189747 (MECH)DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
1st FI.
Sq. Ft. @
2nd FI.
Sq. Ft. @
Por.
Sq. Ft. @
Gar.
Sq. Ft. @
Car P.
Sq. Ft. @
Wall
Sq. Ft. @
Sq. Ft. @
ESTIMATED VALUATION $
MECHANICAL FEES
ELECTRICAL FEES
POLES
SIGNS
TRANS. AND/
OR T. CLK.
MOTOR H. P.
MOTOR H. P.
MOTOR H. P.
NO.
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
VENT SYSTEM ❑ FAN ❑ EVAP. COOL
❑ HOOD
MOTOR
H. P.
WASHER (AUTO) (DISH)
APPLIANCE
HEAT & VENT FEE
FIXTURES
CONST. FEE
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑
SUSPENDED
OUTLETS
LAUNDRY TRAY
AIR HANDLING UNIT
LOT SIZE
SUB -PANEL
JOB ADDRESS
KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑
OIL
IF?ZONE
WATER CLOSET
COMPRESSOR OHP
RANGE AND/OR
OVEN
LAVATORY
APPLIANCE VENT
WATER HEATER
D;4fE
SHOWER
ABSORPTION SYSTEM
O B.T.U.
SPACE HEATER
BATH TUB
INCINERATOR DOMESTIC ❑ INDUS.
❑ COMM.
CONSTRUCTION
POLE
WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SERVICE ENTRANCE
SEWAGE DISPOSAL
BOILER B.T.U.
RESID. 1Q SQ.
FT.
HOUSE SEWER
PERMIT FEE
GARAGE zQ SQ.
FT.
GAS PIPING
PERMIT NUMBER
CONSTRUCTION FEE $
PERMIT FEE
I
PERMIT FEE
PERMIT
NlI}v1BER
A9747
REN. DBL.
TOTAL FEES
HEAT & VENT FEE
PLN. CK. FEE
CONST. FEE
ELEC. FEE
J
PLUMB. FEE
J F M S
A M J J A S
J F M A M J J A
O N D
O N D
SET BACK
LOT SIZE
USE V
JOB ADDRESS
OWNER
IF?ZONE
U E'aF BUILDIN a
D;4fE
PLAN CHECK FEE $
t
✓• ,/, ,: � to
„x'� �^
CHECKED BY
COMMUNITY ' -
DISTRICT
F.C.
VALUATION
OFFICE
MECHANICAL FEE $
f�.
4 •
JUNITS
�'��•�
GROUP
TYPE
LEGAL ftSCkIPTION
PERMIT NUMBER
CONSTRUCTION FEE $
I
, `�„ fw C r ;�- �
V
SPEC. INSP.
'
SUPP. TO PERMIT
ELECTRICAL FEE $
'
PLAN CHECKER
BOND $
BOND
CASH
PLAN FILE #
1 L D
INSPECTOR
PLUMBING FEE $
J
TOTAL FEES
y}'FIS
PERMIT SHALL I NOT
R1201 COMMENCED
"
WITHIN 60DAYS.CESSAT ON OF WORKFOR DAYS SHALLS ALSO
CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS
CASH CHECK M.O. N.C.
RECEIVE 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 -
TRACTORS IS ALSO GUARANTEED.
NAME OF CONSTRUCTION LENDER
OWNER
CONTRACTOR
BRANCH OFFICE
,
ADDRESS
ADDRESS
ADDRESS ,
CITY STATE
NO LENDER INVOLVED
IN ORMAATTION
s
TEL, NO.
TEL. NO.
e jj ,
f T
..
284-208 12/88
p s
LICENSE NO,
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