164719 (ADD)DEPARTMENT OF BUILDING & SAFETY
CONSTRUCTION ESTIMATE
COUNTY OF RIVERSIDE o
ELECTRICAL FEES
FIELD OFFICE
PLUMBING FEES
JCOT SIZE
1st FI.
2nd FI.
POr.Sq.
. r.
GOr.
Car P.
_
WOII
Sq. Ft. @
NO.
NO.
Sq. Ft. @
Ft. A
ZONE
Sq. Ft. @ POLES
DA/Q Br-',► _
SIGNS ORA I NAGE•P I PING
Sq. Ft.-'@
,TRANS. AND/ DRINKING FOUNTAIN
Sq. Ft. @ OR T. ELK. - -
'�
Sq. Ft. @ MOTOR H. P. URINAL
CHECK FEE
MOTOR H. P. WATER PIPING ..
_
ESTIMATED VALUATION
MOTOR H. P.
FLOOR DRAIN
- MECHANICAL FEES
MOTOR H. P.
WATER SOFTENER
f
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
MOTOR H.P.
WASHER (AUTOI (DISH)
i
APPLIANCE
FIXTURES
GARBAGE DISPOSAL
- } FURNACE❑ UNIT❑ WALL❑ FLOOR❑ SUSPENDED
' J
OUTLETS
LAUNDRY TRAY,
Z AIR HANDLING UNIT
O
SUB -PANEL -
KITCHEN SINK
j
M
J GAS PIPE []*NATURAL ❑ L.P.G. ❑ OIL -
!•,Q
PERMIT NUMBE
WATER CLOSET
1
U COMPRESSOR OHP
RANGE AND/OR OVEN
LAVATORY
6471
E
APPLIANCE VENT
WATER NEATER
SHOWER
1
I!
ABSORPTION SYSTEM - OB.
SPACE HEATER
BATH TUB -
O
1
U INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
CONSTRUCTION POLE
- WATER HEATER
7
HEATING SYSTEM ❑FORCED ❑ GRAVITY
SERVICE ENTRANCE
SEWAGE DISPOSAL -
3
BOILER B.T. U.
RESID. 14t SO. FT.
HOUSE SEWER
A
RESIDENTAL FEE SO.FT.�IflGARAGE
iQ SO. FT.
GAS PIPING
S
PERMIT FEE
PERMIT FEE
PERMIT FEE
PERMIT NU
EG
471
9
REN.
DBL.
TOTAL FEES
HEAT & VENT FEE
PLN. CK. FEE ]CONST.
'�F}EE(, ,..•
ELEC. FEE
PLUMB. FEE
-PERMIT BECOME VOID IF WORK IS NOT COMMENCED
WITHIN 60 DAYS. CESSATION -OF WORK FOR 120 DAY'S SHALL, ALSO
CAUSE PERMIT TO BECOME -VOID.
I HEREBY AGREE THAT ALL WORK IN� CONNECTION WITH THIS
J F M M J J A S
O 'N D
SEWAGE
SET BACK
JCOT SIZE
USE 9
JOB ADDRESS OW��.N�ER '
V. v 1 i �'y-
`
ry
ZONE
USE OF BUILDING • -
DA/Q Br-',► _
^PLAN
'�
CHECK FEE
_
r,•. *r-� �
s,�I
C ECKEO Bi?fl -'CO'MMTJNITY
015TR I CT
F. .
UNITS
VALUATION
OF O
. MECHANICAL FEE
'CR
TV PE -
LEGAL DE IPTIO �-
- �
PERMIT NUMBE
✓•'
1
6471
CONSTRUCTION FEE -
e�
-
SPEC. INSP:
a '.
SUPP. TO PERMIT
ELECTRICAL FEE-
,-
`
-
PLAN CHECKER
BOND $
BOND
PLAN F E 4FINALy
DATED
INSPECTOR
.� PLUMBING FEE
]'CASH
TOTAL FEES
$
THIS SHALL
-PERMIT BECOME VOID IF WORK IS NOT COMMENCED
WITHIN 60 DAYS. CESSATION -OF WORK FOR 120 DAY'S 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-
SIDE COUNTY AND THE STATE O.F. CALIFORNIA. I ALSO AGREE TO
Wj
T
LL,
P
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
T.
WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON-
INFORMATIONDANCE
T�1RACTORS IS ALSO GUARANTEED.
_
At
OWN'k R'"
CONTRACTOR
�•
A Ob R•SS
ADDRESS -
.
fr•
- J/ /
s. e
2
TEL. NO. „pr -
TEL. NO.
LICENSE NO.
,84.208 11/87
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