166760 (SFD)DEPARTMENT OF BUILDING & SAFETY
FIELD OFFICE
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES PLUMBING FEES
1st FI.
Sq. Ft. @
NO. NO.
Sq. Ft. @
2nd FI.
Sq. Ft. @
Por.
Sq. Ft. @
u POLES
Gar.
Sq. Ft. @
SIGNS DRAINAGE PIPING
Car P.
Sq. Ft. @
ORAT SCLK O/ DRINKING FOUNTAIN
WOII
Sq. Ft. @
MOTOR H. P. URINAL
MOTOR H. P. WATER PIPING
ESTIMATED VALUATION Is
am' -4— MOTOR H. P. FLOOR DRAIN '
MECHANICAL FEES
MOTOR H. P. WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
MOTOR H. P. WASHER (AUTO) (DISH)
APPLIANCE
FIXTURES GARBAGE DISPOSAL
y FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
OUTLETS LAUNDRY TRAY
J
Z AIR HANDLING UNIT
0
5UB-PANEL KITCHEN SINK
I J GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
i
WATER CLOSET
C
I
I U COMPRESSOR �HP
RANGE AND/OR OVEN LAVATORY
D
w APPLIANCE VENT
WATER HEATER SHOWER
E ABSORPTION SYSTEM D B.T.U.
SPACE HEATER BATH TUB
0
U INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
CONSTRUCTION POLE WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SERVICE ENTRANCE SEWAGE DISPOSAL
BOILER B.T.U.
RESID. 16 SO. FT. HOUSE SEWER
RESIDENTAL FEE SQ.FT.�@
L,01' GARAGE z SQ. FT. GAS PIPING
PERMIT FEE
PERMIT FEE PERMIT FEE
r PERMIT 116� /� O
REN.
J
DBL.
TOTALjp'b
HEAT & VENT FEE
PLN. CK. FEE
J
CONST. FE:
J
ELEC. FEES q
PLUMB. FEE
„YYr/"f'f-•N
f J F M A M J J A 5 O D
J F M A M J J A S O N D
SET BACK LOT SIZE
USE #
JOB ADDRESS OWNER
F S R
i
ZONE
OF BUILDING ` D
PLAN CHECK FEE
_
CM &C D
ETY
O TY DI CT F. TS VALUATION OF
MECHANICAL FEE
YPE
LE AL IPTI N PERMIT M E
CONSTRUCTION FEE
-
SPEC. INSP.SUPP.
TO PERMIT
ELECTRICAL FEE -I
PLAN
CHECKERO
BOND CASH PLAN I E # NAL A E INSPECTOR
PLUMBING FEE
fF
CLLLY\i-e
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 C' M.O.
N.C.
RECEIVED BY
SEWAGE SYSTEM
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
IP
SIDE COUNTY AND THE STATE OF CALIFORNIA. i ALSO AGREE TO
N
T LL
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE 0—F, CAI,.IFOIA, COVERING CON -
INFORMATION
TRACTORS IS ALSO GUARANTEE['.
OWNER
CONT ACyTOR !
Rees
'A OWPEST
CITY STATF.
NO
TEL. N . ITEL.
NO.
LICENSE NO.
284-20g 11/87
o G�
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