162259 (SATT)DEPARTMENT OF BUILDING .&' SAFETY
COUNTY OF RIVERSIDE
FIELD OFFICE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES'
PLUMBING FEES
lst fl.
2nd FL
Por. W.,
Gar.
Car P. ,
WOII+
'
Sq. Ft. @ �'.
NO.
NO:
Sq. Ft. @
C EC'KED BY
Sq. Ft. @
c POI ES
Sq. Ft. @
UNITS
Sq. Ft. @ SIGNS'
l@:
ORAINAGE PIPING
OR 'TSC LK.O/
Sq. Ft.TRAN
DRINKING FOUNTAIN
Sq. Ft.. @ - - MOTOR. .- H. P.
J
URINAL
- - MOTOR M.P.
WATER PIPING
ESTIMATED VALUATION
MOTOR H. P.
FLOOR DRAIN
MECHANICAL _FEES
MOTOR H. P.
.MOTOR
WATER SOFTENER
VENT SYSTEM PyFAN ❑ EVAP. COOL RHOOD '
-
' H.P.
1.. WASHER (AUTO) DISH)
/
APPLIANCE
_ FIXTURES_
GARBAGE DISPOSAL
>- FURNACE(:] UNIT❑ WALLO FLOOR❑ SUSPENDED.
J
'OUTLETS;, "
LAUNDRY TRAY
Z AIR HANDLING UNIT-
O
SUB -PANEL
KITCHEN SINK
-I GAS PIPE 13 NATURAL ❑ L.P.G. O OIL
Q
WATER CLOSET
U COMPRESSOR 3 O HP
RANGE AND/OR OVEN
LAVATORY .
(r
W APPLIANCE VENT
WATER NEATER
SHOWER
ABSORPTION SYSTEM D B.T.U.
O
SPACE HEATER
BATH TUB
U INCINERATOR DOMESTIC ❑ INDUS: ❑COMM.
CONSTRUCTION POLE
- WATER HEATER
HEATING SYSTEM `FORCED ❑ GRAVITYAV
jj& SERVICE ENTRANCE .� ' SEWAGE DISPOSAL
BOILER B.T.U.-
`RES ID.'IC SO. FT. -
HOUSE SEWER.. -
R ESIDEN TAL FEE SO FT.�@
'GARAGE iQ 50. FT.
GAS PIPING
PERMIT FEE
V PERMIT FEE
V��FEE
PERMIT FEE _
PERMIT NU Ea 5.9
(o•F
REN.
D�TOTALS,yNEAT
-M'
&
PLN'CK.'�, �
CONST.'FE�
EEC. FE„�
J
PLUMB. FEE
MY`My'rM J J A- 5
O IN - D
SET BACK
LOT SIZE
USE 0 _
JOB ADDRESS - OWNER
a
�10
'
PLAN .CHECK FEE
ZONE
,-Za.
USE F B ILDING / - Dypp�
.,,q, f••
MECHANICAL FEE
maria.
C EC'KED BY
C MSl` ITYDISTRICT
Z.
F:C.
UNITS
VALUATION OFFIC
-
' CONSTRUCTION FEE
_
GRt
TYPE
LEGAL D SCRIPTION
.'�""... ..
1
PERMIT NU B
6 2 2�
ELECTRICAL FEE
-- �!../y
SPEC. INSP.
_ r
'
SUPP. TO PERMIT
PLUMBING FEE
PLAN CHECKER
BOND.$ .
BOND
I CASH
PLAN FILE #.
,FINAL DATE
1—'�. -(p�
INSPECTOR
tl�
TOTAL
• O I ^L 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 AGRE-E.THAT ALL WORK IN CONNECTION WITH THIS
CASH CHECK M.o�. .'' N.C.
RECEIVED BY
'SEWAGE SYSTEM
-
PERMIT WILL BE DONE'IN ACCORDANCE WITH THE LAWS OF RIVER-
d
T
LL
/�,
SIDE SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
WITH LAWS OF THE -STATE OF CALIFORN COVERING CON -
TRACTORS IS ALSO GUARANTEED.
-ANCE
INFORMATION
}
OWNER
CON 'RACTOR i -•
YCDD RR}ES'�-
ADDRE 5
-W`TEL.•N
�° f.✓ls� i
rte.
O� '.
.- .
'TEL. N U.
•,
! /Z
LICENSE NO. _
_
284.208 11/8'7'
-