204526 (SFD)DEPARTMENT OF BUILDING & SAFETY
• COUNTY OF RIVERSIDE •
FIELD OFFICE
CONSTRUCTION ESTIMATE ELECTRICAL FEES PLUMBING FEES
1/73E40 NO. I NO.
1ST FL.
2ND FL.
POR.
GAR.
CAR P.
WALL
SQ. FT.
SQ. FT. Cal
REN. TRAILER FEE HEAT & VENT. FEE
PL. CK. FEE
CONST. FEE -
DBL. ELEC. F�E�E�^-
MOTOR I OR LESS H.P.
SQ. FT. @
SPEC. INSP. FEE
r
SQ.FT. Cal MOTOR 5 OR LESS H.P.
DBL. j
SQ. FT. Cia MOTOR 20 OR LESS H.P. DRAINAGE PIPING
SQ.FT. Cal DRINKING FOUNTAIN
SQ. FT. Cal URINAL
OK W. UNITS WATER PIPING
I
ESTIMATED VALUATION $ f
J --
FLOOR DRAIN
MECHANICAL FEES
aJf
WATER SOFTENER
H- A. .:
M A
VENT SYSTEM ❑ FAN ❑ EVAP. COOL HOOD
- D — -
N D — {
SIGN
WASHER (AUT ISH)
APPLIANCE
USE #
TRANS- K.W.
FORMER O
GARBAGE DISPOSAL
�.
FURNACE ❑ UNIT ❑ WALL ❑ FLO R ❑ SUSPENDED
l
OUTLETS
LAUNDRY TRAY
t
AIR HANDLING UNIT CFM
FIXTURE OR SOCKET
KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE
WATER CLOSET
1
COMPRESSOR _ HP
7 V
POLE
LAVATORY
DW4 [ L / ,
APPLIANCE VENT
AMPERES SERV. ENT.
SHOWER
R
ABSORPTION SYSTEM B.T.U.
SQ. FT. @ ¢
BATH TUB
_
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
MECHANICAL FEE
SQ. FT. @ ¢
WATER HEATER
Ei
HEATING SYSTEM A. FORCED ❑ GRAVITY
C49
SQ. FT. RESID. @ 1 ¢ ,J' dl
SEWAGE DISPOSAL
�. i°
BOILER I B.T.U.
SQ. FT. GARAGE @I12¢ 3
HOUSE SEWER
G UP
PERMIT FEEBALANCE
LEGAL DES RIPTI,
OF MIN. FEE
GAS PIPING
CONSTRUCTION FEE
TRAILER ISSLJANCF FEE - PERMIT FEE I
$
PERMIT FEE _4—_
PERMIT FEE
PER
TOTAL FEES
REN. TRAILER FEE HEAT & VENT. FEE
PL. CK. FEE
CONST. FEE -
DBL. ELEC. F�E�E�^-
DBL.
SPEC. INSP. FEE
PLUMBING FEE
DBL. j
I
aJf
- F
11
J F
H- A. .:
M A
M O
M J .J A 5 O
- D — -
N D — {
SET BACJ�
LOT SIZE
USE #
JOB ADDRESS OWNER
l
S Jr
R 1t
®� �/i��
ZONE
USE OF BUILDING
DATE
PLAN CHECK FEE
DW4 [ L / ,
CHECKED BY
COMMUNITY
FF,C�.��
UNITS
VALUATION OFFICE
MECHANICAL FEE
$
�jT
��/)
A� jg�S
IDISTRICT'
/
DBL
G UP
TYPE
LEGAL DES RIPTI,
ER IT �jlM. ER
CONSTRUCTION FEE
$
�
A.,. �%� /� � �.R,
2�5�
DBL
S
PLAN CHECKER
/�t
SUPP. TO PERMIT
ELECTRICAL FEE
DBL
BOND $
BOND
CASH
PLAN FILE# FINAL
DATE
INSPECTOR
I
0-) , �r
PLUMBING FEE
NAME OF,CONSTRUCTION LENDERB
RANCH OFFICE
.DER
TRAILER PERMIT
$
IN.
INV LA ED
ISSUANCE FEE
!1 •
—Utd
AD . Chx •:
FEE
$
THIS ORK IS NOTCOMMENCED WITHIN 60 DAYS. CESSATION
TB
VOID IFSHAALL'ALSO
TOTAL FEES
OF WORKPFOR1120HALL DAYSBECOME
CAUSE PERM T CO VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCOR-
CASH Q CHECK
M.O. Lj N.C. O
DANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE
CARRY. COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE S.s
RECEIVED BY SEWAGE SYSTEM
EL
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
PLANS AND SPECIFICATIONS HAS
_T
L P
I HEREBY CERTIFY THATTHE INDIVIDUALWHO PREPAREDTHE
SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE S
OF CA F RNIA
INFORMATION
OWNER e'
CONTRACTOR
-
ADDR S- "'��✓, >T
ADDRESS `
\1
it
PORox-278 - Sft Luis Key
TEL NO.
TEL. NO.
7_32,37
LICENSE 'N0.
�S