162547 (SFD)CONSTRUCTION ESTIMAT
' 1st F.I.
Sq. Ft. @
2nd FI.
Sq. Ft. @
Par.
Sq. Ft. @
Gar.
Sq. Ft. @
H. P.
t,
Car P.
Sq. Ft. @
Wall
Sq. Ft. @
f
Sq. Ft. @
ESTIMATED VALUATION $ J'Af;
MECHANICAL FEES
DEPARTMENT OF BUILDING & SAFETY
dlbk COUNTY OF RIVERSIDE AN
NO,
ELECTRICAL FEES
POLES
EVAP, COOL
SIGNS
MOTOR M.P.
TRANS. AND/
OR T. CLK.
APPLIANCE
MOTOR
H. P.
MOTOR
H. P.
MOTOR
H. P.
MOTOR
H. P.
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑
EVAP, COOL
❑ HOOD
MOTOR M.P.
WASHER (AUTO) IOISH)
APPLIANCE
MIT FEE
J A { 5 O N D
FIXTURES
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL
❑ FLOOR ❑
SUSPENDED
OUTLETS
LAUNDRY TRAY
AIR HANDLING UNIT
[.ICK
S
I.A.ICAL
R �t t
SUB -PANEL
KITCHEN SINK
GAS PIPE ❑ NATURAL
❑ L.P.G. ❑
OIL
ZONE
WATER CLOSET
COMPRESSOR
OHP
RANGE AND/OR OVEN
LAVATORY
APPLIANCE VENT
CHECKED BY
WATER HEATER
F4
SHOWER
ABSORPTION SYSTEM
E::�
T. U.
SPACE HEATER
BATH TUB
n .-_.,_
n._....
J
HEATING SYSTEM
❑ FORCED ❑ GRAVITY
� B.T.U.
LICrLER
[DENTAL FEE
SQ. FT. C
MIT FEE
J A { 5 O N D
SERVICE ENTRANCE
RESID. 1Q SQ. FT.
@ GARAGE 1q! SO. T.
PERMIT FEE
SEWAGE DISPOSAL
HOUSE SEWER
GAS PIPING
PERMIT FEE
E�54__V_TN.,jDBL.
TOTAL FEES HEAT & VENT FEE PLN, CK. FEE Ci)NST. 'FEE ELEC. FEE PLUMB. FEE
t
F
M A M J
J A { 5 O N D
F
M {� M J
J A S O N D
OT SIZE
USE it
JOB ADDRESS �,} OWNER � -
.
[.ICK
S
I.A.ICAL
R �t t
"' J 1 C
1
ZONE
USE OF BUILDING
DATE
CHECK FEE
OFFI E
CHECKED BY
COMMUNITY
DISTRICT
F.C.
UNITS
J
11ALUIT11",
FEE
GROUP
TYPE
LEGA RIPON PERMIT NUMBE
,
1.6 2547
I CONSTRUCTION FEE;
/\ z '� -/ s
'
SPEC. INSP.
of SUPP. TO PERMIT
ELECTRICAL FEE
PLAN CHECKER
BOND $
BOND
CASH
PLAN FILE 11
INSPECTOR
PLUMBING FEE
I
TOTAL FEES
(
$ rte" —
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED
WITHIN 60 DAYS. CESSATION OF WORK FOR 124 DAYS SHALL ALSO
CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS
CASH CHECK M.O. N. c.
RECEIVED BY
SEWAGE SYSTEM
p
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
IF,
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
e
T
LL
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON-
INFORMATION
TRACTORS IS ALSO GUARANTEED.
i
OWNER
CONTRACTOR 1
ADDRE S
ADDRESS
l
i
1
C
TEL. NO,
TEL. NO.
2
LICENSE NO,
284-208 11/87