196046 (SFD)DEPARTMENT OF BUILDING & SAFETY
• COLINTYPF RIVERSIDE • •
CONSTRUCTION ESTIMATE,.- //� ELECTRICAL FEES `
I.ST FL. SQ. FT..
2ND FL. _ SQ. FT. @
POR. SQ. FT. @
' GAR'. .. SQ.FT. @'
@
.CAR P. SQ. FT.
WALL SQ.FT. @
SQ. FT.
6
ESTIMATED VALUATION Is _37
MECHANICAL FEES'
VENT SYSTEM ❑:FAN ❑ EVAP. COOL ❑ HOOD
APPLIANCE
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR O SUSPENDED
AIR HANDLING UNIT CFM
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
COMPRESSOR 0 HP
APPLIANCE VENT
ABSORPTION SYSTEM O B.T.U.
INCINERATOR ❑ DOMESTIC' '❑ INDUS. OR COMM.'
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
BOILER B.T.U.
PERMIT FEE .
TRAILER ISSUANCE FEE -PERMIT FEE
MOTOR I OR LESS H.P.
MOTOR 5 OR LESS H.P..
MOTOR 20 OR LESS, H.P.
� IK.W. UN
SIGN
TRANS- O K.W.
FORMER
OUTLETS
FIXTURE OR. SOCKET
CONST. SERV. ENTRANCE
POLE
AMPERES SERV. ENT.
SQ. FT. @
SQ. FT. @ Q
SO. FT. RESID? @ I ¢
SQ. FT. GARAGE @112¢
BALANCE OF MIN. FEE
PERMIT FEE
FIELD OFFICE
PLUMBING FEES
NO.
DRAINAGE PIPING._
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
WASHER (AUTO) (DISH)
GARBAGE DISPOSAL -
LAUNDRY TRAY
KITCHEN SINK
WATER CLOSET
LAVATORY
SHOWER
BATH TUB
WATER HEATER
SEWAGE DISPOSAL
HOUSE SEWER
GAS PIPING
t? PERMIT FEE
PERTOTAL
FE_F f
REN.' ]TRAILER FEE HEAT S VENT. FEE I
PL. CK. FEE,CONST.
FEES
DBL.
ELEC. F.EE,—
IDBL.ISPEC.
INSP. FEE
PLUMBING FEE
J
DBL.
M.. A
M
D
0
16
RACK••+A
-
LOT.SIZE
..
USE #
JOB
BAADDRESS
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-'
ZONE
USE OF, BUILDING
DATE`
PLAN CHECK FEE
$
CHECKED BY
COMMUNITY DISTRICT
-.
14F�
UNITS
VALUATION
OFFICEMECHANICAL
FEE
%fi`
n
�
IFi
DBL
$.
GR0�9P TYPF.
LEGALD ESC RIP ION - -. -
1 r�R{;ER 1T UM ER
CONSTRUCTION FEE
(gyp
Pi
J•
,( �� I 17
- DBL
-PLAN :CHECKER.
SF
SUPP. TO PERMIT
ELECTRICAL FEE`
'-- o.5 -1 -
.I
DBL
BOND
BOND
CASH
PLAN FILE,# FINAL
DATE .
' INSP TOR . d
PLUMBING. FEE
f
I
TRAILER PERMIT
NAME OF; CONSTRUCTION LENDER
"' -
BRANCH OFFICE -
O'.LENDER
NVOLVED
ISSUANCE FEE
i
j
ADDRESS
CITY
STATE '1
FEE
-
TOTAL FEES
$�� `s �
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSATION '
OF WORK'FOR 1211 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AG3EE' THAT,ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE -IN ACCOR-
DANCE WITH TH6�LAWS OF RIVERSIDE "COUNTY AND T.H,E STATE OF CALIFORNIA. I'ALSO AGREE TO
CARRY.COMPENS�JION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE
CASH Q CHECK M.O. 1J'.C,
RECEIVED BY SEWAGE SYSTEM
IT
OF CALIFORNIA Cq)VERING CONTRACTORS IS ALSO GUARANTEED.
a1
L P
HEREBY CERTIFY THATTHEINDIVIDUALWHOPREPAREDTHE PLANS AND SPECIFICATIONS HAS DONE
SO INACCORDA CE WITH SECTION 5541 OF THE BUSINESS AND PROFES ON,S C,O E OF THE STATE 'I
INFORMATION
OF CA IFORNI It (1• > 7
'�'T'a•`•-
'• '
OWNER , CONTRACTO,g- d, L,.
lI
ADDRESS J ADDRESS '
-
All,r a
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TEL NO.
TEL.
_ -j
LICENSE NO.
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