ELEC (160694)DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE FIELD OFFICE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
lst FI.
2nd F L .
. Por.
G'•ar. �
/�
1C or P.
Wall
Sq. Ft. @ NO.
JOB ADDRESS - OWNER ,
No.
Sq. Ft. @
Sq. Ft. @ `
Sq. Ft. @ ' POLES
-
Sq. Ft. @ SIGNS
DRAINAGE PIPING Y
Sq.• Ft. OR T. CLK. •:l.
DRINKING FOUNTAIN ,
,@
Sq. Ft. @ MOTOR H.P.
URINAL i
MOTOR H.P.
WATER PIPING '
ESTIMATED VALUATION $
MOTORH.,P.
FLOOR DRAIN
- MECHANICAL FEES -
MOTOR H. P.
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
MOTOR H. P.
WASHER (AUTO) (DISH) +
APPLIANCE -
FIXTURES `
DISTRICT
GARBAGE DISPOSAL
> FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
J
OUTLETS
MECHANICAL FEE -
LAUNDRY TRAY
Z 'AIR HANDLING UNIT
0
5UB-PAMEL
KITCHEN SINK
J GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
•
WATER CLOSET
U COMPRESSOR �HP_
RANGELAND/OR OVEN
LEGAL DE CRIPTIO
LAVATORY .
Ir
IU APPLIANCE VENT- -
WATER HEATER
CONSTRUCTION FEE
-SHOWER-
2 ABSORPTION SYSTEM B: T.U.
SPACE HEATER
BATH TUB'
U INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
CONSTRUCTION POLE
f'1
VV0
WATER NEATER
HEATING' SYSTEM ❑ FORCED ❑ GRAVITY
SERVICE ENTRANCE 99
ELECTRICAL FEE
SEWAGE DISPOSAL
BOILER DB.T. U.
.. RESID. 10 'SO. FT.
` HOUSE SEWER -
RESIDENTAL FEE SO.FT.�C°
GARAGE iC SO. FT.
BOND $
GAS PIPING
PERMIT FEE
PERMIT FEE
- PERMIT FEE • ,
PERMIT f�M�f�\
U
6 � 4
•--
REN.
JDBL.
T��L^FEr.^
HEAT & VENT
PLN. CK. FEE
CONST. 'FEE'
EL�.•FEX
PLUMB. FEE
J F M A + M J
J `A S
-
.0 N D
SET BACK
LOT SIZE
USE V -
JOB ADDRESS - OWNER ,
ZONE -
�•
USE OF BUILDING ;;I,
pqp +
j
I�
PLAN CHECK FEE,-
J ' ..
- .CHECKED
BY
OM UNITY �-
DISTRICT
F.C.`
VALUATION_11 -
OFFICE
MECHANICAL FEE -
'• o
fITS
l"
•
R P
��•
'TYPE
LEGAL DE CRIPTIO
16
PERM ITN
0
MBER
9 4
CONSTRUCTION FEE
'
-
.
"^-,•i
'SPEC.INSP.
"'
SUPP. TO PERMIT '
ELECTRICAL FEE
r • -<,
„
-
PLAN' CHECKER -
BOND $
BONDCASH
PLAN FILE #
FINAL DATE
INSPECTOR -
PLUMBING FEE
x
�.• bo
TOTAL FEES
q!.5- gs—, °
' 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- t4 M.O. N. C.
RECEIVE D�BY
SEWAGE SYSTEM
•
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
•
SIDE COUNTY AND THE STATE OF .CALIFORNIA. 1 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.
OWNER -
CONTRACTOR
' - -
ADDRESS`
DRES --
TEL. NO. - -
TEL. NO.
• -
•
284-208 11/67
_
• `
LICENSE.NO.