188620 (PC)DEPARTMENT OF BUILDING & SAFETY
. 0 COUNTY OF RIVERSIDE 0
FIELD OFFICE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
1st FI. %`t
2nd FI.
Par.
Gar.
Car P.
Wall
Sq. Ft. @,
y NO.
NO.
�-
Sq. Ft. @ {I
Sq. Ft. @
Sq. Ft. @ POLES`.
Sq. Ft. @ SIGNS DRAINAGE PIPING'
+}' TRANS. DRINKING FOUNTAIN AND/
Sq. Ft. @ OR T. CLK. p
MOTOR H.P. URINAL �f
Sq. Ft. @
MOTOR H. P. WATER PIPING
ESTIMATED VALUATION Is
MOTOR H. P. L I
ti
I FLOOR DRAIN
MECHANICAL FEES
..,.T a
- a
VENT SYSTEM ❑ FAN ❑ EVAP. COOL
❑ HOOD
MOTOR H. P.
WASHER (AUTO) (DISH)
APPLIANCE
HEAT B VENT FEE
FIXTURES
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑
SUSPENDED
OUTLETS
LAUNDRY TRAY
AIR HANDLING UNIT
SUB -PANEL
KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑
OIL
WATER CLOSET
COMPRESSOR �HP
0.-.`�
RANGE AND/OR OVEN
LAVATORY
APPLIANCE VENT
SET BACK ILOT
WATER HEATER
SHOWER
1'
ABSORPTION SYSTEM
D B.T.U.
SPACE HEATER
BATH TUB a;
INCINERATOR DOMESTIC ❑ INDUS.
❑ COMM.
CONSTRUCTION POLE
WATER HEATER
HEATING SYSTEM 0 -FORCED ❑ GRAVITY
SERVICE ENTRANCE
SEWAGE DISPOSAL
BOILER B.T.U.
WE OF BUILDING +..r/j -
RESID. 10 SO. FT.
HOUSE SEWER t,
•
PERMIT FEE 1J
GARAGE iQ SO. FT,
C'
GAS PIPING M
•
PERMIT FEE
PERMIT FEE {
P R -T U
B
REN. DBL.
TOTAL FEES
HEAT B VENT FEE
PLN. CK. FEE; 1
CONST. FEE
ELEC. FEE
PLUMB. FEE a
_..M _ _ Am..�,'J- A -.-. .._-�-.. S..
0.-.`�
J F M A M J J A S
SET BACK ILOT
SIZE
USE #
JOB ADDRESS
OWNER -
F 4s
R
( ) lI
ZONE
WE OF BUILDING +..r/j -
ry
/��•
W�
PLAN CHECK FEE $ 1:�
CHECKED BY
CO M ITY
IS RI T
UN T
V/AL�fU�IA�TIOO/Nup�
MECHANICAL FEE $44
�w
III=I
W� 5•�
G,w�
CONSTRUCTION FEE $
GROUP TYPE
L G/AL DESCRII PPTI N ,r
. / f - 1 L.
188620
PERMIT NUMBER
+,
SPEC.INSP.
SU PP. TO PERMIT
ELECTRICAL FEE $
A
Ile r
I
_
PLAN CHECKER
BOND $ BOND
ASH PLAN FILE #
IF,.L_ VE
INSPECTOR 5
PLUMBING FEE $
92 A
/WORK
TOTAL FEES
$
THIS PERMIT SHALL BECOME VOID IF IS NOT COMME ED
d
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.
RECEINSD BY
SEWAGE SYSTEM
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
1p
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 C NSTRUCTION LENDER
OWNER �f
}/ +j��
CONTRACTOR
BRANCH OFFICE
, j/t,,
ADDRESS
ADDRESS f' y (
ADDRESS
CITY STATE
NO LENDER INVOLVED
' INFORMATION
'
TEL. NO.
TEL. NO.
}yam
?84-208' 12/88 •
/J��,. } �,/(j
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