DEMO (174616)DEPARTMENT OF BUILDING & SAFETY
• COUNTY OF RIVERSIDE 0
CONSTRUCTION ESTIMATE
1st FI. _
Sq. Ft. @
2nd FI.
Sq. Ft. @
Por.
Sq. Ft.
Gar.
Sq-:fF1.
H. P.
MOTOR
Car P.
�. Ft.
Wall �. { }
S t. @
COMPRES50R DHP
RANGE AND/OR OVEN
LAVATORY
Sq. Ft. @
ESTIMATED VALUATION Is
MECHANICAL FEES
NO.
ELECTRICAL FEES
POLES
MOTOR H. P.
SIGNS
APPLIANCE
TRANS. AND/
OR T. CLK.
GARBAGE DISPOSAL
MOTOR
H. P.
MOTOR
H. P.
MOTOR
H. P.
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
NO.
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
-------------
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
MOTOR H. P.
WASHER (AUTO) (DISH)
APPLIANCE
FIXTURES
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
OUTLETS
LAUNDRY TRAY
AIR HANDLING UNIT
SUB -PANEL
KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
WATER CLOSET
COMPRES50R DHP
RANGE AND/OR OVEN
LAVATORY
APPLIANCE VENT
WATER HEATER
SHOWER
ABSORPTION SYSTEM L B.T.U.
SPACE HEATER
BATH TUB
INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
CONSTRUCTION POLE
WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SERVICE ENTRANCE
SEWAGE DISPOSAL
BOILER B.T.U.
RESID. 10 SO. FT.
HOUSE SEWER
PERMIT FEE
GARAGE zQ SO. FT.
GAS PIPING
PERMIT FEE
PERMIT FEE
P1 RT U BE
REN. DBL.
TOTAL FEES
HEAT B VENT FEE
PLN. CK. FEE
CONST. FEE
ELEC. FEE
FEE
J
Jw+�
IPLUMB.
J
J M J J A
J F
M A M J J A S
O N D
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SET BACK
ILOT
SIZE
USE it
JOB ADDRESSj�
OW HER
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ZONE.
USE OF BUILDING - VFC
PLAN CHECK FEE $
- �� //CHECKE
BY
COMMUNITY
DISTRICT
F.C.
UNITSVALUATION
MECHANICAL FEE $
/
�r
""�"
!
J
"-W.,
GR P
TYPE
LEG L DE CR TION
PERMIT NUMBER
CONSTRUCTION FEE $
174616
SPEC. INSP.
SU PP. TO PERMIT
ELECTRICAL FEE $
_
PLAN CHECKER
04 BONG $
B D
CASH
PLAN FILE
FINAL DATE
INSPECTOR
PLUMBING FEE $
A_ZL,O
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. N.C.
RECEIVED BY
SEWAGE SYSTEM
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
TP
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
T
LL
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON-
TRACTORS IS ALSO GUARANTEED.
NAME OF CONSTRUCTION LENDER
OWNER
CONTRACTOR
BRANCH OFFICE
ADDRESS
ADDRESS
ADDRESS
CITY STATE`
i
NO LENDER INVOLVED
INFORMATION
TEL. NO.
TEL. NO.
LICENSE NO.
:84-208 12/68,