176915 (FSS)DEPARTMENT OF BUILDING & SAFETY
0 . *
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
1st FI. Sq. Ft. @
2nd FI. Sq. Ft. @
Por. Sq. Ft. @
Gar. Sq. Ft. @
Car P. Sq. Ft. @
Wall Sq. Ft. @
Sq. Ft. @
ESTIMATED VALUATION $
MECHANICAL FEES
VENT SYSTEM [I FAN ❑ EVAP. COOL ❑ HOOD
APPLIANCE
FURNACE 11 UNIT❑ WALL FLOOR SUSPENDED
AIR HANDLING UNIT
GAS PIPE 13 NATURAL 13L.P.G. 11 OIL
COMPRESSOR D HP
APPLIANCE VENT
ABSORPTION SYSTEM D
INCINERATOR DOMESTIC 11 INDUS. 11 COMM.
HEATING SYSTEM ❑ FORCED 11 GRAVITY
BOILER O B.T.U.
PERMIT FEE '
FIELD OFFICE
ELECTRICAL FEES PLUMBING FEES
NO. NO.
POLES
SIGNS DRAINAGE PIPING
T' ,1 DRINKING FOUNTAIN
OR. CI K. /f' 60
MOTOR H. P. URINAL
MOTOR M.P. WATER PIPING
MOTOR H. P. FLOOR DRAIN
MOTOR H. P. WATER'SOFTENER
MOTOR H. P. WASHER (AUTO) (DISH)
FIXTURES GARBAGE DISPOSAL
OUTLETS LAUNDRY TRAY
SUB -PANEL KITCHEN SINK
WATER CLOSET
RANGE AND/OR OVEN LAVATORY
WATER HEATER SHOWER
B.T.U. SPACE HEATER BATH TUB
CONSTRUCTION POLE WATER HEATER
SERVICE ENTRANCE SEWAGE DISPOSAL
RESID. 10 SO. FT. HOUSE SEWER
GARAGE iQ SO. FT. GAS PIPING
PERMIT FEE Q�' PERMIT FEE _2 3
PERMIT
NUMBER
REN. DBL.
TOTAL FEESHEAT
8 VENT FEE
PLN. CK, FEE
CONST. FEE
ELEC. FEE
PLUMB. FEE
76qj
.�.
_ F A _ M J J A S
J F M A M J J A S
O N D
O N D
SET BACK
ILOT
SIZE
USE #
JOB ADDRESS
OWNER
ZONE
US OF BUILDING
A E
PLAN CHECK FEE $
6:
—46
1;749
,,
CHECKED BY
COMM T
I
D TRICT
F. C.
UNITS
VALUATION
OFFICE
MECHANICAL FEE $4
G
TYPE
LEGAL RIPTI ON
PERMIT NUMBER
6
CONSTRUCTION FEE $
/ -1- 4/L`
6
SPEC. INSP.
'-
SUPP. TO PERMIT
��~
ELECTRICAL FEE $
#- R
5—
PLAN CHECKER
BOND $
SONO
CASH
PLAN FILE #
FF,INAL TE
INS(/P'1�E C,
PLUMBING FEE $
/DA
/-a(-7o
(�
`/�,•tz"
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. 6. N. C.
RECEIVE eY
SEWAGE SYSTEM
3
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
FP
'
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
'�
T
LL
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON-
TRACTORS IS ALSO GUARANTEED.
NAME OF CONSTRUCTION LENDER
OWNER
CONTRACTOR
BRANCH OFFICE
-
`
`
ADDRESS1
- _ "
--
ADDR S'S
ADDR ��}'S
CITY STATE
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NO LENDER INVOLVED te
INFORMATION
-NO.
TEL. NO.
TEL.
E /1
LICENSE NO.
" / � ��
' Y�
M4-208 12/88 �7J