204543 (SFD)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
• COUNTY OF RIVERSIDE •
CONSTRUCTION ESTIMATE ELECTRICAL FEES ' PLUMBING FEES "q
1 ST FL.
11.37
SQ. FT.
@ zlvl
2ND FL.
OUTLETS LAUNDRY TRAY
SQ. FT.
@
POR.
CONST. SERV. ENTRANCE WATER CLOSET /o
SQ. FT.
@
GAR.
AMPERES SERV. ENT. (j SHOWER
SQ;FT.
@"
CAR P.
SQ. FT. @ ¢ WATER HEATER
SQ. FT.
@
WALL
SQ. FT. GARAGE @1�2¢ HOUSE SEWER
SQ.FT.
@
TRAILER ISSUANCE FEE - PERMIT FEE
j PERMIT FEE Q C1PERMIT FEE do
SQ. FT.
@
j ESTIMATED VALUATION
$
PL. C� FES - . FE
MECHANICAL FEES
-1-2c-V-"1NO
MOTOR I OR LESS H.P.
MOTOR 5 OR LESS H.P.
MOTOR 20 OR LESS H.P.
K.W. UNITS
NO.
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
VENT SYSTEM ES FAN ❑ EVAP. COOL a HOOD
t SIGN WASHER (AUT15-(DISH) �
APPLIANCEi
FORMER (� K.W. - f GARBAGE DISPOSAL]
FURNACE ❑ UNIT O WALL ❑ FLO R ❑ 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 /o
COMPRESSOR 0 HP
POLE LAVATORY
APPLIANCE VENT
AMPERES SERV. ENT. (j SHOWER
ABSORPTION SYSTEM B.T.U.
SQ. FT. @ ¢ BATH TUB
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SQ. FT. @ ¢ WATER HEATER
HEATING SYSTEM 0, FORCED ❑ GRAVITY
SQ. FT. RESID. @ 14 j ey e SEWAGE DISPOSAL
BOILER I B.T.U.
SQ. FT. GARAGE @1�2¢ HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE I j GAS PIPING
TRAILER ISSUANCE FEE - PERMIT FEE
j PERMIT FEE Q C1PERMIT FEE do
PER204543
TOTAL FEES j -REN. TRAILER FEE
♦
HEAT 8 VE EE
PL. C� FES - . FE
DBL.
ELE FEF eBL.
�y
SPEC. INSP. FEE
P IN EEE
DBL.
Gf+I
_ _ M A _ _ M
J F M A M
J J _ A S
J J A S
0 N_. _
O N D
SEX RJIoCK
LOT SIZE
USE #
JOB ADDRESS `
OWNER
` "k /
�r
ZONE
USE OF BUILDING
fATE
PLAN CHECK FEE
$
.. /
CHECKED
BY
COMMUNITY DISTRICT
F._V
UNITS
VALUATION
OFFICE
MECHANICAL FEE
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ore
rp
I 64,1
,
JL—
DBL
S
B P
TYPE
LEGAL DESCRIPTION
204543
ERMIT NUMBER
CONSTRUCTION FEE
o O
A .*( 9
DBL
i
PLAN CHECKER
/ f
SUPP. TO PERMIT
FEE
/ e - 6 1 .04-? -o f
ELECTRICAL
DBL
BOND $
BOND
CASH
PLAA FILE p - FINAL
DATE
INSPECTOR
f
I
t- 7 J-
PLUMBING FEE
v
NAME OF. CONS CJiQpN LENDER
BRANCH OFFICE
NO LENDER
TRAILER PERMIT
ISSUANCE FEE
s
},L/,
NVOLVED
f�
i t ���
ADDRESS
CIT - j'
STATE
FEE
$
!Y:�JdTHIS
TOTAL FEES
ERMT SHALL COMMNCED WITHIN 60 DAYS. CESSATION
IF WRK IS NOTBE
$
q
OF WORKPFOR1120 DAYSBSHAALLLL ALSODCAU EOPERM T TO OMEE VOID.
Z
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCOR-
r
CASH Q CHECK
M.O. N.C.
DANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
CARRY. COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE
RECEIVED BY
SEWAGE SYSTEM
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUALWHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
T
LL
P
SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.
INFORMA ON
OWNER � � � '
CONTRACTOR '
ADDRE S -
ADDRESS
In e
TEL NO.
TEL. NO.
7:Y-7-
_0
UCENSE'NO,