169596 (AR)DEPARTMENT OF BUILDING 81 SAFETY
FIELD OFFICE
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
1st Fl.
Sq. Ft. @
NO.
NO.
Sq. Ft. @
2nd FI. A0 I
Sq. Ft. @
Por.
Sq. Ft. @
POLES
Gar.
Sq. Ft. @
SIGNS
DRAINAGE PIPING
Car P.
Sq. Ft. @
TRANS. AND/
OR T. CLK.
DRINKING FOUNTAIN
Wall
Sq. Ft. @
MOTOR H. P.
URINAL
!?�
MOTOR H. P.
WATER PIPING
U
E T(M D VALUATION$
�- MOTOR H. P.
FLOOR DRAIN v
MECHANICAL FEES
MOTOR H. P.
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
MOTOR H. P.
WASHER (AUTO) `DISH)
APPLIANCE
FIXTURES
GARBAGE DISPOSAL
> FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
OUTLETS
LAUNDRY TRAY
J
Z AIR HANDLING UNIT
0
SUB -PANEL
KITCHEN SINK
J GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
WATER CLOSET
. Q
- U COMPRESSOR �HP
RANGE AND/OR OVEN
LAVATORY
ll
W APPLIANCE VENT
WATER HEATER
SHOWER
2
2 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 D B.T.U.
RESID. IC SO. FT.
HOUSE SEWER
Ind
RES IDENTAL FEE SO.FT. j@
GARAGE zQ SO. FT.
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
PERMIT y/I. REN. D�L. TOT L FEES HEAT & VENT FEE PLN. CK. F� CONST. FEE ELEC.
FEE PLUMB. FEE
IrLJI Z
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J FM M
J J A S
O N D
J F M A M
J J A S
O N D
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SET BACKLOT SIZE
USE #
JOB ADDRESS
OWN
F S R
ZONE
OF BUILDING
0 T
PLAN CHECK FEE
r�
C EC ED BYC
MMU IT DISTRIC F.
ON O
1UNITSAL
MECHANICAL FEEff
AV,
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41,
GROUP
TYPE
LE AL E RI TIO
PERMIT IM�E(L
69 5 6
CONSTRUCTION FEE
��
SPEC.
S
SUPP. TO PERMIT
r/��V
ELECTRICAL FEE Z_
PL N CHECKER
OND B ND CASH PLAN FKE #
FIN/AL A)TE INSP CTOR
(
"J ! l'I
PLUMBING FEE
"a
TOTAL FEES $ i�f`
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.
RECEIVED BY
SEWAGE SYSTEM
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
T
CARRY COMPENSATION INSURANCE UPON.MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON -
INFORMATION
TRACTORS IS ALSO GUARANTEED.
Il�j �♦ (� ♦ i• .�.] .
OWNER ICONTRACTOR
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Sr; non Office ADDRESS
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city / Auto -
Me Leader 1tT^1v9d
TEL. NO.
ADDRESS
TEL. NO.
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