173191 (SFD)DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD OFFICE
CONSTRUCTION ESTIMATE
JOB ADDRESS OWNER
, � !
ELECTRICAL FEES
S 5
PLUMBING FEES
1st FI.
2nd Fl.
j Par.
/Liar.
C
CarP.
' Wall
Sq. Ft. @ ir'eNO.
USE OF BUILDING DATE
PLAN CHECK FEE_)
EE
NO.
A -i
Sq. Ft. @
Sq. Ft. @
CHECKED BY
Sq. Ft. @^ POLES
.C. UNITS
$q. Ft. @ SIGNS DRAINAGE PIPING
MECHANICAL FEE
TRANS. AND/ DRINKING FOUNTAIN
Sq. Ft. @ OR T. CLK.
rs
Sq. Ft. @ MOTOR H. P. URINAL
MOTOR H.P. f WATER PIPING
ESTIMATED VALUATION$
!f
MOTOR
H. P.
R IT NUM ER
PT!
FLOOR DRAIN
MECHANICAL FEES !r
MOTOR
H. P.
X31 1
WATER SOFTENER
CONSTRUCTION FEE
VENT SYSTEM FAN ❑ EVAP. COOL MOOD
MOTOR
H. P.
WASHER (AUTO) ISH)
APPLIANCE
SPEC. INSP.
FIXTURES
SUPP. TO PERMIT
ELECTRICAL FEE
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ V41_1_0 FLOOR ❑ SUSPENDED
OUTLETS
PLAN CHECKER
LAUNDRY TRAY
BOND
AIR HANDLING UNIT
PLAN FILE 11
SUB-PAMEL
INSPECTOR
KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
I
70
WATER CLOSET
PLUMBING FEE
COMPRESSOR HP
R GE AND/OR OVEN
LAVATORY
APPLIANCE VENT
WATER HEATER
$
SHOWER
0.
ABSORPTION SYSTEM O B.T.U.
SPACE HEATER
CASH CHECK M. o. N.C.
ECEIVED BY
BATH TUB
>8
INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
CONSTRUCTION POLE �V'
WATER HEATER
HEATING. SYSTEM XFORCED ❑GRAVITY
J,
SERVICE ENTRANCE
SEWAGE DISPOSAL
BOILER B.T.U.
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
RESID. 10 SQ. FT.
T
LL
HOUSE SEWER
P„�,�
{tFCIDFN SQ.FT.�@
INFORMATION
GARAGE jQ SO. FT. .�J!
GAS PIPING
PERMIT FEE
��
PERMIT FEE
�,i
PERMIT FEE
CONTRACTOR S
ERMIT NU
9.1
REN.
DBL.
TOTAL FEES
� �.�
MEAT & VENT FEE
�-�
PLH. CK. FEE
,,tea
CONST. 'FEE
�o
ELEC.
FEE
.
PLUMB. FEE
J F M M J
J A
S
.j f
O N D
SET BACK
LOT SIZE
USE 9
JOB ADDRESS OWNER
, � !
20
S 5
R 3b
A
ZONE
USE OF BUILDING DATE
PLAN CHECK FEE_)
EE
A -i
>n,w-
acMd in -14-69
CHECKED BY
COMMUNITY DISTRICT
.C. UNITS
VALUATION OFFICE
MECHANICAL FEE
rs
S'
GROUP TYPE
LEGAL DESCRIPTION
R IT NUM ER
PT!
1
X31 1
CONSTRUCTION FEE
�� .�� •
_�
SPEC. INSP.
SUPP. TO PERMIT
ELECTRICAL FEE
PLAN CHECKER
BOND $
BOND
CASH
PLAN FILE 11
FINAL DATE
INSPECTOR
499
I
70
PLUMBING FEE
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.
ECEIVED 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
P„�,�
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON -
INFORMATION
TRACTORS IS ALSO GUARANTEED.
NAM OF C013MC %.IF
DM
OWNER
CONTRACTOR S
ADDRESS
AD V
.j f
QQ
AM'EVS
cm
�1Mr rw��
TEL. NO.
TEL. O.Y
8 4-2 08 11/87
-
'LICENSE NO.
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