162252 (SATT)DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD OFFICE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
1st Fl.'—
2nd FI.
Por. "
GD,.
Car P.
WOII
-
Sq'. Ft. @
' NO.
No,.
Sq. Ft. @
USE OF BUILDING Ij I-
Sq'. Ft, @_
PLAN CHECK FEE-
7 .
Sq. Ft, @ POLES
Sq, Ft, @ SIGNS.
DRAINAGE PIPING
Sq. Ft. @ OR AT SC LK.D/
DRINKING FOUNTAIN
- MOTOR M.P.
Sq. Fr. @
URINAL ,
MOTOR - N.P.
WATER P PING
ESTIMATED VALUATION$
^•+ - MOTOR H. P.
FLOOR DRAIN
MECHANICAL FEES
MOTOR H. P.
WATER SOFTENER
VENT SYST CI FAN 11EVAP• COOK 13 -HOOD
MOTOR K. P.
WASHER (AUTO),DISH)
APPLIANCE' -
FIXTURES
GARBAGE DISPOSAL
} FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
J
OUTLETS
LAUNDRY TRAY
2 AIR HANDLING UNIT -
0
- .SUB -PANEL. ..
KITCHEN SINK
sin
J GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
`
-
WATER CLOSET
Q4,0
U COMPRESSOR. ® HP
- RANGE AND/OR OVEN
�{
LAVATORY 0 V
ll
W APPLIANCE VENTWATER
HEATER
SHOWER
ABSORPTION SYSTEM D B.T.U.
0
SPACE HEATER
BATH TUB
U INCINERATOR DOMESTIC ❑ INDUS. El COMM. -
CONSTRUCTION POLE
WATER HEATER
HEATING SYSTEM ®"FORCED ❑ GRAVITY -
- SERVICE ENTRANCE
SEWAGE DISPOSAL
BOILER D B -.T. U.
RE51D. 10 SQ. FT.. -
HOUSE SEWER.
RESIDENTAL FEE SQ.FT.l @
GARAGE 10`SQ. FT.
GAS PIPING ..
PERMIT FEE
s ,PERMIT FEE. A PERMIT FEE
PERMITy�� GG
REN.
RE'NM.
DBL.
TOAAFEE
IT- 4s
HATVJ. ENT E
PLN. CJ K. F
CONST. F
ELEC. FEE
PLUMB.
FEE9.
M A
JJ F 5.
D
O N
SET BACKLOT.SI�ZE
USE 'a
JOB ADDRESS OWNER
4q
ZONE
USE OF BUILDING Ij I-
PLAN CHECK FEE-
-
MECHANICAL FEE
CHECKED BY
CO U3'nYY- -
D.I RICT
F.C. -
UNITS
VALUATION
OFFICE
CONSTRUCTION FEE
`
T�Y(P�;E
, !o[Ri.
LEGAL DESCRIPTION
. ' ' " e °yr -
1622
PERMIT NUM
ELECTRICAL FEE
SPEC. INSP. •
SUPP. TO PERMIT
PLUMBING FEE
�7
-
PLAN CHECKER
BOND $ ..
BOND
CASH
PLANFILE it
FINAL DATE
%--�. Lr (o
INSPECTOR
TOTAL FEE
THIS.PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED,
•`
WITHIN 60 DAYS.` CESSATION OF WORK FOR 12.0 DAYS SHALL ALSO
CAUSE PERMIT TO BECOME -VOID.
I HEREBY AGREE 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-
T
LL
e?. - Ix
SIDE'COUNTY AND.THE STATE OF CALIFORNIA. I ALSO AGREE TO
CARRY COMPENSATION INSURANCE - UPON MY'EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE, STATE OF CALIFOR.NJ,,A COVERING CON-
TRACTORS IS,ALSO GUARANTEED. „^
•�
INFORMATION
OWNER
CONTRACTOR
ADDRESS "
AODR
'
TIE L. N 0.
iF
NO.
284-208' 11/.87