173190 (SFD)DEPARTMENT OF BUILDING & SAFETY '
' - COUNTY OF RIVERSIDE
FIELD OFFICE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
} PLUMBING FEES
1st.Fl.
2nd FI.
Por.
Gar.
Car P.
WOII'
Sq. Ft.@ sit (o NO.
NO.
Sq. Ft: @
°
Sq. Ft. @ # .�
•'
Sq. Ft. @ POLES
USE OF BUILDING y.. ..
Sq., Ft. @ SIGNS +
DRAINAGE PIPING
TRANS. AND/
Sq. Ft. @ OR T. CLK.
.�
DRINKING FOUNTAIN .
Sq. Ft. @ MOTOR H. P.
_ URINAL "
MOTOR H. P.
WATER PIPING
Q�}••
ESTIMATED VALUATION y
MOTOR H. P.
FLOOR DRAIN
MECHANICAL FEETEtSV
/
i• ?. MOTOR * H. P.
WATER SOFTENER
VENT SYSTEM ❑ FAN .❑ EVAP. COOL HOOD
MOTOR _--M. P. -
WASHER (AUTO) DISH)
APPLIANCE
- FIXTURES ++ ••
GARBAGE DISPOSAL
'FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
OUTLETS -
LAUNDRY TRAY
AIR HANDLING UNIT '
SUB-PAR•EL
KITCHEN SINK'
GAS PIPE ❑ NATURAL ❑ U.P.G. ❑ OIL
y' WATER CLOSET
•COMPRESSOR HP
RANGE`AND/OR OVEN
LAVATORY
APPLIANCE VENT +
WATER HEATER
SHOWER
ABSORPTION SYSTEM D B.T.U.
. �SPACE.HEATER •
BATH TUB • _
INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM. '
'CONSTRUCTION POLE
6 WATER HEATER
HEATING SYSTEM AFORC ED ❑GRAVITY _
- .SERVICE ENT/' C
71 SEWAGE DISPOSAL
BOILER B.T.U. + -
RESID. 11 SO. FT.
HOUSE SEWER
RVIDENTAL FEE. SO.FT.�@
�.w„ GARAGE iC SQ. FT.
GAS PIPING
PERMIT FEE-- _ + +
PERMIT FEE
PERMIT FEE
>ERMIT`3190REN.
IN7
DBL.
TOTAL FEES
AT & VENT FEE
PLN. CK. FEE Q
]
CONST. 'FEE
ELEC. FEE
PLUMB. FEE
J F M A M` J J A - S
O N.
SET BAACK
LOT S1ZE
USE 4
JOB ADDRESS OWNER
'7 * 'Sf
J
q�y
R X. /
' -
•'
ZONE
USE OF BUILDING y.. ..
DATE
PLAN CHECK FEE � .��.
it'l
e� Cf! 2 -car -attached 8
9
CHECKED BY
COMMUNITY
DISTRICT
F.C.J
NITS .
VALUATIONOFFICE
4y.+�"•
MECHANICAL FEE
Av*�
Q
ri V7�,
1p
TYPE
LEGAL DESCRIPTION
'rEFIMIT
jMqR
CONSTRUCTION FEE
_
2s !S
1730
SPEC. INSP.
SUPP. TO PERMIT
ELECTRICAL FEE -7
PLAN CHECKER
BOND $
BOND
CASH
PLAN FILE #
FINAL DATE
INSPECTOR
PLUMBING FEE
TOTAL FEES, v,
$
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED'
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.
IECEIVED BY ' SEWAGE SYSTEM
^ PERMIT WILL BE DONE IN ACCORDANCE'WITH THE LAWS OF RIVER-
/,--V
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
.,0(
&ef T /
LL P
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
^S ,INFORMATION, `
ANCE'WITH LAWS OF THE STATE OF CALIFORNIA COVERING' CON-
,E
TRACTORS IS ALSO GUARANTEED.
ti4F '}`J]s
Op ST.y`g'K4C�i jo .r =11
OWNER -
CONTRACTOR
YlWY
AD RE S I
%%���((�yy. fJ/'k
ADD
`7
Cl•n.A�•
ki .i• li
�]
-
TEL. NO.
TEL. NO:�
'�
-
?84-208 11/87