224699 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY F'ELD OFFICE
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
DST
1 ST FL. sq.
2ND FL. SQ
FOR. SQ_
GAR. SQ.FT,
CAR P. SQ.
WALL SQ.FT.
SO,
ESTIMATED CONSTRUCTION VALUATION
Fr.
FT. @
FT_ @
[la
FT. �3a
@
FT. @
? �� u
NO.
NO.
MOTOR 1 OR LESS H-P-
i
MOTOR 5 OR LESS H.P-
MOTOR 20 OR LESS H,P.
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
K.W. UNITS
f
WATER PIPING
U
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENTSYSTEMf.ZFAN ❑EVAP. COOL HOOD
SIGN
/
WASHER (AUT DISH)
APPLIANCE %ti?f /';
''=
FORMER 0 K W.
r.
GARBAGE DISPOSAL
FURNACE ❑UNIT ❑WALL ❑FL(5OR ❑SUSPENDED
OUTLETS
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIXTURE OR SOCKET
KITCHEN SINK
!
CJ
GAS PIPE El NATURAL ❑ L.P.G. ❑ OIL
CONST, SERV. ENTRANCE
-
WATER CLOSET
_
C]
COMPRESSOR ;f f►� HP
'
POLE
LAVATORY
—
APPLIANCE VENT
r ;:',;+
AMPERES SERV, ENT.
!
'•1)
/
SHOWER
/
�r
ABSORPTION SYSTEM O B.T.U.
SO. FT. @
BATH TUB
f
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM-
SO_ FT. @
WATER HEATER
HEATING SYSTEM Pd FORCED ❑ GRAVITY
A
SO, FT, RESID. @N /<<
f.n
SEWAGE DISPOSAL
BOILER O B.T U.
SO, FT. GARAGE @V,Q
HOUSE SEWER
PERMIT FEE
i
-'G'
BALANCE OF MIN, FEE
GAS PIPING
EE
f
MOBILE HOME HOOKUP FEE
$
PERMIT FEE
U f'
PERMIT FEE-
G=
- � PERMIr��N O TOTALFEES
��
MOB HK FEE
MIGRfa FEE MECH. FEE
DBL
FE
PL, CK, FEECONST,
ST.FE.
FEE
DBL
ELECT
ELECT. FEE
f•`
DBL
SMI FEE
1 �E
FEE
PLUMB. JEEORL
,�(
J
F
M
A
.M
1
J
A
S
O
tJ
6
JOB AIJDR ESS /}
=)Ja
DW
73
74
USEOF BUILDING ,•
.1. !l rl i r'l i SF=`I
F.C.
�Gf
DATE JPFFy'
= J� %'—' rti
7si('"_l{,hlf�
M.H. HOOKUP FEE
$
COMMUNITY
DST UNITS ROOMS
VALUATION
SUPP. TO PERMIT
OFFICE
MICROFILM FEE
COPIES
$
i
LEGAL DESCRIPTION
MECHANICAL FEE
DBL
$
•�'
N
w
SETBACK
LOT SIZE
ZOj
USE NO, GRP TYPE
CIGUY'
fJ 4
PLAN CHECK FEE
$
POFCONST.
N NO
PLAN CHECKER
FINAL DATE
IHSRECTOR
CONSTRUCTION FEE
DBL
$ER
BRANCH
OFFICE
NO LENDER INVOLVED
�'�`
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
i
SMI FEE
$
/
T"t1,- FERMI T SHA1. 1 • SECV-AI_ C10 1F 'rVl ]S!Y i$ NOT CO.M,i.':ENCC J VA;1-1 N 00 DAY5 CEc15A-
OF WORK FOR 120 DAYS SHILL ALSO CAUSE PFIVAIIT TO BECOME VOID,
11 PIPESY AGREE T1,IAT ALL WORK 1N CONNECT[ON WITH TI-I15 P[fi.MT WILL BE, DONE IN A' —
1.CiR6R:N(.0 WITH THI.LAVI;3 OF RI1-ERSIDL COUNTY AN THE STATE OF CALIFORNIA, I ALSO
AGREE TO CARRY COMPET17AT10N Ibd;yURANCE UPON MY EMF•LO'(EES. COMPLIANCE WITH
TF:E LPA V$ OF THE STATE OF CALIFORNIA COVP[NG CONTRACTORS 15 ALSO GUARANTEED.
1 HERESY CLFYIFY THAT Tf•!E INI-AVIDUAL.WHO PREPAPED. THE PLAITS AND SPECiric.,a 5
'.,S DDNE SO IN ACCORDANCE WITH SEC ON 5541 OF THE BUSINESS AND PROFESSIC) S
_ _ R
FEE
$
PLUMBING FEE
DBL
$
[.o
TOTAL FEES
/r.�
`-
-'
CASH ❑ CHECK, M O. ❑ N C. ❑
RWNE
CONTRACTRii • '
!'
RECEIVED BY
G�
ADDRESS
ADDRESS
SEWAGE SYSTEM
LL
p
TREES REQUIRED
YES
NO
CkTY �' H� r
L r
CITY
jr
INFORMATION
+
FORM 28d.208 IP.ev, 11 /721
TEL NO I
NO. _ LICENSE
-