162414 (AR)DEPARTMENT OF BUILDING & SAFETY
Nk COUNTY OF RIVERSIDE As
CONSTRUCTION ESTIMATE
€
1st FI. Sq. Ft. @
2nd Fl. Sq. Ft. @
Por. Sq. Ft. @
Gar. Sq. Ft. @
Car P. Sq. Ft. @
Wall Sq. Ft. @
17 --
Sq.
i �: ,{ -��• Sq. Ft.
ESTIMATED VALUATION I$ jifo Cid...
f MECHANICAL FEES
It{[, VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
�i APPLIANCE
F } FURNACE UNIT❑ WALL❑ FLOOR 11 SUSPENDED
J
2 AIR HANDLING UNIT
0
J GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
Q
U COMPRESSOR HP
X
W APPLIANCE VENT
2 ABSORPTION SYSTEM D B.T.U.
0
U INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
BOILER I B.T.U.
RESIDENTAL FEE SQ, FT. P
PERMIT FEE
[ERMIT ��� 4 1 4 REN. DBL. TOTAL FEES
i.^ n U
J c M A M
ELECTRICAL FEES
POLES
LOT SIZE
SIGNS
USE it
TRANS. AND/
OR T. ELK.
MOTOR
H.P.
MOTOR
H.P,
MOTOR
M.P.
MOTOR
M.P.
MOTOR
M.P.
FIXTURES
OUTLETS
ZONE
%
SUB-PAMEL
AT
RANGE AND/OR OVEN
WATER HEATER
SPACE HEATER
CONSTRUCTION POLE
SERVICE ENTRANCE
RESID. IQ 50. FT.
GARAGE ;Q SQ. FT,
PERMIT FEE
HEAT 8 VENT FEE PLN. CK. FEE CONST. FEE
L
J IJ IA IS 10
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
WASHER (AUTO) (DISH)
GARBAGE DISPOSAL
LAUNDRY TRAY
KITCHEN SINK
WATER CLOSET
LAVATORY
SHOWER
BATH TUB
WATER HEATER
SEWAGE DISPOSAL
HOUSE SEWER
GAS PIPING
PERMIT FEE
PLUMB. F
N ID
SET BACK
LOT SIZE
USE it
JOB ADDRESS.47 OWNER
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^
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5
R
1 i
/14
'
ZONE
%
fYSE BUILDING
AT
PLAN CHECK FEE
t )7
CHECKED BY
COMMUNITY -
DISTRICT
F.C.
KNITS
VALUATION
OFF)ICE
'7J
t
X
MECHANICAL FEE
,.LLVA-
GROUP
TV PE
'LE GA'L D E4E RisON
PERMIT N
MB
R
'
CONSTRUCTION FEE
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162f14
SPEC. INSP.
- '
SUPP. TO PERMIT
ELECTRICAL FEE
/
`;f;'�j t fIJ l
PLAN CHECKER
BOND $
BOND
CA5H
PLAN FIL:Efir
FINAL DATE
INSPECTOR
L� �%�
PLUMBING FEE
1'
1'/L1��Iy�
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. 0. N.c.
RECEIVED 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.
I
OWNER Y
CONTRACTOR
]y�
ADORE,S'S AV
ADDRESS
-�
.
i
TEL. NO.
TEL. NO.
1
LICENSE NO,
284-208 11/87
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