160317 (PLBG)y DEPARTMENT OF .BUILDING & SAFETY
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
FIELD OFFICE
ELECTRICAL FEES
1st FI. -
2nd FL
Par.
' Gar.
.. Car P.
Wall
'
Sq. Ft. @
NO.
NO.
CONST. 'FEE
Sq. Ft. @' "
PL.U`MB.�aF,EIE, ,
Sq. Ft. @ - - -
Sq. Ft. @ • POLES. ..
Sq.,Ft. @ - - ' - _ ' SICNS
_
Sq. Ft. @ d ORi. cAMA✓L
_
Sq. Ft. MOTOR -
@
H. P.
MOTOR'
H. P.
ESTIMATED VALUATION - $r;:
'MOTOR -
H.P.
MECHANICAL FEESMoron
LOT SIZE
WATER PIPING
H.P.
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑HOOD
FLOOR DRAIN-
MOTOR
H. P.
APPLIANCE ' -
FI%TURES
-'
' } FURNACE❑ UNIT WALL 13 FLOOR SUSPENDED,
/
OUTLETS
'
Z AIR HANDLING UNIT
` O
LAUNDRY TRAY -
SUB.PA7
t:. PLAN CHECK FEE-" - -
J GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
b� �r'I 'o,
-
WATER CLOSET
U COMPRESSOR �HP, .'
^'
CO i 11 Tr�Yta�,;
RANGE AND/OR OVEN
Os—
W
- W APPLIANCE VENT
SHOWER
WATER HEATER
1. �
ME
I�ABSORPTION SYSTEM - �. B.T.U.
-
SPACE NEATER
WATER HEATER
OINCINERATOR DOMESTIC' ❑ INDUS. ❑ COMM.
MIje
.,^ —
CONSTRUCTION POLE
CH ANIC`AL FEEOF
-.1
• HEATING SYSTEM ❑ FORCED ❑ GRAVITY
HOUSE SEWER
SERVICE ENTRANCE
BOILER B.T.U..
RESID. IC SO.,£T.
.
R ESIDEN TAL FEE SO.FT.�@
TV PE_
GARAGE 16.50- FT.
PERMIT, FEE _
{
PERMIT FEE
[�{
; PERMIT'NU E{/rg�.
FIELD OFFICE
REN. DBL,.
J
PLUMBING FEES
HEAT & VENT FEE
NO.
CONST. 'FEE
ELEC. FEE
PL.U`MB.�aF,EIE, ,
I
! 1
_
_
s
DRAINAGE PIPING
JF M A - M J J A S
O N D
DRINKING FOUNTAIN
URINAL
LOT SIZE
WATER PIPING
..
JOB ADDRESSSys
OWNER
FLOOR DRAIN-
WATER SOFTENER
'WASHER (AUTO) (DISH)
/
GARBAGE DISPOSAL'
'
Z0NNEE
LAUNDRY TRAY -
DAJ,E
t:. PLAN CHECK FEE-" - -
KITCHEN. SINK
b� �r'I 'o,
-
WATER CLOSET
CHECKED BY
^'
CO i 11 Tr�Yta�,;
LAVATORY
Os—
UNITS•
SHOWER
yC
1. �
ME
BATH TUB
-
WATER HEATER
MIje
.,^ —
SEWAGE DISPOSAL -
CH ANIC`AL FEEOF
-.1
HOUSE SEWER
GAS PIPING
PERMIT FEE
GROU
; PERMIT'NU E{/rg�.
REN. DBL,.
J
ITOTAL
''�'�FFrEES
HEAT & VENT FEE
PLN. CK. FEE
CONST. 'FEE
ELEC. FEE
PL.U`MB.�aF,EIE, ,
I
! 1
_
_
{�-+A „rte•-'
JF M A - M J J A S
O N D
SET BACK
LOT SIZE
USE 4
..
JOB ADDRESSSys
OWNER
/
..5
'
Z0NNEE
s. - "` f
U E F BJffU..ILDIN-G
DAJ,E
t:. PLAN CHECK FEE-" - -
•It
b� �r'I 'o,
CHECKED BY
^'
CO i 11 Tr�Yta�,;
DISTRIC)
off
Os—
UNITS•
VALUATION
yC
1. �
ME
61h"
t
MIje
.,^ —
CH ANIC`AL FEEOF
-.1
3 tai '- I
GROU
TV PE_
LEGAL DESCr IPTIO-N '
PERMIT NUM1BE
' CONSTRUCTION FEE
-� L '� t +i./v y'
lee
603 i 7 ,
- -
SPEC. INSP.
�•
SU PP. TO PERMIT
-
.ELECTRICAL FEE
•PLAN CHECKER'
BOND $
BOND I
CASH
PLAN FILE #
FINAL DATE
INSPECTOR ,
PLUMBING
1e
TOTALTE
• ^L FEEC_ v
-
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
i•ICASH CHECK M.O. N.C.
�RECEIVED BY•
SEWAGE SYSTEM
I
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
T
LL+
P
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 CALIFORNIA COVERING CON- '
INFORMATION
_
TRACTORS IS ALSO GUARANTEED.
-
OWNER
CONTRACTOR `
ADDRESS- -
AO'ORESS
- -
•�
TEL. NO. -
TEL. NO. - -
••
''
y
LICENSE NO. -7
284.208 11/67 y°�"-
r ,.
.w....ais.+•�.