176686 (SATT)FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
VENT SYSTEM FAN ❑ EVAP. COOL MOOD
4
DEPARTMENT OF BUILDING & SAFETY
• COUNTY OF RIVERSIDE 0
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
1st FI.
2nd FI.
Por.
Gar.
Car P.
Wall
CONST. FEE ELEC. FEE'
Sq. Ft. @
O
3 No.
+,
Sq. Ft. @
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
Sq. Ft. @ N!3
OUTLETS
Sq. Ft. @
40 POLES
Sq. Ft. @
SIGNS
Sq. Ft. @
TRANS. AND/
OR T. CLK.
Sq. Ft. @
MOTOR H. P.
LOT SIZE
MOTOR H. P.
ESTIMATED VALUATION $
OWNER
MOTOR H. P.
WATER CLOSET
MECHANICAL FEES
MOTOR H -P -
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
VENT SYSTEM FAN ❑ EVAP. COOL MOOD
4
MOTOR H. P.
WASHER (AUTO (DISH)
HEAT & VENT FEE
APPLIANCE
CONST. FEE ELEC. FEE'
FIXTURES
GARBAGE DISPOSAL
�•�
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
fng
OUTLETS
7
LAUNDRY TRAY
AIR HANDLING UNIT
--- N D - --
O N D
SUB -PANEL
SET BACK
.KITCHEN SINK
LOT SIZE
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
JOB ADDRESS [,�Q t t
OWNER
WATER CLOSET
O
COMPRESSOR HP
S
RANGE AND/OR OVEN
LAVATORY
1
APPLIANCE VENT
WATER HEATER
OF
SHOWER
Rv `C,
ABSORPTION SYSTEM D B.T.U.
PLAN CHECK FEE $
SPACE HEATER
t
BATH TUB
CHECKED BY
INCINERATOR DOMESTIC ❑ INDUS..❑ COMM.
CONSTRUCTION POLE
UNITES
WATER HEATER
HEATING SYSTEM FORCED ❑ GRAVITY
VY
SERVICE ENTRANCE
.,
SEWAGE DISPOSAL
04 -
BOILER C�B.T.U.
RESID. 1Q SO. FT.
HOUSE SEWER
!
PERMIT FEE
GARAGE ?Q SO. FT.
TYPE
GAS PIPING
i
PERMIT
PERMIT FEE
qp
PERMIT FEE
y+
P R T U
E
REN. JDBL.
TOTAL FEES I
HEAT & VENT FEE
I PLN. CK. FEE
CONST. FEE ELEC. FEE'
PLUMB. FEE _
U
fng
.I2
7
�r, JF M A M J J A ._S --O
J F M A M J J A S
--- N D - --
O N D
SET BACK
LOT SIZE
USE V
JOB ADDRESS [,�Q t t
OWNER
F
S
RW
R, 77f
4 F �i AA
ZONE -0 r
USE OF BUILDING DATE
PLAN CHECK FEE $
s
t
CHECKED BY
COM ITV
UNITES
LMUATION
JOISTRICTF.C.
eOFFICE
MECHANICAL FEE $ ,yr,
!
++la�`a..
G UP
TYPE
LEGAL D SCRIPTION
PERMIT
NUMBER
��
1
76686
CONSTRUCTION FEE $
f
114?91•+I.
45
SPEC. INSP.
SUPP. TO PERMIT
ELECTRICAL FEE $ 1
/
a�I's
PLAN CHECKER
BOND $
BOND I
CASH
PLAN FILE V
FINAL DATE
INSPECTOR
PLUMBING FEE $.N
�- a ) O
R
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 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
LL
/q
I P y/(i
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORN COVERING CON-
TRACTORS IS ALSO GUARANTEED.
NAME OF CONSTRUCTION LENDER
OWNER
C N C OR IN A`I
BRANCH OFFICE
ADDRESS
AD ESS
ADDREss.�g2js 5,a 494,aA/
CITY STATE �
y
NO LENDER INVOLVED
INFORMATION
?^,.q
`
TEL. NO.
TEL.y(/
LICENSE NO.
284-208 12/6%y �/-