172989 (RPL)DEPARTMENT OF BUILDING & SAFETY
bCOUNTY OF RIVERSIDE a
FIELD OFFICE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
1st FI.
2nd FI.
Por.
Gar.
Car P.
U/ /�J�
{}alI i'�
•Fl W
Aril:
Sq. Ft. @
NO. NO.
Sq. Ft. @
.r. 7
Sq. Ft. @
Sq. Ft. @ POLES
ZONE
:Sq. Ft. @ SIGNS
DRAINAGE PIPING
Sq. Ft. @ OR T . 001
DRINKING FOUNTAIN
Sq Ft /) - MOTOR M.P.
URINAL
MOTOR H. P.
WATER PIPING
ESTIMATED VALUATION Is
MOTOR H. P.
COMMU ITY - I IC .C. UN s- VALUATION OFFICE
FLOOR DRAIN '
" MECHANICAL FEES
MOTOR H. P.
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP, COOL ❑ HOOD
MOTOR H. P.
WASHER (AUTO) (DISH)
APPLIANCE
FIXTURES 2_0GARBAGE
DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
J
OUTLETS
�
LAUNDRY TRAY
Z AIR HANDLING UNIT
O
SUB -PANEL
1
KITCHEN SINK
- J GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
Q
WATER CLOSET
U COMPRESSOR HP
RANGE AICD/OR OVEN
LAVATORY
0:
W .APPLIANCE VENT
- WATER HEATER
SHOWER
2 ABSORPTION SYSTEM D B.T.U.
O
SPACE HEATER
-
BATH TUB
U INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
CONSTRUCTION POLE
WATER HEATER
HEATING SYSTEM ❑ FORCED 11 GRAV.ITY.
SERVICE ENTRANCE
_
SEWAGE DISPOSAL
BOILER B.T.U.
RESID. IQ SQ. FT.
BOND
! .�.
If
RESIDENTAL FEE SQ.FT.E::��@
GARAGE zC 50. FT.
INSPECTOR
GAS PIPING
J Iry
PERMIT FEE -
PERMIT FEE
PERMIT FEE
>ERMIT NUT7
9JOBL.,`
REN.
FEES �,y'y
3-
HEAT 8, VENT FEE
PLN. CK. FEE
4--
CONST. 'FELE'ELEC.
'
FEE
THIS PERMIT SHALL BECOME VOID IF1WORK 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
PLUMB. FEE8
J a M A M J J I A S
10
IN ID
SET BACK LOT SIZE
USE #
1
J08 ADDRESS OWNER �
a
S R
.r. 7
ZONE
St'OF ffUICDITIG ' [IST
PLAN CHECK FEE
CN CKED BY
COMMU ITY - I IC .C. UN s- VALUATION OFFICE
MECHANICAL FEE
GR P TYPE
EGAL DE C ION • RMIT NUMBE
�12g8�
�
1
CONSTRUCTION FEE
� � �
-
SPEC. INSP.
_ '
SUPP. TO PERMIT
�n
-
ELECTRICAL FEE
_
PLAN CHECKER
BOND $
BOND
CASH
PLAN FILE #
FINAL DATE
INSPECTOR
PLUMBING FEE
""'�
�•/O- 70
TOTAL FEES
$6-=$
6-7
THIS PERMIT SHALL BECOME VOID IF1WORK 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. 0. N.C.
ECEIVED BY
SEWAGE
SYSTEM
PERMIT WILL BE DONE IN ACCORDANCE WITH THELAWS OF RIVER-
FLL
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO 'AGREE TO
T
P
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON -
INFORMATION
TRACTORS IS ALSO GUARANTEED.
i
smOF C sT
OWNER
CONTRACTOR'','n,�.--
a'1
ADDRESS
ADDRESS
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MTV
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Alm �r
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TEL. NO.
- L. NO.
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LICE175�0.
:84-208 1