230083 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY - FIELD OFFICE
'
COUNTY OF RIVERSIDE `
CONSTRUCTION- ESTIMAT E.•-
4. ELECTRICA.L.FEES ,. .: , PLUMBING FEES ,�1...,j.RsT,,
1ST FL. a SQ. FT. @1 fU
g. NO. .?y NO:
2ND FL. SO. FT. -@
• POR. SQ. FT. •@
MOTOR I OR LESS H.P. L -'
'ia�1
GAR. SQ.FT. @
0 MOTOR 5 OR LESS H.P.
CAR P. SO. FT. @
MOTOR 20 -OR LESS H.P. DRAINAGE PIPING
WALL SQ.FT. @
DRINKING FOUNTAIN +:
SO. FT. @ 's-b4r,12
AZSeTIMMJONSTRUCTI�ON
URINAL
VALUATION "' $
K.W. UNITS WATER PIPING --
NOTE: Not to be used as property tax 'valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEMf/WFAN ❑EVAP. COOI,;RHOOD
fJU SIGN WASHER (AUTO)%DISH) O "
APPLIANCE i'
TRANS -
ori FORMER D K.W. GARBAGE DISPOSAL
FURNACE ❑ UNIT, ❑ WALL ❑FLOOR ❑ USPENDED
OUTLETS - LAUNDRY TRAY .
AIR HANDLING UNIT CFM
FIXTURE OR SOCKET / KITCHEN SINK "f
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV, ENTRANCE a9% WATER CLOSET
COMPRESSOR / – ►� ',. _ / d POLE LAVATORY y
APPLIANCE VENT
AMPERES SERV. ENT. -_2 60 SHOWER
ABSORPTION SYSTEM 0 B.T.U.
SQ. FT. @ BATH TUB' `J
INCINERATOR ❑ DOMESTIC, _ ❑ INDUS. OR COMM.
SO. FT. @ ¢ WATER HEATER
_ HEATING SYSTEMjfA FORCED ❑ GRAVITY
-.,SQ. FL RESID. @a ).¢ A3 711 SEWAGE DISPOSAL
BOILER 0 B.T.U.
50. FT. GARAGE �0 1�2¢ . HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE GAS PIPING
MOBILE HOME HOOKUP FEE $ .
PERMIT FEE 001 PERMIT FEE
PHog
'TOTAL FE�E�Sg�_,!�+�
MOB. HK: FEE MICRO FEE
MECH. FEE
�'�
DBL
CK.FEE• �. CONST. FEE
DBL.
ELECT. FEE DBL.
� SMI FEE
�./�..
� FEE
PLUMB. FEE
DBL.
-
�'
PPL.
- �.+�r�•; f,f .(fir
es
`�"
-.,.a J-' <F M I A M I J I J A. -I S._. O_I_N. I D
JOB ADDRESS ._. t.. _... :.^ -�-.�. .�.,,i._...... .. -.
V1111i,
-. 'OWNER—,
73
74.
US OF ILD G - -
F.C.
AES
P R"'N
3 0
M.H. HOOKUP FEE ,
$
coMMuwTv
D T
'PITS
ROOMS
'VALUATION �. S P..TO PERMIT
OFFICE i
a
MICROFILM FEE
COPIES
$
LECALv@Sc PnoN
`SET BACK LO I Z NE USE NO. GRP TYPE CK alf
` MECHANICAL FEE'
DBL
$ ' '
..
.. .. -
�a
V
F. S
• - PLAN CHECK FEE-
-
$�
241
BOND AMT
' PLAN NO.
PLAN CHECKER
•
FINAL DATE INS
5
ETOR - k
CONSTRUCTION FEE
DBL .
$
•
NAME OF CONST: TENDER - - BRANCH
OFFICE -' .NO
LENDER IN OLVE. n
'
DBL
ELECTRICAL FEE ..
$
_•
-
�iw
f
ADDRESS , CITY,
- . -
STATE -•
SMI FEE
$
THIS'PERMIT'SHALL BECOME VOID-IF'WORK ISNOT COMMENCED WITHIN 60 DAYS CESSA-
TION OF WORK FOR 120 DAYS SHALL: ALSO CAUSE PERMIT TO BECOME VQID. t`
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
THE LAWS OF THE STATE.OF•CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
'I HEREBY CERTIFY'THAT•THE'INDIVIDUAL WHO DUAL WH PLANS AND SPECIFICATIONS '
.
..•'
$
TOTAL FEES
`-HAS DONE SO IN ACCORDANCE WITH SECTION 554.1 OF THE BUSINESS AND PROFESSIONS
YC.010F
nF THF STATE OF CALIFORNIA_
- - - -
CASH ❑ CHECK' M.O. ❑ N.C.O.
OWNER, - f F
i
CONTRACTOR - y
f
RECEIVED BYE ,.:.
F • .• - .ADDRESS
- • Y
-
ADDRESS -
SEWAGE SYSTEM
tit` LL
'
_
c1
CI
'TREES REQUIRED y YES _
NO
^ A
" .
INFORMATION
EL. NO. G
TEL. NO. LICENSE -
FORM 284-208 (Rev. 11/721