166612 (SATT)DEPARTMENT OF 'BUILDING & SAFETY
ER IT I�M6�
ILII
COUNTY OF RIVERSIDE
FIELD OFFICE
CONSTRUCTION ESTIMATE.
ELECTRICAL FEES
PLUMBING FEES
1st FI.
2nd FL
Por.
Gar.
Car P.
- Wall
1 "
'
Sq. Ft.-@
No.
CONST. 'FEE
No.
Sq. Ft. @
Sq... Ft. @
Sq. Ft. @ POLES '
Sq. Ft. @,, SIGNS_
DRAINAGE PIPING
TRANS. AND/
Sq. Ft.@ OR T. CLK.
DRINKING FOUNTAIN
Sq.: Ft. /1 -MOTOR H. P.
C
URINAL
- MOTOR M.P.
WATER PIPING
ESTIMATED VALUATION $
MOTOR
M.P.
FLOOR DRAIN
- MECHANICAL FEES
1
MOTOR
H.P.
WATER SOFTENER
I. VENT SYSTEM ❑ FAN ❑ EVAP• COOL ❑ HOOD
MOTOR
H.,P.
WASHER (AUTO) (DISH)
' APPLIANCE -
FI%TURES`--
-SE F `OBUI D'NGp" y "'
''
GARBAGE DISPOSAL
} FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
J
OUTLET5
r•.w
LAUNDRY -TRAY•
1.
Z AIR HANDLING UNIT
0
SUB -PANEL
'COMMUN TY�
KITCHEN SINK
1 J, GAS PIPE ❑ NATURAL 11L.P.G. 11 OIL
Q
VALUATION
O FI'CE
WATER CLOSET
.
U COMPRESSOR �HP
RANGE AND/OR OVEN
LAVATORY
W APPLIANCE VENT.
w �
WATER HEATER
'
SHOWER -
;- ABSORPTION SYSTEM D B: T. U.
O
SPACE HEATER ..
BATH TUB
i
U INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
CONSTRUCTION POLE
-
WATER HEATER.
HEATING SYSTEM ❑ FORGED ❑ GRAVITY ".
SERVICE EN TRANCE
6 6
SEWAGE DISPOSAL
.SEWER
BOILER-RESID.
16 SO. FT.
HOI ,E ,yam
RESIDENTAL FEE SO.FT.�C@
GARAGE iQ' SO. FT.
�.
GAS PIPING "
• PERMIT FEE
PERMIT FEE
SUPP. TO PERMIT
.8 PFwMIT erc �'-D 1:/J
ER IT I�M6�
ILII
1,
/�
•G�
REN. JDBI.
TOTAL FE ESpry _HEAT
4lrr l5Jl,1�.pw
& VENT FEE
PLN. CK.' FEE
CONST. 'FEE
FEE
PLUMB. FEE
yM
]ELEC.
.....�ar...+•'-
J - F M J J A 5
J F M A M J J A S
O. N- D
O N D _
I
SET BACK
LOT SIZE.
USE 4
JOB ADDRESS �sWRI
+� 1
f
ZONE -
-SE F `OBUI D'NGp" y "'
''
DATE
1 PLAN CHECK FEE
r
-
r•.w
`� {'�
Y
CHECKED BY
'COMMUN TY�
DIFSTR ICT
F.C. UNITS
VALUATION
O FI'CE
MECHANICAL FEE " "'.��
1
•-�"'+�'-
'
GROUP r
TYPE
LEGAL DESCRIPTION -
PERMIT N MBE
6 6
1 �.
CONSTRUCTION. F E'E
�.
SPEC. INSP:
r _.
SUPP. TO PERMIT
"ELEC TRICA.L FEE
(J1`
'.PLAN CHECKER
BOND $
BOND
CASH
PLAN FILE #,
FINAL. DATE
INSPECTOR
J
PLUMBING FEE
-
/ a.. / �"'
CN-L•C�fL..L
TOTAL FEES ✓,
'
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED'
WITHIN 60 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO
CASH d
- CHECK M.O. N.C.
CAUSE PERMIT TO BECOME'VOID.
'I HEREBY -AGREE THAT ALL WORK IN CONNECTION WITH THIS
IECEIVED BY -
SEWAGE SYSTEM -
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER -
AX -1-0
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-
INFORMATION
TRACTORS IS ALSO GUARANTEED.
OWNERCONTRACTOR
-
ADDRESS
ADDRr S
'
-
TESL. NO. -
TE.L. NO.
SE NO. -
I84-208 11/87'
jl• `