AR (174615)DEPARTMENT OF BUILDING & SAFETY
0 COUNTY OF RIVERSIDE 0
FIELD OFFICE
CONSTRUCTION ESTIMATE
ELECTRICAL
FEES
PLUMBING
FEES
JOB ADDRESS j OWNER
1st FI. M&3
2nd FI.
Por.
Gar.
Car P.
Wall
Sq. Ft. @� 1°
NO.
NO.
5
R
Sq. Ft. @
0 vv
Sq. Ft. @
y n
Sq. Ft. @ POLES
USE OF BUILDING
Sq. Ft. @ SIGNS DRAINAGE PIPING
PLAN CHECK FEE $
TRANS. AND/ DRINKING FOUNTAIN
Sq. Ft. @ OR T. CLK.
Sq. Ft. @ MOTOR H. P. URINAL
MOTOR H. P. WATER PIPING
Q
ESTIMATED VALUATION IsMOTOR
COMMUNITY
H. P.
FLOOR DRAIN
UNITS
VALUATION
MECHANICAL FEES
MOTOR
H. P.
WATER'SOFTENER
IDISTRICT
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
MOTOR
H. P.
WASHER (AUTO)
MECHANICAL FEE $
APPLIANCE
FIXTURES
LI
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
OUTLETS
LAUNDRY TRAY
GRO
Y PE
AIR HANDLING UNIT
SUB -PANEL
PERMIT NUMBER
KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
WATER CLOSET
CONSTRUCTION FEE $
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COMPRESSOR OHP
RANGE AND/OR OVEN
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LAVATORY
((��
` VF
APPLIANCE VENT
WATER HEATER
T1_ �.!d
,t
SHOWER
ELECTRICAL FEE $
ABSORPTION SYSTEM D B.T.U.
SPACE HEATER
BATH TUB
M�
�v
INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
CONSTRUCTION POLE
CASH PLAN FILE Ift
WATER HEATER
INS C.TOR
PLUMBING FEE $
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
I SERVICE ENTRANCE
SEWAGE DISPOSAL
(�-70
BOILER D B.T.U.
RESID. 10 SO. FT.V'ov✓
,y y�
HOUSE SEWER
PERMIT FEE
GARAGE iQ SO. FT.
GAS PIPING
$
•
PERMIT FEE
V
PERMIT FEE
V
PERMIT NUMBER
.
1746
RECEIVED Bim
REN.
DBL.
TOTAL
S"2EES
—
HEAT
& VENT FEE
PLN. C� F �
..`i
CONST. FE` O
r
ELEC. FEE
J
PLUMB.
J
F E
J c M A M
J _- J _ A
S _ O
_ N
D
SET BACK
1LOT SIZE
USE tl
JOB ADDRESS j OWNER
F
5
R
0 vv
y n
ZONE
USE OF BUILDING
04Tt
�
PLAN CHECK FEE $
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h
J):i./ Alai' j a Q{'► , W44C;"/�
EHFCKEb BY I
COMMUNITY
F.C.
UNITS
VALUATION
OFFIC
IDISTRICT
1
MECHANICAL FEE $
LI
GRO
Y PE
LEGAL DEf(;CRIPTION
PERMIT NUMBER
CONSTRUCTION FEE $
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SPEC. INSP.
T1_ �.!d
,t
5UPP. TO PERMIT
ELECTRICAL FEE $
./ .+ .../
M�
PLAN CHECKER
BOND S
BOND
CASH PLAN FILE Ift
FINAL DATE
INS C.TOR
PLUMBING FEE $
•...»..
(�-70
.,
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
CASH CHECK M.O. I N.C.
RECEIVED Bim
SEWAGE SYSTEM
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
t �,r
T
LL
P +
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OFT • STATE OF CALIFORNIA COVERING CON -
CTO S A GU ANTEED.
NAME OF CONSTRUCTION
LENDER
'++
O j CONTRACTOR
BRANCH OFFICE
ADDRESS ADDRESS
ADDRESS
CITY
STATE
Y/��+9�
NO LENDER INVOLVED
INFORMATION
j
T NO. 'Vw+.�'
TEL. NO.
LICENSE NO.
284-208 12/8
8
A