222695 (PLBG)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY�1°.�a-,�
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
DST
1 ST FL. SQ. FT. @
2ND FL. SQ. FT. @
POR. SQ. FT. @
GAR. SQ FT. @
CAR P. SQ FT. @
WALL SQ.FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION
NO.
NO.
MOTOR 1 OR LESS H.P.
MOTOR 5 OR LESS H.P-
MOTOR 20 OR LESS H.P,
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
$
� K.W UNITS
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑EVAP- COOL ❑ HOOD
SIGN
WASHER (AUTO) (DISH)
APPLIANCE
TRANS- 0 K W
FORMER
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. @ Q
BATH TUB
INCINERATOR ❑ DOMESTIC ❑ INDUS, OR COMM-
SQ. FT. @
WATER HEATER
HEATING SYSTEM ❑ FORCED Cl GRAVITY
SQ- FT. RESID. @ 1 4
SEWAGE DISPOSAL
BOILER 0 B.T.U.
SQ. FT. GARAGE @1�24
HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE
GAS PIPING
MOBILE HOME HOOKUP FEE
Is
PERMIT FEE
PERMIT FEE
1
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1 6 i�
TOTAL FEES
� MOB HK FEE MICRO
FEE
MECFI- FEE
pBL
PL CK. FEE
CONST. FEE
DAL
ELECT FEE
DEL.
SMI FEE
FEE PLUMB. FE.EE
+"
pBL,
J
I F
I PA
A
I AA
I J
I J
q
I S
1 0
N
I D
JOB ADDRESS
_
OWNER '
_
73
74
US OF IL 1N -
F.C,
ME
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N
2
6 5.
75
M.H. HOOKUP FEE
$
COMMUNn
DST
UNITS ROOMS
VALUATIO —
SL PP -TO PERMIT
OFFICE
MICROFILM FEE
COPIES
$
LEGAL C I I N
MECHANICAL FEE
DBL
$
SET BACK
LOT SIZE
ZO(((NE JUSENI
/�
a
GRP
TYPE CK BY
F 5 R
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
1
PLAN CHECKER
FINAL DATE NSPfCTpR
) - ;oi
I
CONSTRUCTION FEE
DBL
$
NAME OF CONS- LENDER BRANCH
OFFICE
NO LENDER INVOLVED
I
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
SMI FEE
$
THIS PERi1/11T SHALL BECOME VOID IF WORK IS NOT =,AMENCED WITHIN 60 DAYS. CESSA-
TION OF VIORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOPAE VOID.
I HEREBY AGREE THAT ALL V &� :< 11J CCNNECTION WITH THIS PERMIT WILL BE DONE IN AC -
CORDANCE \KITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO
AGREE TO CARRY COtOPENSATION INSURANCE UPON PAY EMPLOYEES. COMPLIANCE WITH
THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I Hr.P=DY rP lIPr THAT THE INDIVIDUAL WHO PRf PARED THE PLANS AND SPECIFICATi 15
1'1= ` B `'I'DANCE WITH SECTION 55AI OF THE INESS AND PROF 5
CC, IF RNIA.
FEE
$
PLUMBING FEE
DBL
$
%
TOTAL FEES
$
CASH [I CHECK �- M-O ❑ N C. ElR°
OWNER
CO 'T p ,• t
RECEIVED BY
ADDRESS
AD ESS
SEWAGE SYSTEM T
LL P
TREES REQUIRED
YES NO
CITY
CfiY
. r
INFORMATION 1
FORM 204-2081Rev 11/721 `�
TEL NO
TEL., NO LICENSE µ i
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