
SQ. FT. GARAGE @1�2¢ , �5 �.
HOUSE SEWER '
PERMIT FEE CI
BALANCE OF MIN. FEE
GAS PIPING c,
TRAILER ISSUANCE. FEE - PERMIT FEE
PERMIT FEE D
PERMIT FEE
PER
�1
FEbS
REN. TRAILER FEE HEAT & EJB FEE
PL K. F E, CONST.
FEE
f -
DBL.
E .�E r
oBL.
SPEC. INSP. FEE Pl BlQ{G„F,EE
DBL. ;
�OTAL
41F
A
A .- _ S -. O
..-�- . N . _ . D
LOT SIZE
USE #
JOB ADDRESS %j.�- S..�C OWNER
T'—)eJ;
a-
ZONE
USE OF BUILDINGf
DATE
PLAN CHECK FEE
$
_ )
/^
4 ✓>�jl frlO ti r`% G'
tri ^v
aOFFICE
-
$
CHECKED BY
;9 SrcllzST��
COMMUNITY J "..
rS
V 1&ATION *s
MECHANICAL FEE.i
t,
DBL
J ROUP
j
TYPE
LEGAL DESCRIPTION
ER ITER
CONSTRUCTION FEE
$
(}� C7` %� i� [
HR
201 1 4 l
DBL
PLAN CHECKER
SUPP. TO PERMIT
ELECTRICAL FEE
p �!
$ / / ;
�
f
'"" s T eI ^" G ;;t+
DBI
BOND $
BOND
CASH
PLAN FILE.# FINAL
DATE
INSPECTOR
PLUMBING FEE
TRAILER PERMIT
FEE
$
NAME OF CONSTRUCTION
4
LENDERBRANCH
1
OFFICE
O LENDER
INVOLVED
ISSUANCE �
b' �� �
y, -p
ADDRESS -
CIT 1
/
STATE
FEE
$
TOTAL FEES
CASH Q CHECKS M.O. N.C.
/ ZEIVED B.Y. 'SEWAGE SYSTEM
"�I�zme4 pe'® LL ly d o
- INFORMATION
FORM 284-208 (REV. I-70)
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMEN(.tU WIIHIN OU UAYD. I.tJJAIIVN
OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID..
IHEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCOR-
DANCE WITH THE LAWS OF RIVERSIDE COUNTY AND T,H.E STATE OF CALIFORNIA. 1 ALSO AGREE TO
CARRY, COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THATTHE INDIVIDUALWHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
SO IN A��CCQQ,��ppANC ��Y_c TION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
nc.�AaEsi�o1.•rfA__ ? 7
W ER ' _
CONTRACTOR ,
ADDRESS
NO,,. 'j f
5 7
TEL. NO. "
LICENSE NO. -