158896 (RPL)DEPARTMENT OF BUILDING & SAFETY
ok COUNTY OF RIVERSIDE Ad
FIELD OFFICE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
1st FI.
2nd FI.
Por.
Gar.
Car P.
Wall
allll y
di� I
Sq. Ft. @
NO.
APPLIANCE VENT
N0.
Sq. Ft. @
SHOWER
Sq. Ft. @
ABSORPTION SYSTEM D B.T.U.
Sq. Ft. @ POLES
Sq. Ft. @ SIGNS
DRAINAGE PIPING
Sq. Ft. /1 OT /
@ RCL (.
DRINKING FOUNTAIN
Sq. Ft. @ MOTOR H. P.
URINAL
MOTOR H. P.
WATER PIPING
ESTIMATED VALUATION $ 40
A 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
RESIDENTAL FEE SO. FT.�@
GARBAGE DISj?OSAL
} FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
OUTLETS
LAUNDRY TRAY
J
2 AIR HANDLING UNIT
O
SUB-PAMEL
I I PERMIT FEE
KITCHEN SINK
J GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
/�
REN.
WATER CLOSET
Q
I) COMPRESSOR F
RANGE AND/OR OVEN
PLN. CK. FEE
LAVATORY
W
USE ft
JOB ADDRESS/1OWNERRZONE
IV
APPLIANCE VENT
WATER HEATER
SHOWER
2
ABSORPTION SYSTEM D B.T.U.
SPACE HEATER
BATH TUB
O
U
INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
CONSTRUCTION POLE
COMMUNI YAle-
WATER HEATER
F.C.
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SERVICE ENTRANCE
riSETK
FEE
5E"j&_Q4AA0,,%AL
t✓!Y
'
BOILER 1 7 B.T.U.
RESID. 16 50. FT.
GROUP.
HOUSE SEWER
LEGAL SCRIPT ON
RESIDENTAL FEE SO. FT.�@
GARAGE yQ SQ. FT.
j
I AS PIPING
PERMIT FEE
I PERMIT FEE
Ian
I I PERMIT FEE
r{�M�i�
_I
/�
REN.
DBL.
TOTAL FE ES� /t
i/
HEAT B VENT FEE
PLN. CK. FEE
CONST.
'FEE
ELEC. FEE
PLUMB. FEE
[ERMIT
B ND $
BOND I
loJ 8 9 6
JP�LA�NTFILEi7FIN
L "A/TE
�- r�9-(o �'
INSPECTOR
�L
TOTAL FEESfi
dj
Qom,
E+Ica
I.` --IJ IF IM In `i.: I, I, IA 1t 1n lu In I
LOT SIZE
USE ft
JOB ADDRESS/1OWNERRZONE
U E OF qFEE
d`CHEC
EO Y
COMMUNI YAle-
I I
F.C.
NITS
VALUATION OFFICE
riSETK
FEE
t✓!Y
'
GROUP.
TYPE
LEGAL SCRIPT ON
PERMIT NUM ER
N FEE15886SPEC.INSP.
SUPP. TO PERMIT
FEE�.✓�
PLUMBING FEE
-'"
PLAN CHECKER
B ND $
BOND I
f4ghr
JP�LA�NTFILEi7FIN
L "A/TE
�- r�9-(o �'
INSPECTOR
�L
TOTAL FEESfi
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.
'DECEIVED BY
SEWAGE SYSTEM
PERMIT WILL BE DONE IN ACCORDANCE' -WITH THE LAWS OF RIVER-
T
ILL
P
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIAN COVERING CON-
TRACTORS IS ALSO GUARANTEED. -
OWNER
CONT ACTOR
ADDRESS` >✓
ADDRESS
.,
TEL. NO. r
TEL. NO. -
LICENSE NO.
,84.208 11/87