166605 (SATT)DEPARTMENT OF BUILDING & SAFETY
FIELD OFFICE
COUNTY OF RIVERSIDE'
CONSTRUCTION ESTIMATE - ELECTRI"CAL FEES, PLUMBING FEES
1st F:I. Sq. Ft. @ NO. NO.
2nd FL Sq. Ft. @
Por. Sq. Ft. @
Gar. Sq. Ft. @ POLES
Car P. ..
WOII
`
Sq,. Ft, @.-
SIGNS
LOT SIZE
DRAINAGE PIPING
USEft
y.•�(
TRANS. AND/ DRINKING FOUNTAIN "
Sq. Ft.@ - OR T.CLK. - "
Sq. Ft. MOTOR H. P. - URINAL
MOTOR H'. P. WATER PIPING
"
" ESTIMATED. VALUATION $
MOTOR "
H. P. _
FLOOR DRAIN
MECHANICAL FEES
MOTOR'
H. P.
WATER SOFTENER
-
VENT SYSTEM ❑FAN ,❑ EVAP.,'COOL ❑ HOOD
MOTOR.
H. P;
- WASHER (AUTO) (DISH)
VAiUA ION
'APPLIANCE -
FIXTURES
GARBAGE DISPOSAL
D
FJ FURNACE ❑UNIT ❑ WALL 11FLOOR [ISUSPENDED
OUTLETS
LAUNDRY TRAY
12 AIR HANDLING UNIT
''SUB -PANEL
TYPE
KITCHEN SINK
F'0
J GAS PIPE '[],NATURAL ❑ L.P.G., ❑ OIL -
t Q
.. _ ..
WATER CLOSET
• COMPRESSOR OH -P.
ir
RANGE AND/OR OVEN,
LAVATORY
F W APPLIANCE VENT _
"TER -HEA TER
-
SHOWER
,
F ABSORPTION SYSTEM D B. T. U.
-SPACE HEATER
BATH TUB
;O
= U INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM. -
CONSTRUCTION_ POLE
WATER HEATER . •.
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
- SERVICE ENTRANCE
SEWAGE DISPOSAL
'ELECTRICAL FEE
- BOILER � C� B.T.U.
- RESID. AC SQ. FT.
-
HO-'-U_S & SEWER
_ RESIDEN TA -L FEE SO.FT.�@
GARAGE zC SO. FT.
GAS PIPING.
BOND
PERMIT FEE
PERMIT FEE
FINAL DATE -
p PERMIT FEE
PLUMBING FEE .w.e,�..,,.
HERMIT NUTE
66605
- -
REN."
JDBL.
TOTAL FETE
HEAT & VENT FEE
JPLN. 'C K. FEE
CONST.. FEE
ELEC, FEE
PLUMB, FEE
J F M A - M J J - A
J F
S
O N Ib ,
CASH CHECK M.O. N,c.
SET BACK
LOT SIZE
USEft
y.•�(
JOB ADDRESS _ ` OWN R
WNNER ,syr,^
IS JR'
-
I
ZONE
UrSE OF B ILDI G - i/•✓
DATE
;PLAN CHECK FEE -
f,/ �
_
-
CHECKED BY
COMtv1 N. Y -JbISTRIC'T
VAiUA ION
OF CE-
MECHANICAL FEE
r
_ !� r.7.^(,.^A
D
JF,C.41NITS
A
GROUP
TYPE
LEGAL D `E'SCRIPTION -
MIE
'
fr6
6
rCONSTRUCTION FEE -
-
'
SPEC. INSP."
SUPP. TO PERMIT
'ELECTRICAL FEE
-
(,
PLAN CHECKER
BOND $
BOND
CASH
PLAN FILE #
FINAL DATE -
INSPECTOR
PLUMBING FEE .w.e,�..,,.
- -
S' ` 19_0 d
`JC..-wVlti.
TOTAL FEES -
THIS
PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED'
OMMENCED-
WITHIN
WITHIN 60 DAYS. CESSATION OF WORK FOR 120 :DAYS SHALL ALSO
CAUSE PERMIT TO BECOME VOID.
- 1 HEREBY- AGREE THAT ALL WORK IN CONNECTION WITH THIS
CASH CHECK M.O. N,c.
ECEIVED BY. SEWAGE SYSTEM
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF R1VER-
{} �j „
ILL
_
„� �
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
{� T
is�JL
9l/
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON -
INFORMATION
TRACTORS is ALSO GUARANTEED.
..
OWNER
&,0 RAC r
ADDRESS
ADDRESS -
-
TEL. NO. .
TEL. NO. �y
4,
.ICEN.SE
NO.
84-208 11/87