201887 (SFD)VENT SYSTEM ❑ FAN ❑ EVAP. COOLY❑ HOOD. -
PER
! :
"SIGN -
DEPARTMENT OF BUILDING & SAFETY
_• COUNTY OF RIVERSIDE •
FIELD OFFICE
APPLIANCE �.
CONSTRUCTION ESTIMATE ` .60 : ' ELECTRICALFEES
PLUMBING FEES +
1 ST FL.
2ND FL.
POR.
GAR.
CAR P.
WALL
• `
e»
��`5
SQ. FT.
SO. FTr
@a
rc�u NO.'
NO.
SQ. FT. @ MOTOR I OR .LESS H.P.
ZONE
.V
SQ.FT. @Y . + +� MOTOR 5 OR LESS H.P.
'
SQ. FT. @ MOTOR 20 OR LESS H.P.
SQ.FT.. @o I
DRAINAGE PIPING
DRINKING FOUNTAIN
SQ. FT. @ • '
URINAL
als K.W.-UNITS
f WATER PIPING
ESTIMATED VALUATION
$
v�T
FLOOR DRAIN
O N
D N
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOLY❑ HOOD. -
PER
! :
"SIGN -
jl
WASHER (AUTO) (DISH) � L;
APPLIANCE �.
G
FORMER K.W.
/
GARBAGE DISPOSAL f .:.i .�
FURNACE ❑ UNIT ❑ WALL d FLOOR,O SUSPENDED
OUTLETS
LAUNDRY TRAY
ZONE
AIR HANDLING UNIT CFM
DATE
FIXTURE OR SOCKET-
KITCHEN SINK
i -IV
GAS PIPE ❑ NATURAL Cl L.P.G. ❑ OIL
� 14; s``l s
CONST. SERV. ENTRANCE
M
F~ M
WATER CLOSET
3 L
COMPRESSOR HP•
O N
D N
POLE
LAVATORY
4i
APPLIANCE VENT
MECHANICAL FEE
AMPERES SERV: ENT. %
a%
SHOWER
ai fi j ?�9 T .c
ABSORPTION'SYSTEM O B.T.U.
C� i
SQ. FT, @ Q
�'j^�.,s�
IEI'R
BATH TUB
-
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
s•/
SQ. FT. @ d
t`
WATER HEATER
LEGAL DESCRIPTION - -i
HEATING SYSTEM FORCED ❑ GRAVITY
o o
SQ. FT. RESID. @ I• p;Z
�? ,'
SEWAGE DISPOSAL
C �
BOILER, 0 B.T.U.
SQ. FT. GARAGE @1/24 ,,;? -
201887
HOUSE SEWER
PERMIT FEE
6 A
BALANCE OF MIN. FEE
PLAN CHECKER-
GAS PIPING
f �'
TRAILER. ISSUANCE FEE - PERMIT FEE
PERMIT FEE -
'
PERMIT FEE
'm �'% 1�— &
-
� 1 X87
TOTAL FEESK,'^
�:�-=
RE -N. TRAILER FEE
���
HEAT & V FEE
•��
PL. CK: FEE
CON$T.�
DBL;
ELEC. E
� �-�
IDBLISPEC.
INSP. FEj LUMBING FEE
� �
DBL. `
•
P
'
LOT 'SIZE .,
USE /J
JOB ADDRESS' OWNER/ �•
ZONE
USE OF BUILDING
DATE
PLAN CHECK FEE '
$ 7
0
, " I
� 14; s``l s
J
M
F~ M
A M¢. J J -
AT M J .J
A
A
S�
T S
O N
D N
D
D
yUt�l 'rV
gJ.•UATION •q
ff
OFFICE i
MECHANICAL FEE
a �J
�✓
,L�Sa!-�'
'
LOT 'SIZE .,
USE /J
JOB ADDRESS' OWNER/ �•
ZONE
USE OF BUILDING
DATE
PLAN CHECK FEE '
$ 7
0
, " I
� 14; s``l s
-
CHECKED BY ..
COMMUNITY
i
yUt�l 'rV
gJ.•UATION •q
ff
OFFICE i
MECHANICAL FEE
a �J
�✓
,L�Sa!-�'
ai fi j ?�9 T .c
�y
9 x
C� i
r`
�'j^�.,s�
IEI'R
t�", Y
-
DBL
s•/
f�,OROUP
TYPE
y
LEGAL DESCRIPTION - -i
MIT
NUMBER
CONSTRUCTION FEE
O
-A 76 . f 1 7
201887
DBL
PLAN CHECKER-
-
SUPP. TO PERMIT
ELECTRICAL FEE
f l
'
'm �'% 1�— &
DBL
$
BOND S.
BOND
CASH'
PLAN -FILE-# -
FINAL DATE
INSPEWTOR-
PLUMBING FEE
t `>' -�
� 7,
TRAILER PERMIT
ISSUANCE FEE8
E OF, CONSTRUCTION LENDER - -
{��ow
BRANCH OFFICE
IN LENDER -'
e0
cA If
[ADDRESSCITY
STATE
FEE
g
}
I t
1
TOTAL FEES.
THIS .PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSATION
.'
OF WORK FOR 120 DAYS SHALL' ALSO CAUSE PERMIT TO BECOME VOID, i
P HEREBY' AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCOR-
CASH Q 'CHECK
N.C.
M.O. ❑
❑
DANCE WITH THE LAWS OF RIVERSIDE, COUNTY AND T,H,E STATE OF CALIFORNIA. I ALSO AGREE TO
CARRY.COMPENSATION INSURANCE UPON MY -EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE
ECEIVEo eT SEWAGE SYSTEM'
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. i
T .!�f�' LL
I HEREBY CERTIFY THATTHEINDIVIDUALWHOPREPAR6DTHE'PLANS AND SPECIFICATIONS HAS DONE '
SOI A J}B NC 15541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE ,
INFORMATION
O a
WN `s' CONTRACTOR'.
'
ADOR4'S..1fp,y�� yam.•
ADDRESS
TEL.' Oaa,y.
70
TEL. NO. -{{�
• _ ,
UCENS E- NO. r �€
�ff}
FORM 284-208 (REV. 1-70)