204535 (SFD)DEPARTMENT OF BUILDING & SAFETY
' • COUNTY OF RIVERSIDE •
ITOFEEh j'
FIELD OFFICE
PL. C FhE Ej�NFEE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
'
PMBINGF�E�E
PLUMBING FEES
1 ST FL.
2ND FL.
POR.
GAR.
CAR P.
WALL
SQ. FT. r `
NO.
NO.
SQ. FT. @
J F
SO. FT. @MOTOR I OR LESS H.P.
._ A �.. M JJ A S.
A M J .J A S
SQ.FT. @'� 1 MOTOR 5 OR LESS H.P.
SQ. FT. @ MOTOR 20 OR LESS H.P. DRAINAGE PIPING
SQ.FT. @ DRINKING FOUNTAIN
SQ. FT. @ URINAL
a E::�I W. UNITS WATER PIPING -
JOB ADDRESS
ESTIMATED VALUATION, $
"
{�
FLOOR DRAIN
MECHANICAL FEES
ZONE
USE OF BUILDING
DATE
WATER SOFTENER}'
VENT SYSTEM g FAN ❑ EVAP. COOL] HOOD
s4; SIGN
WASHER (AUT$- (DISH)
APPLIANCE - r• ,.
TRANS- K.W.ARBAGE
FORMER D
COMMUNITY DISTRICT
DISPOSAL
%
VALUATION �s OFFICE
FURNACE 11 UNIT ❑WALL ❑FGOOR ❑ SUSPENDED
OUTLETS
LAUNDRY TRAY
r 44:7-2
AIR HANDLING UNIT CFM
FIXTURE OR SOCKET
! f 49�t
DBL
KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE
TYPE
y,Z
WATER CLOSET
CONSTRUCTION FEE
COMPRESSOR HP
POLE
�t.
LAVATORY
4-- 2 B
APPLIANCE VENT
AMPERES SERV. ENT.
O ¢
SHOWER
,l
toe-DBL
.ABSORPTION SYSTEM . O B.T.U.
SQ. FT- @ 4
/
BATH TUB
4`
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SQ. FT. @ 4
/
WATER HEATER
f
,i
HEATING SYSTEM FORCED ❑ GRAVITY
SQ. FT. RESID. @ 14
BOND
T
SEWAGE DISPOSAL
DATE
INSPECTOR
BOILER B.T.U.
SQ. FT. GARAGE @124
$ j
HOUSE SEWER
PERMIT FEE'
BALANCE OF MIN. FEE
/- 9x
GAS PIPING
>f
TRAILER ISSUANCE FEF -PERMIT FEE
J PERMIT FEE
BRANCH OFFICE
ft f
PFRMIT FFF
$
J
/T�• 4 5 3 5TAL
PER2-04535.
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REN. ITRAILER FEE HEA VENT. FEE
PL. C FhE Ej�NFEE
DBL. ELEC.F BL.
SPEC. INSP. FEE
PMBINGF�E�E
103L.
1:74
1
J F
M
M
._ A �.. M JJ A S.
A M J .J A S
O.. _ N._
O N D _ ••
LOT SIZE
USE #
JOB ADDRESS
OWNER
vi
{�
V
ZONE
USE OF BUILDING
DATE
PLAN CHECK FEE$
�
CHECKED BY
COMMUNITY DISTRICT
F.C.
UNITS
VALUATION �s OFFICE
MECHANICAL FEE
$19.00tr��
r 44:7-2
f
! f 49�t
DBL
-ROUP
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TYPE
LEGAL D IPTION
ERMIT NUMIER
204535
CONSTRUCTION FEE
�t.
4-- 2 B
DBL
PLAN CHECKER
toe-DBL
SUPP. TO P=RMIT
ELECTRICAL FEE
'toe—
DBL
BOND f
BOND
CASH
PLAN FILE # FINAL
DATE
INSPECTOR
PLUMBING FEE
$ j
B
/- 9x
TRAILER PERMIT
NAME OF, CONSTRUCTION LENDER - �'t
(� �'��,v.JL on.
BRANCH OFFICE
NO LENDER
NMOLV ED
ISSUANCE FEE.
$
ADDRESS I
OTY
STATE -
FEE
s
-
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 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ALCOR-
CASH CHECK M.O.
❑
N.C.
❑
DANCE WITH THE LAWS OF RIVERSIDE COUNTY AND T.H.E STATE OF CALIFORNIA. I ALSO AGiEE TO
CARRY. COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE_ WITH THE. -LAWS OF THE STATE
RE EIVED BY - SEWAGE SYSTEM
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
4,f, 1
IP
I HEREBY CERTIFY THATTHE INDIVIDUALWHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
-/ 110V T
LL
SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA,
FORMTIN
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OWNER ;'^�
CONTRACTOR
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ADDRESS
ADDRESS
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TEL. NO.
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LICENSE MO. .
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284-208 (RE I- 0) OPs