201892 (SFD)DEPARTMENT OF BUILDING & SAFETh
•
�• COUNTY OF RIVERSIDE.
CONSTRUCTION ESTIMATE,
6'o
- ELECTRICAL FEES
I ST FL.
2ND FL.
POR.
GAR. .Jf
CAR P. ',
WALL
SQ. FT. •• in 7 97 'fes:
NO.
SQ. FT. @
o_B L.
S'.
SQ. FT.(a) �• "ice
MOTOR I OR LESS H.P.
SQ.FT: i
MOTOR 5 OR LESS H.P. ,
SQ. FT. @
SQ.FT. @
MOTOR 20OR LESS H.P.
_
SQ. FT. @
GARBAGE DISPOSAL
-.OK W. UNITS ..
ESTIMATED VALUATION • $ . c -
KITCHEN SINK
MECHANICAL FEES
WATER CLOSET
N D '
VENT SYSTEM ❑ FAN ❑ EVAP. COOL❑ HOOD-
t3
SIGN
APPLIANCE d .p : pX tv'
BATH TUB
FORMER O K.W.
FURNACE ❑ UNIT ❑ WALL ❑ -FLOOR ❑ SUSPENDED
�F�
OUTLETS
AIR HANDLING UNIT- CFM
HOUSE SEWER
FIXTURE OR SOCKET
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE
COMPRESSOR l HP
r
POLE
APPLIANCE VENT
AMPERES SERV. ENT.
ABSORPTION SYSTEM B.T.U:
PLAN CHECK FEE
SO. FT. @
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
�
'' f L./ Z.. C� ^' t% �. r
SQ. FT. @ Q
HEATING SYSTEM X0 FORCED ❑ GRAVITY
6 0
SQ. FT. RESID. @ 1,4
BOILER 0 B.T.U.
-
SO FT. GARAGE@/24;
PERMIT FEEG`s
+�
BALANCE OF MIN. FEE
TRAILER iSSUANCE.FEE : PERMIT FEE
PERMIT FEE t
r
FIELD OFFICE
PLUMBING FEES
Nn
PERTOTAL
2`01892,
9�i
DRAINAGE PIPING•
REN. TRAILER FEE HEAT @yN�FEE
DRINKING FOUNTAIN.-
OUNTAIN.URINAL
DBL:
'URINAL
o_B L.
WATER PIPING •'
DBL
FLOOR DRAIN
WATER SOFTENER
WASHER (AUL)) (DISH)
GARBAGE DISPOSAL
LAUNDRY TRAY.
KITCHEN SINK
MA
WATER CLOSET
N D '
LAVATORY
SHOWER
.L OT.SIZE
BATH TUB
USE # JOBB ADDRESS qq OWN .E
�� '��5,/'�
WATER HEATER
�F�
SEWAGE DISPOSAL
�
HOUSE SEWER
i�L`Y
GAS PIPING
PERMIT FEE
PERTOTAL
2`01892,
9�i
f.
REN. TRAILER FEE HEAT @yN�FEE
PL. CK.'FE&, CONST. 'FEp
DBL:
ELEC. gFE
o_B L.
SPEC. dNSP. FEE PLUM BIf�G,f,€E
DBL
�,f
..nay+..
i7
MA
M J„ _ _ _ J A S O
N D '
.L OT.SIZE
USE # JOBB ADDRESS qq OWN .E
�� '��5,/'�
R'
��
�F�
+
�
i�L`Y
•�.0 � 1}zYP �':r°.M 'r
� 6.../C�i/' •�r':�
ZONE USE OF BUILDINGN j
DATE
PLAN CHECK FEE
$ �
+(�
�
'' f L./ Z.. C� ^' t% �. r
.. -
CHECKED BY - COMMUNITY
-
.C.._..
V AfIOj.r^.�-w OFFICE
MECHANICAL FEE
$.'
- DBL
.'GROUP
TYPE LEGAL DESCRIPTION
CONSTRUCTION FEE"
$
- DBL
-.
PLAN CHECKER•,,
SUPP. TO PERMIT
$
-
ELECTRICAL FEE
fS
L:r'O {"
• DBL
-
� � BOND $
FILE•a FINAL
DATE' � �
INSPEC,
OR "
PLUMBING FEE
$ y
C %_
•
=PLAN
�j
- 13 ✓—
I
i
TRAILER PERMIT
ISSUANCE FEE
'
$
NAME OF. CONSTRUCTION LENDER
� r r. j
�},
BRANCH OFFICE
IND NDER
INV LV Eo
-
r/ ?'e►1.0 $IV) e,�' t�'
ADDRESS - .. -
CI .:jISTATE'
FEE
$
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.
F HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCOR-
CASH Q CHECK. M.O.
N.C.
DANCE WITH THE LAWS OF RIVERSIDE COUNTY AND' T,H.E STATE OF CALIFORNIA. I ALSO AGREE TO
i CARRY. COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE .LAWS OF THE STATE
'RECEIVED BY.SEWAGE SYSTEM
-P2 LL
IV19 !
c OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. .
'I HEREBY CERTIFY THATTHEINDIVIDUALWHO-PREPAREDTHE PLANS AND SPECIFICATIONS'HAS DONE
INFORMATION
SO pi AN ION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE ,>
vR r x
'
'
- .....OWJN/�5R
rj ♦P. - '-y`�"""��^'+J� CONTRACTOR
�• " I � � t /moi" Ca.A.�"0`'.y' i/�$ � `#
• -
.
ADDRE /�.�• /
ADDRESS
TEL. NO.
LICENSE -NO.. ' ••
. FORM 284-208 1 E . -1