197085 (SATT)46 EPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE •
FIELD OFFICE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
AL FEES'1'if REN. y� HEAT 8 VEA�T-,SEE
{.�
R
O
PL Ffi{�• CONST.
�£/ s
PLUMBING FEES
DBL.
I ST FL. Q
2ND FL.
POR.
GAR. ~
CAR P.
WALL
SQ. FT. @j'rj • 6' 9'?6
SQ. FT. @j
NO.
PLLU�M[B�ING EEE
DBL.
I NO.
V
SQ. FT. MOTOR I OR LESS H.P.
:5Ir'.
K MOTOR 5 OR LESS H.P.
/ E JY1 J
V
MOTOR 20 OR LESS H.P. DRAINAGE PIPING
SQ. FT.
SQ.FT. @ DRINKING FOUNTAIN
SQ. FT. @ URINAL
OK W. UNITS J WATER PIPING
ESTIMATED VALUATION $ f
J
F M
AM
A M
J l A S O
J .J A S O
FLOOR DRAIN
SET BACK
MECHANICAL FEES
LOT SIZE
USE #
WATER SOFTENER
VENT SYSTE El FAN ❑ EVAP. COOL .)Ej HOOD ,%
o
SIGN
0/27
f
WASHER (AUTO,�(DISH)
APPLIANCE YT to >.•
0
FORMER O K.W.
f
GARBAGE DISPOSAL
ZONE
I FURNACE ❑ UNIT O WALL ❑ FkOR ❑ SUSPENDED
I
US If OF B ILDIN
OUTLETS
PLAN CHECK FEE
LAUNDRY TRAY
�`
AIR HANDLING UNIT I CFM
offer "if -h
FIXTURE OR SOCKET
l
KITCHEN SINK
��7J
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
Cb MMUNIT D
CONST. SERV. ENTRANCE
UNITS
VALUATION OFFICE
C
WATER CLOSET
t,>
COMPRESSOR HP
a+
POLE
Cj(1 j
LAVATORY
APPLIANCE VENT
DBL
AMPERES SERV. ENT.
GRS
SHOWER
L G L D C IPTI N
197085 ERMIT NUMBER
9 7 Q 8
ABSORPTION SYSTEM O B.T.U.
SQ. FT. @ Q
BATH TUB
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SO. FT. Cia Q
DBL
WATER HEATER
PLAN CHECKER
HEATING SYSTEM *S FORCED ❑ GRAVITY
U
SQ. FT. RESID. @a I Q
I
SEWAGE DISPOSAL
A
BOILER B.T.U.
SQ. FT. GARAGE �ia 1�2Q r,Y
j�
DBL
HOUSE SEWER
PERMIT FEE
BOND $
BALANCE OF MIN. FEE
CASH
i
GAS PIPING"i7
INSPECTOR
PLUMBING FEE
TRAILER ISSUANCE FEE.=PERMIT•Ff.
PERMIT FEE
✓ t)
/
PERMIT FEE
PER
AL FEES'1'if REN. y� HEAT 8 VEA�T-,SEE
{.�
R
O
PL Ffi{�• CONST.
�£/ s
6.�..
DBL.
ELEE fEE"
DBL.
SPEC. INSP. FEE
PLLU�M[B�ING EEE
DBL.
V
:5Ir'.
�CjK.
AV
J
F M
AM
A M
J l A S O
J .J A S O
N D-
N 0
SET BACK
LOT SIZE
USE #
JOB ADDRESS OWNER
1303
0/27
IR IO
AQ -7,47 r^gcbm
qtr nim m
ZONE
US If OF B ILDIN
DAT
PLAN CHECK FEE
g
�`
offer "if -h
9-1-71
CH EC B
Cb MMUNIT D
TRICT F.C.
UNITS
VALUATION OFFICE
C
MECHANICAL FEE
g �-�
71
a+
Cj(1 j
DBL
g
GRS
TYPE
L G L D C IPTI N
197085 ERMIT NUMBER
9 7 Q 8
CONSTRUCTION FEE
1 V
DBL
PLAN CHECKER
SUPP. TO PERMIT
ELECTRICAL FEE
g —2 la
A✓ "
DBL
BOND $
BOND
CASH
PLAN FILE # FINAL
DATE
INSPECTOR
PLUMBING FEE
t�
I
NAME OF, CONSTRUCTION
LENDER
BRANCH OFFICELENDER
TRAILER PERMIT
$
I VOLVED
ISSUANCE FEE
ddy
Comp,
ADDRESS
CITY
STATE
FEE
Is � ��tO
s
_4
e *n Ann
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSATION
TOTAL FEES
OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
fa
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCOR-
DANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
CARRY. COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE
CASH CHECK N.C.
❑ ❑
RECEIVED BY SEWAGE SYSTEM
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
ILL[ROO(j
IHEREBY CERTIFY THATTHEINDIVIDUALWHOPREPDTH PLANSND SPECIFICATIONS HAS DONE
SO IN ACCORDANCE WITH SECTION 5541 OF THE B I _SID/P FES P CODE
OF CALIFORNIA, OF THE STATE
!
INFORMATION
OWNER
CONTRACTOR
ADD
""•' • s v•
ADD SS V
R
i
TEL. NO.
TEL. N0.
� Y
LICENSE N0.
284-208 (REV. I