SFD (166979)DEPARTMENT OF BUILDING 81 SAFETY
f COUNTY OF RIVERSIDE AM
1 CONSTRUCTION ESTIMATE
E
1st FI.
Sq. Ft. @
TOTAL FEES
I 2nd Fl.'
q. Ft. @
CON ST. 'FEE
ELEC. FEE
J RAINAGE PIPING
OR TRANSN . AND/
C I. N
Por.
Sq. Ft. @ +
E �"
Gar.
Sq. Ft. @
H. P.
Car P.
Sq. Ft. @
URINAL
Wall
Sq. Ft. @
i
t
Sq. Ft. @
MOTOR
ESTIMATED VALUATION is
JOB ADDRESS
MECHANICAL FEES
FLOOR DRAIN
VENT SYSTEM ❑ FAN ❑ EVAP. COOL MOOD
H. P.
APPLIANCE
I } FURNACE UNIT WALL FLOOR SUSPENDED
MOTOR
i
I AIR HANDLING UNIT
fGAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
WASHER (AUTO) `DISH)
*F COMPRESSOR HP
R
f.
APPLIANCE VENT
ABSORPTION SYSTEM B.T.U.
OUTLETS
tlpF
INCINERATOR DOMESTIC 13 INDUS. ❑COMM.
ONE
1
HEATING SYSTEM ZF.RCE. ❑ GRAVITY
LAUNDRY TRAY
I BOILER B.T.U.
CHECKED BY
qs IDFNTAI�cF - S�cT�,�@
F.C.
PERMIT FEE
+^S
NO.
ELECTRICAL FEES
FIELD OFFICE
PLUMBING FEES
POLES
E
REN, DBL.
J
TOTAL FEES
SIGNS
PLN. CK. FEE
CON ST. 'FEE
ELEC. FEE
J RAINAGE PIPING
OR TRANSN . AND/
C I. N
DRINKING FOUNTAIN
MOTOR
H. P.
URINAL
MOTOR
H. P.
SET BACK
WATER PIPING
MOTOR
H. P.
JOB ADDRESS
OWNER
FLOOR DRAIN
MOTOR
H. P.
WATER SOFTENER
MOTOR
H. P.
WASHER (AUTO) `DISH)
FIXTURES
R
GARBAGE DISPOSAL
OUTLETS
1.
,
PLAN CHECK FEE
ONE
USE OF BUILDING
.ry
• N✓
LAUNDRY TRAY
SUB.PAMEL
CHECKED BY
COMMUNITY DISTRICT
�;;]
F.C.
KITCHEN SINK.
OFFIICe
MECHANICAL FXE ,I""
�
�}
+mow
WATER CLOSET
RANGE AND/OR OVEN
.!^
LAVATORY
WATER HEATER
PERMIT NU E
I CONSTRUCTION FEE 163-
SHOWER
SPACE HEATER
9 ,�
16
6 9
BATH TUB
CONSTRUCTION POLE
SUPP. TO PERMIT
j
WATER HEATER
SERVICE ENTRANCE
_
SEWAGE DISPOSAL
RESID. IC SO. FT.
CASH
PLAN FILE 9
F NAL DAT
Ila
HOUSE SEWER
GARAGE zQ SO. FT.
-
GAS PIPING -
PERMIT FEE
9-6/ -
J�
�'
PERMIT FEE
PERMIT Nu
E
REN, DBL.
J
TOTAL FEES
MEAT & VENT FEE
PLN. CK. FEE
CON ST. 'FEE
ELEC. FEE
PLUMB. FEE ]
FM A - M J J A S
F M A. _ M ..---J r.J A_ S ...
O N. D
O.-_.. N- D..i
SET BACK
LOT SIZE
USE #
JOB ADDRESS
OWNER
5
R
1.
,
PLAN CHECK FEE
ONE
USE OF BUILDING
.ry
• N✓
DATE
h
1 9 Y
CHECKED BY
COMMUNITY DISTRICT
�;;]
F.C.
UNITS VN
ALU TIO-
OFFIICe
MECHANICAL FXE ,I""
�
E ��'J
.!^
TYPE
LEGAL D If8rCR I P410N
PERMIT NU E
I CONSTRUCTION FEE 163-
A
9 ,�
16
6 9
'SPEC. INSP.
SUPP. TO PERMIT
ELECTRICAL FEE
_
PLAN CHECKER
BOND $
BOND
CASH
PLAN FILE 9
F NAL DAT
INSPECTOR
PLUMBING FEE
9-6/ -
TOTAL FEES
$
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED
WITHIN 60 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO
' CASH
CHECK _ M. 0. N.C.
CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS
ECEIVED 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 i
T
LL
P
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CAlOR IA COVERING CON-
TRACTORS IS ALSO GUARANTEED.
INFORMATION
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OWNER
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ADDRESS
ADDRESS
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TEL. NO.
TEL. NO.
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LICENSE NO.
84.208 .11/87
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