166606 (SATT)DEPARTMENT OF BUILDING & SAFETY
COUNTY,OF 'RIVERSIDE FIELD OFFICE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
1st FI:
2nd FI.
Por.
Gar. _
Car P.
WOII -
'
Sq. Ft. @
NO.
NO.
Sq. Fr, @.
PLN. CK. FEE
Sq. Ft.
ELEC.-FEE
/@
Sq., Ft._@ .. •. POLES
,
Sq. Ft."@ SIGNS'
DRAINAGE PIPING
Sq., Ft. @ ORAT SCLK.O/
DRINKING FOUNTAIN
Sq Ft @ MOTOR H. P.
J l:
URINAL
-
MOTOR M._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 (AVTO) (DISH)
APPLIANCE -
FIXTURES
GARBAGE DISPOSAL
;} FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
'J
OUTLETS
-
LAUNDRY TRAY
'Z AIR HANDLING UNIT
.
SUB-PAMEL
- v
KITCHEN0 SINK
• J GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL -
Q
U E OF U YLD NG" - - A E
,. P L A N CHECK FEE
WATER CLOSET
' U COMPRESSOR E::�HP
RANGE AND/OR OVEN
• -
LAVATORY.
B:
_B7 APPLIANCE VENT •
WATER HEATER
� UNITS VA
ION
SHOWER '
,2 ABSORPTION SYSTEM D B.T.U.
,0
'SPACE -HEATER
BATH TUBI
U INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM. ..
CONSTRUCTION POLE
GROUP
WATER HEATER -
HEATING SYSTEM ❑FORCED ❑ GRAVITYSERVICE
ENTRANCE
-
SEWAGE DISPOSAL
- BOILER�7 B.T.U.'
RESID. 10 SO. FT.
;CONSTRUCTION FEE1r"
OUSE SEWER i,';
RESIDENTAL FEE SO.FT.E::::�@
GARAGE zC SO. FT.
16
'GAS PIPING
- PERMIT FEE _
PERMIT Fcc
% ten._ ___
ERMIT !•�QM6f�
6
0
6
IREN, JDBL'.
TOTAL F>HEAT
& VENT•FEE
PLN. CK. FEE
CONST.'FEE
ELEC.-FEE
✓iJ
UME
L
F M A M_ J J A - 5
F M A M J J A S
- p
O N p
5E T:BAC K
LOT SIZE
USE 4
JOB ADDRESS
d
OWNER'
;+
$
R
6
o/I/� - l3YC
�,
1."
- v
ZONE
U E OF U YLD NG" - - A E
,. P L A N CHECK FEE
f
'
CHECKED BY
C-OMMII .I
T
.C.
� UNITS VA
ION
,MECHANICAL FEE
/YIIFk,
:�:7�RI'C
/A
!• J ,;,..
J'"
- -
GROUP
TYPE
LEGAL.DESCR IPT'ION
PERMIT
N
;CONSTRUCTION FEE1r"
1}
•
16
6.�
�•
- SPEC. INSP.
- \i✓`
SUPP. TO PERMIT
ELECTRICAL FEE-
•
- PLAN CHECKER
BOND '$
BOND
CASH
PLANFILE #
FINAL DATE..
INSPECTOR
.PLUMBING FEE •-
_
��.,/p W.a7
S
I .
4L12.
TOTAL FEES
$41W
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.' '
- THEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS
;CASH cHecx M. o. N.c.
ECEIVED BY
.. SEWAGE SYSTEM
ss
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER -
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO -AGREE TO
y9 - �_
T
LL P �r
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING' CON'-
INFORMATION
TR'ACTORS IS ALSO GUARANTEED.
OWNER
CONTRACTOR
-
ADDRESS
ADORE
jSS,%
TEL. NO. - F
. N O. v .,.�-r:+*�^►.^.w+...fa+.•
.. -
I
LICENSE
• -
B4-208 11/&7