RPL (181146)FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
MOTOR 11. P.
DEPARTMENT OF BUILDING & SAFETY
. COUNTY OF RIVERSIDE •
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
1st FI.
2nd FI.
Par.
Gar.
Car P.
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y fir' r a
APPLIANCE
Sq. Ft. @
�Jr
NO.
Sq. Ft. @
Sq. Ft. @
OUTLETS
Sq. Ft. @
POLES
.Sq. Ft. @
SIGNS
$q. Ft. @
,.
OR OR T. T. CLK.
Sq. Ft. @
O. N D
KITCHEN SINK
MOTOR H. P.
ESTIMATED VALUATION $
..l t7 fJ
MOTOR H. P.
JOB ADDRESS
!
MECHANICAL FEES
e
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
MOTOR 11. P.
REN. DBL.
J
WASHER (AUTO) (DISH)
HEAT & VENT FEE
APPLIANCE
( FIXTURES
�Jr
PLUMB. FEE y
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
OUTLETS
LAUNDRY TRAY
AIR HANDLING UNIT
- SUB -PANEL
IS
J F M A M J J A S-'
O. N D
KITCHEN SINK
SET BACK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
LOT SIZE
USE it
JOB ADDRESS
!
WATER CLOSET
F
COMPRESSOR OHP
RANGE AND/OR OVEN
ZONE
LAVATORY
DkTE
APPLIANCE VENT
WATER HEATER
+ f J / _el;o'
"
SHOWER
CHECKED BY
ABSORPTION SYSTEM D B.T.U.
SPACE HEATER
U
VALUATION
BATH TUB
MECHANICAL FEE $
INCINERATOR DOMESTIC ❑ INDUS. ❑COMM.
CONSTRUCTION POLE
///
WATER HEATER
W. ...,�
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SERVICE ENTRANCE
TYPE
LEGAL D P_f ION w
�.
SEWAGE DISPOSAL
PERMIT NUMBER
BOILER B.T.U.
RESID. 1Q SO. FT.
r ""' -
5UPP. TO PERMIT
[
H91"A S& 1%E R'�Y'r
PERMIT FEE
" GARAGE zQ SO. FT.
PLAN CHECKER
GAS PIPING
BOND
CASH
PERMIT FEE
,�}t�1
f
PERMIT FEE
P R T U
BE
REN. DBL.
J
TOTAL FEES
HEAT & VENT FEE
PLN. CK. FEE
CONST. FEE
ELEC. FEE
40
PLUMB. FEE y
IS
J F M A M J J A S-'
O. N D
SET BACK
LOT SIZE
USE it
JOB ADDRESS
!
OWNER `-
g g
F
S
R 1
ZONE
USC OF IBU1 DI " / /
DkTE
PLAN CHECK FEE $ �Ca�+
+ f J / _el;o'
"
CHECKED BY
COK4MLMITY Irit TR It
U
VALUATION
OFFICE
MECHANICAL FEE $
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`✓
CONSTRUCTION FEE $
GRO
TYPE
LEGAL D P_f ION w
�.
181146
PERMIT NUMBER
".v
SPEC. INSP.
r ""' -
5UPP. TO PERMIT
ELECTRICAL FEE $
PLAN CHECKER
BOND $
BOND
CASH
PLAN FILE V
FINAL DATE
INS P� CTOR
PLUMBING FEE $
TOTAL FEESTHIS
PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED
..
e
WITHIN 60 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO
CAUSE PERMIT TO BECOME VOID.
IHEREBY 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 -
fl
COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
T
LL
P
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
f ' 2
OWNER
CONTRACTOR
BRANCH OFFICE
OF
'ADDRESS
Af z1v_
I
ADD E 5 ✓ - -
'ADORMSS
CITY STATE
w
NO LENDER INVOLVED
4 '
r}
INFORMATION
c
Ig OL
T
ATE L. NO.
TEL. NO.
284-208 12/88
LICENSE NO.
6; °-/..9&df�„ �%